Bishara Mark, Wu David T, Miron Richard J, Nguyen Thomas T, Sinada Naif, Gluckman Howard, Salama Maurice
Int J Periodontics Restorative Dent. 2023 Sep-Oct;43(5):570-577. doi: 10.11607/prd.6127.
Partial extraction therapy (PET) is a group of surgical techniques that preserve the periodontium and peri-implant tissues during restorative and implant therapy by conserving a portion of the patient's own root structure to maintain the blood supply, derived from the periodontal ligament complex. PET includes the socket shield technique (SST), proximal shield technique (PrST), pontic shield technique (PtST), and root submergence technique (RST). Although their clinical success and benefits have been demonstrated, several studies report possible complications. The focus of this article is to highlight management strategies for the most common complications associated with PET, including internal root fragment exposure, external root fragment exposure, and root fragment mobility.
部分牙体保留治疗(PET)是一组外科技术,在修复和种植治疗期间,通过保留患者自身部分牙根结构以维持源自牙周膜复合体的血供,从而保留牙周组织和种植体周围组织。PET包括牙槽窝屏障技术(SST)、近中屏障技术(PrST)、桥体屏障技术(PtST)和牙根下沉技术(RST)。尽管其临床成功率和益处已得到证实,但多项研究报告了可能出现的并发症。本文的重点是强调与PET相关的最常见并发症的处理策略,包括牙根内部碎片暴露、牙根外部碎片暴露和牙根碎片松动。