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通过碎片重新附着和根管内固定治疗复杂冠根折:病例报告

Rehabilitation of complicated crown-root fracture by fragment reattachment and intraradicular splinting: case reports.

作者信息

Arora Ruchi, Shivakumar B, Rao H Murali, Vijay R

机构信息

Department of Conservative Dentistry and Endodontics, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India.

出版信息

J Int Oral Health. 2013 Oct;5(5):129-38. Epub 2013 Oct 26.

Abstract

This paper describes the rehabilitation of two traumatised teeth in two patients namely; A maxillary left central incisor with a relatively rare combination of multiple fractures- uncomplicated crown fracture, complicated crown-root fracture along with an oblique fracture in middle third of the root and A traumatised mandibular central incisor with a horizontal fracture in cervical third of the root and complete separation of the fragments. In both cases, initially the fractured crown fragments were extracted which was followed by pulpectomy and placement of fiber posts luted with resin cement. The fractured fragments were then reattached to the respective teeth using resin cement. In the first case, the fractured incisal edge of the fragment was built up with a hybrid composite. Teeth were splinted with fibre splint (Ribbond) in both the cases. The patient was recalled regularly for follow ups for six months in first case. The patient presented with normal clinical and radiographic findings at each visit. In the second case, follow ups were carried out for 3 weeks and being continued and both the cases are still under observation by regular recalls. How to cite this article: Ruchi Arora, B Shivakumar, H Murali Rao, R Vijay. Rehabilitation of Complicated Crown-Root Fracture by Fragment Reattachment and Intraradicular Splinting: Case Reports. J Int Oral Health 2013; 5(5):129-38.

摘要

本文描述了两名患者两颗外伤牙的修复情况,具体如下:一颗上颌左侧中切牙,存在相对罕见的多种骨折组合——单纯冠折、复杂冠根折以及牙根中1/3处的斜形骨折;另一颗外伤下颌中切牙,牙根颈1/3处水平骨折且碎片完全分离。在这两例病例中,最初均拔除了折断的冠部碎片,随后进行了牙髓摘除术,并使用树脂水门汀粘结纤维桩。然后用树脂水门汀将折断的碎片重新粘结到各自的牙齿上。在第一例中,碎片折断的切缘用混合复合材料进行了修复。两例均使用纤维夹板(Ribbond)进行了夹板固定。第一例患者在6个月内定期复诊。每次复诊时患者的临床和影像学检查结果均正常。在第二例中,进行了3周的随访并仍在继续,两例仍通过定期复诊进行观察。如何引用本文:鲁奇·阿罗拉、B·希瓦库马尔、H·穆拉利·拉奥、R·维杰。通过碎片重新附着和根管内夹板固定修复复杂冠根折:病例报告。《国际口腔健康杂志》2013年;5(5):129 - 38。

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本文引用的文献

1
Multidisciplinary approach to the treatment of an oblique crown-root fracture.多学科方法治疗斜冠根折。
Dent Traumatol. 2010 Feb;26(1):98-104. doi: 10.1111/j.1600-9657.2007.00519.x.
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Multiple complicated crown-root fracture of a permanent incisor.一颗恒牙切牙的多处复杂冠根折
Dent Traumatol. 2004 Oct;20(5):288-92. doi: 10.1111/j.1600-9657.2004.00248.x.
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Endod Dent Traumatol. 1994 Oct;10(5):223-7. doi: 10.1111/j.1600-9657.1994.tb00074.x.

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