Journal of Prevention and Treatment for Stomatological Diseases ›› 2018, Vol. 26 ›› Issue (3): 189-194.doi: 10.12016/j.issn.2096-1456.2018.03.010

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Research progress in applications used for guided tissue regeneration in endodontic surgery

Tao LUO(), Ling ZOU()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Conservative Dentistry and Endodontics & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
  • Received:2017-08-30 Revised:2017-09-14 Online:2018-03-20 Published:2018-08-31

Abstract:

Conventional root canal therapy can not completely treat all periradicular lesions, especially combined endodontic-periodontic diseases, large periapical lesions and bone defect lesions. Guided tissue regeneration greatly improves the success rate of endodontic surgery in treating these lesions. This article focuses on the application of various grafting materials, guided bone regeneration membranes and regulatory factors in endodontic surgery.

Key words: Root canal treatment, Guided tissue regeneration, Endodontic surgery, Guided bone regeneration membrane, Grafting material, Regulatory factors

CLC Number: 

  • R781.05

Table 1

Classification of periradicular lesions"

病变分类 病变位置及感染扩散途径
第Ⅰ类 病变仅局限于根尖周区域,无牙周病变,病变区无法被探及。
Ⅰa 根尖周病变区域未波及颊舌侧骨皮质
Ⅰb 根尖周病变波及颊侧和(或)舌侧骨皮质(包括颊舌侧穿通病变)
第Ⅱ类 根尖周病变伴有牙周病变
Ⅱa 根尖周病变和牙周病变为独立病变,不相通
Ⅱb 根尖周病变和牙周病变相通,即牙周牙髓联合病变
第Ⅲ类 由侧副根管感染、医源性穿孔导致的根尖周病变
Ⅲa 不伴牙周病变
Ⅲb 伴有牙周病变
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