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牙牙槽创伤数字成像的临床指征。第2部分:牙根吸收。

Clinical indications for digital imaging in dento-alveolar trauma. Part 2: root resorption.

作者信息

Cohenca Nestor, Simon James H, Mathur Aeshna, Malfaz Jose Maria

机构信息

Department of Endodontics, School of Dentistry, University of Washington, Seattle, WA 98195-7448, USA.

出版信息

Dent Traumatol. 2007 Apr;23(2):105-13. doi: 10.1111/j.1600-9657.2006.00546.x.

Abstract

Common complications of dento-alveolar trauma are pulp necrosis, pulp canal obliteration, periapical pathosis and root resorption. Different types of root resorption have been identified with traumatic injuries. Repair-related (surface), infection-related (inflammatory), ankylosis-related (osseous replacement) or extraradicular invasive cervical resorption are among the most common. Recent developments in imaging systems have enabled clinicians to visualize structural changes effectively. The diagnosis and three-dimensional imaging assessment of the resorption is important in order to determine the treatment complexity and expected outcome based on the location and extension of the root defect. This article discusses and illustrates the clinical application of cone beam computed tomography for diagnosis and treatment plan of root resorption. Four clinical cases are presented to illustrate the potential use of the NewTom 3G for root resorption.

摘要

牙槽创伤的常见并发症包括牙髓坏死、根管闭锁、根尖病变和牙根吸收。创伤性损伤可导致不同类型的牙根吸收。与修复相关的(表面)、与感染相关的(炎症性)、与粘连相关的(骨替代)或根外侵袭性颈部吸收是最常见的类型。成像系统的最新进展使临床医生能够有效地观察结构变化。牙根吸收的诊断和三维成像评估对于根据牙根缺损的位置和范围确定治疗复杂性和预期结果非常重要。本文讨论并举例说明了锥形束计算机断层扫描在牙根吸收诊断和治疗计划中的临床应用。介绍了四个临床病例,以说明NewTom 3G在牙根吸收方面的潜在用途。

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