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使用MTA对内部吸收进行非手术修复:一例报告

Non-Surgical Repair of Internal Resorption with MTA: A Case Report.

作者信息

Mohammadi Zahed, Yazdizadeh Mohammad, Shalavi Sousan

机构信息

Department of Endodontics, Hamedan University of Medical Sciences, Hamedan, Iran.

出版信息

Iran Endod J. 2012 Fall;7(4):211-4. Epub 2012 Oct 13.

Abstract

Internal resorption is rare in permanent teeth. Treatment is usually performed through warm gutta-percha technique. If the resorptive process perforates the root, treatment may be more difficult and is usually performed via surgical approach. Non-surgical repair of a perforating internal root resorption with MTA was conducted in this case. Before repairing the resorption, a master gutta-percha point was placed in the canal to maintain negotiability of the original canal path. Then, MTA was prepared and applied with a small carrier in the resorption area and compacted. Thereafter gutta-percha was retrieved and the access cavity was closed with a temporary filling material. In the second visit, the root canal was obturated with gutta-percha and AH26 sealer using lateral compaction technique and subsequently, the crown was restored. The symptoms and signs ceased and the result was satisfactory at the 18 month follow-up visit.

摘要

恒牙内吸收较为罕见。治疗通常通过热牙胶技术进行。如果吸收过程穿通牙根,治疗可能会更困难,通常需采用手术方法。本病例采用MTA对穿孔性牙根内吸收进行了非手术修复。在修复吸收之前,在根管内放置一根主牙胶尖以保持原根管通路的可操作性。然后,制备MTA并用小载体将其应用于吸收区域并压实。此后取出牙胶,用临时充填材料封闭髓腔。在第二次就诊时,采用侧向加压技术用牙胶和AH26封闭剂对根管进行充填,随后进行冠修复。症状和体征消失,在18个月的随访中结果令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a067/3487523/decef34d0724/iej-07-211-g001.jpg

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