口腔医学研究

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (7): 671-672.DOI: 10.13701/j.cnki.kqyxyj.2021.07.020

• 病例报告 • 上一篇    

上颌磨牙根尖周囊肿致上颌窦底骨板破坏行显微手术1例

李佳桐1, 傅裕杰2, 满毅3, 黄定明1*   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓科 四川 成都 610041;
    2.同济大学口腔医学院和附属口腔医院牙体牙髓科 上海 200072;
    3.四川大学华西口腔医院种植科 四川 成都 610041
  • 收稿日期:2020-12-28 出版日期:2021-07-28 发布日期:2021-07-13
  • 通讯作者: * 黄定明,E-mail:dingminghuang@163.com
  • 作者简介:李佳桐(1995~ ),女,四川成都人,硕士在读,研究方向:显微根尖手术、意向性牙再植术。
  • 基金资助:
    国家自然科学基金(编号:81771063);四川大学华西口腔医院探索与研发项目(编号:LCYJ2019-6)

Endodontic Microsurgery for Destruction of Maxillary Sinus Floor Caused by Maxillary Molar with Apical Cyst: A Case Report

LI Jiatong1, FU Yujie2, MAN Yi3, HUANG Dingming1*   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    2. Department of Conservative Dentistry and Endodontics, School and Hospital of Stomatology, Tongji University, Shanghai 200072, China;
    3. Department of Implant, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-12-28 Online:2021-07-28 Published:2021-07-13

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摘要： 上颌后牙根尖周病损常导致牙槽骨破坏并累及上颌窦。本文报道1例上颌第一磨牙因根管治疗后根尖周囊肿导致牙源性上颌窦炎及窦底骨质缺损,通过显微根尖手术联合上颌窦提升术实现了疾病的治愈、患牙保存,为临床上大范围根尖周囊肿及牙源性上颌窦炎的诊治提供参考。

关键词: 根管治疗后疾病, 根尖周囊肿, 显微根尖外科手术, 上颌窦提升术

Abstract: Odontogenic maxillary sinusitis is caused by maxillary posterior teeth periapical periodontitis. This article reports a case of odontogenic maxillary sinusitis and extensive bone destruction due to apical cyst after root canal treatment failure. The tooth is preserved by endodontic microsurgery with maxillary sinus lift.

Key words: diseases after root canal treatment, periapical disease, endodontic microsurgery, maxillary sinus lift