末牙衰竭和牙科疏忽的手术管理:一个儿科病例报告
Mridula Goswami1, Farheen Sultan1, Rimshheanam Rimshheanam1
1Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, IND.
Cureus
|September 25, 2025
概括
根通道中的过度延伸的古塔珀卡会导致持续的炎症. 手术内牙科,遵循美国内牙科医生协会 (AAE) 的协议,有效地管理这些具有挑战性的病例,当非手术重新治疗失败时.
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
- 在口腔外科手术.
背景情况:
- 内牙治疗的目的是消除感染并防止根管系统的再感染.
- 由于根填充材料的不充分堵塞或过度延伸,如肠膜,可能会发生故障.
- 挤出的gutta-percha可以导致持续的炎症并阻碍愈合.
研究的目的:
- 提交一个儿科病人的病例报告,由于过度挤出阻塞材料而导致持续症状.
- 突出非手术重复治疗在管理这些内牙并发症的临床挑战和局限性.
- 强调外科内牙科在解决挤出填充材料的持续症状中的作用.
主要方法:
- 一名12岁的女性患者出现了疼痛和胀,这是之前治疗过的牙的次要原因 (21).
- 临床和放射评估显示了周围的辐射发光和过度挤出的阻塞材料.
- 在牙科操作显微镜 (DOM) 下使用Hedstrom文件的非手术再处理尝试没有成功.
主要成果:
- 持续的症状需要手术干预.
- 这个案例说明了通过非手术的方式去除过度挤出的肠膜的困难.
- 手术内牙疗法在管理持续症状方面证明是有效的.
结论:
- 过度延伸的阻塞材料在内牙科中提出了重大临床挑战.
- 非手术重新处理在管理超出顶部的挤出肠外方面存在局限性.
- 手术内牙科遵循美国内牙科医生协会 (AAE) 协议,为过度挤出材料引起的持久症状提供了有效的解决方案.
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