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侵袭性颈椎牙根吸收:通过再生工程修复缺失组织。

Invasive cervical root resorption: Engineering the lost tissue by regeneration.

作者信息

Johns Dexton Antony, Shivashankar Vasundara Yayathi, Maroli Ramesh Kumar, Joseph Rosamma

机构信息

Department of Endodontics, Government Dental College, Calicut, Kerala, India.

Department of Periodontics, Government Dental College, Calicut, Kerala, India.

出版信息

Contemp Clin Dent. 2013 Oct;4(4):536-9. doi: 10.4103/0976-237X.123067.

Abstract

Invasive cervical resorption (ICR) is a localized resorptive process that commences on the surface of the root below the epithelial attachment and the coronal aspect of the supporting alveolar process, namely the zone of the connective tissue attachment' early diagnosis, elimination of the resorption and restorative management are the keys to a successful outcome. Treatment done was a combined non-surgical root canal therapy, surgical treatment to expose the resorptive defect and the resorptive defect was filled up with reverse sandwich technique and finally the bony defect filled with platelet rich fibrin (PRF), hydroxylapatite and PRF membrane. Significant bone fill was obtained in our case after a 2 year follow-up period. This case report presents a treatment strategy that might improve the healing outcomes for patients with ICR.

摘要

侵袭性颈部吸收(ICR)是一种局限性吸收过程,始于上皮附着下方的牙根表面以及支持性牙槽突的冠方部分,即结缔组织附着区。早期诊断、消除吸收以及修复性处理是取得成功结果的关键。所采取的治疗方法包括联合非手术根管治疗、手术暴露吸收性缺损,采用反向三明治技术填充吸收性缺损,最后用富含血小板纤维蛋白(PRF)、羟基磷灰石和PRF膜填充骨缺损。经过2年的随访期,我们的病例获得了显著的骨填充。本病例报告提出了一种可能改善ICR患者愈合结果的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1900/3883340/17ae87d8f0d2/CCD-4-536-g001.jpg

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