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对一颗采用包括意向性再植和游离龈瓣移植的两步法治疗的患牙进行15个月的随访

Fifteen months follow-up of a hopeless tooth treated with two-step procedure involving intentional replantation and free gingival graft.

作者信息

Keceli Huseyin Gencay, Hendek Meltem Karsiyaka

机构信息

Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkiye.

Department of Periodontology, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkiye.

出版信息

Eur J Dent. 2014 Oct;8(4):559-562. doi: 10.4103/1305-7456.143644.

DOI:10.4103/1305-7456.143644
PMID:25512741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4253116/
Abstract

The aim of the report is to document 15-month results of mucogingival surgery applied following intentional replantation (IntR). A mandibular left lateral incisor with severe periodontitis and malposition was replanted and splinted following root canal treatment. Three months after IntR, a free gingival graft (FGG) was placed. Fifteen months follow-up of the case demonstrated significant improvement in periodontal healing parameters and significant bone fill was detected around the root apex. As a conclusion, IntR may be speculated as a convenient alternative to keep the periodontally hopeless teeth and supportive approaches such as FGGs may improve the outcomes following IntR.

摘要

本报告的目的是记录在有意再植（IntR）后进行的黏膜牙龈手术15个月的结果。一颗患有严重牙周炎且位置不正的下颌左侧切牙在根管治疗后进行了再植和夹板固定。IntR术后三个月，进行了游离龈移植（FGG）。对该病例进行15个月的随访显示，牙周愈合参数有显著改善，并且在根尖周围检测到大量骨填充。总之，可以推测IntR可能是保留牙周预后无望牙齿的一种便捷替代方法，而FGG等支持性方法可能会改善IntR后的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/341802686fa0/EJD-8-559-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/bfd6c8c69abc/EJD-8-559-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/a0d35bf5b540/EJD-8-559-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/0ff3439f7302/EJD-8-559-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/0b778b21ca39/EJD-8-559-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/be888d6dd693/EJD-8-559-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/97d40d1e9686/EJD-8-559-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/341802686fa0/EJD-8-559-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/bfd6c8c69abc/EJD-8-559-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/a0d35bf5b540/EJD-8-559-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/0ff3439f7302/EJD-8-559-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/0b778b21ca39/EJD-8-559-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/be888d6dd693/EJD-8-559-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/97d40d1e9686/EJD-8-559-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373f/4253116/341802686fa0/EJD-8-559-g008.jpg

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Intentional replantation of periodontally hopeless teeth using a combination of enamel matrix derivative and demineralized freeze-dried bone allograft.使用釉基质衍生物和脱矿冻干异体骨移植联合技术对牙周预后无望的牙齿进行意向性再植。
Int J Periodontics Restorative Dent. 2011 Feb;31(1):75-81.
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Intentional reim plantation of a tooth with severe periodontal involvement using enamel matrix derivative in combination with guided tissue regeneration and bone grafting: a case report.
使用釉基质衍生物联合引导组织再生和骨移植对严重牙周受累牙齿进行意向性再植：一例报告
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