GTR联合根尖手术治疗牙周牙髓联合病变伴重度牙槽骨缺损上颌磨牙1例  

GTR and Apical Surgery for Combined Endodontic-periodontal Lesions with Severe Alveolar Bone Loss in Maxillary Molar:A Case Report

作　　者：张敏轶 覃建 李双江 卜晓霜 郭锦材 潘涛华 谢辉[1,2] ZHANG Minyi;QIN Jian;LI Shuangjiang;BU Xiaoshuang;GUO Jin-cai;PAN Taohua;XIE Hui(.1.Stomatological Hospital,Hunan University of Chinese Medicine,Changsha 410208,China;Changsha Stomatology Hospital,Changsha 410006,China.)

机构地区：[1]湖南中医药大学口腔医(学)院,湖南长沙410208 [2]长沙市口腔医院,湖南长沙410006

出　　处：《口腔医学研究》2024年第1期80-82,共3页Journal of Oral Science Research

基　　金：湖南省临床医疗技术创新引导项目(编号:2021SK53303);湖南省自然科学基金项目(编号:2021JJ70062);湖南省卫生健康委科研计划项目(编号:D202313048136);湖南省中医药科研课题(编号:B2023048);湖南中医药大学院校联合基金项目(编号:2022XYLH120和2022XYLH134)。

摘　　要：牙周牙髓联合病变涉及牙髓和牙周组织,其诊疗难度较大,预后一般不佳。本文报道1例牙周源性的牙周牙髓联合病变伴重度牙槽骨缺损的上颌第一磨牙,经根管治疗术、牙周基础治疗、引导性组织再生术(guided tissue regeneration, GTR)和同期根尖手术联合治疗,达到意向性保留患牙的目的。Combined endodontic-periodontal lesions involving the pulp and periodontal tissues are difficult to treat and have a poor prognosis.This article reports a case of combined endodontic-periodontal lesions with severe alveolar bone loss in maxillary first molar.The patient was treated with a combination of root canal therapy,initial periodontal therapy,guided tissue regeneration,and simultaneous apical surgery to achieve intentional retention of the affected tooth.

关 键 词：牙周牙髓联合病变 根分叉病变 引导性组织再生术 根尖手术 

分 类 号：R781.4[医药卫生—口腔医学]