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目的探讨不同原因造成的顽固性根尖区疼痛的治疗方法。方法回顾分析58例患者58颗患牙临床治疗病例。结果 6颗应用过含砷制剂的患牙经再治疗后全部有效;其余52颗患牙经再治疗后,有50颗患牙有效,2颗患牙再治疗失败。结论碘制剂对砷制剂造成的顽固性根尖疼痛的治疗有效;对于急、慢性牙髓炎的牙髓治疗应尽量避免使用含砷失活剂。地塞米松制剂加先锋霉素Ⅵ联合根管内封药,对顽固性根尖区疼痛的再治疗有效。
Objective To explore the treatment of intractable apical pain caused by different causes. Methods Retrospective analysis of 58 cases of 58 cases of dental treatment of patients. Results Six of the teeth treated with arsenic were all effective after re-treatment. The remaining 52 teeth were re-treated, 50 teeth were effective, 2 teeth re-treatment failure. Conclusion Iodine preparations are effective in treatment of intractable apical pain caused by arsenic preparations. Arsenic inactivators should be avoided in the treatment of pulp diseases of acute and chronic pulpitis. Dexamethasone preparation plus cephalosporin Ⅵ combined with root canal sealers, intractable apical pain re-treatment effective.