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牙髓牙周病灶的非手術性療法:病例報告

Nonsurgical Treatment of Endodontic-Periodontal Lesions: Cases Report

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摘要


牙髓與牙周組織構造十分密切,此種密切關係也影響病變的蔓延和病灶的預後。牙髓病可能會引發牙周破壞而嚴重的牙周病也可能會造成牙髓病變。一般而言,原發性牙髓病灶合併繼發性牙周病灶通常只要徹底根管治療,配合牙齦上牙結石刮除而無須其他進一步牙周病的治療,病灶就會痊癒,而且預後良好。本篇報告二個原發性牙髓病灶合併繼發性牙周病灶的病例,長期追蹤的結果良好。

並列摘要


There is a close relationship between endodontic and periodontal tissue structures. This relationship affects the spread of infection and the prognosis of endodontic-periodontal lesion. Pulpal disease may induce periodontal destruction and vice versa. In general, the prognosis of primary endodontic lesion with secondary periodontal involvement is favorable to excellent after adequate endodontic treatment, even no periodontal treatment is rendered except supragingival scaling. This report presents two cases of primary endodontic lesion with secondary periodontal involvement which demonstrates good clinic results after long-term follow up.

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