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Endo-dontic Flare-ups Incidence and Related Factors

Endodontic flare-ups incidence and related factors

최기운|박상혁|정혜영
대한치과보존학회 (Korean Academy Of Conservative Dentistry)|2005.03|Restorative Dentistry and Endodontics|제30권 제2호|pp. 102-111

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참고문헌

키워드

발생률발생빈도근관치료flare-up술 전 상태
주제분류치의학

초록

본 연구는 근관치료시의 flare-up 발생률과 환자의 술 전 상태 및 술식 등에 따른 flare- up의 발생 빈도를 알아보고자 한 것이다. 자료는 근관치료 받은 840개 치아로부터 얻었다. 심한 동통이나 종창으로 응급 내원하여 보다 적극적인 치료를 필요로 하는 경우만을 flare-up으로 분류하였다. 1. 전체 840개 치아 중 13개에서 발생, 1.55%의 발생률을 보였다. 2. 성별 및 치아에 따른 유의차는 없었다. 3. 술 전 증상이 존재하는 경우 및 치근단 병소가 존재하는 경우가 높은 발생률을 보였다. 4. 무수치의 경우가 생활치나 비가역성 치수염 보다 높은 발생률을 보였다. 5. 다내원 근관치료의 경우 높은 발생률을 보였다. 6. 재근관치료시 높은 발생률을 보였다. 이상의 결론을 통해 flare-up은 환자의 술 전 증상, 치아의 술 전 상태 및 재근관치료 여부에 따라 높은 발생률을 보이고 있음을 알 수 있었다.

Abstract

The purpose of this study was to assess the incidence of flare-ups among patients who received endodontic treatment and to examine the correlation with pre-operative and operative variables. Analysis was in two aspects (a) overall incidence of flare-ups as expressed by a percentage of all patients visits and (b) percentage of flare-ups that occurred as related to various factors such as patient demographics, diagnosis, and treatment procedures. 1.From the 840 teeth which were examined in this study, the total number of flare-ups was 13. 2.As to gender of patients, there was no significant difference in flare-ups. 3.As to tooth groups, there was no significant difference in flare-ups. 4.In the teeth with pre-operative symptom, there was a statistically significant higher incidence of flare-ups than the teeth without it. 5.In the teeth with apical periodontitis, there was a statistically significant higher incidence of flare-ups. 6.As to pulp and periapical status, non-vital teeth had a higher incidence as compared with vital teeth, irreversible pulpitis. 7.Multi-visit treatment resulted in the higher incidence of flare-ups than one visit treatment . 8.Re-treatment procedures had a statistically significant higher incidence of flare-ups than root canal treatment. In this study, overall percentages of flare-ups was 1.55%. It showed a statistically significant higher incidence related to pre-operative symptom, apical periodontitis, and re-treatment. There was no significant difference in flare-ups related to gender, tooth groups, and fistula.

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관련 논문AI추천

단일 내원 근관 치료의 예후도레미, 송승례, 신수일, 최정임대한통합치과학회 · 대한통합치과학회지2019 · 제8권 제3호Prognostic factors influencing clinical outcome of nonsurgical endodontic treatment김선아대한치과보존학회 · Restorative Dentistry and Endodontics2010 · 제35권 제6호Prevalence of referral reasons and clinical symptoms for endodontic referrals김선아대한치과보존학회 · Restorative Dentistry and Endodontics2014 · 제39권 제3호근관의 치경부 조기 확대가 치근단 잔사 정출에 미치는 효과김민경, 민정범, 황호길대한치과보존학회 · Restorative Dentistry and Endodontics2004 · 제29권 제2호근관치료적 이유로 치과대학병원으로 의뢰된 치아들의 특성서민석, 전수진, 황수정대한턱관절교합학회 · 구강회복응용과학지2019 · 제35권 제3호재생근관치료의 성공에 영향을 미치는 결정 요인에 대한 후향적 연구이난영, 이상호, 정화경대한소아치과학회 · 대한소아치과학회지2017 · 제44권 제1호

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