用部分肺切除术来管理大孔内根吸收:一个案例报告
1Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Clinical case reports
|January 13, 2025
概括
本案例报告显示,用丰富混合物 (CEM) 水泥进行部分脉冲切除术 (PP) 成功治疗了穿孔内根再吸收 (IRR) 病变. 这种极端保守的方法保存了牙结构,并确保了长期的稳定性.
科学领域:
- 牙科 牙科是指牙科的专业.
- 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:
- 内根再吸收 (IRR) 是一种具有挑战性的牙疾病,可能会损害牙的活力.
- 大型或穿孔的IRR病变通常需要积极的治疗,可能导致牙损失.
研究的目的:
- 介绍一个成功治疗穿孔内根再吸收病变的案例.
- 为了评估一种超保守的生命脉治疗方法的疗效,使用部分脉切除术 (PP) 和丰富混合物 (CEM) 凝固.
主要方法:
- 一名49岁的女性患者患有穿孔的大型IRR病变,接受了超保守的部分脉冲切除术 (PP).
- 通过使用常规放射和形束计算断层扫描 (CBCT) 确认了诊断.
- 用丰富混合物 (CEM) 水泥与吸管技术用于血液静止和纸茎密封.
主要成果:
- 超保守的PP方法成功地管理了穿孔IRR病变.
- 使用CEM水泥的吸管技术实现了血液静止和有效的肉质茎密封.
- 2周和2年后的随访表明吸收停止,牙周健康正常,这表明牙长期稳定.
结论:
- 生命脉治疗,特别是用CEM水泥进行部分脉切除,对于管理先进的内部根再吸收是有效的.
- 在穿孔IRR病变的情况下,超保守的方法可以保存牙结构并实现长期稳定性.
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