Altun Ceyhan, Tözüm Tolga Fikret, Güven Günseli
Center of Dental Sciences, Gülhane Medical Academy, Ankara, Turkey.
J Can Dent Assoc. 2008 May;74(4):363-6.
Traumatic tooth injuries are common in children. When permanent teeth are involved, it can be a challenge to save these teeth. This clinical case study describes the multidisciplinary treatment of a complex crown fracture and luxation of a right maxillary incisor along with esthetic management. After periodontal surgery including guided bone regeneration and endodontic treatment, we used a glass-fibre-reinforced composite post to increase retention and distribute stress along the root. The restoration was completed using composite in an incremental technique. During follow-up appointments, clinical and radiographic examinations revealed no root canal or periodontal problems, suggesting the efficacy of the treatment in retaining the fractured tooth. Periodontal surgery with endodontic treatment is an alternative treatment for severe trauma in permanent teeth.
创伤性牙损伤在儿童中很常见。当恒牙受累时，保存这些牙齿可能是一项挑战。本临床病例研究描述了右上颌中切牙复杂冠折和脱位的多学科治疗以及美学处理。在进行包括引导骨再生和牙髓治疗在内的牙周手术后，我们使用了玻璃纤维增强复合桩来增加固位力并沿牙根分散应力。修复采用分层技术用复合树脂完成。在随访期间，临床和影像学检查未发现根管或牙周问题，表明该治疗方法在保留折断牙齿方面的有效性。牙周手术联合牙髓治疗是恒牙严重创伤的一种替代治疗方法。
