多学科治疗围膜内病变并发骨水泥撕裂1例。

IF 1.5
Restorative Dentistry & Endodontics Pub Date : 2025-08-01 Epub Date: 2025-08-22 DOI:10.5395/rde.2025.50.e31
Nishanth D Sadhak, Akshaya Pallod, Shreyas Oza
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引用次数: 0

摘要

牙髓-牙周病变并发牙髓撕裂是一个诊断和治疗上的挑战。本病例报告描述了一位66岁男性下颌第二磨牙患者(#18)的成功治疗,该患者表现为EPL合并骨水泥撕裂。临床检查显示窦道引流,牙周深袋,x线表现为“j形”病变和不透射线的骨水泥碎片。该牙齿曾接受过牙髓治疗。多学科的方法包括牙髓治疗和手术切除骨水泥撕裂。在24个月的随访中,临床和影像学检查显示牙周健康、骨再生和病变消退有显著改善。本病例强调了在鉴别诊断epl时考虑骨水泥撕裂的重要性,并证明了牙髓-牙周联合入路对实现可预测结果的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Multidisciplinary management of an endo-perio lesion complicated by a cemental tear: a case report.

Multidisciplinary management of an endo-perio lesion complicated by a cemental tear: a case report.

Multidisciplinary management of an endo-perio lesion complicated by a cemental tear: a case report.

Multidisciplinary management of an endo-perio lesion complicated by a cemental tear: a case report.

Endodontic-periodontal lesions (EPLs) complicated by cemental tears present a diagnostic and therapeutic challenge. This case report describes the successful management of a 66-year-old male patient with a mandibular second molar (#18) exhibiting an EPL complicated by a cemental tear. Clinical examination revealed a draining sinus tract, deep periodontal pockets, and radiographic evidence of a "J-shaped" lesion and a radiopaque cemental fragment. The tooth had previously initiated endodontic treatment. A multidisciplinary approach involving endodontic treatment and surgical removal of the cemental tear was implemented. At 24-month follow-up, clinical and radiographic examination revealed significant improvement in periodontal health, bone regeneration, and resolution of the lesion. This case highlights the importance of considering cemental tears in the differential diagnosis of EPLs and demonstrates the efficacy of a combined endodontic-periodontal approach for achieving predictable outcomes.

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CiteScore
0.20
自引率
0.00%
发文量
35
审稿时长
12 weeks
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