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J Endod：牙髓再生治疗后的正畸移动：一项病例汇报及长期观察

2018-01-19 lishiting MedSci原创

牙髓再生治疗正畸
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尽管牙髓再生疗法已经成为治疗牙根未完全形成及牙髓坏死牙齿的推荐牙髓治疗计划中的一部分，然而再生组织对正畸移动的影响却所知甚少。并且，随着矫正牙齿的成人数目不断增多，更加需要阐明这些再生组织在正畸移动过程中可能发生的变化。这篇病例报告描述的是一例根尖折裂坏死的不成熟牙根经过牙髓再生治疗的处理后施加正畸力后所观察到的变化。

尽管牙髓再生疗法已经成为治疗牙根未完全形成及牙髓坏死牙齿的推荐牙髓治疗计划中的一部分，然而再生组织对正畸移动的影响却所知甚少。并且，随着矫正牙齿的成人数目不断增多，更加需要阐明这些再生组织在正畸移动过程中可能发生的变化。这篇病例报告描述的是一例根尖折裂坏死的不成熟牙根经过牙髓再生治疗的处理后施加正畸力后所观察到的变化。一名9岁的男性患者在第三次发生上颌骨前部创伤后被转诊。X线检查发现，上颌中切牙发育不成熟，根尖周透射影像伴随根尖折裂。临床检查显示，牙齿颊侧脓肿，松动III度。牙周探诊在正常范围内。随后，牙齿开髓，并使用6% NaOCl根尖负压冲洗消毒。根管内施加17% EDTA浸泡5分钟。诱导根尖区域血块形成，血块上方直接放置硅酸钙类水门汀，紧接着进行复合树脂修复。24个月后的随访X线显示，尽管根尖折裂，但是根尖损伤愈合并且有持续根尖发育的体征。临床检查显示，正常的牙齿发育、正常的移动以及颊侧感染愈合。牙齿进行正畸治疗的原因为1类II型错颌畸形，深覆盖达11 mm。在完成正畸治疗以后，即最初的干预后5.5年，X线影像显示，明显的根尖周组织重建以及根尖折裂后修复，并且颊侧感染已完全愈合。

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    2018-02-02 124987e8m07暂无昵称

    #牙髓再生治疗#

    0

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    2018-09-07 jxrzshh

    #牙髓#

    0

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    2018-01-28 passed water

    #病例汇报#

    0

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    2018-01-21 grace5700

    #正畸#

    0

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    2018-01-21 zhixianchen

    #牙髓再生#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1973412, encodeId=0dd719e341283, content=<a href='/topic/show?id=fb846e6644b' target=_blank style='color:#2F92EE;'>#牙髓再生治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67664, encryptionId=fb846e6644b, topicName=牙髓再生治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=101c2500074, createdName=124987e8m07暂无昵称, createdTime=Fri Feb 02 05:36:00 CST 2018, time=2018-02-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669634, encodeId=b3e81669634d3, content=<a href='/topic/show?id=c7ca6e660ab' target=_blank style='color:#2F92EE;'>#牙髓#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67660, encryptionId=c7ca6e660ab, topicName=牙髓)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5eeb26562774, createdName=jxrzshh, createdTime=Fri Sep 07 11:36:00 CST 2018, time=2018-09-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006989, encodeId=5c592006989c9, 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=51, 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=Sun Jan 28 02:36:00 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1361690, encodeId=8604136169056, content=<a href='/topic/show?id=4fb763256d4' target=_blank style='color:#2F92EE;'>#正畸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63256, encryptionId=4fb763256d4, topicName=正畸)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b05b180, createdName=grace5700, createdTime=Sun Jan 21 12:36:00 CST 2018, time=2018-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1417500, encodeId=f286141e50011, content=<a href='/topic/show?id=84ff6e663c4' target=_blank style='color:#2F92EE;'>#牙髓再生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67663, encryptionId=84ff6e663c4, topicName=牙髓再生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0cf73291723, createdName=zhixianchen, createdTime=Sun Jan 21 12:36:00 CST 2018, time=2018-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280390, encodeId=ba2e2803904e, content=谢谢.学习受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sat Jan 20 15:21:36 CST 2018, time=2018-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280164, encodeId=eed12801645d, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Jan 19 22:04:19 CST 2018, time=2018-01-19, status=1, ipAttribution=)]
    2018-01-20 清风拂面

    谢谢.学习受益匪浅

    0

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    2018-01-19 李东泽

    是很好的学习材料.不错.以后会多学习.

    0