侵袭性牙周炎患者牙周牙髓联合病变的治疗
Treatment of a Periodontic-Endodontic Lesion in a Patient with Aggressive Periodontitis.
作者信息
Fahmy Mina D, Luepke Paul G, Ibrahim Mohamed S, Guentsch Arndt
机构信息
Department of Surgical Sciences, Marquette University School of Dentistry, Milwaukee, WI 53233, USA.
Department of Surgical Sciences, Marquette University School of Dentistry, Milwaukee, WI 53233, USA; Department of Endodontics, Faculty of Dentistry, Mansoura University, Mansoura 35516, Egypt.
出版信息
Case Rep Dent. 2016;2016:7080781. doi: 10.1155/2016/7080781. Epub 2016 Jun 23.
Case Description. This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. In spite of anticipated poor prognosis, the tooth lesion healed. This case report also discusses the rationale behind different treatment interventions. Practical Implication. Periodontic-endodontic lesions can be successfully treated if dental professionals follow a concerted treatment protocol that integrates endodontic and periodontic specialties. General dentists can be the gatekeepers in managing these cases.
病例描述。本病例报告介绍了一名患有侵袭性牙周炎的35岁白人女性，其左下颌第一磨牙患有牙周牙髓联合病变，采用包括牙髓治疗、牙周治疗以及使用釉基质衍生物进行牙周再生手术的协同方法成功治疗。尽管预后预期不佳，但牙齿病变仍愈合。本病例报告还讨论了不同治疗干预措施背后的基本原理。实际意义。如果牙科专业人员遵循整合牙髓和牙周专业的协同治疗方案，牙周牙髓联合病变可以成功治疗。普通牙医可以成为管理这些病例的把关人。
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