复杂牙外伤的多学科联合诊疗1例  

Multidisciplinary Treatment of Complex Dental Trauma: A Case Report

作　　者：刘杨 雷容 田磊 赵雅娟 陈永进 Yang Liu;Rong Lei;Lei Tian;Ya-juan Zhao;Yong-Jin Chen(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi International Joint Research Center for Oral Diseases,Department of General Dentistry and Emergency,The Third Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi,710032,China;Department of Cranio-facial Trauma and Orthognathic Surgery,The Third Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi,P.R.China)

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病国际联合研究中心,空军军医大学第三附属医院急诊与综合临床科,陕西省西安市710032 [2]空军军医大学第三附属医院颌面创伤正颌外科

出　　处：《中国口腔医学继续教育杂志》2023年第5期411-420,共10页Chinese Journal of Stomatologial Continuing Education

基　　金：空军军医大学第三附属医院临床新技术(项目编号:LX2022-504)。

摘　　要：目的:报道1例前牙区多牙位复杂牙外伤合并牙槽窝骨壁骨折,经过多学科联合成功治疗的方法与经验。诊治经过:采用外伤牙再植、再植牙固定术,联合牙槽骨增量、植入浓缩生长因子等方法,对该病例进行规范化联合治疗。结果:经过1个月、3个月、1年、2年、3年、4年的追踪观察,患者外伤牙再植成功,牙均无松动、无变色,获得良好疗效。结论:对于伴有牙槽窝骨壁骨折的复杂牙外伤,通过准确的病情分析及预后判断,采用多学科的联合治疗方法,可取得良好的预后效果。Objective:The multidisciplinary treatment method and experience of a case of complicated dental trauma combined with alveolar socket wall fracture were reported.Diagnosis and treatment:The patient was treated with standardized sequential treatment including replantation and fixation of the injured teeth,alveolar bone augmentation surgery and implantation of concentrated growth factor.Results:After 1 month,3 months,1 year,2 years,3 years,4 years of follow-up,the patient's injured teeth were successfully replanted with no loosening,no discoloration.Conclusions:For complicated dental trauma with alveolar socket wall fracture,the standardized sequential management and multidisciplinary treatment could achieve good treatment effect through accurate injury analysis and prognosis judgment.

关 键 词：牙外伤 牙槽窝骨壁骨折 恒牙撕脱性损伤 病情分析 多学科联合治疗 

分 类 号：R65[医药卫生—外科学]