A Traumatized, Young Permanent Maxillary Central Incisor Treated by Partial Pulpotomy: A Case Report with Two-year Follow-up

年輕外傷正中恆門齒之部分斷髓術治療：兩年追蹤病例報告

趙子婷(Tzu-Ting Chao) ； 蔡恒惠(Hung-Huey Tsai)

《臺灣兒童牙醫學雜誌》 16卷1期 (2016/03) Pp. 25-29

https://doi.org/10.6319/TJPD.2016.16(1).5

摘要

當複雜性牙冠斷裂發生在根尖尚未成型的年輕恆牙時，牙醫師的首要目標就是維持牙髓或部分牙髓的活性，以確保牙根繼續生長以及牙根尖的關閉。多年來，「部分斷髓術」在治療這類型外傷案例已有許多成功的先例，並且近期的病例報告紛紛指出，若是在施行此術式後能有完好密合的牙冠部復形，這些外傷牙齒往往不再需要傳統的根管治療介入。本文將報告一個複雜性牙冠斷裂的年輕外傷恆門齒，在接受使用氫氧化鈣的部分斷髓術之後，牙根繼續成形之追蹤兩年的案例。

關鍵字

部分斷髓術 ； 氫氧化鈣 ； 活髓治療 ； 複雜性牙冠斷裂

並列摘要

In complicated crown fracture cases, preserving the vital dental pulp or part of it in a healthy state to promote root development and apical closure is the main goal in treating young permanent teeth. Partial pulpotomy in traumatized young permanent tooth is classically undertaken to lead to apexogenesis. Recent studies have proposed that as long as a good coronal seal is ensured, conventional root canal treatment may not be necessary following pulpotomy. This case report describes one case of traumatized-exposed immature tooth, which have been treated with calcium hydroxide following partial pulpotomy, with a two-year follow-up.

並列關鍵字

partial pulpotomy ； Cvek pulpotomy ； calcium hydroxide ； vital pulp therapy ； complicated crown fracture