过长后牙意向性冠髓切断术的临床应用

doi:10.12337/zgkqjxjyzz.2024.03.005

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (3): 219-224.DOI: 10.12337/zgkqjxjyzz.2024.03.005

过长后牙意向性冠髓切断术的临床应用

王倩倩, 尹兴喆, 卫彦, 周崇阳^*

北京大学口腔医学院·口腔医院特诊科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心

出版日期:2024-05-31 发布日期:2024-12-18
通讯作者: ^*周崇阳,联系方式：010-62173403,电子邮箱：chongyangzh@sina.com,通讯地址：北京市海淀区中关村南大街22号,100081

Clinical Application of Intentional Pulpotomy for Treatment of Excessive Growth Teeth: Case Series

Qianqian Wang, Xingzhe Yin, Yan Wei, Chongyang Zhou^*

Department of Geriatric Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, P.R. China

Online:2024-05-31 Published:2024-12-18
Contact: Chongyang Zhou. Tel: 010-62173403. Email: chongyangzh@sina.com. Address: No.22 Zhongguancun South Avenue, Haidian District, Beijing 100081, P.R. China.

摘要/Abstract

摘要： 目的：过长后牙影响对颌牙修复的情况在中老年患者中尤为多见。本文将展示意向性冠髓切断术治疗过长后牙利于对颌缺失牙修复的临床应用病例。诊治经过：冠髓切断术治疗6颗过长后牙的病例,使用三氧化矿物凝聚体或者iRoot^® BP PLUS作为直接盖髓材料。1周后待盖髓材料完全固化行复合树脂直接粘接修复术。结果：术后6个月和36个月复查,患牙无牙髓炎症状,牙体牙髓专业检查及影像学检查未见明显异常。结论：意向性冠髓切断术治疗过长后牙,预期可以达到长期保存活髓、保存患牙的目的,具有良好的应用前景,适宜在中老年人群中推广。

关键词: 过长牙齿, 意向性冠髓切断术, 成熟恒牙, 中老年人群, 活髓保存术

Abstract: Objective: Excessive growth teeth may affect the restoration of missing teeth especially in elderly patients. This article showed the clinical application of intentional pulpotomy on excessive growth teeth. Diagnosis and treatment: Pulpotomy was performed on 6 excessive growth teeth with mineral trioxide aggregate (MTA) or iRoot^® BP PLUS as capping materials. 1 week later, the coronal cavities were filled permanently with composite resin. Results: At 6 months and 36 months of follow-up, all teeth were symptom-free and clinically functional, without any evidence of pulpitis or apical periodontitis in either clinical or radiographic examinations. Conclusions: Intentional pulpotomy would be an effective treatment option for excessive growth teeth especially in elderly patients.

Key words: excessive growth teeth, intentional pulpotomy, mature permanent teeth, elderly patients, vital pulp therapy

王倩倩, 尹兴喆, 卫彦, 周崇阳. 过长后牙意向性冠髓切断术的临床应用[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 219-224.

Qianqian Wang, Xingzhe Yin, Yan Wei, Chongyang Zhou. Clinical Application of Intentional Pulpotomy for Treatment of Excessive Growth Teeth: Case Series[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(3): 219-224.

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过长后牙意向性冠髓切断术的临床应用

Clinical Application of Intentional Pulpotomy for Treatment of Excessive Growth Teeth: Case Series

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