年轻恒前牙冠折后即刻冠修复疗效观察.docVIP

年轻恒前牙冠折后即刻冠修复疗效观察 　　[摘要]目的：通过21例（29颗）年轻恒前牙外伤冠折实例，讨论外伤冠折牙的即刻临床处理方法及效果。方法：对29 颗年轻恒前牙冠折，根据不同情况分别进行了间接盖髓术、活髓切断术、根尖诱导术。术后即刻或1周内采用断冠再接、直接树脂修复、活动义齿对缺损牙行临时冠修复，缺损牙修复后经过至少1年的临床观察。结果：冠折的年轻恒前牙经过相应的牙髓治疗与冠修复治疗，绝大多数患牙取得了良好的治疗效果。结论：年轻恒前牙外伤性冠折，在尽可能促进牙根继续发育的同时，即刻冠修复对于儿童身心健康具有重要意义。 　　[关键词]年轻恒牙；根尖诱导成型；冠折；冠修复 　　[中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2012）04-0657-02 　　 　　Clinical evaluation of fractured immature anterior permanent teeth after immediate restoration 　　CHEN Yong-feng1,MA Zhao-feng1,LI Shi2 　　(1.Department of Stomatology,Beijing Shunyi Hospital,Chinese Medical University,Beijing 101300,China;2. Department of Stomatology,The 66055th Hospital of PLA) 　　 　　Abstract: Objective The objective of this study is to discuss the clinical effect of immediate restoration of fractured 29 immature permanent anterior teeth from 21 patients. Methods 21 cases including 29 fractured anterior teeth were treated by indirect pulp capping, partial pulpotomy and apexification respectively.Then,the fractured teeth were restored with esthetic light-cured resin, patients natural crown and removable prosthesis.All the provisional restorations were observed at least for 1year. Results Fractured permanent anterior teeth were treated endodontically,including 7 indirect pulp capping,19 partial pulpotomy and 3 apexification.During the period of observation,pulpitis occurred from 1 tooth of indirect pulp capping and 2 teeth of partial pulpotomy,and apexification was performed for the 3 teeth.Fracture occurred from 2 light-cured resin restored teeth.The rest restoration presented satisfied appearance and function. Conclusion It is suggested that immediate restoration is important to the fractured immature permanent anterior teeth in prerequisite of maintaining root continuous growth. 　　Key words:immature permanent tooth;crown fracture;immediate restoration 　　 　　 儿童、青少年喜欢剧烈的活动，但又缺乏运动风险防护意识，因此牙外伤的发生呈上升趋势，而上前牙冠折是牙外伤中最常见的一种[1-4]。由于儿童口腔颌面部及牙根尚未发育完成，此时牙外伤的治疗较成人复杂，除考虑牙根的继续发育外，还应考虑外伤牙齿形态和功能的恢复，也就是间隙管理，即过渡性