J Endod:2段修复法意向再植治疗上颌严重舌侧沟侧切牙:3例病例汇报

2019-11-21 lishiting MedSci原创

畸形舌侧沟是一种发育异常,典型形态为自上颌切牙舌隆突起沿着牙根延申至不同长度和深度。严重的舌侧沟会延申至根尖区,通常会导致复杂的牙髓-牙周联合病变。此类病变有多种治疗方法,但是其预后并不理想。这篇病例汇报描述的是3例通过2段修复法意向再植术成功治疗具有严重舌侧沟上颌侧切牙的病例。

畸形舌侧沟是一种发育异常,典型形态为自上颌切牙舌隆突起沿着牙根延申至不同长度和深度。严重的舌侧沟会延申至根尖区,通常会导致复杂的牙髓-牙周联合病变。此类病变有多种治疗方法,但是其预后并不理想。这篇病例汇报描述的是3例通过2段修复法意向再植术成功治疗具有严重舌侧沟上颌侧切牙的病例。

牙齿微创拔除,将牙周膜的损伤降至最小。在牙科显微镜下,切除距牙根尖3 mm处。采用#700裂钻去除畸形舌侧沟以及预备根尖区。将形成的沟槽与根尖窝洞联合预备成II类洞形。随后采用2段法充填修复窝洞(按照釉牙骨质界将窝洞分为2部分,冠端以流体树脂修复,根端部分包含根尖窝洞,使用生物陶瓷材料充填)。随后将牙齿再植入牙槽骨中,弹性夹板固定7天。术后1周随访显示窦道关闭。在随后的复查期间,牙齿根尖区几乎完全愈合。

结论:2段式修复法意向再植术是治疗延申至根尖区严重舌侧沟上颌单根牙齿的有效治疗手段。

原始出处:

Yan H, Xu N, et al. Intentional Replantation with a 2-segment Restoration Method to Treat Severe Palatogingival Grooves in the Maxillary Lateral Incisor: A Report of 3 Cases. J Endod. 2019 Oct 29. pii: S0099-2399(19)30695-8. doi: 10.1016/j.joen.2019.09.007.

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (3)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2076625, encodeId=9f8020e662591, content=<a href='/topic/show?id=b9fd53214de' target=_blank style='color:#2F92EE;'>#意向再植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53214, encryptionId=b9fd53214de, topicName=意向再植)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05a2499, createdName=dzx0922889, createdTime=Sun Jan 19 02:58:00 CST 2020, time=2020-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006997, encodeId=aff7200699e76, content=<a href='/topic/show?id=93dfe0782a6' target=_blank style='color:#2F92EE;'>#病例汇报#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70782, encryptionId=93dfe0782a6, topicName=病例汇报)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/72D57F5B3E12B2BB53D6BD015D14DCD6/100, createdBy=a92e2500162, createdName=passed water, createdTime=Thu Jan 16 18:58:00 CST 2020, time=2020-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1631186, encodeId=0bc51631186a0, content=<a href='/topic/show?id=271b20090b0' target=_blank style='color:#2F92EE;'>#上颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20090, encryptionId=271b20090b0, topicName=上颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07f21689347, createdName=hanhaisha2015, createdTime=Sat Nov 23 10:58:00 CST 2019, time=2019-11-23, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2076625, encodeId=9f8020e662591, content=<a href='/topic/show?id=b9fd53214de' target=_blank style='color:#2F92EE;'>#意向再植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53214, encryptionId=b9fd53214de, topicName=意向再植)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05a2499, createdName=dzx0922889, createdTime=Sun Jan 19 02:58:00 CST 2020, time=2020-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006997, encodeId=aff7200699e76, content=<a href='/topic/show?id=93dfe0782a6' target=_blank style='color:#2F92EE;'>#病例汇报#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70782, encryptionId=93dfe0782a6, topicName=病例汇报)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/72D57F5B3E12B2BB53D6BD015D14DCD6/100, createdBy=a92e2500162, createdName=passed water, createdTime=Thu Jan 16 18:58:00 CST 2020, time=2020-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1631186, encodeId=0bc51631186a0, content=<a href='/topic/show?id=271b20090b0' target=_blank style='color:#2F92EE;'>#上颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20090, encryptionId=271b20090b0, topicName=上颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07f21689347, createdName=hanhaisha2015, createdTime=Sat Nov 23 10:58:00 CST 2019, time=2019-11-23, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2076625, encodeId=9f8020e662591, content=<a href='/topic/show?id=b9fd53214de' target=_blank style='color:#2F92EE;'>#意向再植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53214, encryptionId=b9fd53214de, topicName=意向再植)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05a2499, createdName=dzx0922889, createdTime=Sun Jan 19 02:58:00 CST 2020, time=2020-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006997, encodeId=aff7200699e76, content=<a href='/topic/show?id=93dfe0782a6' target=_blank style='color:#2F92EE;'>#病例汇报#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70782, encryptionId=93dfe0782a6, topicName=病例汇报)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/72D57F5B3E12B2BB53D6BD015D14DCD6/100, createdBy=a92e2500162, createdName=passed water, createdTime=Thu Jan 16 18:58:00 CST 2020, time=2020-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1631186, encodeId=0bc51631186a0, content=<a href='/topic/show?id=271b20090b0' target=_blank style='color:#2F92EE;'>#上颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20090, encryptionId=271b20090b0, topicName=上颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07f21689347, createdName=hanhaisha2015, createdTime=Sat Nov 23 10:58:00 CST 2019, time=2019-11-23, status=1, ipAttribution=)]

相关资讯

J Endod:无创拔牙系统对颈环外吸收牙齿的意向再植应用

颈环外吸收(ECR)通常会导致牙齿无法修复,特别是范围较深已达到牙本质硬组织层面。有时,意向再植成为挽救牙齿的最后一种方法,但由于牙周膜细胞损伤或冠折的风险较高而使常规的外科拔除手术受到一定的限制。这篇病例报告描述的是一例采用轴向无创拔牙系统对其他方法无法挽救的存在ECR的上颌中切牙施以意向再植技术的病例汇报。