Peñarrocha-Oltra David, Pallarés-Serrano Antonio, Glera-Suarez Pablo, Soto-Peñaloza David, Peñarrocha-Diago Miguel
DDS, PhD. Assistant Professor, Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain.
DDS, MSc. Master in Oral Surgery and Implant Dentistry, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain.
J Clin Exp Dent. 2020 Nov 1;12(11):e1091-e1095. doi: 10.4317/jced.57453. eCollection 2020 Nov.
An apicomarginal defect can be explained as a total loss of buccal alveolus extending from the original crestal bone to the apex of the tooth. This study presents a case of an apicomarginal defect in a first left molar subjected to periapical surgery with vestibular cortex block replacement and A-PRF + membrane coating approximately one year ago. One-year clinical follow-up was performed, with no evidence of recurrence. This case report discusses periapical surgical treatment and the importance of an interdisciplinary approach to the management of teeth with apicomarginal defects. Periapical surgery, apicomarginal defect, A-PRF+, bone graft.
根尖边缘缺损可解释为颊侧牙槽骨从原始牙槽嵴顶至牙根尖的完全丧失。本研究介绍了一例约一年前对左侧第一磨牙根尖边缘缺损进行根尖手术，采用前庭皮质骨块置换及应用富血小板纤维蛋白（A-PRF）+膜覆盖的病例。进行了为期一年的临床随访，无复发迹象。本病例报告讨论了根尖手术治疗以及多学科方法在处理根尖边缘缺损牙齿中的重要性。根尖手术、根尖边缘缺损、A-PRF+、骨移植。
