难治性牙龈窦道的检查和治疗

Medical Check and Treatment for Refractory Gingival Fistula

根据患者来源及性质的不同 ,对 6 4例难治性牙龈窦道患者分组 ,分别采用加碘仿塑化液根尖部少量导入法、牙周治疗法、根管治疗法、拔除阻生牙、局部搔刮等方法 ,并制定半月及两年疗效标准作评价 ,探讨难治性牙龈窦道的诊治方法及效果 .研究发现 :慢性根尖炎引起的难治性牙龈窦道比例最大 ,用加碘仿塑化液根尖部导入的方法半月治愈的成功率为 91.8% ,两年治愈的成功率为 89.8% ,其余病历的治愈率也达到 5 0 %以上 .因此 ,对顽固性牙龈窦道的治疗 ,确定其病因、病源牙是关键 ,并应根据病因确定治疗措施 .

The purpose of this study was to investigate the method and effect of treating refractory gingival fistula with different source and character by classifying 64 refractory gingival fistulas into 5 groups in terms of source and character, which were treated in various ways, the result of which shew that most refractory fistulas resulted from chronic periapical periodontitis. The patients who were cured within half month and two years accounted for 91.8%and 89.8%respectively by means of importing resinifying solution involved iodine into periapical area, from which we can conclude it is critical to identify the cause and source of the refractory fistula, and the treatment should vary toward different patients.