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[上颌侧切牙腭侧根面沟伴牙髓牙周联合病变的意向性再植治疗:一例报告]

[Intentional replantation for the treatment of palatal radicular groove with endo-periodontal lesion in the maxillary lateral incisor: a case report].

作者信息

Xuelian Tan, Lan Zhang, Dingming Huang

机构信息

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospitalof Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Aug 1;35(4):448-452. doi: 10.7518/hxkq.2017.04.020.

Abstract

Palatal radicular groove leads to severe endo-periodontal lesion in lateral incisors. The groove occurs on the labial and lingual root surfaces, while the localized periodontal pocket develops along the lingual groove length. The complicated root canal system, extensively destroyed bone lamella, and persistent fistula pose a challenge for root canal therapy, tooth retention, and thorough infection control inside and outside of the root canal. Combining microscopic root canal therapy with intentional replantation and nano-biomaterial application facilitates infection control, tooth retention, and formation of newly periodontal attachment.

摘要

腭侧根面沟可导致侧切牙出现严重的牙髓-牙周联合病变。该沟出现在唇侧和舌侧牙根表面,而局限性牙周袋沿舌侧沟的长度发展。复杂的根管系统、广泛破坏的骨板和持续性瘘管给根管治疗、牙齿保留以及根管内外的彻底感染控制带来了挑战。将显微根管治疗与意向性再植和纳米生物材料应用相结合,有助于控制感染、保留牙齿并形成新的牙周附着。

相似文献

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Management of lateral incisor with palatal radicular groove.伴有腭侧根面沟的侧切牙的处理
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Successful treatment of a radicular groove by intentional replantation and Emdogain therapy: four years follow-up.通过意向性再植和Emdogain治疗成功治愈根面沟:四年随访
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本文引用的文献

1
Retention and Healing Outcomes after Intentional Replantation.意向性再植后的保留情况及愈合结果。
J Endod. 2016 Jun;42(6):909-15. doi: 10.1016/j.joen.2016.03.006. Epub 2016 Apr 14.
3
Combined Endodontic-Periodontal Treatment of a Palatogingival Groove.腭龈沟的牙髓-牙周联合治疗
J Endod. 2015 Nov;41(11):1918-22. doi: 10.1016/j.joen.2015.08.008. Epub 2015 Sep 26.
4
7
[Strategies of endodontic infection control].[牙髓感染控制策略]
Hua Xi Kou Qiang Yi Xue Za Zhi. 2011 Jun;29(3):225-8.

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