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一例复杂冠根折未成熟恒中切牙的血管再生治疗：病例报告

Revascularization of an Immature Permanent Central Incisor with Complicated Crown Root Fracture: A Case Report.

作者信息

John Anu, Hegde Amitha M, Shetty Preeth, Shetty Shreema

机构信息

Department of Pedodontics and Preventive Dentistry, AB Shetty Memorial Institute of Dental Sciences, Mangaluru, Karnataka, India.

出版信息

Int J Clin Pediatr Dent. 2019 Jan-Feb;12(1):59-63. doi: 10.5005/jp-journals-10005-1574.

DOI:10.5005/jp-journals-10005-1574
PMID:31496575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6710939/
Abstract

UNLABELLED

The treatment of complicated crown root fracture in children possesses a great challenge to pedodontists. A 10-year-old boy presented with trauma to the permanent maxillary left central incisor. Upon clinical and radiographic examination, revealed mobility of coronal fragment, open apex, and vertical fracture involving enamel dentin and pulp. Instead of the standard root canal treatment protocol, revascularization was performed after stabilizing the coronal fragment. The detachment of the coronal fragment occurred following a fall for the second time after 1 month of placement of mineral trioxide aggregate (MTA) over the blood clot. The coronal seal was intact; hence, the coronal fragment was reattached and the crown was placed. At 12-month follow-up, clinical and radiographic evaluation showed that the tooth was asymptomatic and functional. With increasing scope of clinical facts, patient, and practitioner favorable reception, regenerative techniques may be used as a standard technique in treating complicated crown root fracture in young permanent teeth.

HOW TO CITE THIS ARTICLE

John A, Hegde AM, Revascularization of an Immature Permanent Central Incisor with Complicated Crown Root Fracture: A Case Report. Int J Clin Pediatr Dent 2019;12(1):59-63.

摘要

未标注

儿童复杂冠根折的治疗对儿童牙医来说是一项巨大挑战。一名10岁男孩上颌左侧恒中切牙遭受外伤。临床和影像学检查显示，冠部碎片松动、根尖孔开放，垂直骨折累及釉质、牙本质和牙髓。未采用标准的根管治疗方案，而是在固定冠部碎片后进行了牙髓血管再生治疗。在血凝块上放置三氧化矿物凝聚体（MTA）1个月后，该男孩再次摔倒，导致冠部碎片脱落。冠部封闭完好，因此，将冠部碎片重新固定并戴上牙冠。在12个月的随访中，临床和影像学评估显示该牙齿无症状且功能正常。随着临床病例、患者和从业者认可度的增加，再生技术可能会成为治疗年轻恒牙复杂冠根折的标准技术。

如何引用本文

John A, Hegde AM, 复杂冠根折未成熟恒中切牙的牙髓血管再生：一例报告。《国际临床儿科牙科学杂志》2019年；12(1):59 - 63。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/f2cc78f29702/ijcpd-12-59-g013.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/649f1fb46711/ijcpd-12-59-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/d77cf7082018/ijcpd-12-59-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/053379a0ec28/ijcpd-12-59-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/20bb1d4e0772/ijcpd-12-59-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/b2d74eb4c8ef/ijcpd-12-59-g011.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/f2cc78f29702/ijcpd-12-59-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/b6ae3cfbe281/ijcpd-12-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/7ef90cd27c9c/ijcpd-12-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/3441f9dadf5d/ijcpd-12-59-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/2f24e5232b0f/ijcpd-12-59-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/4f05d2423d05/ijcpd-12-59-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/15e51a4c18cf/ijcpd-12-59-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/649f1fb46711/ijcpd-12-59-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/d77cf7082018/ijcpd-12-59-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/053379a0ec28/ijcpd-12-59-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/20bb1d4e0772/ijcpd-12-59-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/b2d74eb4c8ef/ijcpd-12-59-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/68c88db8c16d/ijcpd-12-59-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c3/6710939/f2cc78f29702/ijcpd-12-59-g013.jpg

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