左側下顎第二小臼齒根尖成形術並以陶瓷嵌體修復：病例報告

MTA Apexification of a Nonvital Immature Left Mandibular Second Premolar and Restored with Bonded Porcelain Restoration: A Case Report

蕭宇(Yu Hsiao) ； 賴俊璋(Chun-Chang Lai) ； 孔令瑜(Ling-Yu Kung) ； 方圳宏(Tsun-Hung Fang) ； 邱國洲(Kuo-Chuo Chiu)

《中華民國家庭牙醫學雜誌》 18卷1期 (2023/06) Pp. 32-40

https://doi.org/10.6566/JFD.202306_18(1).0005

摘要

本病例報告為40歲男性患者左側下顎第二小臼齒於就診時被診斷為牙髓壞死和慢性根尖膿腫合併根尖發育未完成，後續以三氧礦化聚合物（mineral trioxide aggregate, MTA）完成根尖成形術。術後一個月追蹤穩定，使用全覆蓋式延伸至頰側設計之陶瓷嵌體恢復咬合功能與美觀重建，術後2年門診追蹤病灶完整癒合且無不良症狀。

關鍵字

根尖成形術 ； 三氧礦化聚合物 ； 黏著式陶瓷嵌體

並列摘要

This case was a 40-year-old male patient with an immature lower left second premolar of open apex, and diagnosed with pulp necrosis and chronic apical abscess. We performed apexification and used mineral trioxide aggregate (MTA) barrier technique. One month after the apexification, the healing process was stable, and the tooth was restored with full coverage bonded porcelain restoration extending to the buccal side to achieve proper occlusal function and esthetic outcome. At two years follow-up recalling, the lesion was completely healed, and there were no adverse symptoms.

並列關鍵字

apexification ； MTA barrier technique ； bonded porcelain restoration