Microscopic Root Canal Treatment 显微镜根管治疗
别名
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项目介绍
显微镜根管治疗，利用显微镜的照明和放大双重功能，可以将牙齿患部放大，提供非常充足的光源进入根管，并将根管系统放大，使临床医生能看清髓底和根管内部结构，确认手术位置，在直视下进行治疗，这样能很好避免医生只依靠手指的触觉，去寻找和感知患牙的根管结构。
项目特色
大大提高根管治疗的成功率，还使许多以往不可能的治疗成为可能。
功效
牙周健康，牙齿修复，牙齿治疗
适合人群特征
坏牙，牙齿疼痛
适合人群
深度龋齿，牙髓外露，牙齿疾病，根尖周炎
关注度
⭐⭐⭐⭐ ✩
安全度
⭐⭐⭐⭐⭐
复杂度
⭐ ✩ ✩ ✩ ✩
项目优点
挽救被判“死刑”的牙齿：尤其对一些弯曲、狭窄、闭锁的疑难病例，大大提高了治疗的成功率； 保持天然牙齿排列的完整性：可防止拔牙后的支持骨质丧失过多，影响脸形的外观及假牙的稳定性； 更安全：能发现肉眼无法分辨的根管口和微小病损，减少治疗的不确定性； 缩短创口愈合时间：良好定位根尖位置，减少颊侧皮质骨的破坏，从而减少骨组织的移除。
项目缺点
有一定的创伤，需要一定周期恢复； 治疗费用较一般根管治疗高。
禁忌人群
无功能或无修复价值牙患者； 无足够牙周支持患者。
留疤
无
治疗时长
30分钟~1小时
麻醉方式
局麻
治疗周期
2~4次
操作方式
牙齿美容
效果持续
10年以上
恢复时间
无恢复期
操作人员资质
口腔执业医师
疼痛感
无痛
术前必读
- 术前拍摄X线片，评估牙齿冠、根情况以及牙槽骨情况；
- 术前做好牙齿清洁工作。
0~7天治疗期
恢复提示:
根管治疗术需要多次才能完成，可能出现短暂不适，通常服用消炎或止痛药可缓解。
护理方法：
- 按医嘱及时就诊，以免影响疗效和疗程。
8天~15天适应期
恢复提示:
不适感基本消失。
护理方法:
- 尽量不要吃较硬的食物。
16天~30天保持期
恢复提示:
牙齿逐渐恢复健康。
护理方法：
- 遵守医嘱，及时复查。
温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同，恢复周期、拆线时间及护理方法均会有所不同。具体护理方案，建议遵医嘱执行。
热门问题
Q1.氟斑牙能根治吗？
氟斑牙这个不好治，这个是从小喝水饮食的问题，所以要改善氟斑牙的话，最好的办法就是贴片
Q2.牙龈红肿吃饭都疼，应该怎么办？
根据你提供的情况，考虑是上火引起的牙龈炎的症状，及时的对症治疗，可以恢复正常的。建议补充维生素c，可用淡盐水漱口消炎杀菌，饮食宜清淡为宜，忌食辛辣刺激性食物，戒烟忌酒，忌辛辣刺激生冷的食物，可以多喝水，如果有有牙龈的肿胀，多数是因为蛀牙或者智齿的原因造成的。另外也可能是存在牙龈炎急性发作而引起应该到口腔科辨别诊断，一般都采取局部的用药进行局部的清洁，脓肿形成的还需要进行排脓引流。
Alias Name
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Procedure Detail
Microscope root canal treatment, using the dual functions of illumination and magnification of the microscope, can enlarge the affected part of the tooth, provide a very sufficient light source into the root canal, and enlarge the root canal system, so that clinicians can see the medullary floor and the internal structure of the root canal, confirm the surgical position, and perform treatment under direct vision, which can avoid doctors relying only on the touch of the fingers. To find and sense the root canal structure of the affected tooth.
Features
It greatly improves the success rate of root canal treatment, and also makes many treatments possible that were not previously possible.
Benefits
Periodontal health, dental restoration, dental treatment
Recommended
Bad teeth, sore teeth
Suitable Candidate
Deep dental caries, exposed pulp, tooth disease, periapical inflammation
Popularity
⭐ ⭐ ⭐ ⭐ ✩
Safety
⭐ ⭐ ⭐ ⭐ ⭐
Complexity
⭐ ✩ ✩ ✩ ✩
Pros
Saving the teeth sentenced to “death” : especially for some curved, narrow, closed difficult cases, greatly improve the success rate of treatment; Maintain the integrity of the natural tooth arrangement: prevent excessive loss of supporting bone after tooth extraction, affecting the appearance of the face shape and the stability of the denture; Safer: can find the root canal opening and small lesions that can not be distinguished by the naked eye, reduce the uncertainty of treatment; Shorten wound healing time: Good location of the root tip, reduce the destruction of the buccal cortical bone, and thus reduce the removal of bone tissue.
Cons
There is a certain trauma, need a certain cycle of recovery; The cost of treatment is higher than that of common root canal treatment.
Unsuitable Candidate
Patients with non-functional or non-restorative teeth; Patients with insufficient periodontal support.
Scar
No
Treatment Time
30 minutes~1 hours
Anesthesia Method
Local anesthesia
Treatment Course
2~4 times
Procedures Technique
Cosmetic dentistry
Sustainability
More than 10 years
Recovery Period
No
Qualification
Dental practitioner
Pain Scale
No pain
Before the Procedure
- X-ray films were taken before operation to evaluate the tooth crown, root and alveolar bone.
- Do a good dental cleaning before operation.
0~7th days treatment period
Recovery tips:
Root canal procedures take several times to complete, and there may be temporary discomfort, which is usually relieved by anti-inflammatory or painkillers.
Aftercare methods:
- According to the doctor’s advice in time, so as not to affect the efficacy and course of treatment.
8th~15th days adaptation period
Recovery tips:
The discomfort is mostly gone.
Aftercare methods:
- Try not to eat hard foods.
16th~30th days retention period
Recovery tips:
Teeth gradually return to health.
Aftercare methods:
- Follow the doctor’s orders and review promptly.
Reminder
The above postoperative care is for reference only. Due to individual differences and different operation methods, the recovery cycle, removal time and nursing methods will be different. Specific nursing plan, it is recommended to follow the doctor’s advice.
Hot issue
Q1. Can dental fluorosis be cured?
Dental fluorosis this is not easy to treat, this is the problem of drinking water and diet since childhood, so to improve dental fluorosis, the best way is to patch
Q2.swollen gums are painful to eat, how should I do?
According to the situation you provide, consider the symptoms of gingivitis caused by fire, timely symptomatic treatment, can be restored to normal. It is recommended to supplement vitamin c, use light salt water gargle to reduce inflammation and sterilization, diet should be light, avoid spicy and stimulating food, quit smoking and avoid alcohol, avoid spicy and stimulating raw and cold food, you can drink more water, if there is swelling of the gums, most of it is caused by tooth decay or wisdom teeth. In addition, there may also be an acute attack of gingivitis caused by dental discrimination and diagnosis, generally take local drugs for local cleaning, abscess formation also need to drain pus drainage.
FAQ 常见问答题
Since the root of a human tooth is surrounded by alveolar bone, in the traditional root canal treatment, the doctor can hardly see the root canal structure, only by the X-ray film, can understand a little about the tooth root and root canal, the doctor can only judge and treat by hand. However, if the image of the medullary cavity and root canal structure can be enlarged, so that doctors can see the internal structure of the medullary cavity and root canal clearly and perform fine operations, the quality of root canal treatment can be significantly improved. Therefore, microscopic root canal therapy can be said to be the “devil in the details.
由于人的牙根是被牙槽骨所包绕的，在传统的根管治疗过程中，医生几乎不能看见根管内结构，仅仅凭借X线片，可稍稍了解牙根和根管的情况，医生只能凭手感进行判断和治疗；但如果能放大髓腔和根管结构的影像，使医生能够看清楚髓腔和根管内部的结构，精细操作，则可以明显提高了根管治疗的质量；所以，显微镜根管治疗可以说是“细节决定成败”的关键。
Clinically, some root canals have variation, calcification, hidden location, or small root canals, which makes them difficult to be detected by the naked eye. For example, in some failed cases of pulp plasticization treatment, there are more reddish-brown or dark brown plasticizers in pulp cavity and root canal, which increases the difficulty of root canal location. Or the affected tooth with a perforated root canal wall, which used to be repaired surgically or removed directly, but was locally enlarged through good lighting of the root canal microscope, so that the doctor could clearly identify and locate it, effectively increasing the success rate of treatment.
临床上有些根管存在变异，或钙化，或位置隐匿，或根管细小，导致肉眼难以察觉；比如一些做过牙髓塑化治疗的失败病例，由于髓腔和根管内，存在较多红褐色或深褐色的塑化剂，增加了根管口定位的难度；又或者是根管壁穿孔的患牙，以往使用外科方法修补或直接拔除，但通过根管显微镜的良好照明好局部放大，使医生可以清晰地辨别和定位，有效增加了治疗的成功率。
It is not necessarily necessary, generally after the microscope root canal treatment should be closed in time for filling treatment, and it is recommended to perform crown repair after surgery to prevent tooth fractures and prolong tooth life.
不一定的，一般显微镜根管治疗后要及时的封闭，进行补牙处理，建议术后行冠修复，防止牙齿折裂，延长牙齿的寿命。
When surgery is performed, local anesthesia is administered (some doctors may choose other forms of anesthesia); There may be mild postoperative pain, usually lasting 72 hours; But for the vast majority of patients, a painkiller can reduce the pain.
进行手术时，会行局部麻醉（一些医生可能选择其他形式的麻醉）；可能会有轻微的术后疼痛，一般持续72小时；但对于绝大多数患者来说，一片止痛药就可以减轻疼痛。
显微镜根管治疗，在显微镜及超声器械的帮助下，根尖断面与牙体长轴的角度，从传统的45度控制到0-10度间，从而有效减少根尖微渗漏的发生。
显微镜根管治疗要根据患者临床检查情况，分步分次进行治疗；一般来说，根管治疗要约2次左右的就诊。
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