J Endod:种植体周围的牙髓病损:一个全新的疾病单元

2020-01-25 lishiting MedSci原创

种植体周围炎已经成为牙科种植体周围常见的一种并发症。临近牙齿牙髓感染或即刻种植的区域位于牙髓治疗失败的感染骨窝内均会引起逆性性种植体周围炎(RPI),X线影像表现为种植体“尖端”存在透射影像。然而,当前的分类法并没有涵盖与牙科种植体相关的可能来源于冠方牙髓损伤或骨内损伤的分类。在此,作者首次报道了2个病例:种植体冠方1/2处相毗邻的牙齿具有牙髓牙周联合病损,通过牙髓治疗或牙齿拔除得以解决。

种植体周围炎已经成为牙科种植体周围常见的一种并发症。临近牙齿牙髓感染或即刻种植的区域位于牙髓治疗失败的感染骨窝内均会引起逆性性种植体周围炎(RPI),X线影像表现为种植体"尖端"存在透射影像。然而,当前的分类法并没有涵盖与牙科种植体相关的可能来源于冠方牙髓损伤或骨内损伤的分类。在此,作者首次报道了2个病例:种植体冠方1/2处相毗邻的牙齿具有牙髓牙周联合病损,通过牙髓治疗或牙齿拔除得以解决。

此概念证明报告的目的是为了提出种植体周围牙髓("endo-implant")缺损的概念并增加术者的警觉心,这可能会帮助术者对此类病例避免过度治疗或者误治。

原始出处:

Daubert D, Black RM, et al. Endodontic Peri-implant Defects: A New Disease Entity. J Endod. 2020 Jan 17. pii: S0099-2399(19)30948-3. doi: 10.1016/j.joen.2019.12.002.

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    2020-11-24 luwei00
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    2020-12-31 jxrzshh
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    2020-10-02 huangdf
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