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富含血小板纤维蛋白在未发育完全牙根的第三磨牙即刻自体移植中作为再生辅助剂的应用:病例报告及文献综述

Application of Platelet-Rich Fibrin as Regeneration Assistant in Immediate Auototransplantation of Third Molar with Unformed Roots: Case Report and Review of Literature.

作者信息

Alkofahi Hamzah, Maghaireh Alaa, Fnaish Mamoon, Jarrah Mohammad, Bataineh Mohammad

机构信息

Department of Oral and Maxillofacial Surgery, Jordanian Royal Medical Services, Irbid, Jordan.

Department of Periodontics, Jordanian Royal Medical Services, Irbid, Jordan.

出版信息

Case Rep Dent. 2020 Jan 21;2020:8170646. doi: 10.1155/2020/8170646. eCollection 2020.

Abstract

BACKGROUND

Autogenous Tooth Transplantation (ATT) is the surgical movement of a maturely or immaturely formed tooth from its original site to another extraction site or a surgically prepared socket in the same individual. The most important factor in the healing process after autotransplantation is the presence of intact and viable periodontal ligament cells, which have the ability to differentiate into osteoblasts and able to induce bone production. ATT can successfully replace removable dentures as a restoration option in a growing patient, while implants can be placed only after skeletal maturity is attained. In this case, we presented an immediate ATT of the third molar with unformed roots to the extraction socket of the first molar with evidence of continued root formation after 2 years of follow-up.

CONCLUSION

Platelet-Rich Fibrin (PRF) can induce sustainable and accelerated healing, and it can also induce the regeneration process of the periodontal tissues and pulpal formation. This process plays a key role in future root development and success rate.

摘要

背景

自体牙移植(ATT)是将一颗成熟或未成熟的牙齿从其原始位置移动到同一患者的另一个拔牙位点或手术制备的牙槽窝。自体移植后愈合过程中最重要的因素是完整且有活力的牙周膜细胞的存在,这些细胞能够分化为成骨细胞并诱导骨生成。在生长中的患者中,ATT可以成功替代可摘义齿作为一种修复选择,而种植体只能在骨骼成熟后才能植入。在本病例中,我们将一颗牙根未发育完成的第三磨牙即刻自体移植到第一磨牙的拔牙窝,随访2年后有牙根继续发育的证据。

结论

富血小板纤维蛋白(PRF)可以诱导可持续且加速的愈合,还能诱导牙周组织的再生过程和牙髓形成。这一过程在未来牙根发育和成功率方面起着关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a78/6996676/b3c07fb93473/CRID2020-8170646.001.jpg

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