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借助生物陶瓷和锥形束计算机断层扫描(CBCT)管理垂直根折的新方法

New Approach in the Management of Vertical Root Fracture with the Help of Biodentine and CBCT.

作者信息

Baranwal H C, Singh Nidhi, Kumar Neeraj, Garg Riya, Yadav Jyoti, Tripathi Richik

机构信息

Faculty of Dental Sciences, IMS, BHU, Varanasi, India.

出版信息

Case Rep Dent. 2020 Sep 14;2020:2806324. doi: 10.1155/2020/2806324. eCollection 2020.

Abstract

INTRODUCTION

Vertical root fracture is a big challenge to dentists for its diagnosis and treatment. As the tooth presents poor prognosis, the most common treatment modality is extraction. One can save the tooth from extraction by the reconstruction of fracture fragments followed by intentional reimplantation. New treatment options have arrived for healing of the fracture site by hard tissue barrier formation with the help of bioceramic materials. . The present case report describes successful management of complete vertical root fracture of a maxillary left central incisor by trauma in a 35-year-old male with the help of Biodentine, a bonding agent, a fiber post, and dual-cure resin cement without tooth extraction, followed by all ceramic crowns. Up to two years of follow-up, there is no problem in the tooth, and radiographically, there is no radiolucency along the fracture line. Periodontal status and probing depth were within a normal physiological limit.

CONCLUSION

Functional and aesthetic outcomes are achieved by combined therapy in the present case report.

摘要

引言

垂直根折对牙医的诊断和治疗来说是一项巨大挑战。由于患牙预后较差,最常见的治疗方式是拔除。通过重建骨折碎片并进行有意再植,可以使牙齿免于拔除。借助生物陶瓷材料形成硬组织屏障来愈合骨折部位的新治疗方法已经出现。本病例报告描述了一名35岁男性因外伤导致上颌左侧中切牙完全垂直根折,在使用百康特(Biodentine)、粘结剂、纤维桩和双固化树脂水门汀的帮助下成功进行了治疗,未拔牙,随后制作了全瓷冠。经过长达两年的随访,牙齿没有问题,影像学检查显示骨折线处没有透射区。牙周状况和探诊深度在正常生理范围内。

结论

本病例报告通过联合治疗实现了功能和美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d58/7509562/11174e949a2f/CRID2020-2806324.001.jpg

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