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氢氧化钙和三氧化矿物凝聚体在再植牙根尖诱导成形术中的应用:一例报告

The use of calcium hydroxide and mineral trioxide aggregate on apexification of a replanted tooth: a case report.

作者信息

Jacobovitz Marcos, de Pontes Lima Regina Karla

机构信息

Paulista Association of Dental Surgeons, São Carlos, Brazil.

出版信息

Dent Traumatol. 2009 Jun;25(3):e32-6. doi: 10.1111/j.1600-9657.2008.00745.x. Epub 2009 Feb 22.

Abstract

AIM

To report the outcome of the endodontic treatment of a reimplanted central maxillary incisor with open apex after 8 years and 7 months of follow-up.

SUMMARY

This case report presents the treatment of a right central maxillary incisor of an 8-year old white male patient with history of traumatic avulsion and immediate replantation. The endodontic therapy consisted of periodical changes of calcium hydroxide dressing and a definitive root canal filling with mineral trioxide aggregate (MTA). The treatment was successful without pathologies up to 7 years of follow-up. After the institution of orthodontic treatment a localized and late root resorption was noticed at the last radiographic examination (8 years and 7 months postoperative follow-up). Moreover, the use of MTA promoted a mild crown grey discoloration.

摘要

目的

报告1例根尖孔开放的上颌中切牙再植后8年7个月的牙髓治疗结果。

摘要

本病例报告介绍了1例8岁白人男性患者右上颌中切牙的治疗情况,该患者有外伤性牙脱位及即刻再植史。牙髓治疗包括定期更换氢氧化钙敷料,并用三氧化矿物凝聚体(MTA)进行根管充填。随访7年治疗成功,无病变发生。正畸治疗开始后,在最后一次影像学检查(术后8年7个月随访)时发现局部迟发性牙根吸收。此外,使用MTA导致牙冠轻度灰色变色。

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