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多学科协作在牙源性囊肿高级治疗中的重要性:一份31个月的随访病例报告。

The importance of interdisciplinary collaboration in advanced therapy of odontogenic cysts: A 31 Month follow-up case report.

作者信息

Bérczy Kinga, Erdei Csilla, Rajnai Hajnalka, Hriczó-Koperdák Gergely, Fancsaly-Joób Árpád, Kovács Noémi

机构信息

Department of Oro-Maxillofacial Surgery and Stomatology, Semmelweis University, Faculty of Dentistry, Hungary.

Department of General Dental Preclinical Practice, Semmelweis University, Faculty of Dentistry, Hungary.

出版信息

Heliyon. 2024 Sep 12;10(20):e37587. doi: 10.1016/j.heliyon.2024.e37587. eCollection 2024 Oct 30.

Abstract

In this case report, we present the treatment of a 39-year-old male patient with a bilateral maxilla cyst diagnosed as an additional finding ont he X-ray. Both conservative dentistry treatments and oral surgical procedures were carried out using state-of-the-art materials and equipment, and in close collaboration with the other dental specialists. Endodontic treatment of the remaining teeth was performed before the oral surgery treatment. The root canal fillings were made using bioceramic-based root canal sealer. Cystectomy was then performed on both sides and the bone cavities were filled with platelet-rich fibrin (PRF). In the 4th month X-ray after the operation, radiological images showed bone regeneration. After 31 months, the periapical region is intact on the X-ray, the function of the root canal treated teeth has been preserved and the patient is free of complaints. With the chosen therapy we achieved a complication-free, long-term successful result in a time-efficient manner.

摘要

在本病例报告中,我们介绍了一名39岁男性患者双侧上颌囊肿的治疗情况,该囊肿是在X线检查时作为额外发现被诊断出来的。保守牙科治疗和口腔外科手术均采用了最先进的材料和设备,并与其他牙科专家密切合作进行。在口腔外科治疗前,对其余牙齿进行了根管治疗。根管充填使用了生物陶瓷基根管封闭剂。然后双侧进行囊肿切除术,骨腔用富血小板纤维蛋白(PRF)填充。术后第4个月的X线检查显示有骨再生。31个月后,X线显示根尖区完好,根管治疗牙齿的功能得以保留,患者无不适主诉。通过所选择的治疗方法,我们及时高效地取得了无并发症、长期成功的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/283e/11532244/e4d6c951189f/gr1.jpg

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