Adurty Chaitanya, Boyapati Ramanarayana, Shivani Cheruvu Ramya Naga, Karyamsetti Susmitha
Department of Periodontology, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India.
Private Practioner, Subramanyam Dental Clinic, Guntur, Andhra Pradesh, India.
Contemp Clin Dent. 2020 Jan-Mar;11(1):101-103. doi: 10.4103/ccd.ccd_431_19. Epub 2020 Jul 13.
The extraction of periodontally compromised teeth in the anterior esthetic region is a challenging situation due to patients' psychological and esthetic demands. Irrespective of the replacement of missing teeth with the final prosthesis, the first line of management would be to provisionally restore the teeth at the earliest. Routine treatment options for replacement are time-consuming and expensive. Using the patient's natural tooth as a pontic offers the benefits of the same size, shape, color, and preservation of the gingival architecture. Using the patient's platelet concentrate (platelet-rich fibrin) facilitates early wound healing and preservation of the alveolar ridge shape following tooth extraction. With minimal or no preparation, the technique can be completed at the chairside, thereby avoiding laboratory costs. This case report details the procedure with a follow-up of a case where the natural extracted tooth of the patient was used as pontic to replace a missing anterior tooth.
由于患者的心理和美学需求，在前牙美学区域拔除牙周受损牙齿是一种具有挑战性的情况。无论最终用修复体替代缺失牙，首要的治疗方法是尽早临时修复牙齿。常规的修复治疗方案既耗时又昂贵。利用患者的天然牙作为桥体具有大小、形状、颜色相同以及保留牙龈结构的优点。使用患者的浓缩血小板（富血小板纤维蛋白）有助于拔牙后早期伤口愈合和牙槽嵴形态的保留。该技术只需极少或无需预备，可在椅旁完成，从而避免实验室成本。本病例报告详细介绍了该 procedure 并对一例使用患者拔除的天然牙作为桥体替代一颗缺失前牙的病例进行了随访。 （注：原文中“procedure”未翻译，可能是有特定医学术语未给出完整信息，暂保留英文）
