• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

对两颗25年前已接受根尖手术的上颌中切牙进行的内镜和显微镜下根尖显微外科手术。

Periapical Microsurgery with an Endoscope and Microscope of Two Upper Central Incisors Already Subjected to Periapical Surgery 25 Years Ago.

作者信息

Glera-Suarez Pablo, Serra-Pastor Blanca, Peñarrocha-Oltra David, Peñarrocha-Diago Miguel, Gay-Escoda Cosme

机构信息

Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain.

Prosthodontics Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain.

出版信息

Case Rep Dent. 2020 Dec 1;2020:8885568. doi: 10.1155/2020/8885568. eCollection 2020.

DOI:10.1155/2020/8885568
PMID:33343945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7725588/
Abstract

INTRODUCTION

The present clinical case describes periapical microsurgery with an endoscope and microscope in a patient already treated 25 years ago due to persistent periapical disease of the two central upper incisors, restored with poorly adapted crowns. . The first periapical surgery had been performed with silver amalgam as a retrograde filler material, causing grayish staining of the buccal mucosa. Periapical surgery was performed raising a submarginal flap with ostectomy and apicoectomy, retrograde cavity preparation with ultrasound tips, and filling with mineral trioxide aggregate (MTA). After soft tissue healing and complete bone regeneration of the lesion, retreatment of the incisors with a fixed prosthesis was carried out, adopting the biologically oriented preparation technique (BOPT).

CONCLUSIONS

The described periapical microsurgery approach with magnification and illumination of the surgical field was found to be effective, avoiding the need to extract the two central upper incisors.

摘要

引言

本临床病例描述了一名患者的根尖显微手术，该患者25年前因上颌两颗中切牙根尖周病持续存在，接受了适应性较差的牙冠修复治疗。首次根尖手术使用银汞合金作为倒充填材料，导致颊侧黏膜出现灰色染色。根尖手术采用翻起龈下瓣进行骨切除术和根尖切除术，使用超声尖进行倒洞预备，并用三氧化矿物凝聚体（MTA）充填。在软组织愈合和病变完全骨再生后，采用生物导向预备技术（BOPT）对切牙进行了固定修复体再治疗。

结论

所描述的采用手术区域放大和照明的根尖显微手术方法被证明是有效的，避免了拔除上颌两颗中切牙的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/b3e8eea5d033/CRID2020-8885568.030.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/da6d104a54f6/CRID2020-8885568.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/06be469eff71/CRID2020-8885568.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/66cd572569ca/CRID2020-8885568.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/95fb69db22a4/CRID2020-8885568.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/aa44cfecf7aa/CRID2020-8885568.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/9e95c7d243f3/CRID2020-8885568.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/249c3ce928f2/CRID2020-8885568.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/a75491dbde9e/CRID2020-8885568.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/0ad938c235b2/CRID2020-8885568.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/5e720d22a1a7/CRID2020-8885568.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/292b2cd0f098/CRID2020-8885568.011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/6a9d08832884/CRID2020-8885568.012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/eea839b90445/CRID2020-8885568.013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/5cc94ed7f043/CRID2020-8885568.014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/a0049489204a/CRID2020-8885568.015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/cf3d3c9ee835/CRID2020-8885568.016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/07cb8cc913cb/CRID2020-8885568.017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/8048774be0e9/CRID2020-8885568.018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/5775c9443a7e/CRID2020-8885568.019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/c44ec20dd15b/CRID2020-8885568.020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/4947a8c0f8b9/CRID2020-8885568.021.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/0c9e1db03adf/CRID2020-8885568.022.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/19fcb842f690/CRID2020-8885568.023.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/ae5813ab8ddd/CRID2020-8885568.024.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/c3c02eb53a75/CRID2020-8885568.025.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/8a8f1dc3c3c0/CRID2020-8885568.026.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/acc51a25d9a6/CRID2020-8885568.027.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/3eaac11672c0/CRID2020-8885568.028.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/a9f9f239b15b/CRID2020-8885568.029.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/b3e8eea5d033/CRID2020-8885568.030.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/da6d104a54f6/CRID2020-8885568.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/06be469eff71/CRID2020-8885568.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/66cd572569ca/CRID2020-8885568.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/95fb69db22a4/CRID2020-8885568.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/aa44cfecf7aa/CRID2020-8885568.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/9e95c7d243f3/CRID2020-8885568.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/249c3ce928f2/CRID2020-8885568.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/a75491dbde9e/CRID2020-8885568.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/0ad938c235b2/CRID2020-8885568.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/5e720d22a1a7/CRID2020-8885568.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/292b2cd0f098/CRID2020-8885568.011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/6a9d08832884/CRID2020-8885568.012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/eea839b90445/CRID2020-8885568.013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/5cc94ed7f043/CRID2020-8885568.014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/a0049489204a/CRID2020-8885568.015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/cf3d3c9ee835/CRID2020-8885568.016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/07cb8cc913cb/CRID2020-8885568.017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/8048774be0e9/CRID2020-8885568.018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/5775c9443a7e/CRID2020-8885568.019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/c44ec20dd15b/CRID2020-8885568.020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/4947a8c0f8b9/CRID2020-8885568.021.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/0c9e1db03adf/CRID2020-8885568.022.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/19fcb842f690/CRID2020-8885568.023.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/ae5813ab8ddd/CRID2020-8885568.024.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/c3c02eb53a75/CRID2020-8885568.025.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/8a8f1dc3c3c0/CRID2020-8885568.026.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/acc51a25d9a6/CRID2020-8885568.027.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/3eaac11672c0/CRID2020-8885568.028.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/a9f9f239b15b/CRID2020-8885568.029.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdc/7725588/b3e8eea5d033/CRID2020-8885568.030.jpg

相似文献

1
Periapical Microsurgery with an Endoscope and Microscope of Two Upper Central Incisors Already Subjected to Periapical Surgery 25 Years Ago.对两颗25年前已接受根尖手术的上颌中切牙进行的内镜和显微镜下根尖显微外科手术。
Case Rep Dent. 2020 Dec 1;2020:8885568. doi: 10.1155/2020/8885568. eCollection 2020.
2
Endodontic procedures for retreatment of periapical lesions.根尖周病变再治疗的牙髓治疗程序。
Cochrane Database Syst Rev. 2016 Oct 19;10(10):CD005511. doi: 10.1002/14651858.CD005511.pub3.
3
Persistent extraradicular infection in root-filled asymptomatic human tooth: scanning electron microscopic analysis and microbial investigation after apical microsurgery.根管填充后无症状的人牙中持续性根尖外感染：根尖显微手术后的扫描电子显微镜分析和微生物学研究。
J Endod. 2011 Dec;37(12):1696-700. doi: 10.1016/j.joen.2011.09.018.
4
Periapical bone regeneration after endodontic microsurgery with three different root-end filling materials: amalgam, SuperEBA, and mineral trioxide aggregate.根管显微手术三种不同根充材料（银汞合金、SuperEBA 和三氧化矿物凝聚体）对根尖周骨再生的影响。
J Endod. 2010 Aug;36(8):1323-5. doi: 10.1016/j.joen.2010.04.008. Epub 2010 Jun 14.
5
[A retrospective study of 180 cases of apical microsurgery].180例根尖显微手术的回顾性研究
Zhonghua Kou Qiang Yi Xue Za Zhi. 2014 Jul;49(7):421-7.
6
Periapical surgery using the ultrasound technique and silver amalgam retrograde filling. A study of 71 teeth with 100 canals.使用超声技术和银汞合金逆行充填术的根尖手术。对71颗牙齿的100个根管进行的研究。
Med Oral Patol Oral Cir Bucal. 2005 Apr 1;10 Suppl1:E67-73.
7
Periapical Bone Healing after Apicectomy with and without Retrograde Root Filling with Mineral Trioxide Aggregate: A 6-year Follow-up of a Randomized Controlled Trial.使用和不使用三氧化矿物凝聚体进行根尖倒充填的根尖切除术后根尖周骨愈合情况：一项随机对照试验的6年随访
J Endod. 2016 Apr;42(4):533-7. doi: 10.1016/j.joen.2016.01.011. Epub 2016 Feb 19.
8
Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate-based bioceramic material as root-end filling materials in dogs.在犬类中使用三氧化矿物凝聚体和一种新型硅酸钙基生物陶瓷材料作为根尖倒充填材料进行根尖倒充填显微外科术后的愈合情况。
J Endod. 2015 Mar;41(3):389-99. doi: 10.1016/j.joen.2014.11.005. Epub 2015 Jan 14.
9
MTA for obturation of mandibular central incisors with open apices: case report.使用MTA对根尖孔开放的下颌中切牙进行根管充填：病例报告
J Endod. 2004 Feb;30(2):120-2. doi: 10.1097/00004770-200402000-00015.
10
Healing and Spontaneous Realignment of Displaced Roots With Periapical Granuloma After Microsurgical Endodontic Treatment (Three Years' Follow-up): A Case Report.显微外科根管治疗后根尖肉芽肿伴移位牙根的愈合与自发复位（三年随访）：病例报告
Cureus. 2024 Jan 10;16(1):e52020. doi: 10.7759/cureus.52020. eCollection 2024 Jan.

本文引用的文献

1
The use of the endoscope in endodontic surgery: A systematic review.牙髓外科中内窥镜的应用：一项系统评价。
J Clin Exp Dent. 2020 Oct 1;12(10):e972-e978. doi: 10.4317/jced.56539. eCollection 2020 Oct.
2
Periodontal and prosthetic outcomes on teeth prepared with biologically oriented preparation technique: a 4-year follow-up prospective clinical study.采用生物学导向预备技术制备的牙齿的牙周和修复效果：一项为期 4 年的前瞻性临床研究。
J Prosthodont Res. 2019 Oct;63(4):415-420. doi: 10.1016/j.jpor.2019.03.006. Epub 2019 Apr 8.
3
Prospective Clinical Study of Zirconia Full-coverage Restorations on Teeth Prepared With Biologically Oriented Preparation Technique on Gingival Health: Results After Two-year Follow-up.
关于采用生物导向预备技术制备牙齿后进行氧化锆全冠修复对牙龈健康影响的前瞻性临床研究：两年随访结果
Oper Dent. 2018 Sep/Oct;43(5):482-487. doi: 10.2341/17-124-C. Epub 2018 Mar 7.
4
Prognostic factors on periapical surgery: A systematic review.根尖手术的预后因素：一项系统评价。
Med Oral Patol Oral Cir Bucal. 2015 Nov 1;20(6):e715-22. doi: 10.4317/medoral.20613.
5
Biologically oriented preparation technique (BOPT): a new approach for prosthetic restoration of periodontically healthy teeth.生物导向制备技术（BOPT）：牙周健康牙齿修复的新方法。
Eur J Esthet Dent. 2013 Spring;8(1):10-23.
6
A prospective randomized controlled study of mineral trioxide aggregate and super ethoxy-benzoic acid as root-end filling materials in endodontic microsurgery.三氧化矿物聚合体和超乙氧苯甲酸作为根管内治疗显微手术的根管充填材料的前瞻性随机对照研究。
J Endod. 2012 Jul;38(7):875-9. doi: 10.1016/j.joen.2012.04.008. Epub 2012 May 16.
7
Five-year longitudinal assessment of the prognosis of apical microsurgery.根尖手术预后的五年纵向评估。
J Endod. 2012 May;38(5):570-9. doi: 10.1016/j.joen.2012.02.002.
8
Outcome of endodontic surgery: a meta-analysis of the literature--Part 2: Comparison of endodontic microsurgical techniques with and without the use of higher magnification.根管手术的结果：文献的荟萃分析——第 2 部分：比较使用和不使用更高倍数放大的根管显微外科技术。
J Endod. 2012 Jan;38(1):1-10. doi: 10.1016/j.joen.2011.09.021. Epub 2011 Nov 21.
9
Clinical results with two different methods of root-end preparation and filling in apical surgery: mineral trioxide aggregate and adhesive resin composite.根尖手术中两种不同根管预备和填充方法的临床效果：三氧化矿物聚合体和黏接树脂复合材料。
J Endod. 2010 Jul;36(7):1122-9. doi: 10.1016/j.joen.2010.03.040. Epub 2010 May 24.
10
Prognostic factors in apical surgery with root-end filling: a meta-analysis.根尖手术中根管填充的预后因素：一项荟萃分析。
J Endod. 2010 Jun;36(6):957-73. doi: 10.1016/j.joen.2010.02.026.