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与腭沟相关的骨内缺损的牙周再生治疗：两例报告

Periodontal Regenerative Treatment of Intrabony Defects Associated with Palatal Grooves: A Report of Two Cases.

作者信息

Corbella Stefano, Alberti Alice, Zotti Beatrice, Francetti Luca

机构信息

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

出版信息

Case Rep Dent. 2019 Jun 3;2019:8093192. doi: 10.1155/2019/8093192. eCollection 2019.

DOI:10.1155/2019/8093192
PMID:31281682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6589302/
Abstract

A palatal radicular groove (PRG) is a morphological deformity, occurring during tooth development. It is usually located on the palatal aspect of maxillary incisors and frequently associated with periodontal or endodontic-periodontal lesions. Some treatment options were described for such lesions, including primary endodontic treatment and periodontal surgery and extraction with intentional replantation after removal of a PRG and endodontic treatment. The present paper reported two cases of PRG-associated deep intrabony defects, successfully treated with periodontal surgery with enamel matrix derivative (EMD) application and mechanical removal of PRGs, avoiding endodontic treatment or retreatment. The complexity of the diagnostic process was also discussed.

摘要

腭根沟（PRG）是一种在牙齿发育过程中出现的形态畸形。它通常位于上颌切牙的腭侧，并且常与牙周或牙髓-牙周病变相关。针对此类病变描述了一些治疗选择，包括初次牙髓治疗、牙周手术以及在去除PRG并进行牙髓治疗后有意再植的拔牙术。本文报道了两例与PRG相关的深部骨内缺损病例，通过应用釉基质衍生物（EMD）的牙周手术和机械去除PRG成功治愈，避免了牙髓治疗或再治疗。还讨论了诊断过程的复杂性。

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