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題名 | Successful Medical Treatment of an Implant Periapical Lesion: A Case Report=利用非手術性方式成功治療人工牙根根尖病灶 |
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作者 | 張儷卿; 許啟森; 李盈霖; | 書刊名 | 長庚醫誌 |
卷期 | 34:1 2011.01-02[民100.01-02] |
頁次 | 頁109-114 |
分類號 | 416.94 |
關鍵詞 | 人工牙根根尖病灶; IPL; 牙科植體根尖病灶; 抗生素; 治療; Implant periapical lesion; Antibiotic; Therapy; |
語文 | 英文(English) |
中文摘要 | (Implant Periapical Lesion, IPL) IPL 36 x (radiolucencies) (amoxicillin and acetaminophen) prednisolone augmentin mefenamic acid 2 (functional loading) IPL IPL IPL |
英文摘要 | An implant periapical lesion (IPL) is an infectious-inflammatory alteration surrounding an implant apex. In the English literature, the treatments for IPL have all been surgical methods. We present a case of successful treatment of an IPL with medical methods. A 36-yearold man underwent placement of two implants in the molar region of the right mandible. About one month later, the patient had pain at the surgical site and radiolucencies at the apical portion of the two implants on radiographs. Systemic antibiotic treatment with amoxicillin and acetaminophen was instituted, but the symptoms did not improve. The medications were changed to prednisolone, augmentin and mefenamic acid and the patient’s symptoms completely subsided. This case was successfully treated using medical methods. The IPL disappeared on radiography and there were no symptoms or signs of recurrence at the 2- year follow up. We report a successful case of an IPL using medical methods. However, additional data are certainly necessary for a more comprehensive understanding of the etiopathologic and clinical problems related to an IPL. |
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