C形下颌第二前磨牙带根槽的有意再植。

IF 3.5 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Siwen Wu, Jeen Nee Lui
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引用次数: 0

摘要

具有根状沟的c形牙根在下颌前磨牙中并不常见。细菌驻留在根沟和相关的副管可以促进持续的根周感染。根除这些不易进入的区域的细菌仍然是根管治疗的重大挑战。本报告描述了通过有意再植(IR)手术成功治疗与舌根沟相关的持续性病变的左侧下颌第二前磨牙(#20)。一名31岁的中国男性主诉与20号牙有关的牙龈肿胀,6年前接受了牙髓治疗和冠。临床检查发现舌位的窦道和临床完整的冠修复。牙不触痛,叩诊深度不超过4mm,具有生理活动能力。根尖周x光片显示舌窦束可追溯至根的中间三分之一,根管充盈充足,根尖周围牙周韧带完整。锥束计算机断层扫描(CBCT)图像显示,在中间三分之一区域和与c形前磨牙根状沟相关的舌面有放射透光。由于中根病变与舌根沟相关,我们进行了红外成像。自动拔除20号牙,鉴定染色根槽,用百氏汀清洁并封闭,然后再植。随访2.5年,患者无临床症状。在CBCT图像上观察到20号牙探探深度正常,活动和愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intentional Replantation of C-shaped Mandibular Second Premolar with Radicular Groove.

C-shaped roots with radicular grooves are uncommon in mandibular premolars. Bacteria residing in the radicular groove and associated accessory canals can contribute to persistent periradicular infections. Eradicating bacteria in these less accessible areas remains a significant challenge in endodontic procedures. This report describes the successful management of a left mandibular second premolar (#20) with a persistent lesion related to a lingual radicular groove through an intentional replantation procedure. A 31-year-old Chinese male complained of a gum swelling related to tooth #20 which was endodontically treated and crowned 6 years ago. Clinical examination revealed a lingually located sinus tract and a clinically intact crown restoration. The tooth was not tender to percussion or palpation, with probing depths not exceeding 4 mm, and showed physiological mobility. A periapical radiograph showed the lingual sinus tract traced to the mid third of the root, which had an adequate root canal filling and an intact periodontal ligament around the apical region. A cone-beam computed tomography image revealed radiolucency at the mid third region and on the lingual aspect related to the radicular groove of this C-shaped premolar. Intentional replantation was performed due to the location of the mid-root lesion related to the lingual radicular groove. Tooth #20 was extracted atraumatically, a stained radicular groove was identified, cleansed and sealed with Biodentine, and the tooth replanted. At 2.5-year follow-up, the patient was clinically asymptomatic. Tooth #20 presented with normal probing depths and mobility and healing was observed on the cone-beam computed tomography images.

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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
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