Root Canal Treatment 根管治疗
别名
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项目介绍
根管治疗的原理是通过机械和化学方法，去除根管内的大部分感染物，并通过充填根管、封闭冠部，以此防止发生根尖周病变，或促进已经发生的根尖周病变的愈合。
项目特色
根管治疗是牙髓病和根尖周病，目前常用的有效治疗方法。
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
牙龈外露，牙周炎坏，牙 根尖周炎，牙齿疼痛
关注度
⭐⭐⭐ ✩ ✩
安全度
⭐⭐⭐⭐⭐
复杂度
⭐⭐ ✩ ✩ ✩
项目优点
通过治疗可以保留住牙齿。
项目缺点
治疗次数较多； 消毒不彻底，会导致牙髓腔感染，导致需要拔牙。
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
- 根据患者主诉、病史、临床检查及X线片检查明确诊断。
0~3天红肿期
恢复提示:
大多数人的术后无明显疼痛，仅有酸胀或轻微疼痛；如疼痛逐渐加重而没有缓解，或者突然出现剧烈疼痛，需及时联系医生。
护理方法：
- 尽量不要吃较硬的食物；
- 按时、按量服用止痛消炎药。
4天~7天适应期
恢复提示:
牙齿逐渐恢复健康。
护理方法:
- 一周内禁食硬食，尽量不用根管治疗的一侧进行咀嚼。
8天~30天稳定期
恢复提示:
对于弯曲根管、钙化根管，常因解剖原因不能达到理想效果，个别病人甚至会发生断针情况。
护理方法：
- 根管治疗后牙齿脆性明显，易出现折裂，建议及时行全冠修复，以利于长期使用。
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.到底什么是根管治疗?
根管治疗是牙髓病和根尖周病的国际上最常用的有效治疗方法。根管治疗术的原理是通过机械和化学方法去除根管内的大部分感染物，并通过充填根管、封闭冠部，防止发生根尖周病变或促进已经发生的根尖周病变的愈合。
Q2.牙齿治疗根管多少钱?
一般的前牙的根管治疗200元到500元不等，前磨牙的根管治疗500元到1000元不等，后牙的根管治疗1000元到2000元不等。
Alias Name
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Procedure Detail
The principle of root canal therapy is to mechanically and chemically remove most of the infection in the root canal, and to prevent periapical lesions by filling the root canal and closing the crown, or to promote the healing of the periapical lesions that have already occurred.
Features
Root canal therapy is an effective treatment for pulp disease and periapical disease.
Benefits
Root canal therapy is an effective treatment for pulp disease and periapical disease.
Recommended
Bad teeth, sore teeth
Suitable Candidate
Exposed gums, bad periodontitis, periapical periodontitis, tooth pain
Popularity
⭐ ⭐ ⭐ ✩ ✩
Safety
⭐ ⭐ ⭐ ⭐ ⭐
Complexity
⭐ ⭐ ✩ ✩ ✩
Pros
Teeth can be preserved with treatment.
Cons
More treatment times; Incomplete disinfection can lead to infection of the pulp cavity, resulting in the need for tooth extraction.
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
- The diagnosis was confirmed according to the patient’s chief complaint, history, clinical examination and X-ray examination.
0~3rd days redness and swelling period
Recovery tips:
Most people have no obvious pain after surgery, only swelling or slight pain; If the pain gradually increases without relief, or sudden severe pain, you need to contact your doctor.
Aftercare methods:
- Try not to eat harder foods;
- Take analgesic and anti-inflammatory drugs regularly and according to the amount.
4th~7th days adaptation period
Recovery tips:
Teeth gradually return to health.
Aftercare methods:
- Fast hard food for a week, and try to chew on the side without root canal treatment.
8th~30th days stable period
Recovery tips:
For curved root canals and calcified root canals, the ideal effect is often not achieved due to anatomical reasons, and individual patients may even break the needle.
Aftercare methods:
- After root canal treatment, the teeth are brittle and prone to fracture. It is recommended to perform full crown restoration in time to facilitate long-term use.
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. What exactly is root canal therapy?
Root canal therapy is the most commonly used and effective treatment for endodontic and periapical diseases. The principle of root canal therapy is to mechanically and chemically remove most of the infection in the root canal, and to prevent the occurrence of periapical lesions or promote the healing of existing periapical lesions by filling the root canal and sealing the crown.
Q2. How much does dental root canal treatment cost?
Common anterior tooth root canal treatment ranges from 200 yuan to 500 yuan, premolar root canal treatment ranges from 500 yuan to 1000 yuan, and posterior tooth root canal treatment ranges from 1000 yuan to 2000 yuan.
FAQ 常见问答题
During root canal treatment, the tooth is drilled under local anesthesia, and if the patient can tolerate it, the pulp nerve is removed directly with a barb needle, and anti-inflammatory cotton is placed in the root canal.
根管治疗时，在局部麻醉下钻开牙后，如果患者可以忍受，就用带倒刺的针，将牙髓神经直接拔除，然后在根管里在放入消炎的药棉。
Root canal treatment is not always a complete treatment, the doctor should be based on the patient’s clinical examination, step by step treatment; In general, root canal treatment is completed in two to four sessions.
根管治疗并非都是一次完成治疗，医生需根据患者的临床检查情况，分步分次进行治疗；一般来说，根管治疗要分2-4次，才能完成。
In theory, the life of normal teeth is the same, but the teeth lose the source of nutrition, the teeth will become brittle, and the teeth themselves have caries and holes, which are prone to accidents during use; It is generally recommended to do post crown restoration, which can be used for 10-20 years, but the crown should be replaced according to the tooth root and its own protection.
理论上和正常牙齿的寿命是一样的，只是牙齿失去了营养来源，牙体会变脆，加上牙齿本身有龋坏、开孔，在使用过程中容易出现意外情况；一般建议做桩冠修复，可以使用10-20年，但要根据牙根和自身保护情况更换牙冠。
In the middle stage, the tooth has formed a cavity. If the tooth decay is deep in the tooth nerve, in order to avoid tooth necrosis and preserve the tooth to the maximum extent, root canal treatment must be performed. After treatment, it is necessary to decide whether to fill the tooth or do other tooth restoration. Therefore, if not timely treatment, teeth are likely to be lost, so the treatment of dental caries must be timely.
中期龋齿牙齿已经形成牙洞，若蛀牙情况深入牙神经的位置，为了避免牙齿坏死，极大限度的保存牙齿，必须进行根管治疗，并且在治疗后需再决定，是否需要补牙，还是做其他的牙齿修复；因此，如果不进行及时治疗，牙齿很有可能保不住，所以龋齿的治疗一定要及时。
通过根管治疗可以减轻患者痛苦，有效的防止感染后的蔓延；同时能避免拔除龋齿，保存齿髓或牙根尖周围组织，使龋齿不会继续恶化。。
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