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年轻患者严重颈外牙根吸收病例中去冠术的治疗结果

The Outcome of Decoronation in Severe Cases of External Cervical Root Resorption in Young Patients.

作者信息

Moss Dina, Nuni Eyal, Slutzky Hagay, Moreinos Daniel, Slutzky-Goldberg Iris

机构信息

Department of Endoodntics, Hebrew University Hadassah School of Dental Medicine, Jerusalem, ISR.

Department of Endodontics, Galilee College of Dental Sciences, Nahariya, ISR.

出版信息

Cureus. 2024 Jun 21;16(6):e62853. doi: 10.7759/cureus.62853. eCollection 2024 Jun.

Abstract

This study examines decoronation as a treatment option for teeth with progressive external cervical root resorption (ECR). Six young patients aged 9.5-13, with a total of nine incisor teeth affected by ECR due to previous dental trauma, were treated by decoronation. Six teeth were classified as class 4 and two as class 3, according to Heithersay's classification. Another tooth with class 2 resorption also had a perforation. After decoronation, all cases showed favorable outcomes during a follow-up period of 2.5-8 years. The procedure halted the progression of ECR and promoted vertical and horizontal ridge development above the submerged root. Decoronation can be considered for the successful treatment of advanced cases of ECR in young patients.

摘要

本研究探讨了去冠术作为治疗进行性外部颈根吸收(ECR)牙齿的一种治疗选择。6名年龄在9.5至13岁之间的年轻患者,因先前的牙齿外伤共有9颗切牙受到ECR影响,接受了去冠术治疗。根据海瑟西的分类,6颗牙齿被归类为4级,2颗为3级。另一颗2级吸收的牙齿也有穿孔。去冠术后,所有病例在2.5至8年的随访期内均显示出良好的效果。该手术阻止了ECR的进展,并促进了埋没牙根上方垂直和水平牙槽嵴的发育。对于年轻患者中晚期ECR病例的成功治疗,可以考虑采用去冠术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c55/11260440/1c2f2f5775f2/cureus-0016-00000062853-i01.jpg

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