中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
18期
4-7
,共4页
吴王喜%陈筑苏%周磊%邱钧琦%刘芳
吳王喜%陳築囌%週磊%邱鈞琦%劉芳
오왕희%진축소%주뢰%구균기%류방
根尖手术%冠延长术%根尖周病变%美学修复
根尖手術%冠延長術%根尖週病變%美學脩複
근첨수술%관연장술%근첨주병변%미학수복
Apical surgery%Crown lengthening%Periapical diseases%Esthetic restoration
目的：观察重度根尖周病变患者根尖手术同期联合冠延长术近期的治疗效果。方法：选择2013年9月-2014年10月广东省口腔医院门诊重度根尖周病患者6例，采用根尖手术切除根尖病灶，同期冠延长手术增加临床冠高度，修整龈缘及牙槽脊外形，术前术后临时修复体成型牙龈，术后3个月软硬组织改建稳定，进行永久冠修复，每治疗阶段CBCT评估骨组织愈合情况，PES红色美学评分标准评价软组织转归情况。结果：根尖周病灶骨缺损区新骨充填，龈缘形态稳定，附着龈质地色泽协调，修复体稳定。结论：根尖手术同期冠延长术治疗重度根尖周病临床可行。
目的：觀察重度根尖週病變患者根尖手術同期聯閤冠延長術近期的治療效果。方法：選擇2013年9月-2014年10月廣東省口腔醫院門診重度根尖週病患者6例，採用根尖手術切除根尖病竈，同期冠延長手術增加臨床冠高度，脩整齦緣及牙槽脊外形，術前術後臨時脩複體成型牙齦，術後3箇月軟硬組織改建穩定，進行永久冠脩複，每治療階段CBCT評估骨組織愈閤情況，PES紅色美學評分標準評價軟組織轉歸情況。結果：根尖週病竈骨缺損區新骨充填，齦緣形態穩定，附著齦質地色澤協調，脩複體穩定。結論：根尖手術同期冠延長術治療重度根尖週病臨床可行。
목적：관찰중도근첨주병변환자근첨수술동기연합관연장술근기적치료효과。방법：선택2013년9월-2014년10월광동성구강의원문진중도근첨주병환자6례，채용근첨수술절제근첨병조，동기관연장수술증가림상관고도，수정간연급아조척외형，술전술후림시수복체성형아간，술후3개월연경조직개건은정，진행영구관수복，매치료계단CBCT평고골조직유합정황，PES홍색미학평분표준평개연조직전귀정황。결과：근첨주병조골결손구신골충전，간연형태은정，부착간질지색택협조，수복체은정。결론：근첨수술동기관연장술치료중도근첨주병림상가행。
Objective:To evaluate simultaneous apical surgery with crown lengthening for severe periapical diseases in short-term.Method:The total of 6 patients from Guangdong Provincial Stomatological Hospital from Sep 2013 to Oct 2014, 6 cases with 23 roots with severe periapical lesions were treated using simultaneous apical surgery with crown lengthening for resecting apical lesion,trimming gingival margin,shaping alveolar,improving clinical crown height at the same time, provisional restorations before and after surgeries,then final restorations 3 months after surgeries.Evaluation of bone healing by CBCT,soft tissue healing by PES.Result:Periapical defect filled with new bone,gingival margins and restorations were stable 6 months after surgeries.Conclusion:Simultaneous apical surgery and crown lengthening is a valid treatment to severe periapical diseases.
