通过多学科联合方法治疗一例复杂的上前牙冠根折。

B. Zhang, Yujiang Chen, Junhui Wang, Jiajia Liu, Li’an Wu
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引用次数: 0

摘要

复杂牙冠牙根折断是牙外伤中牙釉质、牙本质和牙骨质的严重合并折断。治疗方法比较复杂。在治疗过程中,应全面评估牙髓、牙周和牙体的状况,建议采用多学科方法结合序列治疗。本病例报告了一例上前牙复杂冠根部折断后两颗患牙的不同治疗和修复过程,包括首次就诊时翻瓣手术后再植折断的牙冠,直接树脂修复去除折断的碎片,第二次就诊时进行牙髓治疗和冠后修复。经过 18 个月的随访,复杂冠根折的患牙得到了保存治疗。因此,残根再植和冠后修复是复杂牙冠根折患儿可行的治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
One case of complicated crown root fracture of upper anterior teeth managed by multidisciplinary joint approaches.
Complicated crown root fracture is a serious combined fracture of the enamel, dentin, and cementum in dental trauma. The treatment method is complicated. During the procedure, the condition of pulp, periodontal, and tooth body should be thoroughly evaluated, and a multidisciplinary approach combined with sequential treatment is recommended. This case reported the different treatment and repair processes of one case of two affected teeth after complicated crown root fracture of upper anterior teeth, including regrafting of broken crown after flap surgery at the first visit, direct resin repair to remove broken fragments, and pulp treatment and post-crown repair at the second visit. After 18 months of follow-up, the preservation treatment of the affected teeth with complicated crown root fracture was achieved. Therefore, fragment reattachment and post-crown restoration are feasible treatment options for children with complicated crown root fracture.
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