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使用锥形束计算机断层扫描(CBCT)评估的血管化未成熟坏死牙的长期随访

Long-Term Follow-Up of a Revascularized Immature Necrotic Tooth Evaluated by CBCT.

作者信息

She C M L, Cheung G S P, Zhang C F

机构信息

Comprehensive Dental Care, Endodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong.

出版信息

Case Rep Dent. 2016;2016:4982458. doi: 10.1155/2016/4982458. Epub 2016 Feb 1.

Abstract

This case study reports the successful treatment of an immature upper premolar with periapical pathosis and sinus tract using revascularization technique. Clinical and radiographic examination demonstrated the recovery of vitality, continued root development, and periapical healing at the 7-month follow-up. In addition, severe calcification of the canal was noted at the 36-month follow-up. At the 66-month follow-up, cone-beam computed tomography (CBCT) revealed complete periapical healing, apical closure, increase in root length and thickness of dentin, and severe calcification of the root canal. Even though the nature of tissue within the root canal is unknown, revascularization appears to give good clinical and radiographic success. This case report highlights that severe calcification of the canal is one of the long-term outcomes of revascularized root canals.

摘要

本病例报告了采用再血管化技术成功治疗一颗患有根尖周病变和窦道的未成熟上颌前磨牙的情况。临床和影像学检查显示,在7个月的随访中,患牙活力恢复、牙根持续发育且根尖周愈合。此外,在36个月的随访中发现根管严重钙化。在66个月的随访中,锥形束计算机断层扫描(CBCT)显示根尖周完全愈合、根尖封闭、牙根长度增加、牙本质厚度增加以及根管严重钙化。尽管根管内组织的性质尚不清楚,但再血管化似乎取得了良好的临床和影像学效果。本病例报告强调,根管严重钙化是再血管化根管的长期结果之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f14/4753336/09eff5c53824/CRID2016-4982458.001.jpg

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