左上侧切牙Ⅲ型牙内陷牙髓及牙周联合治疗1例
Endodontic-periodontal combined therapy for type Ⅲ dens invaginatus in maxillary lateral incisor: a case report
作者：张锋,张亦文,蒋晓琼,陈豪婷,孙蕾
Author：Feng Zhang,Yiwen Zhang,Xiaoqiong Jiang,Haoting Chen,Lei Sun
收稿日期：2018-06-21 年卷（期）页码：2019,37(4):453-453-456
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,引导牙周组织再生术,牙内陷,牙周牙髓联合病变,
Key words：microscopic root canal therapy,guided periodontal tissue regeneration,dens invaginatus,periodontal-endodontic combined lesions,
基金项目：深圳市妇幼保健院基金(FYA2018032)
中文摘要
本文报告1例因牙齿根面畸形导致严重根尖病变及牙周破坏的牙周牙髓联合病变的左上侧切牙,瘘道长期不愈,腭侧窄而深牙周袋,严重根尖病变及牙槽骨垂直吸收。通过显微根管治疗、根尖手术、引导牙周组织再生术治疗,实现了控制根尖及牙周感染,达到了保留患牙的目的。
英文摘要
We report a clinical case of type Ⅲ dens invaginatus with endodontic-periodontal lesion in a maxillary lateral incisor. The palatal radicular anomaly predisposed the tooth to periodontal lesions. The caries along the palatal groove caused tooth pulp necrosis and periapical lesions. By means of microscopic root canal therapy, apical surgery, and guided periodontal tissue regeneration, the apical and periodontal infection were controlled, and the affected tooth was retained.
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