根管治疗后巨大根囊肿的牙髓活力恢复：一例 4.5 年随访的病例报告。

Department of Dentistry, College of Medicine, Kosin University, Busan, Korea.

Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Jeonbuk National University, Jeonju, Korea; Research Institute of Clinical Medicine, Jeonbuk National University, Jeonju, Korea; Biomedical Research Institute, Jeonbuk National University Hospital, Jeonju, Korea.

Eur Endod J. 2023 Jan;8(1):96-100. doi: 10.14744/eej.2022.30085.

In addition to pathogenic teeth associated with cysts, the roots of adjacent teeth are often included in the cystic cavity. Whether these teeth require elective endodontic treatment followed by cystic enucleation remains unclear. In the case presented herein, we aimed to preserve the pulp of the teeth included in the cystic lesion. Unfortunately, the sensibility of the included teeth was negative after endodontic surgery, including cystic enucleation. However, the sensibility recovered after 1 year and was maintained throughout a 4.5-year follow-up. Therefore, we suggest that elective endodontic treatment of the included teeth should be avoided, and further research should be conducted regarding this issue. (EEJ-2022-05-063).

除了与囊肿相关的病损牙外，邻近牙齿的牙根也常被包含在囊腔中。这些牙齿是否需要进行选择性根管治疗，随后进行囊腔切除术，目前尚不清楚。在本文所报告的病例中，我们旨在保留包含在囊腔病变中的牙齿牙髓。不幸的是，包括囊腔切除术后，包含牙的牙髓敏感性为阴性。然而，术后 1 年时敏感性恢复，并且在 4.5 年的随访中得以维持。因此，我们建议避免对包含牙进行选择性根管治疗，应进一步研究该问题。（EEJ-2022-05-063）。