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J Endod：侵袭性颈环吸收：前牙区的临床处理

2018-10-14 lishiting MedSci原创

ICR治疗方法
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大量关于侵袭性颈环吸收(ICR)的报道显示，这种病理现象通常被认为是颈环吸收的一种高频表现。ICR通常会被误诊为内吸收或龋齿，进而导致不恰当的治疗，甚至不必要的牙齿拔除。尽管诊断正确，这种增生的侵袭性外吸收的治疗对临床医师来说也是一项巨大的挑战。

大量关于侵袭性颈环吸收(ICR)的报道显示，这种病理现象通常被认为是颈环吸收的一种高频表现。ICR通常会被误诊为内吸收或龋齿，进而导致不恰当的治疗，甚至不必要的牙齿拔除。尽管诊断正确，这种增生的侵袭性外吸收的治疗对临床医师来说也是一项巨大的挑战。Heithersay分级以及锥形束CT影像分析可以增进我们对这种疾病病理的了解以及提高诊断的准确性。然而，还没有一种标准方案可以用来治疗这种类型的损伤。这篇研究基于吸收的模式和位置对ICR的治疗提出了一种方案。通过3个临床病例阐述了3种治疗方法（内入口、外入口和再植）。原始出处：Espona J， Roig E， et al. Invasive Cervical Resorption： Clinical Management in the Anterior Zone. J Endod. 2018 Sep 19. pii： S0099-2399(18)30516-8. doi： 10.1016/j.joen.2018.07.020.本文系梅斯医学（MedSci）原创编译整理，转载需授权！

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    2019-07-14 LShY0906_98743853

    #前牙#

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1690157, encodeId=0c38169015ead, content=<a href='/topic/show?id=46783263548' target=_blank style='color:#2F92EE;'>#前牙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32635, encryptionId=46783263548, topicName=前牙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=af5c28973286, createdName=LShY0906_98743853, createdTime=Sun Jul 14 23:20:00 CST 2019, time=2019-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2036301, encodeId=c2f62036301ee, content=<a href='/topic/show?id=c4a922e580d' target=_blank style='color:#2F92EE;'>#临床处理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22758, encryptionId=c4a922e580d, topicName=临床处理)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Thu May 09 13:20:00 CST 2019, time=2019-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1366322, encodeId=70db1366322f1, content=<a href='/topic/show?id=186126998e2' target=_blank style='color:#2F92EE;'>#侵袭性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26998, encryptionId=186126998e2, topicName=侵袭性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1be8234, createdName=sunyl07, createdTime=Tue Oct 16 13:20:00 CST 2018, time=2018-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=349332, encodeId=3418349332b1, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Oct 14 22:22:37 CST 2018, time=2018-10-14, status=1, ipAttribution=)]
    2019-05-09 luwei00

    #临床处理#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1690157, encodeId=0c38169015ead, content=<a href='/topic/show?id=46783263548' target=_blank style='color:#2F92EE;'>#前牙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32635, encryptionId=46783263548, topicName=前牙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=af5c28973286, createdName=LShY0906_98743853, createdTime=Sun Jul 14 23:20:00 CST 2019, time=2019-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2036301, encodeId=c2f62036301ee, content=<a href='/topic/show?id=c4a922e580d' target=_blank style='color:#2F92EE;'>#临床处理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22758, encryptionId=c4a922e580d, topicName=临床处理)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Thu May 09 13:20:00 CST 2019, time=2019-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1366322, encodeId=70db1366322f1, content=<a href='/topic/show?id=186126998e2' target=_blank style='color:#2F92EE;'>#侵袭性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26998, encryptionId=186126998e2, topicName=侵袭性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1be8234, createdName=sunyl07, createdTime=Tue Oct 16 13:20:00 CST 2018, time=2018-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=349332, encodeId=3418349332b1, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Oct 14 22:22:37 CST 2018, time=2018-10-14, status=1, ipAttribution=)]
    2018-10-16 sunyl07

    #侵袭性#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1690157, encodeId=0c38169015ead, content=<a href='/topic/show?id=46783263548' target=_blank style='color:#2F92EE;'>#前牙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32635, encryptionId=46783263548, topicName=前牙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=af5c28973286, createdName=LShY0906_98743853, createdTime=Sun Jul 14 23:20:00 CST 2019, time=2019-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2036301, encodeId=c2f62036301ee, content=<a href='/topic/show?id=c4a922e580d' target=_blank style='color:#2F92EE;'>#临床处理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22758, encryptionId=c4a922e580d, topicName=临床处理)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e093393, createdName=luwei00, createdTime=Thu May 09 13:20:00 CST 2019, time=2019-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1366322, encodeId=70db1366322f1, content=<a href='/topic/show?id=186126998e2' target=_blank style='color:#2F92EE;'>#侵袭性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26998, encryptionId=186126998e2, topicName=侵袭性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1be8234, createdName=sunyl07, createdTime=Tue Oct 16 13:20:00 CST 2018, time=2018-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=349332, encodeId=3418349332b1, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Oct 14 22:22:37 CST 2018, time=2018-10-14, status=1, ipAttribution=)]
    2018-10-14 天地飞扬

    了解一下，谢谢分享！

    0