组织再生技术应用于显微根尖手术的临床循证研究进展OA
Evidence-based clinical analysis of tissue regeneration in endodontic microsurgery
显微根尖手术是治疗疑难根尖周病的有效手段,患牙牙根周围软硬组织(包括牙槽骨、牙周膜及牙骨质)的再生是术后理想的愈合方式.近年来,以引导组织再生术为代表的多种组织再生技术被运用到显微根尖手术中,以期提高手术成功率并促进缺损组织的理想愈合.本文基于系统性文献回顾,探讨了在不同类型根尖周病损的显微根尖手术中应用组织再生技术的必要性及其对临床结局的影响.现有证据表明,在显微根尖手术中使用组织再生技术对疑难病例,特别是大范围病损、贯通性病损、根尖-龈缘病损预后的改善有积极作用.未来亟待基于更多高质量临床循证,建立相关技术标准和临床指南,以规范显微根尖手术中组织再生技术的应用.
Endodontic microsurgery,a highly effective intervention for complex periapical lesions,is performed to achieve true regeneration of periapical soft and hard tissues,including alveolar bone,periodontal ligament,and cemen-tum.In recent years,various tissue regeneration strategies and prominently guided tissue regeneration have been integrat-ed into endodontic microsurgery to enhance success rates and optimize defect healing.In this article,the necessity and clinical impact of employing tissue regeneration techniques across diverse endodontic microsurgery cases are evaluated by through a systematic literature review.Existing evidence demonstrates that these techniques significantly improve suc-cess rates in challenging scenarios such as large lesions,through-and-through lesions,and apical-marginal defects.In the future,relevant technical standards and clinical guidelines based on more high-quality clinical evidence must be urgently established to standardize the application of tissue regeneration techniques in microsurgical root canal therapy.
何金枝;宋东哲;徐欣
口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心 四川大学华西口腔医院牙体牙髓病科,成都 610041口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心 四川大学华西口腔医院牙体牙髓病科,成都 610041口腔疾病防治全国重点实验室 国家口腔医学中心 口腔疾病国家临床医学研究中心 四川大学华西口腔医院口腔预防科,成都 610041
医药卫生
显微根尖手术组织再生引导组织再生术根尖周炎
endodontic microsurgerytissue regenerationguided tissue regenerationperiapical periodontitis
《华西口腔医学杂志》 2026 (3)
360-367,8
Sichuan Science and Technology Program(2025ZNSFSC0762) 四川省自然科学基金面上项目(2025ZNSFSC0762)
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