宫水平根骨折的多学科管理:一个案例报告和文献综述
Arunoday Kumar1, Shamurailatpam Priyadarshini2, Thingujam Debica1
1Department of Prosthodontics and Crown and Bridge, Regional Institute of Medical Sciences, Imphal, Imphal, IND.
Cureus
|December 16, 2025
概括
宫水平根骨折 (CHRFs) 是具有挑战性的,但可以治疗的. 一种多学科的方法,包括用纤维柱进行牙周内和假肢治疗,可以保存牙并改善结果.
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
- 牙修复 牙修复 牙修复 牙修复 牙修复
背景情况:
- 椎水平根骨折 (CHRFs) 由于其位于膜脊顶附近,因此带来了重大的临床挑战.
- 这些骨折会损害牙的稳定性,并使治疗计划复杂化.
研究的目的:
- 审查CHRFs的病因学,分类,诊断和管理策略.
- 通过跨学科的方法,提出关于CHRF成功管理的案例报告.
主要方法:
- 对水平根骨折的现有基于证据的管理策略的审查.
- 案例报告详细介绍了CHRF的内牙和假肢管理.
- 使用树脂结合纤维杆进行稳定,使用全陶桥进行修复.
主要成果:
- 根据骨折类型和患者需求量身定制的多学科策略对于CHRF管理至关重要.
- 一个CHRF的成功管理是通过内牙和假肢干预来实现的.
- 使用纤维柱增强了根部骨折抵抗力,恢复促进了愈合和稳定性.
结论:
- 尽管预后一般不好,但通过跨学科治疗,可以成功地在没有提取的情况下管理CHRF.
- 准确的诊断和牙科专业之间量身定制的协作方法可以改善预后和患者的结果.
- 保守的管理,包括内牙和假肢康复,可以用CHRFs保存牙.
相关概念视频
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:31Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...