期刊导航

论文摘要

意向性牙再植术治疗上颌侧切牙畸形舌侧沟1例

Intentional replantation for the treatment of palatal radicular groove with endo-periodontal lesion in the maxillary lateral incisor: a case report

作者:谭学莲, 张岚, 黄定明

Author:Xuelian Tan, Lan Zhang, Dingming Huang

收稿日期:2016-10-01          年卷(期)页码:2017,35(4):448-448-452

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:显微根管治疗技术,意向性牙再植术,畸形舌侧沟,牙周牙髓联合病损,

Key words:microscopic root canal therapy,intentional replantation,palatal radicular groove,endo-periodontal lesion,

基金项目:国家自然科学基金(11272226)

中文摘要

本病例为上颌侧切牙畸形舌侧沟致牙周牙髓联合病损病例,唇腭根面的凹陷、腭侧窄而深牙周袋、根管系统的峡部、破坏严重的唇腭骨板和迁延不愈的瘘道等,给控制根管内外感染保留该牙提出了严重挑战。本病例采用显微根管治疗技术、意向性牙再植术以及纳米生物活性材料,实现了对该患牙的感染控制、患牙保留以及牙周新附着的形成。

英文摘要

Palatal radicular groove leads to severe endo-periodontal lesion in lateral incisors. The groove occurs on the labial and lingual root surfaces, while the localized periodontal pocket develops along the lingual groove length. The compli-cated root canal system, extensively destroyed bone lamella, and persistent fistula pose a challenge for root canal therapy, tooth retention, and thorough infection control inside and outside of the root canal. Combining microscopic root canal therapy with intentional replantation and nano-biomaterial application facilitates infection control, tooth retention, and formation of newly periodontal attachment.

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