在脱落后的外部炎症侧面再吸收的情况下,再生性内牙治疗
European journal of paediatric dentistry
|December 12, 2025
概括
再生性内牙术程序 (REP) 为未成熟牙的外部炎症侧向再吸收 (EILR) 治疗提供了一个不那么侵入性的替代方案. 本案例研究表明,在创伤后的EILR病例中,REP成功地阻止了再吸收,并促进了组织再生.
科学领域:
- 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
- 牙科创伤管理 牙科创伤管理
背景情况:
- 外部炎症横向吸收 (EILR) 复杂化了牙创伤后的预后.
- 氧化 (Ca(OH) 2) 是EILR的传统长期管理方法.
- 再生性内牙科手术 (REP) 正在成为一种替代方法.
研究的目的:
- 报告一个用REP治疗的创伤后EILR病例.
- 评估REP在未成熟牙中管理EILR的有效性.
主要方法:
- 一名9岁的患者出现了EILR.牙#11的挤出性脱.
- 进行了为期3周的氧化药物治疗.
- 使用MTA作为顶端屏障进行了再生性内牙术程序 (REP).
- 随访包括7年的临床和放射性评估.
主要成果:
- 在REP成功逮捕了EILR.
- 在根管内和顶部观察到自身组织再生.
- 在整个随访期间,牙仍然无症状,鼻通道关闭.
结论:
- 在不成熟的牙中,REP提供了一种不那么侵入性的治疗选择,即使用EILR.
- 对于REP的长期有效性,需要进一步研究.
- REP显示了成功管理创伤后EILR的潜力.
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