落叶植物和永久性植物之间的结合作为侵入性松后续:一个案例报告
Farli Aparecida Carrilho Boer1, Gabriela Fleury Seixas1, Thais Alexandre Maximiano1
1Department of Oral Medicine and Dentistry for Children, State University of Londrina, Londrina, Paraná, Brazil.
概括
儿童的创伤性牙损伤可能会损害永久牙. 早期干预和提取入的叶牙对防止永久继承者的严重发育障碍至关重要.
科学领域:
- 儿科牙科 儿科牙科
- 口腔和牙面部外科手术
- 发育生物学 发展生物学
背景情况:
- 创伤性牙损伤 (TDI) 在儿童中很常见,通常是由早期发育期间的跌倒引起的.
- 脱落损伤,特别是侵入性和突发性类型,由于近距离的解剖学近距离,对永久牙的发展构成重大风险.
- 后果范围从牙的低化到永久的细菌保留.
研究的目的:
- 报告一种永久牙严重发育障碍的病例,这是由于落叶前的侵入性脱落造成的.
- 突出儿童创伤性牙损伤的准确诊断和及时管理的重要性.
主要方法:
- 病例报告详细介绍了一名患有牙腹的儿童,与落叶牙的侵入性脱落有关.
- 放射检查以确认诊断,然后在局部麻醉和抗生素覆盖下手术提取受影响的叶牙及其永久继承者.
- 对提取的标本进行宏观和微观分析.
主要成果:
- 一颗落叶牙的三度侵入性脱落导致了永久继承者 (牙21号) 的发育障碍和急性牙腹.
- 牙61的初始错误诊断被通过X射线检查纠正为完全侵入,揭示了融合的树叶和永久牙.
- 手术提取导致感染缓解,并在七天内成功愈合伤口.
结论:
- 准确和及时的临床评估对于儿童创伤性牙损伤的管理至关重要.
- 落叶牙的侵入性脱落可能会对永久继承者造成严重损害,需要适当及时的干预.
- 这一案例强调了早期和精确诊断的必要性,以防止儿科牙科创伤的长期后果.
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