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根尖开放的既往治疗过的下颌第一磨牙的血运重建:病例报告

Revascularization of a Previously Treated Mandibular First Molar with Open Apices: A Case Report.

作者信息

Feli Mojgan, Taheri Anita, Mehrabani Mahgol

机构信息

Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Dentofacial Deformities Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Iran Endod J. 2024;19(2):120-123. doi: 10.22037/iej.v19i2.43321.

DOI:10.22037/iej.v19i2.43321
PMID:38577006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10988637/
Abstract

In this case report, the regeneration method was used to treat the previously treated first molar, which presented with symptoms of pain during chewing and secondary acute apical periodontitis. Due to the importance of preserving the patient's permanent teeth in order to maintain optimal space and function, the regeneration treatment was performed in two visits and according to the American Association of Endodontists (AAE) guidelines. The continuation of tooth root development, healing of periapical radiolucency and positive response to sensibility test (cold test) were observed during follow-up radiographs at intervals of 6 months, 1 year & 2 year.

摘要

在本病例报告中,采用再生方法治疗先前已治疗的第一磨牙,该磨牙在咀嚼时出现疼痛症状及继发性急性根尖周炎。由于保留患者恒牙对于维持最佳间隙和功能至关重要,因此根据美国牙髓病学家协会(AAE)指南,分两次就诊进行了再生治疗。在随访的6个月、1年和2年的X光片中,观察到牙根继续发育、根尖透射区愈合以及对牙髓活力测试(冷测试)呈阳性反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/7ea45c440152/IEJ-19-120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/092350df45f9/IEJ-19-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/f78d38dc79f5/IEJ-19-120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/53fa4b138549/IEJ-19-120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/7ea45c440152/IEJ-19-120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/092350df45f9/IEJ-19-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/f78d38dc79f5/IEJ-19-120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/53fa4b138549/IEJ-19-120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08b5/10988637/7ea45c440152/IEJ-19-120-g004.jpg

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本文引用的文献

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Pulp Revascularization in Three Immature Permanent Mandibular Molars with Necrotic Pulps: A Case Series.3颗恒牙胚未发育完成的下颌第一恒磨牙牙髓坏死的牙髓血运重建:病例系列报道
Iran Endod J. 2019 Fall;14(4):301-305. doi: 10.22037/iej.v14i4.24930.
2
Revitalizing previously treated teeth with open apices: A case report and a literature review.用开放根尖再治疗已处理过的牙齿:病例报告及文献回顾。
Int Endod J. 2021 Oct;54(10):1782-1793. doi: 10.1111/iej.13570. Epub 2021 Jun 20.
3
Regenerative endodontic therapy (RET) for managing immature non-vital teeth: experiences and opinions of paediatric dental practitioners in the European and Arabian regions.
再生性牙内治疗(RET)在处理年轻恒牙牙髓病变中的应用:欧洲和阿拉伯地区儿童牙医的经验和观点。
Eur Arch Paediatr Dent. 2021 Apr;22(2):145-155. doi: 10.1007/s40368-020-00542-w. Epub 2020 Jun 13.
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Antibacterial Efficacy and Discoloration Potential of Endodontic Topical Antibiotics.根管局部用抗生素的抗菌效果和变色潜力。
J Endod. 2018 Jul;44(7):1110-1114. doi: 10.1016/j.joen.2018.03.001. Epub 2018 May 24.
5
Revascularization and Apical Plug in an Immature Molar.未成熟磨牙的血管再生与根尖屏障
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