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牙髓病治疗中两例牙根吸收病例的临床处理

Clinical Management of Two Root Resorption Cases in Endodontic Practice.

作者信息

Mincik Jozef, Urban Daniel, Timkova Silvia

机构信息

Private Dental Practice, Vystavby 3, 040 11 Kosice, Slovakia.

Mint Dental, Private Dental Practice, Ostravska 8, 040 11 Kosice, Slovakia.

出版信息

Case Rep Dent. 2016;2016:9075363. doi: 10.1155/2016/9075363. Epub 2016 Aug 28.

Abstract

Root resorption is a pathological process involving loss of hard dental tissues. It may occur as a consequence of dental trauma, orthodontic treatment, and bleaching, and occasionally it accompanies periodontal disease. Although the mechanism of resorption process is examined in detail, its etiology is not fully understood. Wide open apical foramen is more difficult to manage and the root canal may often overfill. In this report we present two cases of root resorption and describe means for its clinical management. We conclude that useful measure of a success or failure in managing root resorption is the persistence of the resorption process. It is a clear sign of an active ongoing inflammatory process and shows the clinical need for retreatment.

摘要

牙根吸收是一种涉及牙硬组织丧失的病理过程。它可能因牙外伤、正畸治疗和漂白而发生,偶尔也伴随牙周疾病出现。尽管对吸收过程的机制进行了详细研究,但其病因尚未完全明确。根尖孔宽大的情况更难处理,根管常常可能超填。在本报告中,我们展示了两例牙根吸收病例,并描述了其临床处理方法。我们得出结论,牙根吸收治疗成功或失败的有效衡量标准是吸收过程是否持续。这是正在进行的活跃炎症过程的明显迹象,表明临床上需要再次治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e2/5018316/f38ca24578c3/CRID2016-9075363.001.jpg

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