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恢复患有大根尖病变的外伤恒牙的功能与美观。

Reestablishing the Function and Esthetics in Traumatized Permanent Teeth with Large Apical Lesion.

作者信息

Cocco Alexandra Rubin, Bobrowski Ângelo Niemczewski, Baldissera Rudimar Antônio, Machado Silveira Luiz Fernando, Martos Josué

机构信息

Department of Operative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.

出版信息

Case Rep Dent. 2016;2016:3830813. doi: 10.1155/2016/3830813. Epub 2016 Dec 18.

DOI:10.1155/2016/3830813
PMID:28078147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5203891/
Abstract

Dental trauma is a challenge for dental integrity and can lead to pulp necrosis. The clinical case reports the diagnosis of a maxillary right central incisor traumatized and its multidisciplinary treatment. Calcium hydroxide material was used to perform the processing apexification. An apical surgery was carried out to remove the apical periodontitis and to return the aesthetics to the patient; internal and external tooth whitening in maxillary right central incisor was performed. We conclude that surgery associated with the root filling in the central incisor led to a successful completion. Moreover, it is of utmost importance to demonstrate the interaction between the various areas of dentistry.

摘要

牙外伤对牙齿完整性构成挑战，可导致牙髓坏死。该临床病例报告了一例上颌右侧中切牙外伤的诊断及其多学科治疗。使用氢氧化钙材料进行根尖诱导成形术。进行了根尖手术以消除根尖周炎并恢复患者的美观；对上颌右侧中切牙进行了牙齿内外部美白。我们得出结论，与中切牙根充相关的手术取得了成功。此外，展示牙科各个领域之间的相互作用至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/2611698f2fe4/CRID2016-3830813.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/7c3630676c28/CRID2016-3830813.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/33c9b5dd4b38/CRID2016-3830813.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/fa6627f4c572/CRID2016-3830813.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/a9d42fe2747f/CRID2016-3830813.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/5426e298d062/CRID2016-3830813.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/2611698f2fe4/CRID2016-3830813.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/7c3630676c28/CRID2016-3830813.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/33c9b5dd4b38/CRID2016-3830813.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/fa6627f4c572/CRID2016-3830813.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/a9d42fe2747f/CRID2016-3830813.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/5426e298d062/CRID2016-3830813.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/101d/5203891/2611698f2fe4/CRID2016-3830813.006.jpg

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本文引用的文献

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Clinical and radiographic outcomes of traumatized immature permanent necrotic teeth after revascularization/revitalization therapy.牙髓血管再生/牙髓复活治疗后外伤未成熟恒牙坏死的临床和影像学结果
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The effect of frequency of calcium hydroxide dressing change and various pre- and inter-operative factors on the endodontic treatment of traumatized immature permanent incisors.氢氧化钙封药更换频率及各种术前和术中因素对创伤性未成熟恒切牙牙髓治疗的影响。
Dent Traumatol. 2012 Aug;28(4):296-301. doi: 10.1111/j.1600-9657.2011.01089.x. Epub 2011 Nov 16.
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Apexification of immature teeth with calcium hydroxide or mineral trioxide aggregate: systematic review and meta-analysis.
用氢氧化钙或三氧化矿物凝聚体进行年轻恒牙根尖诱导成形术：系统评价和Meta分析
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Apexification: the beginning of its end.根尖诱导成形术：其终结的开端。
Int Endod J. 2009 Oct;42(10):855-66. doi: 10.1111/j.1365-2591.2009.01577.x. Epub 2009 Jun 22.
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A paradigm shift in endodontic management of immature teeth: conservation of stem cells for regeneration.未成熟牙齿牙髓病治疗的范式转变：保存干细胞用于再生
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The use of white Portland cement as an apical plug in a tooth with a necrotic pulp and wide-open apex: a case report.使用白色波特兰水泥作为牙髓坏死且根尖孔敞开的牙齿的根尖充填物：一例报告。
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Radiographic appearance of apical closure in apexification: follow-up after 7-13 years.根尖诱导成形术中根尖闭合的影像学表现：7至13年的随访
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Int Endod J. 2005 Sep;38(9):604-9. doi: 10.1111/j.1365-2591.2005.00987.x.
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