外部炎症根的吸收在创伤的不成熟的切口:MTA插头或复苏? 一个案例系列
Tchilalo Boukpessi1,2,3, Leslie Cottreel1,4, Kerstin M Galler5
1Department of Restorative Dentistry and Endodontics, Faculty of Dentistry, University Paris Cité, 1 rue Maurcice Arnoux, 92120 Montrouge, France.
Children (Basel, Switzerland)
|July 29, 2023
概括
在不成熟的牙中,外部炎症根吸收 (EIRR) 可以通过MTA插头或振兴程序有效治疗. 这两种方法都阻止了再吸收并促进了愈合,复苏为进一步的根成熟提供了潜力.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科创伤学 牙科创伤学
- 恢复性牙科 恢复性牙科
背景情况:
- 外部炎症根吸收 (EIRR) 是不成熟永久牙中牙创伤的常见并发症.
- 有效的管理需要彻底的根管消毒来阻止再吸收.
- 目前针对EIRR的治疗指南在内药物和持续时间方面有所不同.
研究的目的:
- 评估顶屏障技术 (MTA插头) 和复苏程序在治疗未成熟牙时的有效性.
- 将这些作为创伤后不成熟牙与EIRR的可行治疗选择.
主要方法:
- 一系列案例涉及四颗不成熟的牙与肉质死和EIRR.
- 两颗牙用MTA插头进行了治疗,另外两颗牙进行了复苏.
- 随访时间从12个月到24个月不等.
主要成果:
- 无论是MTA插头还是振兴,都有效地阻止了EIRR.
- 在所有接受治疗的病例中都观察到骨愈合.
- 在复苏程序后发生了部分根成熟.
结论:
- 彻底的根管消毒对于EIRR病例的牙周愈合至关重要.
- 无论是MTA插件还是复苏都是EIRR的适当治疗方式.
- 重生提供了一个额外的好处,即通过硬组织的应用,可能促进根的成熟.
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