牙根齒頸部水平斷裂的處置－病例報告

Treatment of Coronal One-Third of the Horizontal Root Fracture: A Case Report

張添皓(Tien-Hao Chang)

《北市醫學雜誌》 16卷4期 (2019/12) Pp. 355-360

https://doi.org/10.6200/TCMJ.201912_16(4).0008

摘要

一旦發生牙齒外傷，台灣的病人多數以就近醫療院所處置。若於一般醫療院所內可以應用手邊既有的牙科材料，做為牙根頸部水平牙根斷裂之彈性固定裝置，對於病人與醫師都是良好的選擇。雖然牙根頸部水平牙根斷裂的存活率較低，臨床上以IADT的治療指引為基礎，並以醫病共享決策精神原則下，充分溝通與尊重病人及家屬的醫療決策，醫病雙方更加和諧。本病例報告為一10歲男性，因左上側門齒之牙冠1／3之齒頸部水平牙根斷裂，以對折纏繞矯正用之結紮線與複合樹脂並用，做為臨床醫師容易取得製作之彈性固定的方式。經初步治療及術後追蹤癒合良好。

關鍵字

牙冠1／3之齒頸部 ； 牙根斷裂 ； 彈性固定 ； 醫病共享決策

並列摘要

In the event of dental trauma, most of the Taiwan patients are treated at the nearest medical institution. It is a good choice for both patients and dentists if dental materials in hand can be used as a flexible splint for the root fracture. Although the survival rate of cervical root fracture is relatively low, we should follow the IADT treatment guidelines and fully communicate and respect the patients and their families with shared-decision-making for a more harmonious doctor-patient relationship. This case report describes a 10-year-old male. We used the orthodontic ligation wire and composite resin to form a flexible splint for the fracture of coronal 1/3 root of the left upper lateral incisor. Postoperative follow-up showed a good healing of the wound.

並列關鍵字

coronal one-third of the root ； root fracture ； flexible splint ； shared-decision-making