Treatment of calcified root canals in elderly people: a clinical study about the accessibility, the time needed and the outcome with a three-year follow-up
Treatment of calcified root canals in elderly people: a clinical study about the accessibility, the time needed and the outcome with a three-year follow-up
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DOI：
10.1111/ger.12238
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发表时间：
2017-06-01
期刊：
影响因子：
2
通讯作者：
Weiger, Roland
中科院分区：
文献类型：
--
作者：
Kiefner, Peter;Connert, Thomas;Weiger, Roland
目的：根管钙化牙齿根管治疗的可及性，所需时间和结果的确定在一个样本的老年参与者在私人执业有限的endodontics.Background：由于人口的变化，老年牙科学正变得越来越重要，也在牙髓病学领域。老年患者可出现严重的根管钙化。根管治疗是根管治疗的一个重要步骤。只有很少的数据存在的钙化根管治疗及其结果，特别是在老年population.Materials和方法：41名参与者（中位年龄：72岁）需要根管治疗。治疗的牙齿总数为41个，114个谈判根管。一名仅限于牙髓病学的专家在私人诊所进行治疗。根据转诊牙医提供的回忆X光片，通过应用尖周指数评分来评估结果。同样，定位根管所需的时间measured.Results：所有根管已被检测到使用手术显微镜，并在90%的情况下，可以建立完整的工作长度。观察3年后，成功率为80%。在三个五颗牙齿，根管可以定位在15分钟内。结论：钙化根管的老年人在这项研究中治疗的所有访问最多60分钟内。成功率后，随访3年为80%。
Objective: Determination of accessibility, time needed and outcome of endodontic treatment of teeth with calcified root canals in a sample of elderly participants in a private practice limited to endodontics.Background: Due to demographic changes, gerodontology is becoming more and more important, also in the field of endodontology. Elderly patients can show up with severe calcifications of root canals. Root canal treatment, when needed, can be very challenging in these cases. Only few data exist about the treatment of calcified root canals and its outcome, especially in an elderly population.Materials and methods: Forty-one participants (median age: 72 years) needing a root canal treatment were included. The total number of treated teeth was 41 with 114 negotiated root canals. A specialist limited to endodontics performed the treatment in a private practice. Outcome was assessed by applying the periapical index score on the basis of recall radiographs provided by the referring dentists. Likewise, time required to localise the root canals was measured.Results: All root canals have been detected using the operating microscope, and full working length could be established in 90% of the cases. Success rate was 80% after an observation time of 3 years. In three of five teeth, root canals could be localised within 15 min.Conclusion: Calcified root canals of older people treated in this study were all accessible within a maximum of 60 min. The success rate after a follow-up of 3 years was 80%.