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颈外吸收病例报告及文献简要综述

External cervical resorption case report and a brief review of literature.

作者信息

Ahmed Nizar, Mony Bejoy, Parthasarthy Harinath

机构信息

Department of Periodontics,Thai Moogambigai Dental College, Mugappair, Chennai, India.

Department of Endodontics, SRM Dental College,Ramapuram, Chennai, India.

出版信息

J Nat Sci Biol Med. 2014 Jan;5(1):210-4. doi: 10.4103/0976-9668.127336.

DOI:10.4103/0976-9668.127336
PMID:24678232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3961940/
Abstract

External cervical resorption (ECR) is the loss of dental hard tissue as a result of odontoclastic action; it usually begins on the cervical region of the root surface of the teeth. The etiology, predisposing factors, diagnosis, and management of ECR have been reviewed here. Effective management and appropriate treatment can only be carried out if the true nature and exact location of the ECR lesion are known. This paper reports on the management of a case of external cervical root resorption (ECRR), which involved root canal treatment and removal of the resorbing area of the affected tooth as well as filling the resorbed area with mineral trioxide aggregate (MTA) and resin-modified glass ionomer filling material (RMGIC). The defect was filled with bone graft material and guided tissue regeneration (GTR) membrane. This case highlights the importance of using MTA and successful management of cervical resorption with a stable uneventful clinical recovery.

摘要

外部性颈椎吸收(ECR)是由于破牙细胞作用导致牙体硬组织丧失;它通常始于牙齿根面的颈部区域。本文回顾了ECR的病因、诱发因素、诊断和治疗。只有了解ECR病变的真实性质和确切位置,才能进行有效的治疗和适当的处理。本文报告了一例外部性颈椎根吸收(ECRR)病例的治疗,该病例包括根管治疗、去除患牙的吸收区域,并用三氧化矿物凝聚体(MTA)和树脂改性玻璃离子充填材料(RMGIC)填充吸收区域。缺损用骨移植材料和引导组织再生(GTR)膜填充。该病例突出了使用MTA的重要性以及颈椎吸收的成功治疗和稳定、顺利的临床恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/f0c0a304f9c9/JNSBM-5-210-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/460a6efe30aa/JNSBM-5-210-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/d183bfcf0e3a/JNSBM-5-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/a3115dbf9eaa/JNSBM-5-210-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/b76f94f458ed/JNSBM-5-210-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/d7f0a9eaced7/JNSBM-5-210-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/e62dd31788e8/JNSBM-5-210-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/736f0ffe65cd/JNSBM-5-210-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/7e7612299e23/JNSBM-5-210-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/061458c49b61/JNSBM-5-210-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/f0c0a304f9c9/JNSBM-5-210-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/460a6efe30aa/JNSBM-5-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/bcf0d819c479/JNSBM-5-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/d183bfcf0e3a/JNSBM-5-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/a3115dbf9eaa/JNSBM-5-210-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/b76f94f458ed/JNSBM-5-210-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/d7f0a9eaced7/JNSBM-5-210-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/e62dd31788e8/JNSBM-5-210-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/736f0ffe65cd/JNSBM-5-210-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/7e7612299e23/JNSBM-5-210-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/061458c49b61/JNSBM-5-210-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff09/3961940/f0c0a304f9c9/JNSBM-5-210-g011.jpg

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引用本文的文献

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本文引用的文献

1
Benign Neoplasia of Tooth and Bone: (Section of Odontology).牙齿与骨骼的良性肿瘤:(牙科学章节)
Proc R Soc Med. 1941 May;34(7):427-46. doi: 10.1177/003591574103400717.
2
Immunohistochemical analysis of nestin, osteopontin, and proliferating cells in the reparative process of exposed dental pulp capped with mineral trioxide aggregate.用三氧化矿物凝聚体覆盖暴露牙髓修复过程中巢蛋白、骨桥蛋白和增殖细胞的免疫组织化学分析
J Endod. 2008 Aug;34(8):970-4. doi: 10.1016/j.joen.2008.03.021. Epub 2008 Jun 20.
3
Is the resorption external or internal?
吸收是外部的还是内部的?
Dent Update. 2007 May;34(4):218-20, 222, 224-6, 229. doi: 10.12968/denu.2007.34.4.218.
4
Human pulpal response to mineral trioxide aggregate (MTA): a histologic study.人牙髓对三氧化矿物凝聚体(MTA)的反应:一项组织学研究。
J Clin Pediatr Dent. 2006 Spring;30(3):203-9. doi: 10.17796/jcpd.30.3.38h13g5p84651652.
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CELLS AND EXTRACELLULAR MATRICES OF DENTIN AND PULP: A BIOLOGICAL BASIS FOR REPAIR AND TISSUE ENGINEERING.牙本质和牙髓的细胞与细胞外基质:修复与组织工程的生物学基础
Crit Rev Oral Biol Med. 2004 Jan 1;15(1):13-27. doi: 10.1177/154411130401500103.
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Multiple idiopathic cervical root resorption: systematic review and report of four cases.多发性特发性颈椎根吸收:系统评价及4例报告
Dentomaxillofac Radiol. 2003 May;32(3):150-5. doi: 10.1259/dmfr/12925020.
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Mineral trioxide aggregate (MTA) and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report.矿物三氧化物凝聚体(MTA)和氢氧化钙作为人牙盖髓剂的初步报告。
Int Endod J. 2003 Mar;36(3):225-31. doi: 10.1046/j.1365-2591.2003.00652.x.
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Cervical external root resorption in vital teeth.
J Clin Periodontol. 2002 Jun;29(6):580-5. doi: 10.1034/j.1600-051x.2002.290615.x.
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Cervical root resorption in two patients with unilateral complete cleft of the lip and palate.两名单侧完全性唇腭裂患者的颈椎根吸收
Cleft Palate Craniofac J. 2002 Sep;39(5):541-5. doi: 10.1597/1545-1569_2002_039_0541_crritp_2.0.co_2.
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Response of the pulp of dogs to capping with mineral trioxide aggregate or a calcium hydroxide cement.犬牙髓对用三氧化矿物凝聚体或氢氧化钙水门汀盖髓的反应。
Dent Traumatol. 2001 Aug;17(4):163-6. doi: 10.1034/j.1600-9657.2001.170405.x.