Objective To report the clinical manifestations,radiographic features,and treatment course of a case(a 7-year-old child)of chronic periapical periodontitis on the first permanent molar.Methods A child diag-nosed with chronic apical periodontitis of the first permanent molar was finally treated with inflammatory vital pulp preservation after detailed clinical examination,imaging and intraoperative observation of the pulpal status.Results After 4 years of follow-up,it was found that the roots of the first permanent molar continued to develop,the apical foramen was closed,and the periapical shadow disappeared,indicating that the treatment was success-ful.Conclusion When a young permanent tooth is diagnosed with apical periodontitis,a combination of other as-pects such as imaging and intraoperative observation of the pulpal status may be considered in order to get a com-plete picture of the condition of the pulp.Inflammatory vital pulp preservation may be attempted first to preserve the root's opportunity for continued physiologic development.
关键词
炎性活髓保存术/年轻恒牙慢性根尖周炎/盖髓材料
Key words
inflammatory vital pulp preservation/chronic periapical periodontitis of young permanent teeth/pulp capping materials
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