儿童前牙外伤后牙髓腔暴露的牙齿美学修复。临床病例

V. A. Popov, A. A. Simakova, L. N. Gorbatova, A. A. Lipaeva, M. S. Matyushina
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摘要

相关性。按年龄计算,儿童牙外伤的发生率高达 52.3%。目前,上颌前牙外伤的数量呈上升趋势。临床病例描述。文章介绍了一名 8 岁男孩的治疗结果,他被诊断为 S02.52(根据 ICD-10:牙釉质、牙本质层内 2.1 牙冠骨折并累及牙髓)。在牙科治疗中,选择了用 "Rutdent"(一种基于 MTA 的产品)直接覆盖牙髓的牙冠牙髓切断术。为美观起见,用复合材料(使用粘合剂)粘接牙齿碎片。牙齿的功能和美观都得到了恢复。治疗结果在六个月后保持稳定。各种体育赛事的普及会导致儿童前牙牙外伤的发生率增加。儿童牙医应该能够运用现代方法诊断急性牙外伤,从而做出正确的诊断并选择最佳的治疗方法。现代儿童牙科技术可以修复在创伤中丧失的所有牙齿功能:解剖、美学和生理学功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aesthetic dental rehabilitation of children after dental trauma to anterior teeth with pulp chamber exposure. A clinical case
Relevance. The prevalence of dental injuries in children reaches 52.3%, based on age. Currently, the number of traumas of anterior maxillary teeth tends to increase. The search and application of the most optimal treatment options for dental injuries in an aesthetic area in children remains relevant.Description of the clinical case. The article presents the treatment results of an 8-year-old boy diagnosed with S02.52 according to ICD-10: fracture of the crown of tooth 2.1 within the enamel, dentin layers with pulp involvement. Vital amputation of the crown pulp with a direct pulp capping with "Rutdent", an MTA-based product, was chosen as the tactic of dental care. A tooth fragment was attached with a composite material (using an adhesive protocol) for aesthetic rehabilitation. The function and aesthetics of the tooth were restored. The result was stable six months after the treatment.Conclusion. The popularization of various sports events can lead to an increase in the incidence of dental traumas to anterior teeth in children. A pediatric dentist should be able to apply modern methods of diagnosing acute dental trauma to make the correct diagnosis and choose the optimal treatment method. The opportunities of modern pediatric dentistry allow the restoration of all dental functions lost during trauma: anatomical, aesthetic and physiological.
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