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去冠术：小儿牙齿外伤后的保守治疗方法

Decoronation: A Conservative Approach Following Dental Trauma in a Pediatric Patient.

作者信息

Alaqla Ali

机构信息

Department of Restorative & Prosthetic Dental Science, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences; King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

Int J Clin Pediatr Dent. 2025 Aug;18(8):997-1001. doi: 10.5005/jp-journals-10005-3273. Epub 2025 Sep 4.

DOI:10.5005/jp-journals-10005-3273
PMID:40989980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12451558/
Abstract

AIM

This case report discusses an 11-year-old patient who experienced intrusive luxation of the anterior teeth due to trauma. The condition was treated with nonsurgical root canal treatment (NS-ReTx) followed by decoronation.

BACKGROUND

Intrusive luxation, a prevalent dental injury in children, necessitates prompt intervention. Nonsurgical root canal treatment, a conservative approach, is frequently employed. Decoronation, which involves the removal of the damaged tooth structure, is crucial for access and cleaning. This procedure, followed by restorative care, can help preserve the tooth and prevent future complications.

CASE DESCRIPTION

An 11-year-old male patient with luxative intrusion of teeth 11 and 21 was treated conservatively with nonsurgical root canal therapy, followed by the decoronation of tooth 11.

CONCLUSION

Effective management of dental trauma in children is essential for achieving optimal long-term outcomes and promoting healthy alveolar bone development. Following established treatment protocols is vital for preserving permanent teeth and reducing complications such as root resorption. Ongoing research is dedicated to refining techniques to enhance success rates. Specialized care is critical for maintaining the integrity and supporting the growth of injured teeth in young patients.

CLINICAL SIGNIFICANCE

Proper management of dental trauma in children is essential for achieving optimal long-term outcomes and promoting alveolar bone development. Adhering to established treatment protocols helps preserve permanent teeth and minimize complications, such as root resorption. Ongoing research continues to refine techniques to improve success rates. Specialized care is vital for ensuring the integrity and growth of injured teeth in young patients.

HOW TO CITE THIS ARTICLE

Alaqla A. Decoronation: A Conservative Approach Following Dental Trauma in a Pediatric Patient. Int J Clin Pediatr Dent 2025;18(8):997-1001.

摘要

目的

本病例报告探讨一名11岁因外伤导致前牙嵌入性脱位的患者。该病例采用非手术根管治疗（NS-ReTx），随后进行去冠治疗。

背景

嵌入性脱位是儿童常见的牙外伤，需要及时干预。非手术根管治疗作为一种保守方法，经常被采用。去冠治疗，即去除受损的牙体结构，对于根管通路的建立和清洁至关重要。此操作之后进行修复治疗，有助于保留患牙并预防未来并发症。

病例描述

一名11岁男性患者，11和21牙发生嵌入性脱位，接受了非手术根管治疗的保守治疗，随后对11牙进行了去冠治疗。

结论

有效管理儿童牙外伤对于实现最佳长期预后和促进健康的牙槽骨发育至关重要。遵循既定的治疗方案对于保留恒牙和减少诸如牙根吸收等并发症至关重要。正在进行的研究致力于改进技术以提高成功率。专业护理对于维持年轻患者受伤牙齿的完整性和支持其生长至关重要。

临床意义

正确管理儿童牙外伤对于实现最佳长期预后和促进牙槽骨发育至关重要。坚持既定的治疗方案有助于保留恒牙并将诸如牙根吸收等并发症降至最低。正在进行的研究不断改进技术以提高成功率。专业护理对于确保年轻患者受伤牙齿的完整性和生长至关重要。

如何引用本文

Alaqla A. 去冠治疗：儿科患者牙外伤后的保守方法。《国际临床儿科牙科学杂志》2025；18(8):997 - 1001。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1905/12451558/16eec9875087/ijcpd-18-8-997-g013.jpg
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