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根尖成形術-病例報告

Apexification-A Case Report

摘要


牙根發育及根尖關閉通常發生在牙齒萌發後的3年。但有時會因為齲齒、外傷、發育不正常__等而導致牙髓受傷,甚至進一步影響牙根的發展。依照牙髓受傷的情況與牙根發育的程度我們須制定不同的治療計畫。本病歷為9歲女童,因玩滑板造成左上正中門齒脫位脫出併牙冠斷裂。觀察3個月後發現牙髓壞死,遂施行根管治療並放置氫氧化鈣作根尖成形術。術後約四個月便於X光片上發現鈣化屏障,以牙膠針作根管充填,半年回診也無任何臨床與X光片徵兆。

並列摘要


This was a case that a traumatic #21 of a nine-year-old child was diagnosed extrusive luxation and crown fracture. After 3 months, pulp necrosis was observed and apexification was performed with the paste of calcium hydroxide and sodium hypochlorite. The radiopaque barrier was visible after four-month treatment. Obturation was performed by lateral condensation. No sign and symptom was observed during six-month follow-up. Conclusion: Monitoring the change of pulp vitality is key factor in the treatment of traumatic teeth and the apexification with calcium hydroxide has been proven. A long term success is depended on the regular follow-up.

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