在没有再生程序的外科内治疗后,大根性囊的周周骨愈合:一个2.5年的随访病例报告
Anisha Mishra1, Jitendra Sharan1, Anand Marya2
1Department of Dentistry All India Institute of Medical Sciences Bhubaneswar Odisha India.
Clinical case reports
|January 1, 2026
概括
大病变的保守管理可以挽救牙. 根管治疗和切除囊,没有再生移植,导致显著的愈合和牙稳定在一个年轻的病人.
科学领域:
- 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.
- 恢复性牙科 恢复性牙科
背景情况:
- 较大的围性病变可能会损害多颗牙和周围的骨.
- 大骨侵蚀带来了复杂的管理挑战.
- 受影响区域的移动牙需要仔细的治疗计划.
研究的目的:
- 提出一个保守的管理策略,用于一个大上外皮病变.
- 为了评估非手术内牙治疗与囊去核结合的疗效.
- 评估长期愈合和牙稳定性,没有再生技术.
主要方法:
- 涉及多个大牙的大型周围牙损伤的保守管理.
- 切割受影响的牙并进行根管治疗.
- 手术切除囊内膜,并用矿物三氧化物聚合物 (MTA) 进行逆向填充.
主要成果:
- 在两年半的时间里,囊性病变体积显著减少 (77%的减少).
- 观察到积极的愈合迹象和新的骨形成.
- 受影响的牙仍然无症状,移动的切口变得稳定.
结论:
- 保守的内牙治疗和囊核化可以有效地管理大型周周病变,即使有骨侵蚀.
- 这种方法为经济限制或无法获得再生技术的患者提供了可行的解决方案.
- 成功的结果表明,在受损的病例中,具有显著的骨再生和牙挽救的潜力.
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