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使用引导组织再生术治疗伴有唇侧皮质骨板缺失的大型根尖周病变:一例病例报告

Treatment of a large periapical lesion with loss of labial cortical plate using GTR: a case report.

作者信息

Brugnami F, Mellonig J T

机构信息

Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts, USA.

出版信息

Int J Periodontics Restorative Dent. 1999 Jun;19(3):243-9.

PMID:10635170
Abstract

Following endodontic treatment, a large periapical lesion (9.0 mm x 9.0 mm) at a maxillary central incisor was treated with demineralized freeze-dried bone allograft (DFDBA) using the principles of guided tissue regeneration. The physical barrier was removed 6 months postsurgical. The cortical alveolar plate was observed to be completely reconstructed. Histologic evaluation demonstrated lamellar bone surrounding DFDBA particles. Radiographic follow-up 1 year posttreatment demonstrated complete resolution of the periapical radiolucency.

摘要

根管治疗后,对上颌中切牙处一个较大的根尖周病变(9.0毫米×9.0毫米)采用引导组织再生原理,使用脱矿冻干骨同种异体移植物(DFDBA)进行治疗。术后6个月拆除物理屏障。观察到牙槽骨皮质板已完全重建。组织学评估显示DFDBA颗粒周围有板层骨。治疗后1年的影像学随访显示根尖周透射区已完全消失。

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引用本文的文献

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Treatment of a large periradicular defect using guided tissue regeneration: A case report of 2 years follow-up and surgical re-entry.使用引导组织再生术治疗大型根尖周缺损:一项为期2年随访及手术再入路的病例报告
J Indian Soc Periodontol. 2015 Nov-Dec;19(6):701-4. doi: 10.4103/0972-124X.162205.
2
Platelet-Rich Fibrin with β-Tricalcium Phosphate-A Noval Approach for Bone Augmentation in Chronic Periapical Lesion: A Case Report.富含血小板纤维蛋白与β-磷酸三钙——慢性根尖周病变骨增量的新方法:病例报告
Case Rep Dent. 2012;2012:902858. doi: 10.1155/2012/902858. Epub 2012 Oct 21.
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Guided tissue regeneration in communicating periodontal and endodontic lesions - A hope for the hopeless!
牙周与牙髓相通性病变中的引导组织再生——绝望者的希望!
J Indian Soc Periodontol. 2011 Oct;15(4):410-3. doi: 10.4103/0972-124X.92582.