中三分之一水平根骨折伴骨质缺损的跨学科治疗 - 临床报告

Ruchi Srivastava, Anju Gautam, P. Verma
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引用次数: 0

摘要

牙外伤是牙科急诊的主要原因。其中,牙根折断相对不常见,但约占影响恒牙的所有损伤的 0.5%至 7%。牙根折断最常见的原因是水平方向的撞击,多为斜向撞击。发生率较高的是牙根中段,而不是根尖和牙颈部。这种可怕的损伤必须尽早恢复正常,以保持牙齿的健康和美观。本报告记录了一例上前牙水平根折的病例,该病例在牙髓治疗后使用矿物三氧化二砷骨料(MTA)进行治疗,并借助不锈钢铰刀将折断的牙根碎片统一起来。骨缺损采用异体骨移植和 GTR 膜。三氧化二铝矿物骨料(MTA)具有更高的密封性和生物相容性,因此即将应用于临床。12 个月的随访结果显示,牙根碎片的组装和牙周愈合情况稳定良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interdisciplinary management of horizontal root fracture in middle third with osseous bone defect – A clinical report
Dental trauma are the main cause of emergencies in dental practice. Amongst these, root fractures are relatively uncommon but comprises about 0.5 to 7% of all injuries affecting permanent dentition. Most commonly, root fracture occurs from a horizontal impact mostly in oblique direction. The incidence is more common at the mid-third of the root rather at the apical and cervical thirds. Such hideous injury must be restored to normal as early as possible to retain the dental health and appearance. This report records the case of horizontal root fracture of upper anterior tooth, treated with Mineral Trioxide Aggregate (MTA) and fractured root fragments were unified with the aid of a stainless steel reamer after an endodontic treatment. Alloplastic bone graft and GTR membrane were used for osseous bone defect. Mineral trioxide aggregate (MTA) has several impending & forthcomin clinical applications owing to its grander sealing property and biocompatibility. A 12 months follow-up revealed a well stabilized assembly of the root fragments and periodontal healing.
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