根折作为外科辅助快速上颌扩弓的并发症

Root Fracture as Complication of Surgically Assisted Rapid Maxillary Expansion.

作者信息

Carvalho Pedro Henrique de Azambuja, Garcia Robson Rodrigues, Estrela Cristiane Bonanato, Pereira Filho Valfrido Antônio

机构信息

Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP, São Paulo State University, Sao Paulo.

Department of Maxillofacial Surgery, Dental School at Goias, UFG, Goias Federal University, Goiânia.

出版信息

J Craniofac Surg. 2018 Sep;29(6):e529-e530. doi: 10.1097/SCS.0000000000004431.

DOI:10.1097/SCS.0000000000004431

PMID:29521749

Abstract

A 23 year old male patient was submitted to surgical assisted rapid maxillary expansion (SARME). There were any postoperative complications until the finish of orthodontic expansion process. However, in the 30th postoperative day, patient mentioned pain in upper central incisor. Periapical radiography evidenced a root fracture of central upper right incisor. After endodontic treatment, the fractured apex was removed. After 3 years of follow-up, the patient finished orthodontics, and the damaged tooth was in good aspect. Apical fracture is an unexpected complication of SARME. However, follow-up and correct treatment lead to a good prognosis for tooth maintenance.

摘要

一名23岁男性患者接受了外科辅助快速上颌扩弓术（SARME）。在正畸扩弓过程结束前未出现任何术后并发症。然而，术后第30天，患者主诉上颌中切牙疼痛。根尖片显示右上中切牙牙根骨折。根管治疗后，去除了骨折的根尖。经过3年的随访，患者完成了正畸治疗，受损牙齿情况良好。根尖骨折是SARME的一种意外并发症。然而，随访和正确的治疗可为牙齿保留带来良好的预后。