国际口腔医学杂志 ›› 2016, Vol. 43 ›› Issue (3): 249-259.doi: 10.7518/gjkq.2016.03.001

• 专家简介 •    下一篇

根管内分离器械的处理评估与取出策略

高原,徐佳蕾,杨倩,黄定明,周学东   

  1. 口腔疾病研究国家重点实验室 华西口腔医院牙体牙髓病科(四川大学) 成都 610041
  • 收稿日期:2016-01-20 修回日期:2016-02-23 出版日期:2016-05-01 发布日期:2016-05-01
  • 通讯作者: 周学东,教授,博士,Email:zhouxd@scu.edu.cn
  • 作者简介:高原,副教授,博士,Email:gaoyuan@scu.edu.cn

Evaluation and removal strategies of the broken instruments in the root canal

Gao Yuan, Xu Jialei, Yang Qian, Huang Dingming, Zhou Xuedong   

  1. State Key Laboratory of Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China)
  • Received:2016-01-20 Revised:2016-02-23 Online:2016-05-01 Published:2016-05-01

摘要: 器械分离是根管治疗过程中较常发生的并发症之一。对于器械分离病例的处理方法分为保守治疗、外科显微手术治疗或拔除,针对不同的病例进行具体评估与分析,进而选择合适的治疗方案尤为重要。本文在分析总结了器械分离的原因及相关因素并结合了临床实践的基础上,阐述器械分离的具体处理及评估方法,重点介绍取出根管内分离器械的策略,为临床医生处理根管内器械分离的病例提供参考依据。

关键词: 器械分离, 评估, 取出, 牙本质厚度, 器械分离, 评估, 取出, 牙本质厚度

Abstract: Separation of endodontic instruments within the root canal is one of the common complications during root canal preparation. Management of separated instruments includes orthograde approaches, surgical approaches and extraction. It is essential to evaluate the conditions of specific cases in order to choose the proper approach. Based on the review of literatures and clinical experiences in dealing with broken instruments, the present article proposes the evaluation methods and management options, especially emphasizing the removal strategies, which may help dentists in treating the separated instrument cases.

Key words: broken instrument, evaluation, removal, dentin thickness, broken instrument, evaluation, removal, dentin thickness

中图分类号: 

  • R 781.33
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