齒內治療臨床病例之評估初報─病因之探討

An Evaluation of Endodontic Therapy Cases Part I-Etiology

黃自釗(Tzyh-Jau Huang) ； 阮榮泰(Rong-Tai Roan) ； 刁名豪(Mirng-Haur Diau)

《The Kaohsiung Journal of Medical Sciences》 4卷10期 (1988/10) Pp. 574-581

https://doi.org/10.6452/KJMS.198810.0574

摘要

本研究以高雄醫學院附設醫院齒內治療病患539人共959顆牙齒為對象，來分析求診者之病因，結果如下：
(一)齲齒：佔22.1%，以21─30歲之年齡群及下顎臼齒最常見。
(二)外傷：佔7.3%，以21─30歲之年齡群及中門齒最常見。
(三)牙周疾病：佔4.4%，以51─60歲之年齡群及第一臼齒最常見。
(四)不適當齒內治療：佔 54.2%，以21─30歲之年齡群及下顎第一臼齒和上顎中門齒最常見。
(五)牙齒異常：佔1.8%，以21─30歲之年齡群及下顎第二前臼齒笳上顎側門齒最常見。
(六)補綴上之需要：佔4.1%，以21─30歲之年齡群及下顎前齒較常見。
(七)咬耗：佔0.5%，以21─30歲之年齡群及下顎臼齒最常見。
(八)磨耗：佔0.8%，以51─60歲之年齡群及前臼齒最常見。
(九)病因不明：佔4.8%，以21─30歲之年齡群及上顎中門齒和下顎第一臼齒最常見。

並列摘要

The purpose of the present study was to evaluate the etiology of teeth requiring root canal therapy. A total of 959 endodontically treated teeth in the Division of Conservative, Department of Dentistry, Kaohsiung Medical College Hospital were studied. The results are as follows:
(1)22.1% of the teeth presented with caries. These caries were most frequently related to the 21─30 age group and involved primarily mandibular molars.
(2)7.3% of the teeth presented with trauma. Trauma was most frequently related to the 21─30 age group and involved the maxillary central incisors.
(3)4.4% of the teeth presented with periodontal disease. This disease was most frequently related to the 51─60 age group and the first molars.
(4)54.2% of the teeth presented with improper endodontic therapy. Improper treatment was most frequently related to the 21─30 age group and the maxillary first molars
(5)1.8% of the teeth presented with dental anomalies. These anomalies were most frequently related to the 21─30 age group and involved the mandibular second premolars.
(6)4.1% of the teeth required prosthetic treatment. This was most frequently related to the 21─30 age group and involved the mandibular anterior teeth.
(7)0.5% of the teeth presented with attritions. These attritions were most frequently related to the 21─30 age group and the mandibular molars.
(8)0.8% of the teeth presented with abrasions. These abrasions were most frequently related to the 51─60 age group and the premolars.
(9)4.8% of the teeth presented with uncertain conditions. These conditions were most frequently related to the 21─30 age group and usually involved the maxillary incisors or mandibular first molars.

並列關鍵字

clinic evaluation ； etiology