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題名 | 門齒侵襲性齒頸部吸收的治療--病例報告=Treatment of Invasive Cervical Resorption in an Incisor |
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作者姓名(中文) | 黃廷暉; 鄧伊婷; 紀智文; | 書刊名 | 中華民國家庭牙醫學雜誌 |
卷期 | 13:4 2019.03[民108.03] |
頁次 | 頁9-14 |
分類號 | 416.94 |
關鍵詞 | 門齒; 侵襲性齒頸部吸收; 牙齦下齒質缺損; 樹脂復形; Incisor; Invasive cervical resorption; Subgingival decay; Composite resin restoration; |
語文 | 中文(Chinese) |
中文摘要 | 侵襲性齒頸部吸收(Invasive Cervical Resorption)是一種相對少見的牙根外吸收病變,臨床上可能沒有明顯外在的病徵,通常在使用放射線檢查時才會被發現,治療上則需視病灶的大小、位置等因素,來決定以不同的材料、以及方式做復形。本文以一患有先天性唇顎裂且經過手術修補之13歲女性患者為對象,其放射線攝影以及臨床檢查顯示出左上正中門齒齒頸部牙根出現明顯的吸收病灶;在移除吸收組織、根管治療、使用顯微鏡進行手術翻瓣下以樹脂補綴完成治療後,對患者進行了五個月的追蹤診查。結果治療部位並無復發情形,牙周囊袋檢測正常,補綴物邊緣維持緊密。最後,本文以相關文獻提及侵襲性齒頸部吸收之診斷與治療原則,以及牙齦下齒質缺損的修補,與此診療案例做進一步之對照與討論。 |
英文摘要 | Invasive cervical resorption was a kind of relatively unusual external root resorption. The decay might not be prominent subjective symptom in clinic and usually be observed in routine radiographic examination. Treatment plans and methods of restoration were determined depending on various factors such as size and location of the lesion. In this case, a 13y/o female patient was suffered from invasive cervical resorption over tooth 21 and the decay was invaded subgingivally. An intentional endodontic treatment was performed. Composite resin restoration for lesion combined with osteotomy was done under operating microscope. In routine follow-up, the margin of restoration, periodontal condition, and periradicular radiographic image were shown normal. Further comparison was discussed in the article referring to relevant documents about invasive cervical resorption and composite restoration. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。