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经口外断片重新附着及有意再植治疗复杂冠根折并2年随访

Management of Complicated Crown-Root Fracture by Extra-Oral Fragment Reattachment and Intentional Reimplantation with 2 Years Review.

作者信息

Vignesh R, Sharmin Ditto, Rekha C Vishnu, Annamalai Sankar, Baghkomeh Parisa Norouzi

机构信息

Department of Pediatric and Preventive Dentistry, Saveetha Dental College & Hospitals, Saveetha University, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

Department of Pediatric and Preventive Dentistry, Sri Venkateswara Dental College & Hospital, Chennai, Tamil Nadu, India.

出版信息

Contemp Clin Dent. 2019 Apr-Jun;10(2):397-401. doi: 10.4103/ccd.ccd_671_18.

Abstract

Trauma with an accompanying fracture to the anterior teeth gives an agonizing experience for a young individual due to the physical disfigurement and the psychological impact that is imposed on them. This paper reports a case of complicated crown-root fracture in a young child that was treated by extra-oral fragment reattachment followed by the intentional reimplantation. The tooth was endodontically-treated followed by the placement of fiber-reinforced composite post. The fragments were reattached extra orally following an atraumatic extraction. The tooth was then reimplanted back into the socket followed by splinting. Clinical results were successful after 2 years. This case report demonstrates the importance of modifying a treatment protocol to maintain esthetics up to the completion of the developmental period.

摘要

伴有前牙骨折的创伤,因其造成的身体容貌损毁以及给年轻人带来的心理影响,会给他们带来痛苦的经历。本文报告了一例幼儿复杂冠根折的病例,该病例采用口外断片再附着,随后进行意向性再植治疗。患牙先进行根管治疗,然后放置纤维增强复合桩。在进行无创性拔牙后,口外再附着断片。然后将牙齿再植回牙槽窝并进行夹板固定。两年后临床效果良好。本病例报告证明了调整治疗方案以在发育期结束前维持美观的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e8/7145227/4fc092f67661/CCD-10-397-g001.jpg

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