Fonseca Dimitri Ribas, Sena Larryson Goncalves, Santos Maria Helena, Goncalves Patricia Furtado
Department of Dentistry, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, MG, Brazil.
Gen Dent. 2011 Jul-Aug;59(4):e173-7.
Morphological changes can complicate dental treatment. This report presents a rare case of a furcation lesion in a mandibular canine with two roots. A 39-year-old man in general good health sought dental care for severe pain in his maxillary anterior teeth. The clinical examination showed localized swelling in the vestibular mucosa close to the mandibular left canine. Radiographic examination revealed two distinct roots and vertical bone resorption in the canine's mesial surface. Periodontal evaluation led to a diagnosis of periodontal abscess associated with furcation lesion. Despite the occurrence in an atypical location, the site of periodontal furcation received conventional therapy for initial decontamination, including tissue debridement and a combination of polyvinylpyrrolidone irrigation and antibiotics. To improve access, the decontamination was completed with surgical techniques and scaling and root planing. Early diagnosis of this rare morphological change helped to determine appropriate, timely treatment planning and optimal patient recovery.
形态学改变会使牙科治疗变得复杂。本报告介绍了一例罕见的下颌双根尖牙分叉病变病例。一名39岁身体健康的男性因上颌前牙剧痛前来寻求牙科治疗。临床检查发现下颌左侧尖牙附近前庭黏膜局部肿胀。影像学检查显示有两个明显的牙根，且尖牙近中面有垂直骨吸收。牙周评估诊断为与分叉病变相关的牙周脓肿。尽管病变发生在非典型部位，但牙周分叉部位接受了常规的初始去污治疗，包括组织清创以及聚乙烯吡咯烷酮冲洗和抗生素联合使用。为了更好地进行治疗，通过手术技术以及刮治和根面平整完成了去污。对这种罕见形态学改变的早期诊断有助于确定合适、及时的治疗方案并使患者实现最佳恢复。
