GTR联合根尖手术治疗牙周牙髓联合病变伴重度牙槽骨缺损上颌磨牙1例
GTR and Apical Surgery for Combined Endodontic-periodontal Lesions with Severe Alveolar Bone Loss in Maxillary Molar:A Case Report
张敏轶 1覃建 1李双江 1卜晓霜 1郭锦材 1潘涛华 1谢辉1
作者信息
- 1. 湖南中医药大学口腔医(学)院 湖南长沙 410208;长沙市口腔医院 湖南长沙 410006
- 折叠
摘要
牙周牙髓联合病变涉及牙髓和牙周组织,其诊疗难度较大,预后一般不佳.本文报道1例牙周源性的牙周牙髓联合病变伴重度牙槽骨缺损的上颌第一磨牙,经根管治疗术、牙周基础治疗、引导性组织再生术(guided tissue regeneration,GTR)和同期根尖手术联合治疗,达到意向性保留患牙的目的.
Abstract
Combined endodontic-periodontal lesions involving the pulp and periodontal tissues are difficult to treat and have a poor prognosis.This article reports a case of combined endodontic-periodontal lesions with severe alveo-lar bone loss in maxillary first molar.The patient was treated with a combination of root canal therapy,initial perio-dontal therapy,guided tissue regeneration,and simultaneous apical surgery to achieve intentional retention of the af-fected tooth.
关键词
牙周牙髓联合病变/根分叉病变/引导性组织再生术/根尖手术Key words
combined endodontic-periodontal lesions/furcation lesions/guided tissue regeneration/apical surgery引用本文复制引用
基金项目
湖南省临床医疗技术创新引导项目(2021SK53303)
湖南省自然科学基金(D202313048136)
湖南省中医药科研项目(B2023048)
湖南中医药大学院校联合基金(2022XYLH120)
湖南中医药大学院校联合基金(2022XYLH134)
出版年
2024
NETL
NSTL
维普
万方数据