在被忽视的牙中进行广泛的外部根吸收的生物阻塞修复:一个案例报告
Rezvan Shahhosseini1, Mandana Naseri2, Fateme Javand1
1Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iranian endodontic journal
|February 16, 2026
概括
及时治疗牙破裂的情况至关重要. 这一案例突出显示了在延迟再植入后严重根部再吸收的成功内牙疗法,从而保持牙功能.
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
- 牙科创伤学 牙科创伤学
背景情况:
- 牙脱落是一种严重的牙损伤,并发症如缩症和外部炎症根部再吸收.
- 预后受到额外口腔时间和储存条件的显著影响.
- 延迟再种植和不充分的随访可能会加剧并发症.
研究的目的:
- 报告一个严重的外部炎症性根部再吸收的病例,该病例是在牙脱落和延迟移植后发生的.
- 描述一个分阶段的内牙治疗方法来管理年轻患者的再吸收.
- 强调及时干预和适当的管理协议对牙损伤的重要性.
主要方法:
- 一个14岁的女性,刺刀被刺伤 (11,21),在60分钟后在干布中重新植入.
- 临床和放射性评估显示,严重的外部炎症根的再吸收.
- 在四个月的阶段性内牙治疗中,使用堤隔离,超声波灌 (EDTA,NaOCl),氧化敷料,最后用CEM水泥和gutta-percha进行封闭.
主要成果:
- 内牙治疗成功地阻止了外部炎症根部再吸收的进展.
- 牙功能被保留了,尽管长期的结症风险仍然存在.
- 这种治疗有助于在不断成长的患者中保持美学和功能.
结论:
- 立即重新植入和适当储存对于牙脱落的良好结果至关重要.
- 及时的内科医疗干预对于减轻诸如根吸收等并发症至关重要.
- 密切监测是必要的,以长期管理青少年的牙,平衡功能和美学.
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