牙间固定 (IMF) 螺杆放置引起的根孔的内牙和外科治疗:一个案例报告
Mohammed Alhumaid1, Yousra Alkhairallah1, Abdullmajeed Altokheus1
1Endodontics, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus
|November 18, 2024
概括
口腔外科医生可以在固定螺丝放置期间防止根损伤. 本案例研究表明,通过根管治疗和切除术,成功管理了阳性根穿孔.
科学领域:
- 口腔和牙面部外科手术
- 牙周内科医院 牙周内科医院 牙周内科医院
- 恢复性牙科 恢复性牙科
背景情况:
- 固定螺丝在口腔和面外科手术中是必不可少的.
- 根损伤是螺丝放置的潜在并发症,可能导致不可逆转的纸损伤.
- 在间固定 (IMF) 螺丝放置过程中,可能会发生产生性根穿孔.
研究的目的:
- 报告IMF螺杆安置过程中发生的一种阴性根穿孔病例.
- 描述由根穿孔引起的脉死的治疗方法.
- 为了突出注意螺丝放置和跟进的重要性.
主要方法:
- 在IMF螺杆安置过程中发现了一种因子性根穿孔病例.
- 使用酸根填充材料进行了非手术的根管治疗.
- 手术切除和逆行填充被用于管理.
- 患者的随访包括临床评估和放射检查.
主要成果:
- 根穿孔和随后的脉死得到了有效的管理.
- 在治疗后的9个月内,该患者仍然无症状.
- 放射图显示在手术部位的骨头初步愈合.
- 成功管理允许进行假肢康复.
结论:
- 国际货币基金组织 (IMF) 螺杆安装过程中发生的阴性根穿孔是一种可控的并发症.
- 非手术和手术内牙治疗的组合可以取得成功.
- 谨慎的手术技术和勤奋的随访对于最小化和管理根损伤至关重要.
- 了解潜在的螺丝根接触并发症对于口腔外科医生来说至关重要.
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