口腔医学研究

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (1): 80-82.DOI: 10.13701/j.cnki.kqyxyj.2024.01.015

• 病例报告 • 上一篇    下一篇

GTR联合根尖手术治疗牙周牙髓联合病变伴重度牙槽骨缺损上颌磨牙1例

张敏轶1,2, 覃建1,2, 李双江1,2, 卜晓霜1,2, 郭锦材1,2, 潘涛华1,2*, 谢辉1,2*   

  1. 1.湖南中医药大学口腔医(学)院 湖南 长沙 410208;
    2.长沙市口腔医院 湖南 长沙 410006
  • 收稿日期:2023-05-06 出版日期:2024-01-28 发布日期:2024-01-22
  • 通讯作者: *潘涛华,E-mail:313268490@qq.com 谢辉,E-mail:kqyyxh@126.com
  • 作者简介:张敏轶(1997~ )男,湖南长沙人,医师,硕士在读,研究方向:牙周病和黏膜病治疗及发病分子机制研究。
  • 基金资助:
    湖南省临床医疗技术创新引导项目(编号:2021SK53303)湖南省自然科学基金项目(编号:2021JJ70062)湖南省卫生健康委科研计划项目(编号:D202313048136)湖南省中医药科研课题(编号:B2023048)湖南中医药大学院校联合基金项目(编号:2022XYLH120和2022XYLH134)

GTR and Apical Surgery for Combined Endodontic-periodontal Lesions with Severe Alveolar Bone Loss in Maxillary Molar: A Case Report

ZHANG Minyi1,2, QIN Jian1,2*, LI Shuangjiang1,2, BU Xiaoshuang1,2, GUO Jincai1,2, PAN Taohua1,2*, XIE Hui1,2*   

  1. 1. Stomatological Hospital, Hunan University of Chinese Medicine, Changsha 410208, China;
    2. Changsha Stomatology Hospital, Changsha 410006, China
  • Received:2023-05-06 Online:2024-01-28 Published:2024-01-22

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摘要： 牙周牙髓联合病变涉及牙髓和牙周组织,其诊疗难度较大,预后一般不佳。本文报道1例牙周源性的牙周牙髓联合病变伴重度牙槽骨缺损的上颌第一磨牙,经根管治疗术、牙周基础治疗、引导性组织再生术(guided tissue regeneration,GTR)和同期根尖手术联合治疗,达到意向性保留患牙的目的。

关键词: 牙周牙髓联合病变, 根分叉病变, 引导性组织再生术, 根尖手术

Abstract: Combined endodontic-periodontal lesions involving the pulp and periodontal tissues are difficult to treat and have a poor prognosis. This article reports a case of combined endodontic-periodontal lesions with severe alveolar bone loss in maxillary first molar. The patient was treated with a combination of root canal therapy, initial periodontal therapy, guided tissue regeneration, and simultaneous apical surgery to achieve intentional retention of the affected tooth.

Key words: combined endodontic-periodontal lesions, furcation lesions, guided tissue regeneration, apical surgery