儿童牙外翻:病例报告

Soukèye Ndoye, Malick Faye, Mamadou Tidiane Diallo, Ndeye Guiniane Diouf, Abdoulaye Diouf
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引用次数: 0

摘要

:口面部是经常受到外伤影响的部位。由于儿童和青少年的牙齿和骨骼结构尚未发育成熟,牙弓不稳定,因此外伤的严重程度要高得多。阿尔伯特-罗耶儿童医院急诊科转来一名 9 岁儿童,他是一起交通事故的受害者,因牙齿外伤而就诊。在外伤后 15 小时左右就诊时,临床和影像学评估显示右上中切牙挤出,伴有牙龈撕裂,上侧切牙和左上中切牙侧向移位,右上唇内表面撕裂,伴有水肿。对挤出的牙齿进行了再植。灵活的犬齿对犬齿夹板使用了 3 周。除了急诊时开具的处方外,还开具了非类固醇抗炎处方。分别在 1 周、15 天、1 个月、3 个月、6 个月和 1 年后进行了临床和放射学随访:尽管牙外伤发生率很高,尤其是在儿童中,但仍应进行紧急会诊。即使预后良好,也应在条件允许的情况下采取适当的治疗措施,同时遵守学术团体关于儿童福祉和生活质量的指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dental extrusion in children: Case report
: The orofacial sphere is an area frequently affected by trauma. Their severity is much greater in children and adolescents, due to the immaturity of the dental and bone structures and the instability of the dental arches. A 9-year-old child, victim of a road traffic accident, was referred to the emergency department of the Albert Royer Children's Hospital, for dental trauma. In the consultation around 15 hours after the trauma, the clinical and radiographic assessment revealed extrusion of the right upper central incisor with gingival tearing, lateral luxation of the upper lateral incisors and the left upper central incisor, and laceration of the inner surface of the right upper lip associated with edema. Reimplantation of the extruded tooth was performed. Flexible canine-to-canine splint was applied for 3 weeks. A non-steroidal anti-inflammatory prescription was made to complement the one already made in the emergency consultation. Clinical and radiographic follow-ups at 1 week, 15 days, 1 month, 3 months, 6 months, and 1 year were carried out.: Despite their high frequency, especially in children, dental trauma should be the subject of an emergency consultation. Even if the prognosis is reserved, appropriate therapy should be undertaken if the conditions are right, while respecting the guidelines of learned societies for the child's well-being and quality of life.
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