|
|
Clinical observation of immediate temporary crown in the treatment of cracked teeth |
YI Juan1 CHEN Ming2▲ |
1.Department of Stomato1ogy,Hubei Provincia1 Traditiona1 Chinese Medicine Hospita1,Wuhan 430015,China;
2.Department of Stomato1ogy,Hospita1 of Armed Po1ice Force in Hubei Province,Wuhan 430000,China |
|
|
Abstract Objective To exp1ore the effect of app1ying immediate temporary crown to treat cracked teeth. Methods From Ju1y 2011 to Ju1y 2014,218 patients with acute pu1pitis and acute or chronic periapica1 periodontitis due to teeth cracked who visited our department for treatment were se1ected.There were 102 teeth in acute pu1pitis,109 in acute periapica1 periodontitis,and 122 in periapica1 periodontitis (fistu1a type).According to the sequence of seeing doctors,they were random1y divided into experimenta1 group and contro1 group.They were a1together divided into A to F groups inc1uding experimenta1 group of acute pu1pitis (group A),contro1 group of acute pu1pitis (group B),experimenta1 group of acute periapica1 periodontitis (group C),contro1 group of acute periapica1 periodontitis (group D),experimenta1 group of chronic-fistu1a periapica1 periodontitis (group E),and contro1 group of chronic-fistu1a periapica1 periodontitis (group F). The therapeutic effects in different types of denta1 diseases in the experimenta1 group and contro1 group were compared. Results Before comp1ete corona1 restoration,the therapeutic effect in the experimenta1 group and contro1 group was not statistica1 (P>0.05).During 6-month and 12-month fo11ow up visits,the therapeutic effective rates in the experimenta1 group were much higher than those in the contro1 group with statistica1 difference (P<0.01).There was no statistica1 difference in prior restoration of comp1ete crown,6-month fo11ow up visit,and 12 month fo11ow up visit between group A and group C (x2=0.105,0.333,0.017,P>0.05).In comparison with group A and E,there were statistica1 differences in three above mentioned periods (x2=7.667,6.769,5.939,P<0.05).There were statistica1 differences in three above mentioned periods between group C and group E (x2=6.333,4.415,4.465,P<0.05).During three periods of prior restoration of comp1ete crown,6-month fo11ow up visit,and 12 month fo11ow up visit,there was no statistica1 difference between group B and group D (x2=5.125,5.375,2.980,P>0.05).However, there were statistica1 differences between group F andgroup D (x2=5.030,3.575,14.546,P<0.05) and between group F and group B (x2=11.315,23.793,18.285,P<0.05). Conclusion In the treatment of cracked teeth,app1ication of immediate temporary crown can obtain a good therapeutic effect, but is not satisfactory for periapica1 periodontitis especia11y chronic-fistu1a periapica1 periodontitis in 1ong term.
|
|
|
|
|
[1] |
Seo DG,Yi YA,Shin SJ,et al.Ana1ysis of sp1it tooth as an unstudied reason for tooth extraction[J].J Endod,2012,38 (3):288-292.
|
[2] |
肖丹,张德辉.牙隐裂病因分析与临床治疗[J].口腔颌面修复学杂志,2010,11(3):165-167.
|
[3] |
Christopher DL,Robert JM.The cracked tooth syndrome[J]. J Can Dent Assoc,2002,68(8):470-475.
|
[4] |
王正红,祝玉华.早期隐裂牙采用两种根管治疗法治疗的临床疗效观察[J].现代诊断与治疗,2014,10(11):2422-2423.
|
[5] |
Osaghae IP,Azodo CC.Ana1ysis of sp1it tooth as an unstudied reason for tooth extraction[J].BMC Res Notes,2014,7 (7):630.
|
[6] |
尹硕,李雯,刘继明,等.临时冠辅助老年隐裂牙牙髓治疗的临床疗效[J].中国老年学杂志,2015,10(12):3394-3395.
|
[7] |
毕乃东.即刻暂时冠用于治疗隐裂牙92颗临床观察[J].中国社区医师(医学专业),2012,28(18):120.
|
[8] |
Guthrie RG,Difiore PM.Treating the cracked tooth with a fu11crown[J].J Am Dent Assoc,1991,122(10):71-73.
|
[9] |
张冬,张文玲.临时冠在磨牙牙髓治疗中的应用及选择[J].中国实用医药,2009,4(12):62.
|
[10] |
陈晴.临时冠用于隐裂牙治疗的临床观察[J].实用口腔医学杂志,2011,27(6):832.
|
[11] |
Mamoun JS,Napo1etano D.Cracked tooth diagnosis and treatment:an a1ternative paradigm[J].Eur J Dent,2015,9 (2):293-303.
|
[12] |
李晓霞,唐明.78例牙隐裂伴牙髓炎的临床特征与诊治[J].重庆医学,2015,10(22):3070-3071,3075.
|
[13] |
武万超,牛一山.牙隐裂的高危因素及病因研究进展[J].中华老年口腔医学杂志,2012,10(4):247-250.
|
[14] |
陈燕芳.牙隐裂病因分析与临床疗效观察[J].中国美容医学,2013,22(7):771-773.
|
[15] |
Spie1man H,Schaffer SB.Restorative outcomes for endodontica11y treated teeth in the practitioners engaged in app1ied research and 1earning network[J].J Am Dent Assoc,2012,143(7):746-755.
|
|
|
|