Rane Mayuri Suraj, de Ataide Ida, Fernandes Marina
Department of Conservative Dentistry, Goa Dental College and Hospital, Bambolim, Goa, India.
J Conserv Dent. 2022 Jan-Feb;25(1):98-100. doi: 10.4103/jcd.jcd_533_21. Epub 2022 May 2.
A 21-year-old male patient reported with chief complaint of pain in the upper front teeth. Clinical examination revealed tooth fracture in teeth # 11, 21, and prior attempted endodontic treatment. The radiographic examination revealed periapical radiolucency in relation to upper central incisors with thinning of dentinal walls. The upper left central incisor had grossly diminished root canal dentin walls with immature apex, whereas the upper right central incisor had moderate loss of dentin from the root canal wall with an open apex. Hence, it was decided to extract the upper left central incisor, whereas apexification and root canal dentin wall reinforcement with Biodentine were carried out for the upper right central incisor. The patient was asymptomatic at 1-, 4-, and 6-month follow-up visits.
一名21岁男性患者因上前牙疼痛前来就诊。临床检查发现11、21号牙有牙折,且之前曾尝试进行牙髓治疗。影像学检查显示上颌中切牙根尖周有透射影,牙本质壁变薄。左上中切牙根管牙本质壁严重变薄,根尖未发育成熟,而右上中切牙根管壁牙本质有中度丧失,根尖孔开放。因此,决定拔除左上中切牙,而对右上中切牙进行根尖诱导成形术并用生物陶瓷修复根管牙本质壁。在1个月、4个月和6个月的随访中,患者均无任何症状。