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年轻恒牙中MTA糊剂意外根尖外溢的影响——病例报告

Effect of unintentional periapical extrusion of metapex in immature teeth- a case report.

作者信息

Galhotra Virat, Singla Anshu, Jindal Sanjeev, Sofat Anjali

机构信息

Professor, Department of Pedodontics and Preventive Dentistry, Gian Sagar Dental College & Hospital , Village Ramnagar, Banur, Rajpura, District Patiala, Punjab, India .

Reader, Department of Pedodontics and Preventive Dentistry, Gian Sagar Dental College & Hospital , Village Ramnagar, Banur, Rajpura, District Patiala, Punjab, India .

出版信息

J Clin Diagn Res. 2015 Jan;9(1):ZD01-2. doi: 10.7860/JCDR/2015/11086.5399. Epub 2015 Jan 1.

Abstract

The paper discusses a case of an immature premolar tooth with a large periapical lesion, in which Metapex (calcium hydroxide paste containing iodoform and barium sulphate as a radiopacifier) was used. There was an un-intentional extrusion of calcium hydroxide during application. The patient was evaluated for periapical healing at 12 and 24 months. The follow up revealed that the accidental extrusion of metapex did not have any detrimental effect on periapical healing. However, delayed resorption of Metapex as well as healing of the periapical lesion may be attributed to the presence of BaSO4 and iodoform as compared to plain Calcium hydroxide.

摘要

本文讨论了一例未成熟前磨牙伴有较大根尖周病变的病例,其中使用了Metapex(含碘仿和硫酸钡作为放射阻射剂的氢氧化钙糊剂)。在应用过程中意外挤出了氢氧化钙。在12个月和24个月时对患者进行根尖周愈合评估。随访结果显示,Metapex的意外挤出对根尖周愈合没有任何不利影响。然而,与单纯氢氧化钙相比,Metapex的延迟吸收以及根尖周病变的愈合可能归因于硫酸钡和碘仿的存在。

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本文引用的文献

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Accidental periapical extrusion of non-setting calcium hydroxide: unusual bone response and management.
J Indian Soc Pedod Prev Dent. 2014 Jan-Mar;32(1):63-7. doi: 10.4103/0970-4388.127061.
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The endodontic management of traumatized permanent anterior teeth: a review.外伤恒前牙的牙髓治疗:综述
Aust Dent J. 2007 Mar;52(1 Suppl):S122-37. doi: 10.1111/j.1834-7819.2007.tb00520.x.
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Int Endod J. 2002 Nov;35(11):946-58. doi: 10.1046/j.1365-2591.2002.00597.x.
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