华西口腔医学杂志

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牙根折裂的影像诊断

郑广宁1  李继遥2   

  1. 1.口腔疾病研究国家重点实验室  华西口腔医院放射科(四川大学);2.牙体牙髓病科,成都 610041
  • 出版日期:2016-02-01 发布日期:2016-02-01
  • 通讯作者: 郑广宁,教授,博士,E-mail:gnzheng@163.com
  • 作者简介:郑广宁,教授,博士,E-mail:gnzheng@163.com

Radiographic diagnosis of vertical root fracture

Zheng Guangning1, Li Jiyao2   

  1. 1.State Key Laboratory of Oral Diseases, Dept. of Radiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 2. State Key Laboratory of Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2016-02-01 Published:2016-02-01

摘要:

牙根折裂有别于外伤引起的牙折,或称病理性牙折,是指牙齿组织在某些刺激因素如创伤力、牙齿解剖或邻近结构改变、医源性意外等长期、缓慢的持续性作用下发生的牙体完整性破坏,早期诊断对预防牙槽骨吸收、获得良好的预后具有重要意义。影像检查是牙根折裂最常用、有效的辅助检查方法,锥形束CT可以从矢状位、冠状位及轴位清晰显示牙根折裂,较传统的根尖片具有更高的准确性。本文旨在结合临床病例介绍牙根折裂的影像特点、鉴别诊断及治疗新技术。

关键词: 牙根折裂, 影像诊断, 生物治疗

Abstract:

Vertical root fracture (VRF) is different from odontoclasis caused by trauma or injury. VRF is defined as a complete or incomplete fracture of roots caused by long-term and persistent stimulus, such as excessive forces from mastication or occlusion, improper tooth anatomy, and tooth treatment accident. Early diagnosis of VRF is essential to prevent the absorption of alveolar bone, thereby improving prognosis. Radiographic examination is the most common and effective evaluation method for VRF. Cone beam computed tomography can provide three-dimensional information for fracture details, which are more precise than traditional periapical films. In this paper, we present the radiographic features, differential diagnosis, and new treatment techniques for VRF.

Key words: vertical root fracture, radiographic diagnosis, biological treatment