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故意牙再植术:一例报告。

Intentional dental reimplantation: a case report.

作者信息

Nuzzolese Emilio, Cirulli Nunzio, Lepore Maria M, D'Amore Addolorata

出版信息

J Contemp Dent Pract. 2004 Aug 15;5(3):121-30.

Abstract

It is well known dental reimplantation is indicated following traumatic avulsion by the preservation of cellular vitality in the periodontal ligament and under conditions of asepsis. The rate of endodontic success at five years reported in the literature ranges between 70% and 91%. However, intentional dental reimplantation is an effective strategy for the treatment of teeth that would be difficult, if not impossible, to treat using traditional root canal therapy. Different prognoses exist for intentional dental reimplantation and trauma-related reimplantation. This is due to such important variables such as the level of cellular vitality in the periodontal ligament; the degree of trauma to surrounding tissues, and the degree of asepsis when a tooth is removed. Surgical extraction is more favorable in this regard compared to a traumatic avulsion scenario. This paper presents a report of an intentional dental reimplantation of a maxillary right first molar.

摘要

众所周知,在牙齿因外伤脱位且牙周膜细胞活力得以保存以及处于无菌条件下时,需进行牙再植。文献报道的五年根管治疗成功率在70%至91%之间。然而,对于那些使用传统根管治疗即使并非不可能但也会很困难的牙齿,有意牙再植是一种有效的治疗策略。有意牙再植和与外伤相关的再植存在不同的预后情况。这是由于诸如牙周膜细胞活力水平、周围组织的创伤程度以及牙齿拔除时的无菌程度等重要变量所致。在这方面,与外伤脱位情况相比,手术拔除更为有利。本文报告了一例上颌右侧第一磨牙的有意牙再植病例。

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