上颌第一前磨牙三根三根管1例.pdf

·673· 闭合式开窗术在完全骨内阻生埋伏牙导萌中的应用 于国霞+，杜辉，朱红，张鹏 (北京儿童医院口腔科北京100045) [摘要] 目的：探讨闭合式开窗术配合正畸牵引在骨内阻生埋伏牙导萌中的应用效果。方法：对需要进行导萌的 22例23颗完全骨内埋伏牙进行闭合式开窗术，粘接正畸附件，并对没有自主萌出倾向的埋伏牙进行牵引治疗。结果： 20例患者21颗埋伏牙成功达到正常咬合位置，牙周健康，牙髓活力正常，无邻牙损伤，1例放弃治疗后再次开窗取出 牵引装置，1例因与邻牙牙根关系密切牵引未成功而拔除埋伏牙。结论：闭合式开窗术配合正畸牵引是一种较好的埋伏 牙导萌方法，成功率高，容易获得较好的治疗效果。 [关键词]埋伏牙；闭合式开窗术；导萌术 [中图分类号]R782．1 [文献标识码]A [文章编号] Clinicaleffectsof inthe for teeth． closed--eruptionsurgicaltechniqueguideeruptioncompleteboIlyimpacted YUGuo--xia，DUHui，ZHU of Childrens 100045， Hong，ZHANG忍，垮DepartmentStomatolosy，BeijingHospital，nei『ing China． evaluatetheclinicaleffectsofthe incombinationofor-- [Abstract]Objective：To closed—eruptionsurgicaltechnique thodontictractionin teeth．Method：Twenty-three teethin22 treeingcompletebonyimpacted completebone-impactedpa- tientswereincludedinthe tractionWaScarriedout study．Orthodontic followingelosed-erupti011surgery．Result：Onepatient toothinone was to witIlone tooth outthe extracteddueitsclose tothe dropped patient proximityadja- impacted study．One centtooth orthodontictraction．Threeteethinthl沱e wele after during patientssuccessfullyeruptedclosed-eruptionsurgery in17 afterorthodontietraction teeth alone．Eighteenpatientssuccessfullyerupted followingclosed-eruptionsurgery．Con- withorthedontic usedi