口腔医学研究

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (9): 834-836.DOI: 10.13701/j.cnki.kqyxyj.2024.09.014

• 病例报告 • 上一篇    下一篇

根管治疗后年轻恒牙行再生性牙髓治疗1例

郗旭峰1, 王贺2, 林垚1,2*   

  1. 1.福建医科大学口腔医学院 福建 福州 350004;
    2.厦门医学院附属口腔医院 厦门市口腔疾病诊疗重点实验室 福建 厦门 361003
  • 收稿日期:2024-05-15 出版日期:2024-09-28 发布日期:2024-09-25
  • 通讯作者: *林垚,E-mail:linyaoyao727@126.com
  • 作者简介:郗旭峰(1999~),女,太原人,硕士在读,研究方向:口腔内科学。
  • 基金资助:
    湖北省口腔医学重点实验室-省部共建国家重点实验室培育基地开放课题 (项目编号:2022-01)厦门医学院附属口腔医院科研培育计划项目 (编号:2023XKCX0004)厦门市医疗卫生指导项目 (编号:3502Z20209242)

Regenerative Endodontic Treatment of A Young Permanent Tooth after Unsuccessful Root Canal Therapy: A Case Report

XI Xufeng1, WANG He2, LIN Yao1,2*   

  1. 1. School of Stomatology, Fujian Medical University, Fuzhou 350004, China;
    2. Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen 361003, China
  • Received:2024-05-15 Online:2024-09-28 Published:2024-09-25

PDF (PC)

63

摘要： 再生性牙髓治疗术用于根管治疗失败后年轻恒牙的再治疗少有报道,其疗效需要长时间的随访观察。本病例采用再生性牙髓治疗的方法对因根充不完善导致大范围根尖周炎症的下颌第二前磨牙进行再治疗。术后随访36个月效果良好,通过定期的临床检查及影像学等辅助检查,该患牙窦道愈合,根尖周炎症透射影像消失, 咬合功能正常,实现了对该患牙的感染控制,并诱导牙髓再生。

关键词: 再生性牙髓治疗, 根管再治疗, 年轻恒牙, 根尖周病

Abstract: Regenerative endodontic treatment for young permanent teeth after unsuccessful root canal therapy is challenging and rarely reported, and requires long-term follow-up for efficacy assessment. This case demonstrates a regenerative endodontic treatment for the mandibular second premolar. The periapical inflammation of this tooth was caused by inadequate filling. The outcome was favorable after 36 months of follow-up. Clinical examination and imaging revealed that the tooth exhibited normal percussion responses, and the low-density images of periapical inflammation disappeared. The infection control of the affected tooth was achieved, and the pulp regeneration was induced.

Key words: regenerative endodontic treatment, root canal retreatment, young permanent teeth, periapical periodontitis