外伤全脱位年轻恒牙再植的临床研究.pdfVIP

口腔颌面外科杂志 2008年2月 第18卷 第1期 Journ~of oral and MaxiUofacial Surgery Vo1．18 No．1 February．2008 ·39· 外伤全脱位年轻恒牙再植的临床研究 曹放云，唐西清，伍协阶 (南华大学附属第二医院IZl腔科，湖南 衡阳 421001) 【摘要】目的：观察不同离体时间的年轻恒牙再植后的成功率。方法：详细记录6O颗全脱位牙离体时间、手术及牙愈 合情况，对患者进行 1～2年的随访。结果：60颗脱位牙(离体时间为 15 min～16 h)再植后牙周膜愈合26颗(43．3％)， 其中牙髓成活 19颗(31．67％)；骨性愈合31颗(51．67％)；纤维愈合3颗。术后对38颗牙进行了根管治疗。结论：缩短 脱位牙的离体时间、尽可能保存牙周膜的活性等是再植成功的重要因素。 【关键词】 年轻恒牙；牙脱位；牙再植术 【中图分类号】R782．12 【文献标识码】A 【文章编号】1005．4979(2008)01．O039．03 Clinical Observation on Replantation of Luxated Young Permanent Teeth CA 0 Fang-yun．TANG Xi—qing, Xie-jie (Department of Stomatology,Second Hospital，Nanhua University,Hengyang 421001， Hunan Province，China) 【Abstract】Objective：To observe the survival rate of replanted luxated teeth at different dislocation time．Method：60 dislocated young permanent teeth were recorded in details，from clinic history，tooth luxated time，operation methods and healing process of the tooth．All patients wele followed up for 1-2 years．Results：Time of tooth dislocating intervals from trauma to implantation was 15 minutes to 16 hours． The healing methods of 26 teeth were periodontal membranous healing．among which results of 19 teeth of pulpal vitality test were positive (3 1．67％)．Healing method of 3 1 cases (5 1．67％)were bony healing．3 cases were fibrous healing．Root canal therapies were conducted in 38 teeth postoperation． Conclusion：In cases of luxation，it is important that treatment be given as soon as possible． 【Key words】young permanent tooth；luxation of teeth；teeth replantation 近年来恒牙外伤呈现出增加的趋势．上颌前牙 回顾性分析2000--2004 年在我科就诊并能随 位于面部较突出的位置，极易受伤。年轻恒牙尚未发 访到的，6O颗年轻上颌恒前牙完全脱出后再植的病 育完成，牙槽骨较疏松．而且牙周膜具