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侵袭性颈部吸收:3例临床及影像学诊断与治疗

Invasive cervical resorption: clinical and radiological diagnosis and treatment of 3 cases.

作者信息

Gulsahi Ayse, Gulsahi Kamran, Ungor Mete

机构信息

Department of Oral Diagnosis and Radiology, Baskent University, Ankara, Turkey.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Mar;103(3):e65-72. doi: 10.1016/j.tripleo.2006.10.005. Epub 2007 Jan 12.

Abstract

Invasive cervical resorption is a relatively uncommon form of external root resorption. Etiologic factors include trauma, orthodontic treatment, intracoronal bleaching, and inflammation, but invasive cervical resorption is often idiopathic. There may be no external signs of this disorder, and the resorptive lesion is often detected by routine radiographic examination. This article describes the clinical and radiological diagnoses and treatment modalities of invasive cervical resorption in 3 patients. Two of the 3 cases were incidental radiographic findings and the teeth concerned were symptom free. One case was symptomatic due to periodontal infection. Computed tomography (CT) evaluation was performed in the 2 symptom-free patients. Thus, exact size and localization of the resorptive lesions were obtained. In 2 cases, root canal treatment was performed, and in the other case the resorptive defect was sealed with mineral trioxide aggregate.

摘要

侵袭性颈部吸收是一种相对少见的牙根外吸收形式。病因包括创伤、正畸治疗、冠内漂白和炎症,但侵袭性颈部吸收通常为特发性。这种病症可能没有外部体征,吸收性病变常通过常规影像学检查发现。本文描述了3例侵袭性颈部吸收的临床和影像学诊断及治疗方式。3例中有2例是影像学偶然发现,相关牙齿无症状。1例因牙周感染出现症状。对2例无症状患者进行了计算机断层扫描(CT)评估。由此获得了吸收性病变的确切大小和位置。2例进行了根管治疗,另1例用三氧化矿物凝聚体封闭了吸收性缺损。

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