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使用指导性内牙科进行牙周不完美的内牙管理:一个案例报告

Mohammadreza Rahmatian¹, Ali Kazemi¹, Omid Dianat²

¹Iranian Centre for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iranian endodontic journal

|October 29, 2024

概括

脉通道化 (PCC) 是牙生殖不完美 (DGI) 的常见现象. 导向内牙科成功地在DGI型II患者中管理PCC,使根管治疗和促进愈合.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
牙科遗传学牙科遗传学
生物材料是一种生物材料.

背景情况:

脉通道化 (PCC) 经常影响牙生殖不完美 (DGI) 的患者.
DGI II型呈现出特定的牙异常,增加了内牙复杂性.
在DGI患者中管理PCC,由于根管系统被消灭,这带来了挑战.

研究的目的:

在被诊断为II型DGI的患者中使用PCC进行多颗牙的内牙治疗.
评估指导性内科医疗在治疗严重PCC的牙中的有效性.
在DGI.中记录指导性内牙治疗的长期临床和放射性结果.

主要方法:

一名患有DGI II型和广泛的PCC的患者接受了内牙治疗.
使用指导性内科医疗,利用圆束计算机断层扫描 (CBCT) 和口腔内扫描数据进行模板指导的访问.
根通道孔成功地被定位并使用3D打印的外科手术指南进行了谈判.
完成了标准的内牙程序,随后进行了一年的临床和放射性评估.

主要成果:

指导性内科医疗促进了化根管孔的精确谈判.
所有接受治疗的牙在1年的随访期间都无症状.
放射性证据显示,经过治疗的牙中周边放射性光明显愈合.

结论:

导向性内牙科是一种可行的和有效的治疗方式,用于管理患有牙生殖不完美的患者的脉通道化.
这种方法克服了与定位和访问化根通道相关的挑战.
使用指导技术的成功内牙治疗导致了有利的长期结果和周围牙愈合.

关键词:

案例报告案例报告牙生殖不完美症 (Dentinogenesis Imperfecta) 是一个不完美的疾病.牙周内科医生 (Endodontics);纸的化纸的化根管疗法是一种根管疗法.

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