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題 名 | 牙髓牙周合併病灶的治療:病例報告=Treatment of Combined Endodontic-periodontal Lesions: A Cases Report |
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作 者 | 陳昭安; 黃國精; 陳俊榮; 陳冠良; 陳雅惠; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷 期 | 14:1 2009.03[民98.03] |
頁 次 | 頁11-18 |
分類號 | 416.94 |
關鍵詞 | 牙髓牙周合併病灶; 牙周牙髓合併病灶; 根尖穿孔; 三氧礦聚合物; Periodontal-endodontic combined lesion; Endodontic-periodontal combined lesion; Apical perforation; MTA; |
語 文 | 中文(Chinese) |
中文摘要 | 牙髓牙周的病灶的原因很複雜,治療和預後也有顯著的不同,原發性牙髓病灶合併繼發性牙周病灶,需先根管治療,再觀察二至三個月後,視情況作牙周病治療;原發性牙周病灶合併繼發性牙髓病灶以及合併牙髓牙周的病灶,需要根管治療合併牙周病治療。根尖病灶於根管治療後,通常自然能癒合;牙周病灶的預後則根據牙周治療情況及口腔清潔維護而決定。本報告提出二個病例,經由非手術性根管治療和牙周病治療後,骨缺損部位有明顯的癒合。並藉此探討目前牙髓牙周病灶的治療方法及預後狀況。 |
英文摘要 | The etiology of endodontic-periodontal lesion is complicated, and the prognosis is different. Primary endodontic lesion with secondary periodontal involvement should he first treated endodontically. Treatment results should be evaluated in 2-3 months and then periodontal treatment may be needed after root canal treatment. Primary periodontal lesion with secondary endodontic involvement and true combined endodontic-periodontal lesion require both endodontic and periodontal therapies. In general, assuming the endodontic therapy is adequate, what is of endodontic origin will heal. The prognosis of periodontal lesion depends upon the efficacy of periodontal therapy. This article presents two cases with endodontic-periodontal lesions that received nonsurgical root canal therapy and periodontal therapy. After 13 months to 18 months follow-up examination, significant resolution of bony defects was observed. In addition, the prognosis and treatment of endodontic-periodontal lesion will be discussed. |
本系統中英文摘要資訊取自各篇刊載內容。