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对上颌切牙严重外伤史的再生牙髓治疗

Regenerative Endodontic Treatment of Maxillary Incisors with a History of Severe Traumatic Injury.

作者信息

Chitsaz Nazanin, Khoshkhounejad Mehrfam, Assadian Hadi, Bolhari Behnam, Sharifian Mohammadreza, Mohammadi Zahra

机构信息

Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

出版信息

Case Rep Dent. 2021 Oct 8;2021:4737104. doi: 10.1155/2021/4737104. eCollection 2021.

Abstract

The treatment objective for children with avulsed anterior teeth should concentrate on preserving the alveolar bone volume and contour. Posttraumatic external inflammatory root resorption (EIRR) is also a high-risk complication often observed in children. Regenerative endodontic procedure (REP) has been considered a successful treatment to arrest EIRR, especially in posttraumatic cases. This case report presents clinical outcomes of REP in two teeth of an 8-year-old systemically healthy patient with a history of severe dentoalveolar traumatic injury, one with a history of avulsion, and the other with an EIRR. The treatment consisted of REP on both teeth #8 and #9. The results showed some evidence of maturation in the apical third of tooth #9 and resolution of signs and symptoms on tooth #8.

摘要

对于前牙脱位的儿童,治疗目标应集中于保留牙槽骨的体积和外形。创伤后外部炎性牙根吸收(EIRR)也是儿童中常见的高风险并发症。再生性牙髓治疗程序(REP)被认为是阻止EIRR的成功治疗方法,尤其是在创伤后病例中。本病例报告展示了一名8岁全身健康、有严重牙槽骨创伤史患者两颗牙齿接受REP的临床结果,其中一颗有脱位史,另一颗有EIRR。治疗包括对8号和9号牙进行REP。结果显示9号牙根尖三分之一有成熟迹象,8号牙的体征和症状得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf98/8519715/a2c5a3b195ab/CRID2021-4737104.001.jpg

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