上前牙牙外伤伴牙槽突骨折综合治疗1例

doi:10.12337/zgkqjxjyzz.2024.05.003

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (5): 390-398.DOI: 10.12337/zgkqjxjyzz.2024.05.003

上前牙牙外伤伴牙槽突骨折综合治疗1例

李亦¹, 朱光宇^1,2,*, 农晓琳^1,2,3,*

¹广西医科大学口腔医学院口腔综合科;
²广西医科大学附属口腔医院综合一门诊;
³广西医科大学附属口腔医院口腔颌面外科

出版日期:2024-09-30 发布日期:2025-05-09
通讯作者: ^*农晓琳,联系方式：0771-2387955,电子邮箱：xnong@gxmu.edu.cn,通讯地址：广西壮族自治区南宁市双拥路10号,530021;朱光宇,联系方式：0771-2387955,电子邮箱：568007552@QQ.com,通讯地址：广西壮族自治区南宁市双拥路10号,530021

Comprehensive Treatment of Maxillary Anterior Tooth Trauma with Alveolar Process Fracture: A Case Report

Yi Li¹, Guangyu Zhu^1,2,*, Xiaolin Nong^1,2,3,*

¹School & Hospital of Stomatology, Guangxi Medical University, Nanning, Guangxi Province, P.R. China;
²Department of Comprehensive Clinic 1, School & Hospital of Stomatology, Guangxi Medical University, Nanning, Guangxi Province, P.R. China;
³Department of Oral and Maxillofacial Surgery, School&Hospital of Stomatology, Guangxi Medical University, Nanning, Guangxi Province, P.R. China

Online:2024-09-30 Published:2025-05-09
Contact: Xiaolin Nong. Tel: 0771-2387955. Email: 568007552@QQ.com. Address: 10 Shuangyong Road, Nanning 530021, Guangxi Province. P.R. China; Guangyu Zhu. Tel: 0771-2387955. Email: 568007552@QQ.com. Address: 10 Shuangyong Road, Nanning 530021, Guangxi Province. P.R. China.

摘要/Abstract

摘要： 目的：本病例报道1例上前牙牙外伤伴牙槽突骨折的综合治疗过程。诊治经过：根据上前牙牙外伤位置和类型,经完善检查、明确诊断和患者知情同意后,进行了弹性固定、活髓切断术、根管治疗、复合树脂直接粘接修复、牙周支持治疗等综合治疗,于2周、4周、5周、6周后复查并治疗。结果：活髓切断术后断面处形成牙本质桥,上前牙树脂直接粘结修复后取得较美观的外形;患牙基本复位,弹性固定后松动度减轻,牙列完整性得以保留,患者对疗效较满意。结论：活髓切断术对于牙髓仍有活力的成熟恒牙牙髓活力的保存具有良好的疗效。牙外伤的类型决定了外伤固定的方式及时间,外伤牙出现侧向脱位时,应在早期进行牙髓干预。

关键词: 复杂冠折, 侧向脱位, 牙槽突骨折, 弹性固定, 活髓切断术

Abstract: Objective: This case reported comprehensive treatment process for an upper anterior tooth trauma with alveolar process fracture. Diagnosis and treatment: Based on the location and type of trauma to the upper anterior teeth, after clear diagnosis and informed consent from the patient, comprehensive treatments such as elastic fixation, pulpotomy, root canal therapy, composite filling, periodontal support therapy were performed. The patients received follow-up examinations at 2, 4, 5, and 6 weeks. Results: The dentin bridge formed at the cross section of the right upper central incisor after pulpotomy, and the right upper central incisor and the left upper central incisor were restored with composite. After elastic fixation, The looseness of the left upper central incisor and left upper lateral incisor were basically reduced, the integrity of the dentition was preserved, and the patient was satisfied. Conclusions: Pulpotomy has a good effect on mature permanent teeth after trauma when the pulp vitality still exists. The type of dental trauma determines the mode and time of teeth fixation. When lateral luxation occurs, endodontic intervention should be carried out as early as possible.

Key words: complicated crown fracture, lateral luxation, alveolar process fracture, elastic fixation, pulpotomy

李亦, 朱光宇, 农晓琳. 上前牙牙外伤伴牙槽突骨折综合治疗1例[J]. 中国口腔医学继续教育杂志, 2024, 27(5): 390-398.

Yi Li, Guangyu Zhu, Xiaolin Nong. Comprehensive Treatment of Maxillary Anterior Tooth Trauma with Alveolar Process Fracture: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(5): 390-398.

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上前牙牙外伤伴牙槽突骨折综合治疗1例

Comprehensive Treatment of Maxillary Anterior Tooth Trauma with Alveolar Process Fracture: A Case Report

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