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传统根尖诱导成形术和血管再生术诱导同一患者两颗非活髓、未成熟恒牙成熟:1例患者24个月随访

Conventional apexification and revascularization induced maturogenesis of two non-vital, immature teeth in same patient: 24 months follow up of a case.

作者信息

Aggarwal Vivek, Miglani Sanjay, Singla Mamta

机构信息

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, JamiaMilliaIslamia, New Delhi, India.

出版信息

J Conserv Dent. 2012 Jan;15(1):68-72. doi: 10.4103/0972-0707.92610.

Abstract

Various authors have demonstrated the regenerative process in immature, non vital teeth by revascularization induced maturogenesis. The aim of this case report is to compare calcium hydroxide apexification and pulp revascularization induced maturation procedures in the same patient, in two different teeth. The right maxillary central incisor in this individual was treated with conventional calcium hydroxide induced apexification procedure followed by guttaperchaobturation, and the left maxillary central incisor was treated by pulp revascularization induced maturation procedures. 24 months follow-up shows root elongation and apical closure in the tooth treated with revascularization induced maturation procedures. Revascularization induced maturogenesis, where indicated, can provide several advantages over conventional apexification procedures.

摘要

多位作者已通过血管再生诱导成熟来证明未成熟、无活力牙齿的再生过程。本病例报告的目的是在同一患者的两颗不同牙齿中比较氢氧化钙根尖诱导成形术和牙髓血管再生诱导成熟术。该患者的右上颌中切牙采用传统的氢氧化钙诱导根尖诱导成形术,随后进行牙胶尖充填,而左上颌中切牙则采用牙髓血管再生诱导成熟术进行治疗。24个月的随访显示,采用血管再生诱导成熟术治疗的牙齿出现了牙根延长和根尖闭合。在有指征的情况下,血管再生诱导成熟术比传统的根尖诱导成形术具有多种优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b91a/3284018/c2b4db57a16f/JCD-15-68-g001.jpg

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