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侵袭性颈椎牙根吸收:多学科方法的治疗原理

Invasive cervical root resorption: treatment rationale with an interdisciplinary approach.

作者信息

Smidt Ami, Nuni Eyal, Keinan David

机构信息

Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Faculty of Dental Medicine, Hebrew University-Hadassah, Jerusalem, Israel.

出版信息

J Endod. 2007 Nov;33(11):1383-7. doi: 10.1016/j.joen.2007.07.036. Epub 2007 Sep 7.

Abstract

Invasive cervical resorption (ICR) is a significant and often aggressive pathologic process that, unfortunately, might lead to tooth loss. The presence of such a lesion in the cervical area is always a clinical challenge. This article presents an ICR case in which successful treatment was achieved by combining 4 disciplines: endodontics, orthodontics, periodontics, and prosthetics. Forced eruption combined with fiberotomy was used in this case for pulling the root rapidly from within the alveolar socket, thus exposing sound and healthy tooth material beyond the affected zone suitable for crown preparation. The presented interdisciplinary technique is offered for the prudent clinician as a solution in ICR cases of severe destructive nature.

摘要

侵袭性颈部吸收(ICR)是一种严重且通常具有侵袭性的病理过程,不幸的是,它可能导致牙齿脱落。颈部区域出现这种病变始终是一项临床挑战。本文介绍了一例ICR病例,通过结合牙髓病学、正畸学、牙周病学和修复学这四个学科成功实现了治疗。该病例中采用了强制萌出联合纤维切断术,以便迅速将牙根从牙槽窝内拉出,从而暴露受影响区域之外适合进行牙冠预备的健康牙齿组织。本文所介绍的多学科技术为谨慎的临床医生提供了一种解决严重破坏性ICR病例的方法。

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