BACKGROUND Endodontic-periodontal lesion is a commonly encountered dental condition.However,the prognosis of the condition varies from good to poor.Some cases are associated with a poor prognosis that requires tooth e...BACKGROUND Endodontic-periodontal lesion is a commonly encountered dental condition.However,the prognosis of the condition varies from good to poor.Some cases are associated with a poor prognosis that requires tooth extraction.This report presents a case of an endodontic-periodontal lesion in a tooth that was successfully treated by root canal treatment.CASE SUMMARY A 51-year-old female patient with no medical history complained about persistent pain and discomfort in her left mandibular first molar.Clinical examination showed the left mandibular first molar with poor restoration.It was also associated with underlying necrotic pulp and periodontal involvement.Radiographic examination revealed visible bone defects in the apical and periodontal areas.Based on the findings,the patient was diagnosed with a primary endodontic lesion.A root canal treatment for the endodontic lesion was performed.The patient received a coronal all-ceramic endocrown restoration.A follow-up was arranged to check the prognosis.At the 3 mo follow-up,the clinical and radiography evaluations showed complete disappearance of signs and symptoms and an increase in the radiopacity of the root area.CONCLUSION Despite the poor prognosis associated with many endodontic lesions,this case report highlights that a good prognosis is still possible for an endodontic lesion with apical and periodontal bone loss.In this case,it was achieved via successful root canal treatment without the need for periodontal or surgical intervention.展开更多
目的:探究纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损患者的效果及美观满意度。方法:纳入2022年1月-2023年1月在笔者医院就诊的102例后牙楔状缺损患者,根据患者自主选择意愿分为研究组(n=50)和对照组(n=52),对照组行金属...目的:探究纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损患者的效果及美观满意度。方法:纳入2022年1月-2023年1月在笔者医院就诊的102例后牙楔状缺损患者,根据患者自主选择意愿分为研究组(n=50)和对照组(n=52),对照组行金属桩核+金属烤瓷冠修复,研究组行纤维桩+复合树脂+氧化锆全瓷冠修复。6个月后,对比两组临床疗效,观察两组牙周健康情况(牙龈指数、菌斑指数、龈沟出血指数),检测牙周炎症[肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、白细胞介素-4(Interleukin-4,IL-4)、白细胞介素-6(Interleukin-6,IL-6)],调查美观满意度[美国公共健康服务标准(United states public health service,USPHS)]和实用度(咀嚼功能、咬合情况、语言功能),比较两组并发症发生情况。结果:治疗后,研究组治疗有效率达92.00%,高于对照组的76.92%(P<0.05);两组牙周健康相关指数及TNF-α、IL-4、IL-6均较治疗前降低,且研究组降低幅度大于对照组(P<0.05);治疗后,研究组牙齿表面形态、色泽协调性、边缘着色满意度均高于对照组(P<0.05),两组咀嚼功能、咬合情况、语言功能均较治疗前提高,但差异无统计学意义(P>0.05);两组并发症发生率比较治疗组低于对照组(P<0.05)。结论:采用纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损能够减轻炎症反应,提升患者牙周健康,增加美观满意度及实用度,疗效显著,安全性高。展开更多
基金Jilin Provincial Science and technology Education Department Plan,No.JJKH20190092KJ。
文摘BACKGROUND Endodontic-periodontal lesion is a commonly encountered dental condition.However,the prognosis of the condition varies from good to poor.Some cases are associated with a poor prognosis that requires tooth extraction.This report presents a case of an endodontic-periodontal lesion in a tooth that was successfully treated by root canal treatment.CASE SUMMARY A 51-year-old female patient with no medical history complained about persistent pain and discomfort in her left mandibular first molar.Clinical examination showed the left mandibular first molar with poor restoration.It was also associated with underlying necrotic pulp and periodontal involvement.Radiographic examination revealed visible bone defects in the apical and periodontal areas.Based on the findings,the patient was diagnosed with a primary endodontic lesion.A root canal treatment for the endodontic lesion was performed.The patient received a coronal all-ceramic endocrown restoration.A follow-up was arranged to check the prognosis.At the 3 mo follow-up,the clinical and radiography evaluations showed complete disappearance of signs and symptoms and an increase in the radiopacity of the root area.CONCLUSION Despite the poor prognosis associated with many endodontic lesions,this case report highlights that a good prognosis is still possible for an endodontic lesion with apical and periodontal bone loss.In this case,it was achieved via successful root canal treatment without the need for periodontal or surgical intervention.
文摘目的:探究纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损患者的效果及美观满意度。方法:纳入2022年1月-2023年1月在笔者医院就诊的102例后牙楔状缺损患者,根据患者自主选择意愿分为研究组(n=50)和对照组(n=52),对照组行金属桩核+金属烤瓷冠修复,研究组行纤维桩+复合树脂+氧化锆全瓷冠修复。6个月后,对比两组临床疗效,观察两组牙周健康情况(牙龈指数、菌斑指数、龈沟出血指数),检测牙周炎症[肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、白细胞介素-4(Interleukin-4,IL-4)、白细胞介素-6(Interleukin-6,IL-6)],调查美观满意度[美国公共健康服务标准(United states public health service,USPHS)]和实用度(咀嚼功能、咬合情况、语言功能),比较两组并发症发生情况。结果:治疗后,研究组治疗有效率达92.00%,高于对照组的76.92%(P<0.05);两组牙周健康相关指数及TNF-α、IL-4、IL-6均较治疗前降低,且研究组降低幅度大于对照组(P<0.05);治疗后,研究组牙齿表面形态、色泽协调性、边缘着色满意度均高于对照组(P<0.05),两组咀嚼功能、咬合情况、语言功能均较治疗前提高,但差异无统计学意义(P>0.05);两组并发症发生率比较治疗组低于对照组(P<0.05)。结论:采用纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损能够减轻炎症反应,提升患者牙周健康,增加美观满意度及实用度,疗效显著,安全性高。
