年轻恒牙慢性根尖周炎炎性活髓保存术一例  

Inflamed vital pulp therapy of young permanent teeth with chronic periapical inflammation:a case report

作　　者：李丹丹 熊清霞 李杨 Li Dandan;Xiong qingxia;Li Yang(School of Stomatology,Zunyi Medical University,Zunyi Guizhou 563006,China;Department of Oral Preventive and Pediatric Dentistry,Hospital of Stomatology,Zunyi Medical University,Zunyi Guizhou 563000,China)

机构地区：[1]遵义医科大学口腔医学院,贵州遵义563006 [2]遵义医科大学附属口腔医院预防儿童牙科,贵州遵义563000

出　　处：《遵义医科大学学报》2024年第10期1013-1017,共5页Journal of Zunyi Medical University

摘　　要：目的报告1例7岁患儿第1恒磨牙慢性根尖周炎的临床表现、影像学特征及治疗过程。方法诊断为第1恒磨牙慢性根尖周炎的1例患儿,通过详细的临床检查、影像学检查及术中所见,最终进行炎性活髓保存治疗。结果随访4年后,第一恒磨牙牙根发育,根尖孔闭合,根尖周暗影消失,治疗成功。结论当年轻恒牙被诊断为根尖周炎时,可通过影像学检查、术中所见等综合考量,全面了解牙髓的状态,可首先尝试进行炎性活髓保存治疗,以保留牙根获得继续生理性发育的机会。Objective To report the clinical manifestations,radiographic features,and treatment course of a case(a 7-year-old child)of chronic periapical periodontitis on the first permanent molar.Methods A child diagnosed with chronic apical periodontitis of the first permanent molar was finally treated with inflammatory vital pulp preservation after detailed clinical examination,imaging and intraoperative observation of the pulpal status.Results After 4 years of follow-up,it was found that the roots of the first permanent molar continued to develop,the apical foramen was closed,and the periapical shadow disappeared,indicating that the treatment was successful.Conclusion When a young permanent tooth is diagnosed with apical periodontitis,a combination of other aspects such as imaging and intraoperative observation of the pulpal status may be considered in order to get a complete picture of the condition of the pulp.Inflammatory vital pulp preservation may be attempted first to preserve the root’s opportunity for continued physiologic development.

关 键 词：炎性活髓保存术 年轻恒牙慢性根尖周炎 盖髓材料 

分 类 号：R788.5[医药卫生—口腔医学]