本研究以高醫學院附設醫院牙科保存科病患共86顆含齒源性瘻管之病源齒為對象,來評估這些病源齒接受保守性齒內治療的預後情形。回診病例中,合乎最少六個月以上之追蹤時間者共52例(60%),其結果如下:⑴病源齒接受齒內治療的成功率是82.7%(43/52);預後結果在性別上並無統計上之差異。⑵二年以上之追蹤病例成功率高於二年以內之追病例,但無統計上之差異。⑶根尖病灶直徑小於5mm之病例成功率高於根尖病灶直徑大於5mm者,兩者亦無統計上之差異。⑷非手術治療的病例,成功率是79.1%(34/43);手術治療的病例,成功率是66.7%(6/9,不包括3例因非手術治療失敗而重新接受手術治療成功者)。
The purpose of this study was to evaluate the results of conservative endodontic therapy of 86 fistulous cases of dental origin at the Department of Conservative Dentistry, Kao-hsiung Medical College Hospital. Approximate-ly 60% (52/86) endodontically treated teeth, with a minimum recall period of 6 months, were evaluated for success or failure. The results are as follow: ⑴The overall success rate was 82.7% (43/52) fistulous cases. There was no significant statistical difference between male and female patients. ⑵There was a better success rate with cases over a 2-year recall period than with cases under a 2-year recall period, but there was no significant statistical difference between these two groups. ⑶Cases with periapical pathosis less than 5mm in diameter, had a better success rate than those with periapical pathosis larger than 5 mm in diameter, but there was no significant statistical difference between these two groups. ⑷There was a 79.1% (34/43) success rate in non-surgically treated cases, and a 66.7% success rate (6/9, excluding three success-fully retreated cases which had been originally treated with a non-surgical tech-nique) in surgically treated cases.