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在创伤性不成熟牙的复发性失败后的牙外科手术和再手术:基于两个病例报告对管理的反思
Ana Laura Schauenberg Machado1, Patrícia Maria Poli Kopper1, Maurício Denicol Anastacio1
1Graduate Program, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
概括
介绍了创伤性不成熟牙 (IT) 的手术和非手术治疗方法,这些牙无法愈合. 在患有持久性炎症囊的成长期患者中,形手术和复苏手术提供了提取的替代方案.
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
- 复原性内脏牙科 复原性内脏牙科是指再生性内脏牙科.
背景情况:
- 不成熟的牙 (IT) 带有死肉质会带来治疗挑战.
- 在初始治疗后愈合失败需要进一步的干预.
研究的目的:
- 报告了两例创伤的非重要不成熟牙的病例,经常出现愈合失败.
- 为了评估在管理这些复杂的病例中角微手术和内牙复合手术的疗效.
主要方法:
- 案例1:对持续的囊性液体进行了再血管,随后进行了角微手术.
- 案例2:经常出现的内牙衰竭,通过包括除菌和根表面规划在内的内牙复苏手术来管理.
- 对于这两种病例的组织病理学检查.
主要成果:
- 案例1中的第9号牙在再血管化后显示了周周愈合和根部发育;第8号牙需要顶端微手术.
- 在两种情况下,在顶端手术/重复手术后1年观察到成功的周周愈合.
- 组织病理学证实了这两种病例中的炎症性囊.
结论:
- 在患有不成熟牙和反复愈合失败的成长期患者中,牙手术和复苏手术是提取可行的替代方案.
- 在不成熟的牙中持续的炎症性囊的管理可以通过外科干预来实现.
- 在复杂的不成熟牙病例中,再生性内牙术程序与手术管理相结合,可以带来有利的结果.
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