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使用纤维桩重新附着治疗复杂冠折:微创治疗方法

Management of Complicated Crown Fracture by Reattachment Using Fiber Post: Minimal Intervention Approach.

作者信息

Raut Ambar W, Mantri Vijay, Shambharkar Vaibhao I, Mishra Mitul

机构信息

Department of Conservative Dentistry and Endodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.

Department of Conservative Dentistry and Endodontics, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.

出版信息

J Nat Sci Biol Med. 2018 Jan-Jun;9(1):93-96. doi: 10.4103/jnsbm.JNSBM_98_17.

Abstract

Anterior crown fractures are a common form of traumatic dental injuries that mainly affect the maxillary incisors, especially in children and adolescents. Complicated crown fractures although less common, pose a challenge to the clinician. The main objective while treating such cases is successful pain management and immediate restoration of function, esthetics and phonetics. Since the development of the adhesive dentistry, the patient's own fragment can be used to restore the fractured tooth. Reattachment of fractured tooth fragments offers a viable restorative alternative. The procedure provides good and long-lasting esthetics, because the original morphology, color, and surface texture are preserved. This article reports management of complicated crown fracture in a young adult and a middle-aged adult that were successfully treated by reattachment technique. The teeth were endodontically treated followed by esthetic reattachment of the fractured fragment using the glass fiber post. To improve the adhesion between fractured and remaining fragment, circumferential beveling and internal groove placement were done.

摘要

冠折是一种常见的外伤性牙损伤形式,主要影响上颌切牙,在儿童和青少年中尤为常见。复杂冠折虽不常见,但给临床医生带来了挑战。治疗此类病例的主要目标是成功控制疼痛,并立即恢复功能、美观和语音功能。自粘结牙科技术发展以来,患者自身的牙碎片可用于修复折断的牙齿。折断牙碎片的重新附着提供了一种可行的修复选择。该方法能实现良好且持久的美观效果,因为保留了牙齿原有的形态、颜色和表面纹理。本文报告了一名年轻成年人和一名中年成年人复杂冠折的治疗情况,他们均通过重新附着技术成功治愈。对患牙进行根管治疗,然后使用玻璃纤维桩对折断碎片进行美观性重新附着。为增强折断碎片与剩余部分之间的粘结力,进行了圆周斜面制备和内部开槽。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c6b/5812083/7f2fe219a110/JNSBM-9-93-g001.jpg

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