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目的观察根管再治疗的原因,以提高初次根管治疗的成功率。方法收集作者2009.1-2011.1月2年来接诊根管治疗失败的68例病例,进行术后X线及再治疗观察。结果根管治疗失败原因仍以首次治疗粗心大意(欠填、充填不严密、)为主要原因;另外牙周牙髓联合病变及根尖病变也是再治疗的主要病因,且再治疗效果不理想。结论目前国际上根管治疗仍是牙髓病及根尖病的首选,随着根管治疗器械的改进治疗成功率显得越来越高,但术前对患牙状态的正确评估,并采用规范正确的治疗方案,才能有效保留患牙,避免根管再治疗。
Objective To observe the reason of root canal re-treatment in order to improve the success rate of primary root canal therapy. Methods A total of 68 patients who failed to receive endodontic treatment from January 2009 to January 2011 were collected for X-ray and re-treatment after operation. Results The reasons for the failure of root canal therapy were still the first carelessness (under-filling and under-filling) as the main reason. In addition, the combination of periodontal and endodontic lesions and apical lesions was the main cause of re-treatment, and the re-treatment effect was not satisfactory. Conclusion At present, root canal therapy is still the first choice of endodontic and apical diseases in the world. With the improvement of root canal therapy equipment, the success rate of treatment is getting higher and higher, but the preoperative assessment of the status of teeth is correct, The correct treatment options, in order to effectively retain the teeth, to avoid root canal re-treatment.