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題名 | Treatment of a Combined Endodontic-periodontal Lesion with One-wall Osseous Defect Using Calcium Phosphate Cement--A Case Report=以磷酸鈣黏合劑治療合併齒內及牙周病變導致之單壁骨缺損--病例報告 |
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作者姓名(中文) | 林思洸; 連新傑; 洪志遠; 張曉華; 李汶玲; 藍萬烘; 郭彥彬; | 書刊名 | 中華牙醫學雜誌 |
卷期 | 16:3 1997.09[民86.09] |
頁次 | 頁176-181 |
分類號 | 416.946 |
關鍵詞 | 磷酸鈣士敏汀; 單壁骨缺損; Calcium phosphate cement; One-wall osseous defect; |
語文 | 英文(English) |
中文摘要 | 患者為60歲女性,至本院就診時主訴為左下第一小臼齒有間歇性鈍痛,牙齦腫脹 ,牙齒動搖,同時在該部位之遠心端有一 10mm 深之牙周囊袋。放射線檢查發現有一疑似單 壁骨缺損自該牙根尖延伸至其遠心端齒槽脊尖。該牙齒經根管治療後,進一步手術時發現確 實存在一單壁骨缺損,吾人將牙根與發炎組織加以清創後,在骨質缺損處植入磷酸鈣黏合劑 。於術後 15 個月追蹤檢查時發現牙齒動搖及化膿的現象已不復存在,臨床探測附連高度亦 發現遠心端牙周囊袋深度剩下 3mm。放射線檢查亦發現原本骨質缺損處有理想的硬組織填充 。經由本報告,我們認為磷酸鈣粘合劑用於治療合併齒內及牙周病變所導致之單壁骨缺損應 有其發展潛能。 |
英文摘要 | A 60 year-old woman presented with intermittent dull pain, gingival swelling, tooth mobility, and a 10-mm pocket on the distal aspect of the left lower first premolar.The radiograph showed a one-wall osseous defect extending from the periapical region to the distal alveolar crest of this tooth. After conventional endodontic therapy, a mucoperiosteal flap was reflected and a one-wall bone defect was seen. The defect was debrided and grafted with calcium phosphate cement (CPC). Fifteen months postoperatively, neither mobility nor suppuuration were observed. A clinical attachment gain (7 mm) was observed by periodontal probing. Then radiograph suggested substantial resolution of the osseous defect. The present report provides convincing evidence of the potential use of CPC grafting in the treatment of one-wall combined endodontic and periodontal osseous lesions. |
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