J Endod:坏死牙齿的非手术牙髓治疗解决毗邻逆行性种植体周围炎的根尖损伤:一项对系列病例的2年随访调查

2019-04-07 lishiting MedSci原创

逆行性(或根尖/尖周)种植体周围炎(RPI)会在骨内种植体尖周区域的X线片上呈现出骨缺损,并且也可以在临床检查出脓肿或来源于种植体尖周的窦道。损伤可以在最初的种植区域几天内或数年内形成。相对于发病率为19.83%的种植体边缘炎,由于众多临床工作者忽略了此种类型的损伤,RPI的发生可能被低估了。尽管还未完全理解,其致病因素可能是临近牙齿的牙髓感染或种植部位的感染牙齿拔除后残留的微生物。目前,有数种治

逆行性(或根尖/尖周)种植体周围炎(RPI)会在骨内种植体尖周区域的X线片上呈现出骨缺损,并且也可以在临床检查出脓肿或来源于种植体尖周的窦道。损伤可以在最初的种植区域几天内或数年内形成。相对于发病率为19.83%的种植体边缘炎,由于众多临床工作者忽略了此种类型的损伤,RPI的发生可能被低估了。尽管还未完全理解,其致病因素可能是临近牙齿的牙髓感染或种植部位的感染牙齿拔除后残留的微生物。目前,有数种治疗RPI的方式。如果怀疑种植体RPI的致病因素与临近牙齿牙髓炎症有关的话,可以采取非手术根管治疗作为一种选择。

在前一个病例报告中作者描述了外科手术方式可以纠正RPI。此次系列病例描述的是2例RPI通过非手术牙髓治疗处理了邻牙坏死,最终分别在治疗后的12和24个月促使临近的种植体根尖周损伤在临床和X线水平上完全愈合。

RPI可以通过评估相邻牙齿牙髓状态和治疗种植体周围牙髓感染得以预防。正如此次系列病例,特殊类型的RPI可以通过非手术治疗邻牙牙髓感染而得到愈合。

原始出处:


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    2019-12-31 huangdf
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    2019-04-14 jxrzshh
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replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67675, encryptionId=957b6e6754e, topicName=牙髓治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=876d6876924, createdName=hunizi007, createdTime=Tue Apr 09 11:16:00 CST 2019, time=2019-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364279, encodeId=eb163642e925, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Sun Apr 07 23:20:44 CST 2019, time=2019-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364273, encodeId=466b3642e342, content=牙髓炎根管治疗的新方式, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eofmrKO6chFkYefiagpn4myoYIvMUj90PSVmXQueo1XxKeDicfvnMRPy1eBrl8ryOfZYicuvUHqiaMibVg/132, createdBy=02171969237, createdName=wangjx12345, createdTime=Sun Apr 07 21:15:30 CST 2019, time=2019-04-07, status=1, ipAttribution=)]
    2019-04-09 millore
  5. 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  6. 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replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67675, encryptionId=957b6e6754e, topicName=牙髓治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=876d6876924, createdName=hunizi007, createdTime=Tue Apr 09 11:16:00 CST 2019, time=2019-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364279, encodeId=eb163642e925, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Sun Apr 07 23:20:44 CST 2019, time=2019-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364273, encodeId=466b3642e342, content=牙髓炎根管治疗的新方式, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eofmrKO6chFkYefiagpn4myoYIvMUj90PSVmXQueo1XxKeDicfvnMRPy1eBrl8ryOfZYicuvUHqiaMibVg/132, createdBy=02171969237, createdName=wangjx12345, createdTime=Sun Apr 07 21:15:30 CST 2019, time=2019-04-07, status=1, ipAttribution=)]
    2019-04-09 zhouqu_8
  7. 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  8. 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    2019-04-07 orangesking

    0

  9. 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    2019-04-07 wangjx12345

    牙髓炎根管治疗的新方式

    0

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