根管治疗后疾病的综合评估和治疗决策

Clinical evaluation and treatment strategies for post-treatment endodontic disease

根管治疗是解决牙髓根尖周病最为有效的手段,但临床上仍然存在因治疗失败或新发疾病需要再次治疗的病例。病情的复杂性、诊断的不确定性及技术设备的局限性给该类疾病的诊治带来了难题。本文从患牙自身情况及治疗风险效益的角度进行综合评估,提出相应的治疗决策,为临床医生选择再治疗方案提供参考。

Root canal therapy is the most effective method to solve pulpal and periapical diseases, but some clinical cases still require retreatment because of treatment failure or new symptoms. Disease complexity, diagnostic uncertainty,and technical equipment limitations have caused difficulties in the diagnosis and treatment of such diseases. This article aims to propose corresponding clinical treatment strategies from the perspective of the affected tooth itself and the risks/benefits to provide a reference for clinicians in choosing a retreatment plan.