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乳牙磨牙复杂垂直冠根折的牙髓治疗:两例报告

Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases.

作者信息

Kumari Richa, Kumar Neeraj, Gauba Krishan

机构信息

Unit of Paedodontics and Preventive Dentistry, Oral Health Sciences Centre, Post graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Dentistry, Government Medical College, Khandwa, Madhya Pradesh, India.

出版信息

Front Dent. 2020 Dec 28;17:39. doi: 10.18502/fid.v17i39.5292. eCollection 2020.

Abstract

Dental traumatic injuries most commonly occur in the primary and mixed dentition, but vertical complicated crown-root fractures are rarely seen in children. Clinical and radiographic examination of these injuries helps in accurate diagnosis and management. According to the International Association of Dental Traumatology guidelines, treatment usually involves extraction followed by placement of a space maintainer. Cases of complicated crown and root fracture in primary posterior teeth are often unnoticed by the clinician, at the time of injury. Two such patients are presented, who reported symptoms a few weeks after their accident. They were managed conservatively by initial stabilization with stainless steel crowns, followed by root canal therapy. This report highlights the need for referral to specialists and emphasizes the importance of conservative management of primary teeth to maintain functional demands.

摘要

牙外伤最常发生于乳牙列和混合牙列,但垂直性复杂冠根折在儿童中很少见。对这些损伤进行临床和影像学检查有助于准确诊断和处理。根据国际牙外伤协会的指南,治疗通常包括拔牙,随后放置间隙保持器。乳牙后牙复杂冠根折病例在受伤时常常未被临床医生注意到。本文介绍了两名这样的患者,他们在事故发生几周后才出现症状。对他们首先采用不锈钢冠进行初步固定,随后进行根管治疗,进行保守处理。本报告强调了转诊至专科医生的必要性,并强调了对乳牙进行保守处理以满足功能需求的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c305/9375112/26f862335fb1/FID-17-39-g001.jpg

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