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作者报告17例病人,18个牙齿(切牙16个,尖牙1个,双尖牙1个)急性尖周炎采用尖周刮治疗法,这些病人不发烧,全身情况好,平均年龄27岁。有两例尖周急性感染系发生在完善的根管充填之后,其余病例则是在刮治前刚刚按常规方法一次完成根管治疗。大多数病例可在刮治前作根充,如流血或无法去湿,可在刮治术中充填。在局麻下作一个突向龈缘的弧形切口,翻起粘骨膜瓣。全部病例唇侧骨板都已穿破。刮去坏死骨质和肉芽组织,去除根尖超出的充填物。最后,使粘骨膜瓣复回原处,不缝合,压迫止血。全部病例从术前1小时起直到术后5天,给氯化四环素250毫克,每日四次。术后第
The authors reported 17 patients with 18 teeth (16 incisors, 1 canine, 1 bicuspid) acute sclerosis using scalp cure. These patients did not have a fever and were in good general condition with a mean age of 27 years . There are two cases of acute periapical infection occurred in the perfect root canal filling, the rest of the case is just in the conventional method of root canal treatment just before curettage. Most cases can be used before the curettage root filling, such as bleeding or can not go wet, can be filled in curettage. Under local anesthesia to make a sudden gingival margins arc incision, flip mucoperiosteal flap. All cases of labial bone plate have been worn. Scratch the necrotic bone and granulation tissue, remove the tip of the fillings. Finally, the mucoperiosteal flap back to the original place, not sutured, oppression to stop bleeding. All cases from 1 hour before surgery up to 5 days after surgery to 250 mg tetracycline, four times a day. After the first