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数字化导板辅助下治疗年轻恒牙Ⅲ型牙内陷伴尖周炎并保存活髓1例

Guided endodontics for the treatment and vital pulp concervation of typeⅢDens Invaginatus in an immature maxillary lateral incisor with periapical periodontitis
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摘要 对1例Oehlers III型牙内陷伴有内陷结构周围炎的年轻上颌恒侧切牙,借助CBCT影像三维重建,在3D打印数字化导板辅助下,准确定位内陷部位并建立治疗通路,Vitapex糊剂充填内陷管腔。术后6月复查,内陷结构周围炎症消失、根尖孔缩窄、根管壁增厚。 A young maxillary lateral incisor of Oehlers typeⅢDens invaginatus with peri-invagination periodontitis was reconstructed by CBCT,with the help of guided endodontics,the pathway to invagination was successfully established.The invaginated pseudo-root canal was treated with Vitapex mediation while preserving the pulp.After 6-month follow-up,the tooth was clinically asymptomatic.Radiological examination indicated complete healing of the peri-invagination lesion with narrowed open apex,and the thickened root canal wall.
作者 李昕伟 李文龙 赵夕彤 侯明 孙书恺 吴礼安 LI Xinwei;LI Wenlong;ZHAO Xitong;HOU Ming;SUN Shukai;WU Lian(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Clinical Research Center for Oral Diseases,Department of Pediatric Dentistry,The Third Hospital Affiliated of Air Force Military Medical University,Xi'an,710032,China)
出处 《实用口腔医学杂志》 CAS CSCD 北大核心 2024年第2期277-281,共5页 Journal of Practical Stomatology
基金 陕西省重点研发计划-国际合作重点项目(编号:2021KWZ26) 国家口腔疾病临床医学研究中心专项课题(编号:LCC202204)。
关键词 年轻恒牙 牙内陷 CBCT 数字化导板 Immature permanent teeth Dens invaginatus CBCT Guided endodontics
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