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潜水过程中牙齿修复体的移位和折断:一例气压伤病例

Dental restoration dislodgment and fracture during scuba diving: a case of barotrauma.

作者信息

Peker Ilkay, Erten Hülya, Kayaoglu Guven

机构信息

Department of Oral Diagnosis and Radiology, Gazi University Faculty of Dentistry, Emek-Ankara, Turkey.

出版信息

J Am Dent Assoc. 2009 Sep;140(9):1118-21. doi: 10.14219/jada.archive.2009.0338.

Abstract

BACKGROUND

The term "barotrauma" is used to describe a physical injury caused by a rapid or extreme change in air pressure. Enclosed areas within the body are particularly affected by barotrauma.

CASE DESCRIPTION

A 40-year-old man had complaints of restorations in three teeth fracturing and dislodging while he was scuba diving at a depth of 35 meters. The affected teeth contained carious dentin. The caries was removed, and the affected teeth underwent endodontic, restorative and prosthetic rehabilitation.

CLINICAL IMPLICATIONS

Inadequate restorations and selection of dental materials in some cases predispose patients to barotrauma. To prevent barotrauma-related damages on the teeth, it is important to maintain good-quality restorations and avoid trapping air beneath them. Dentists and patients who are exposed to barometric stress as part of their jobs or hobbies should know the causes of barotrauma and be aware of the importance of routine dental checkups to avoid barotrauma-related dental problems.

摘要

背景

“气压伤”一词用于描述由气压快速或极端变化引起的身体损伤。身体内的封闭区域特别容易受到气压伤的影响。

病例描述

一名40岁男性在35米深的水肺潜水时,三颗牙齿的修复体出现断裂和移位。患牙含有龋坏牙本质。去除龋坏组织后,对患牙进行了牙髓、修复和修复性修复治疗。

临床意义

在某些情况下,修复体不足和牙科材料的选择会使患者易患气压伤。为防止与气压伤相关的牙齿损伤,保持高质量的修复体并避免在其下方截留空气非常重要。作为工作或爱好的一部分而暴露于气压压力下的牙医和患者应了解气压伤的原因,并意识到定期牙科检查对于避免与气压伤相关的牙齿问题的重要性。

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