上前牙外伤复位不佳后再治疗1例

doi:10.12337/zgkqjxjyzz.2023.05.008

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (5): 391-397.DOI: 10.12337/zgkqjxjyzz.2023.05.008

上前牙外伤复位不佳后再治疗1例

杨阳, 刘艳丽, 张旻^*

军事口腔医学国家重点实验室,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,中国人民解放军空军军医大学第三附属医院急诊与综合临床科

发布日期:2023-11-29
通讯作者: ^*张旻,联系方式：029-84772538,电子邮箱：cherryzhangmin@126.com,通讯地址：陕西省西安市新城区长乐西路145号,710032
基金资助:
国家口腔疾病临床医学研究中心专项课题(项目编号：LCA202007); 空军军医大学第三附属医院新技术新业务重点项目（项目编号：LX2021-203）

One Case of Retreatment of Upper Anterior Tooth Trauma after Incorrect Diaplasis

Yang Yang, Yanli Liu, Min Zhang^*

State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi'an 710032, Shaanxi Province, P.R.China.

Published:2023-11-29
Contact: Min Zhang. Tel: 029-84772538. Email: cherryzhangmin@126.com. Address: No. 145 Changle West Road, Xincheng District, Xi'an 710032, Shaanxi Province, P.R.China.
Supported by:
National Clinical Research Center for Oral Diseases Project of Military Stomatology (No.LCA202007)；New Technology Key Project of The Stomatological Hospital of the Fourth Military Medical University（No.LX2021-203）

摘要/Abstract

摘要： 目的： 本文报道1 例复位不佳的上前牙外伤重新复位固定并获得良好疗效的病例。诊治经过： 外院上前牙外伤复位不佳的患者,通过口腔医师对患者的临床检查、影像学检查并结合病史,做出明确诊断并将外院复位不佳上前牙新复位固定,并行完善的根管治疗及定期随访。结果： 术后3、12、24个月复查,上前牙临床检查正常叩诊音,不松动,未探及深牙周袋;影像学检查根尖周病变及牙根吸收影像逐渐愈合。结论： 正确的诊断、及时规范的治疗和随访复查对于恒牙外伤取得良好预后是至关重要的。

关键词: 牙外伤, 侧向脱位, 牙槽骨骨折, 牙根吸收, 根管治疗

Abstract: Objective: Good therapeutic results were obtained by retreament and fixation of upper anterior tooth with incorrect diaplasis in other hospitals. Diagnosis and treatment: This paper reported a patient with upper anterior teeth trauma with incorrect diaplasis in other hospital. Based on the patient's medical history and findings of the clinical examinations and imaging examinations, the final diagnosis was obtained.The affected teeth were re-diaplasis and fixed which with the perfect root canal treatment.Finally, the satisfied clinical results were achieved. Results: A follow-up examination was performed 3、12、and 24 months after the treatment. Clinical examination found no obvious periodontal pockets, tooth discoloration, nor swelling of the gums around affected teeth. The radiographic images obtained during the follow-up examination showed that the periodontal lesions and root resorption images were gradually healed. Conclusions: The correct diagnosis, timely and correct treatment and follow-up are crucial to achieve a good prognosis of dental trauma.

Key words: dental trauma, lateral luxation, alveolar fracture, root resorption, root canal teratment

杨阳, 刘艳丽, 张旻. 上前牙外伤复位不佳后再治疗1例[J]. 中国口腔医学继续教育杂志, 2023, 26(5): 391-397.

Yang Yang, Yanli Liu, Min Zhang. One Case of Retreatment of Upper Anterior Tooth Trauma after Incorrect Diaplasis[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(5): 391-397.

参考文献

[1] 中华口腔医学会口腔急诊专业委员会. 恒牙外伤牙固定术技术专家共识[J]. 中华口腔医学杂志, 2022, 57(4):326-333.
[2] Procópio SW, Matos HCA, de Oliveira PLE, et al. Development of a calcified odontogenic hamartoma following avulsion of a permanent central incisor[J]. Dent Traumatol. 2020; 36(3):298-302.
[3] Levin L, Day PF, Hicks L, et al.International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction[J]. Dent Traumatol. 2020; 36(4):309-313.
[4] 王伟. 恒牙撕脱性损伤的临床特征及富血小板纤维蛋白促其牙周愈合的临床试验研究[D]. 陕西,第四军医大学, 2014.
[5] Iwona GM, Marek K, Marta O, et al.Biomarkers of inflammatory external root resorption as a result of traumatic dental injury to permanent teeth in children[J]. Arch Oral Biol. 2019; 99:82-91.
[6] Nagarajappa R, Ramesh G, Uthappa R, et al.Risk factors and patterns of traumatic dental injuries among Indian adolescents[J]. J Dent Sci. 2020; 15(1):96-103.
[7] Yu L, Kahler B, Nanayakkara S, et al.Retrospective analysis of the outcomes of pulpotomies in traumatised permanent anterior teeth[J]. Dent Traumatol. 2022; 38(6):505-511.
[8] Huang C, Yang Y, Wang Z, et al.A retrospective study of emergent traumatic dental injuries in permanent teeth in Xi’an, China[J]. Medicine(Baltimore). 2022; 101(52):e32588.
[9] Gong Y, Xue L, Wang N, et al.Emergency dental injuries presented at the Beijing Stomatological Hospital in China[J]. Dent Traumatol. 2011; 27(3): 203-207.
[10] Yang Y, Liu YL, Jia LN, et al.Rescuing “hopeless” avulsed teeth using autologous platelet-rich fibrin following delayed reimplantation: Two case reports[J]. World J Clin Cases. 2023; 11(3):635-644.
[11] Bakland LK, Andreasen JO.Dental traumatology: essential diagnosis and treatment planning[J]. Endod Topics. 2004; 7(1):14-34.
[12] Barrett EJ, Kenny DJ, Tenenbaum HC, et al.Replantation of permanent incisors in children using Emdogain[J]. Dent Traumatol. 2005; 21(5):269-275.
[13] 秦满. 儿童恒牙外伤后牙髓预后评估及其影响因素[J]. 中国实用口腔科杂志, 2012, 5(9):517-520.
[14] Kallel I, Lagha M, Moussaoui E, et al.Lateral luxation: Is root resorption an unavoidable complication[J] Clin Case Rep. 2022; 10(5):e05880.
[15] Jahromi MZ, Motamedi MRK.Effect of calcium hydroxide on inflammatory root resorption and ankylosis in replanted teeth compared with other ntracanal materials:a review[J]. Restor Dent Endod. 2019; 44(3): e32.
[16] Day PF, Duggal M, Nazzal H. Interventions for treating traumatised permanent front teeth: avulsed (knocked out) andreplanted[J]. Cochrane Database Syst Rev.2019; 2(2):CD006542.
[17] Fouad AF.Microbiological Aspects of Traumatic Injuries[J]. J Endod. 2019; 45(12S):S39-S48.
[18] Wang J, Yang Y, Wang YJ, et al.Microapical surgery management of root resorption in anterior teeth caused by dental trauma: case report[J]. STEMedicine. 2022; 3(1):e115.
[19] von Arx T. Apical surgery: A review of current techniques and outcome[J]. Saudi Dent J. 2011; 23(1): 9-15.
[20] 吴佳益, 李鑫, 汪成林, 等. 炎症性牙根外吸收致病机制的研究进展[J]. 华西口腔医学杂志, 2019, 37(6):656-659.

上前牙外伤复位不佳后再治疗1例

One Case of Retreatment of Upper Anterior Tooth Trauma after Incorrect Diaplasis

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