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选择性龋病去除术：一项长达21年随访的病例报告

Selective Caries Removal: A Case Report with 21-Year Follow-Up.

作者信息

Imparato José Carlos Pettorossi, Moreira Kelly Maria Silva, de Oliveira Suzana Cavalcanti Monteiro, da Silva Sandra Regina Echeverria Pinho, Raggio Daniela Prócida

机构信息

Graduate Program in Pediatric Dentistry Institute and Research Center São Leopoldo Mandic Sao Leopoldo Mandic Faculty, Campinas, SP, Brazil.

Department of Pediatric Dentistry Pontifical Catholic University of Campinas, Campinas, SP, Brazil.

出版信息

Case Rep Dent. 2024 Jul 14;2024:3166087. doi: 10.1155/2024/3166087. eCollection 2024.

DOI:10.1155/2024/3166087
PMID:39036059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11260509/
Abstract

Dental caries remains the most prevalent chronic disease globally, and its management should adhere to the principles of minimal intervention dentistry. This study reports a series of successful cases involving the selective removal of carious tissue in permanent molars, with follow-up periods of up to 21 years. Six permanent molars with severe and deep carious lesions were treated with selective caries removal and restored with high-viscosity glass ionomer cement. Clinical examination revealed that the teeth were free from pain and sensitivity. Follow-up assessments were conducted at 7 and 21 years posttreatment. Treatment success was defined by the absence of clinical and radiographic signs, symptoms of pulp alterations, and lesion arrest. Successful minimally invasive approaches were observed with selective removal of carious tissue and maintenance of pulp vitality for up to 21 years.

摘要

龋齿仍然是全球最普遍的慢性疾病，其治疗应遵循微创牙科的原则。本研究报告了一系列成功案例，涉及对恒牙磨牙龋坏组织的选择性去除，随访期长达21年。对6颗患有严重深龋病变的恒牙磨牙进行了选择性龋坏组织去除，并使用高粘性玻璃离子水门汀进行修复。临床检查显示这些牙齿无疼痛和敏感症状。在治疗后7年和21年进行了随访评估。治疗成功的定义为无临床和影像学体征、牙髓改变的症状以及病变停止进展。观察到通过选择性去除龋坏组织并维持牙髓活力长达21年的成功微创方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/804efca93d12/CRID2024-3166087.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/e017629e2a1b/CRID2024-3166087.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/2e4bcacec38d/CRID2024-3166087.003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/48d2e5b31c62/CRID2024-3166087.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/146ea1fdcf88/CRID2024-3166087.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/804efca93d12/CRID2024-3166087.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/e017629e2a1b/CRID2024-3166087.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/f63c884cb94d/CRID2024-3166087.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/2e4bcacec38d/CRID2024-3166087.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/6cabf674416c/CRID2024-3166087.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/b64d42e0544d/CRID2024-3166087.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/892ba152f15f/CRID2024-3166087.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/233a5d5378fb/CRID2024-3166087.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/48d2e5b31c62/CRID2024-3166087.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/146ea1fdcf88/CRID2024-3166087.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55be/11260509/804efca93d12/CRID2024-3166087.010.jpg

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本文引用的文献

1
Which caries removal method to select?该选择哪种去龋方法？
Evid Based Dent. 2024 Mar;25(1):29-30. doi: 10.1038/s41432-024-00973-0. Epub 2024 Jan 22.
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Deep Carious Lesions Management with Stepwise, Selective, or Non-Selective Removal in Permanent Dentition: A Systematic Review of Randomized Clinical Trials.恒牙列中深龋病变采用逐步、选择性或非选择性去龋的管理：随机临床试验的系统评价
Healthcare (Basel). 2023 Aug 18;11(16):2338. doi: 10.3390/healthcare11162338.
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Local anesthesia with SleeperOne S4 computerized device traditional syringe and perceived pain in pediatric patients: a randomized clinical trial.
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