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《外生型颈侧牙槽骨吸收的研究进展》

A Review of External Cervical Resorption.

机构信息

Department of Geriatric Dentistry, National Medical Products Administration Key Laboratory for Dental Materials, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Laboratory of Biomedical Materials, Peking University School and Hospital of Stomatology, Beijing, China.

Department of Geriatric Dentistry, National Medical Products Administration Key Laboratory for Dental Materials, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Laboratory of Biomedical Materials, Peking University School and Hospital of Stomatology, Beijing, China.

出版信息

J Endod. 2021 Jun;47(6):883-894. doi: 10.1016/j.joen.2021.03.004. Epub 2021 Mar 18.

Abstract

External cervical resorption (ECR) is a relatively uncommon yet aggressive form of dental hard tissue destruction. It is initiated at the cervical aspect of the root surface and extends apicocoronally and circumferentially inside the dentin. Despite the large number of case reports and clinical studies that have investigated ECR, its etiology remains unclear. Recent advancements in clinical assessment measures, such as the use of cone-beam computed tomographic imaging, have provided additional insights into the nature of this lesion. This has facilitated the continued development and improvement of treatment methods for this condition. In this article, we provide an overview of the latest research pertaining to the etiology, histopathology, predisposing factors, diagnosis, classification, and treatment of ECR. Furthermore, we provide a summary of the different classification schemes for ECR and highlight the relevant therapeutic principles.

摘要

外部性牙颈部吸收(ECR)是一种相对罕见但具有侵袭性的牙体硬组织破坏形式。它起始于牙根表面的牙颈部,并向根尖和牙本质内的牙冠方向进行环状扩展。尽管已经有大量的病例报告和临床研究调查了 ECR,但它的病因仍不清楚。最近在临床评估措施方面的进展,如锥形束计算机断层扫描成像的应用,为这种病变的性质提供了更多的了解。这促进了这种情况的治疗方法的不断发展和改进。在本文中,我们概述了关于 ECR 的病因、组织病理学、易患因素、诊断、分类和治疗的最新研究。此外,我们还总结了 ECR 的不同分类方案,并强调了相关的治疗原则。

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