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离体牙再植术:一例报告

Replantation of an Avulsed Tooth: A Case Report.

作者信息

Kadulkar Nishad, Kataki Rubi, Deka Adrija, Thonai Salouno

机构信息

Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, IND.

出版信息

Cureus. 2023 May 18;15(5):e39198. doi: 10.7759/cureus.39198. eCollection 2023 May.

Abstract

Avulsion is a rare and serious traumatic dental injury that needs immediate and complex management. This case report highlights the successful management of an avulsed maxillary central incisor by replantation after a lapse of 120 minutes of being in an extra-oral environment and preserved in milk. A female patient aged 17 years presented with a traumatic dental injury sustained to the anterior maxillary region due to an accidental fall. Clinical examination revealed an avulsed tooth 21 that was replanted according to the International Association of Dental Traumatology (IADT) guidelines and stabilised in place with splinting. Conventional root canal therapy was initiated one week post-replantation. The root canal treatment was completed two weeks post-replantation followed by removal of the splint. Follow up done at regular intervals of one, three, six, and 12 months showed a lack of clinical signs and symptoms and no resorption on radiographic interpretation.

摘要

牙脱位是一种罕见且严重的外伤性牙损伤,需要立即进行复杂的处理。本病例报告重点介绍了一颗上颌中切牙脱位后,在口腔外环境中停留120分钟并保存在牛奶中,随后通过再植成功处理的案例。一名17岁女性患者因意外摔倒导致上颌前部区域发生外伤性牙损伤。临床检查发现21号牙脱位,根据国际牙外伤协会(IADT)指南进行再植,并通过夹板固定在位。再植术后一周开始进行常规根管治疗。再植术后两周完成根管治疗,随后拆除夹板。在1个月、3个月、6个月和12个月定期进行随访,结果显示无临床体征和症状,影像学检查未发现吸收情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeb2/10276759/bb4fc96fd6a5/cureus-0015-00000039198-i01.jpg

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