口腔疾病防治 ›› 2021, Vol. 29 ›› Issue (10): 649-655.DOI: 10.12016/j.issn.2096-1456.2021.10.001
收稿日期:
2021-02-16
修回日期:
2021-04-01
出版日期:
2021-10-20
发布日期:
2021-06-23
通讯作者:
韦曦
作者简介:
黄湘雅,副主任医师,博士,Email: 基金资助:
HUANG Xiangya(),CAI Yanling,WEI Xi(
)
Received:
2021-02-16
Revised:
2021-04-01
Online:
2021-10-20
Published:
2021-06-23
Contact:
Xi WEI
Supported by:
摘要:
显微根尖手术是实现疑难根尖周病患牙保存的有效手段。本文提出显微根尖手术的全周期管理理念,针对患者的全身情况和患牙的局部特点制定全面的检查、治疗和复查方案,以达到预期手术疗效,有效保留天然牙。全周期管理包括术前通过对患者的全身评估和口腔术区评估,针对患牙情况选择合适方法进行显微根尖手术;术中应用激光技术、骨窗技术、动静态导航等技术手段,使术式设计多样化,手术更趋于精细、微创;术后根据病史、临床表现及影像学标准评定治疗效果,并对近远期疗效进行解读。
中图分类号:
黄湘雅,蔡艳玲,韦曦. 显微根尖手术的全周期管理[J]. 口腔疾病防治, 2021, 29(10): 649-655.
HUANG Xiangya,CAI Yanling,WEI Xi. Full-cycle management of endodontic microsurgery[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(10): 649-655.
图1 显微根尖手术的全周期管理
Figure 1 Full-cycle management of endodontic microsurgery 2D: periapical radiography; 3D: cone-beam CT; TEMS: targeted endodontic microsurgery.
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