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目的探讨牙周牙髓联合病变的有效治疗方法。方法对100例牙周牙髓联合病变患者的125颗患牙,根据具体病情进行了相应的治疗。结果本组患牙有69颗治愈、41颗好转,总有效率为88%(110/125)。其中原发性牙髓、根尖病继发牙周病变32颗牙中有21颗治愈、9颗好转,有效率93.8%;原发性牙周病变继发牙髓病变75颗牙中有39颗治愈、27颗好转,有效率88%;牙周、牙髓同时病变18颗牙中有9颗治愈、5颗好转,有效率77.8%。本组中需拔除患牙的病例,均是患者不配合或放弃治疗所致。结论牙周牙髓联合病变的临床表现比较复杂,掌握原发病变是治疗成功的关键。应根据不同的形成原因,采用相应的治疗方案。有效的综合治疗措施和患者的积极配合,能够提高牙周牙髓病的治疗成功率,促进患者早日康复。
Objective To investigate the effective treatment of periodontal and pulp joint diseases. Methods A total of 125 teeth with 100 cases of periodontal and pulp joint disease were treated according to the specific conditions. Results The group of teeth 69 cured, 41 improved, the total effective rate was 88% (110/125). Among them, 21 of 32 teeth with primary periodontal disease and periodontal disease secondary to periodontal disease were cured, 9 were improved, and the effective rate was 93.8%. Of the 75 teeth with primary periodontal disease, 39 The cure was cured, 27 improved, the efficiency of 88%; periodontal, dental pulp lesions in 18 teeth 9, 5 improved, the effective rate of 77.8%. In this group need to remove the teeth cases, are patients do not cooperate or give up treatment. Conclusion The clinical manifestations of periodontal and endodontic joint lesions are complex, and it is the key to successful treatment to master the primary lesion. Should be based on different reasons for the formation of the corresponding treatment options. Effective comprehensive treatment and patient’s active cooperation, can improve the success rate of periodontal endodontic treatment, and promote early recovery of patients.