牙吸收诱发因素与临床诊治策略

Predisposing factors,clinical diagnosis and treatment strategy of tooth resorption

牙吸收是指包括牙根外吸收和牙内吸收在内的一类特发性牙齿疾病。其诱发因素复杂多样,至今未得到完善解释。在疾病早期,牙吸收常缺乏特征性临床表现,往往在引起牙髓症状后才被发现,这为疾病的早期诊断、干预带来困难。依据病变累及范围存在多种治疗方式,近年临床医师也在不断尝试创新的治疗方法,但缺乏系统性归纳整理。该文将从牙吸收的诱发因素、临床诊断、治疗等方面作一综述。

Tooth resorption is an idiopathic dental disease that can be further classified as external root resorption and internal tooth resorption.The predisposing factors are diverse and have not been well explained to date.In the early stages of tooth resorption,there are no characteristic clinical manifestations.As a result,tooth resorption is often detected only after it has caused pulpal symptoms,which makes early diagnosis and intervention dfficult.A variety of treatment strategies exist depending on the extent of lesion involve-ment,and clinicians have been attempting with innovative treatment approaches in recent years,but there is a lack of systematic categorization.This review will focus on the predisposing factors,clinical diagnosis and treatment strategy of tooth resorption.