牙冠延长术结合桩核冠修复保留不良修复体拆除后残根残冠长期疗效观察(附1例14年随访报告)
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摘要
不良修复体的长期存在有损口腔健康,为长期健康地保留患牙,使之发挥正常的咀嚼功能,维护牙列完整,需要拆除不良修复体后接受多学科联合治疗。文章展示了1例不良修复体拆除后应用牙冠延长术结合桩核冠修复方法保留患牙使其行使功能并观察至今长达14年的病例,以期为临床中残根残冠的处置和长期保留提供思路。
The long-term existence of malfunctional prostheses are usually harmful to oral health. In order to keep the affected teeth in good health for a long time,and to perform normal masticatory function and maintain the integrity of dentition,the malfunctional prostheses often need to be removed before multidisciplinary treatment. The purpose of this article is to provide clinical ideas for the disposal and long-term preservation of residual roots and crowns by presenting and analyzing a case observed for fourteen years,in which the teeth were retained successfully by using crown lengthening surgery combined with post-core crown restoration after the removal of the malfunctional prosthesis.
The long-term existence of malfunctional prostheses are usually harmful to oral health. In order to keep the affected teeth in good health for a long time,and to perform normal masticatory function and maintain the integrity of dentition,the malfunctional prostheses often need to be removed before multidisciplinary treatment. The purpose of this article is to provide clinical ideas for the disposal and long-term preservation of residual roots and crowns by presenting and analyzing a case observed for fourteen years,in which the teeth were retained successfully by using crown lengthening surgery combined with post-core crown restoration after the removal of the malfunctional prosthesis.
引文
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[4]欧阳翔英.有助于残根修复的牙冠延长术[J].中华口腔医学杂志,2004,39(3):205-207.
[5] Olsson M,Lindhe J,Marinello CP,et al. On the relationship between crown form and clinical features of the gingival in adolescents[J]. J Clin Periodontol,1993,20(8):570-577.
[6]孟焕新.临床牙周病学[M]. 2版.北京:北京大学医学出版社,2014:367-369.
[7] Tang W,Wu Y,Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth[J]. J Endod,2010,36(4):609-617.
[8] Bonfante G,Kaizer OB,Pegoraro LF,et al. Fracture strength of teeth with flared root canals restored with glass fibre posts[J].Int Dent J,2011,57(3):153-160.
[9] Mc Laren JD,Mc Laren CI,Yaman P,et al. The effect of post type and length on the fracture resistance of endodontically treated teeth[J]. J Prosthet Dent,2009,101(3):174-182.
[10] Mehta SB,Millar BJ. A comparison of the survival of fibre posts cemented with two different composite resin systems[J]. Br Dent J,2008,205(11):E23.
[11]甄敏,胡文杰,张豪,等.改良牙冠延长术术后1至6年疗效观察[J].中华口腔医学杂志,2012,47(4):203-207.
[12]王翠,胡文杰,张豪.上前牙牙冠延长术结合冠修复后牙周健康状况分析[J].中国实用口腔科杂志,2017,10(1):20-25.
[2] Sousa V,Mardas N,Farias B,et al. A systematic review of implant outcomes in treated periodontitis patients[J]. Clin Oral Implants Res,2016,27(7):787-844.
[3] Goga R,Purton DG. The use of endodontically treated teeth as abutments for crowns,fixed partial dentures,or removable partial dentures:a literature review[J]. Quintessence Int,2007,38(2):e106-e111.
[4]欧阳翔英.有助于残根修复的牙冠延长术[J].中华口腔医学杂志,2004,39(3):205-207.
[5] Olsson M,Lindhe J,Marinello CP,et al. On the relationship between crown form and clinical features of the gingival in adolescents[J]. J Clin Periodontol,1993,20(8):570-577.
[6]孟焕新.临床牙周病学[M]. 2版.北京:北京大学医学出版社,2014:367-369.
[7] Tang W,Wu Y,Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth[J]. J Endod,2010,36(4):609-617.
[8] Bonfante G,Kaizer OB,Pegoraro LF,et al. Fracture strength of teeth with flared root canals restored with glass fibre posts[J].Int Dent J,2011,57(3):153-160.
[9] Mc Laren JD,Mc Laren CI,Yaman P,et al. The effect of post type and length on the fracture resistance of endodontically treated teeth[J]. J Prosthet Dent,2009,101(3):174-182.
[10] Mehta SB,Millar BJ. A comparison of the survival of fibre posts cemented with two different composite resin systems[J]. Br Dent J,2008,205(11):E23.
[11]甄敏,胡文杰,张豪,等.改良牙冠延长术术后1至6年疗效观察[J].中华口腔医学杂志,2012,47(4):203-207.
[12]王翠,胡文杰,张豪.上前牙牙冠延长术结合冠修复后牙周健康状况分析[J].中国实用口腔科杂志,2017,10(1):20-25.