右侧下颌第一磨牙近中原发性牙根纵裂行活髓保存治疗1例

doi:10.7518/hxkq.2019.05.021

华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (5): 563-567.doi: 10.7518/hxkq.2019.05.021

右侧下颌第一磨牙近中原发性牙根纵裂行活髓保存治疗1例

徐玮哲,宋东哲,谭学莲,张岚,黄定明()

口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院牙体牙髓病科,成都 610041

收稿日期:2019-01-21 修回日期:2019-04-18 出版日期:2019-10-01 发布日期:2019-10-15
通讯作者: 黄定明 E-mail:dingminghuang@163.com
作者简介:徐玮哲,博士,E-mail：466234441@qq.com
基金资助:
四川省科技厅重点项目(2017JY0068)

Vital pulp preservation treatment in mandibular right first molar with vertical root fractures: a case report

Xu Weizhe,Song Dongzhe,Tan Xuelian,Zhang Lan,Huang Dingming()

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2019-01-21 Revised:2019-04-18 Online:2019-10-01 Published:2019-10-15
Contact: Dingming Huang E-mail:dingminghuang@163.com
Supported by:
Key Project of Science and Technology Department of Sichuan Province(2017JY0068)

摘要/Abstract

摘要：

本文报告1例右侧下颌第一磨牙原发性牙根纵裂的发现与诊治过程。通过临床检查、多普勒血流仪及影像学等辅助检查,发现该患牙牙髓电测试有反应,激光多普勒测试有血运。本病例采用显微根尖手术方法以及纳米生物活性材料进行治疗,术后随访1年效果良好,实现了对该患牙折裂部分的去除及感染控制,以活髓状态保存患牙。

关键词: 牙根纵裂, 显微根尖外科手术, 活髓保存, 下颌第一磨牙

Abstract:

This case presents vertical root fracture with vital pulp in mandibular right first molar. Examinations of the history, clinical tests, laser Doppler flowmetry, and radiographs revealed that the tooth showed positive response to electric pulp testing and was normal compared with the healthy control tooth. This study aimed to use a novel vital preserving surgical technique (microapical surgery and nanometer bioactive materials) to make an effective therapeutic decision for the vital tooth with vertical root fracture.

Key words: vertical root fracture, microapical surgery, vital pulp preservation, mandibular first molar

中图分类号:

R781.05

徐玮哲,宋东哲,谭学莲,张岚,黄定明. 右侧下颌第一磨牙近中原发性牙根纵裂行活髓保存治疗1例[J]. 华西口腔医学杂志, 2019, 37(5): 563-567.

Xu Weizhe,Song Dongzhe,Tan Xuelian,Zhang Lan,Huang Dingming. Vital pulp preservation treatment in mandibular right first molar with vertical root fractures: a case report[J]. West China Journal of Stomatology, 2019, 37(5): 563-567.

图/表 3

参考文献 24

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右侧下颌第一磨牙近中原发性牙根纵裂行活髓保存治疗1例

Vital pulp preservation treatment in mandibular right first molar with vertical root fractures: a case report

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