外伤致根尖周病变的多学科治疗及8年随访1例

Multidisciplinary Management of Traumatized Periapical Lesions of Anterior Teeth:An 8-year Follow-up Case Report

目的:本病例通过展示口腔多学科联合治疗为复杂前牙外伤的治疗提供一些思考。诊治经过:19岁女性患者,因前牙外伤导致冠根联合折断以及根尖周大面积病变,经多学科会诊后,进行根管治疗、根尖周手术、正畸牵引、牙周手术治疗以及口腔修复联合治疗。结果:根尖手术治疗后经过8年的随访,患者治疗效果稳定。结论:面对复杂冠根联合折断的病例,经过多学科联合治疗可保留患牙,同时恢复前牙的美学与功能。

Objective:Traumatic dental injuries often result in crown fractures,the treatment of anterior tooth trauma accompanied by combined crown-root fractures is challenging,requiring consideration of periodontal,endodontic,orthodontic,and restorative factors.Proper diagnosis&multidisciplinary treatments are important for achieving good results.Diagnosis and treatment:This case report describes the co nservative management of a large cyst-like periapical lesion in the lateral incisors of the maxilla of a 19-year-old female with the chief complaint of slightly unwell of the anterior region with no history of pain and traumatic accident 5 years ago.After root canal retreatment,periapical surgery,orthodontic traction,and periodontal surgery,the injured teeth were repaired with veneers.Results:After 8 years of follow-up,the teeth were stable.Conclusions:For the complex crown-root combined fracture case,there is no consensus of extraction and retention treatment suggestions to preserve the injured teeth taking into account the aesthetics and functionality.It is very important for dentists to preserve the injured teeth.