目的 探讨口腔内镜及超声技术在第二磨牙远中邻面龋坏微创治疗中的应用。方法 收集2022-03至2023-02北京友谊医院及北京铁建医院口腔科就诊的33例患者(智齿阻生致第二磨牙远中邻面龋坏的患牙共36颗),均在内镜辅助下进行单面洞的牙体预备及充填,龈下龋坏组织通过超声技术去除,高强度玻璃离子进行严密充填,观察充填后1周、1个月及 12个月临床效果。结果 随访期间,1颗牙出现充填体脱落,1颗牙出现牙髓炎症状,其余34颗牙无继发龋、无牙体劈裂、无牙龈探诊出血等,成功率为94.4%。结论 口腔内镜及超声技术应用到第二磨牙远中邻面龋治疗中,可最大限度保存健康牙体组织,保护牙龈。
Abstract
Objective To investigate the application of dental endoscope combined with ultrasonic technique in minimally invasive treatment of distal surface caries of the second molar. Methods A total of 36 affected teeth with distal surface caries of the second molar due to wisdom tooth impact were collected from 33 patients treated in the stomatology department of Beijing Friendship Hospital and Beijing Railway Construction Hospital of China Railway Construction Corporation from March 2022 to February 2023. Single-sided cavity preparation and filling were performed with the assistance of dental endoscope. The subgingival caries were removed by ultrasound, and high-strength glass ionomer cement was performed to fill closely. The clinical effect of 1 week, 1 month and 12 months after filling was observed. Results During the follow-up period, 1 tooth had filling body loss, 1 tooth had pulpitis, and the other 34 teeth had no secondary caries, no tooth splitting, no gingival bleeding,and the success rate was 94.4%. Conclusions The application of dental endoscopy combined with ultrasound in the treatment of distal surface caries of the second molar can maximize the preservation of healthy dental tissue and protect the gums.
关键词
口腔内镜 /
超声技术 /
远中邻面龋坏 /
高强度玻璃离子 /
微创治疗
Key words
dental endoscope /
ultrasonic technique /
distal surface caries /
high strength glass ionomer cement /
minimally invasive treatment
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参考文献
[1] McArdle L W, Patel N, Jones J,et al. The mesially impacted mandibular third molar: the incidence and consequences of distal cervical caries in the mandibular second molar[J]. Surgeon, 2018,16(2):67-73.
[2] Kunwar D, Koirala U, Manandhar A, et al. Association of prevalence of dental caries in mandibular second molar with impacted third molar[J]. Nepal Health Res Counc,2021, 19(2):259-263.
[3] Dijken J W. Durability of three simplified systems in class V non-carious cervical dentin lesions[J]. Am J Dent,2004,17(1):27-32.
[4] 汪学华, 王 鑫, 陆 钰,等. 联合翻瓣术治疗下颌第二磨牙远中邻面龈下龋坏 [J]. 口腔医学研究, 2012, 28 (4): 373-375
[5] Toedtling V, Coulthard P, Thackray G. Distal caries of the second molar in the presence of a mandibular third molar-a prevention protocol[J]. Br Dent J,2016,221(6):297-302.
[6] 虞国君, 任 颖, 毕 玮. 下颌第二磨牙远中邻面龋单面洞的修复[J]. 复旦学报(医学版), 2002, 29(3):216-217.
[7] 蒋蓉妹,蔡章聪.改良隧道式充填法的疗效评价[J].上海口腔医学,2003,12(4):317-318
[8] Croll T P. Glass ionomer-silver cermet class II tunnel-restorations [J]. Paediatric Dentistry, 1989,79(1): 11-15.
[9] 杨不山, 盛江筠, 孙钦峰, 等. 二类洞改良开髓法对牙折的影响[J]. 山东医科大学学报, 1999, 37(1):86-89.
[10] 胡智康.充填法修复后牙纵折的临床观察[J].华西口腔医学杂志,1990,8(1):37-39.
[11] 唐晓丽,孙 颖,周园园, 等. 口腔内窥镜在牙髓病治疗中的应用[J]. 海南医学, 2018, 29(3):398-401.
[12] 刘春秀,张 利,安 峰,等.下颌阻生智齿引起第二磨牙龋坏的治疗方法探讨[J].现代口腔医学杂志,2007,21(4):444.
[13] Cianetti S, Abraha I, Pagano S,et al. Sonic and ultrasonic oscillating devices for the management of pain and dental fear in children or adolescents that require caries removal: a systematic review [J]. BMJ Open,2018,8(4):e020840.
[14] 李 静,葛立宏,赵双云.超声微创手机和工作头在儿童龋病治疗中的应用评价[J].北京大学学报(医学版),2010,42(6):752-755.
[15] Ntovas P, Doukoudakis S, Tzoutzas J,et al. Evidence provided for the use of oscillating instruments in restorative dentistry: a systematic review[J]. Eur J Dent,2017,11(2): 268-273.
[16] Hamad K Q, Azar W Z, Alwaeli H A, et al. A clinical study on the effects of cordless and conventional retrac tion techniques on the gingival and periodontal health [J].J Clin Periodontol, 2008,35 (12):1053-1058.
[17] Phatale S, Marawar P P, Byakod G,et al. Effect of retraction materials on gingival health: a histopathological study[J]. J Indian Soc Periodont,2010,14(1):35-39.
[18] Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy I moderately advanced periodontitis[J]. J Clin Periodontol,1981,8(1):57-72.
[19] 李成章.牙周治疗后组织修复与再生[J].中国实用口腔科杂志,2009,2(4):193-196.
[20] 周丽珍,刘 勇. 3M Ketac Molar Easymix后牙玻璃离子水门汀充填乳牙中龋的效果观察[J]. 海南医学,2009,20(S5):205,215.
[21] 南晓红,寇继寅,李 茹.玻璃离子水门汀的应用及发展[J].口腔医学,2007,27(6)323-325.
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