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采用引导性牙髓治疗方法对Ⅱ型牙内陷进行保守治疗:病例系列报告

Conservative management of Type II dens invaginatus with guided endodontic approach: A case series.

作者信息

Ali Afzal, Arslan Hakan, Jethani Bhawna

机构信息

Department of Conservative Dentistry and Endodontics, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

Department of Endodontics, Faculty of Dentistry, Istanbul Health Sciences University, Istanbul, Turkey.

出版信息

J Conserv Dent. 2019 Sep-Oct;22(5):503-508. doi: 10.4103/JCD.JCD_30_20. Epub 2020 Aug 4.

DOI:10.4103/JCD.JCD_30_20
PMID:33082671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7537742/
Abstract

Dens invaginatus (DI) is one of the rare malformations of teeth which results from an infolding of the dental papilla during the development of teeth. This defect gives rise to a possible communication between the pulp and oral environment, thereby increasing the susceptibility to caries, pulpitis, and pulp necrosis. Thus, early detection and conservative management of this invaginatus is of utmost importance. The present case series describes a conservative endodontic treatment technique for the management of teeth with Type II DI using a guided endodontic approach with three-dimensional printed surgical stents. This technique provides a precise and minimally invasive approach in the conservative management of DI, without compromising the vitality of main pulpal tissue.

摘要

牙内陷(DI)是一种罕见的牙齿发育畸形,由牙齿发育期间牙乳头的内陷引起。这种缺陷可能导致牙髓与口腔环境相通,从而增加患龋齿、牙髓炎和牙髓坏死的易感性。因此,早期发现并对这种牙内陷进行保守治疗至关重要。本病例系列描述了一种使用三维打印手术支架的引导性牙髓治疗方法,对Ⅱ型牙内陷牙齿进行保守牙髓治疗的技术。该技术在牙内陷的保守治疗中提供了一种精确且微创的方法,同时不损害主要牙髓组织的活力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/d49f69eb7416/JCD-22-503-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/7280295bf8e0/JCD-22-503-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/06ab1069ba02/JCD-22-503-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/20cdb21ee740/JCD-22-503-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/358c3b4a8443/JCD-22-503-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/6f643bb440b3/JCD-22-503-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/d49f69eb7416/JCD-22-503-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/7280295bf8e0/JCD-22-503-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/06ab1069ba02/JCD-22-503-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/20cdb21ee740/JCD-22-503-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/358c3b4a8443/JCD-22-503-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/6f643bb440b3/JCD-22-503-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/7537742/d49f69eb7416/JCD-22-503-g006.jpg

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J Endod. 2019 May;45(5):615-618. doi: 10.1016/j.joen.2019.02.005. Epub 2019 Mar 29.
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A Novel Prefabricated Grid for Guided Endodontic Microsurgery.一种新型预制网格用于引导性根管内 microsurgery。
J Endod. 2019 May;45(5):606-610. doi: 10.1016/j.joen.2019.01.015. Epub 2019 Mar 12.
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Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional-printed Teeth.
Expert consensus on digital guided therapy for endodontic diseases.
牙髓病数字化诊疗专家共识
Int J Oral Sci. 2023 Dec 6;15(1):54. doi: 10.1038/s41368-023-00261-0.
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Evaluation of volumetric substance loss and precision in targeted endodontic re-treatment with guided versus conventional access cavity preparations: An study.引导式与传统开髓洞形预备在目标性根管再治疗中体积性物质损失及精度的评估:一项研究。
J Conserv Dent. 2023 Mar-Apr;26(2):221-225. doi: 10.4103/jcd.jcd_618_22. Epub 2023 Mar 16.
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Guided Endodontic Surgery: A Narrative Review.引导性牙髓外科:一篇叙述性综述。
Medicina (Kaunas). 2023 Mar 29;59(4):678. doi: 10.3390/medicina59040678.
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Effectiveness of guided endodontics in locating calcified root canals: a systematic review.引导性根管内治疗在定位钙化根管中的有效性:系统评价。
Clin Oral Investig. 2023 May;27(5):2359-2374. doi: 10.1007/s00784-023-04863-0. Epub 2023 Jan 14.
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Non-surgical management of dens invaginatus type IIIB in maxillary lateral incisor with three root canals and 6-year follow-up: A case report and review of literature.上颌侧切牙III B型牙内陷伴三根根管的非手术治疗及6年随访:一例报告并文献复习
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