牙体牙髓1010牙体牙髓病2.ppt

CASE 1 Figure 3. The dark-stained dentin that provided clues to the location of the distal canal space (arrow). CASE 1 Figure 4. The access opening prior to removal of the central hard-tissue core (note alternate openings). CASE 1 Figure 5. Length determination demonstrating the main and lateral canal spaces. CASE 1 Figure 6. Radiograph taken after the complete removal of the invaginatus or hard tissue core. CASE 1 Figure 7. Immediate posoperative periapical radiograph taken after final canal obturation and placement of a coronal seal. CASE 1 Figure 8. Nine-month follow-up radiograph demonstrating advanced apical bone healing. CASE 2 Figure 1.? The mandibular anterior teeth with a large crown on the left incisor with a notch in the incisal edge.? The adjacent gingiva is hyperemic and edematous. A 13-year-old girl presented with spontaneous pain in the mandibular left lateral incisor tooth. CASE 2 ??????????????????????????????????????????????????????????????????????????????????????? Figure 2.? A panoramic radiograph indicating a normal tooth count; a mandibular left lateral incisor with a large crown and root; a single pulp chamber and multiple periapical radiolucencies. CASE 2 ??????????????????? Figure 3.? Periapical radiographs indicating a invaginated mandibular left lateral incisor and a radiolucency around the apices. 病 因 位 置 后 果 治 疗 定 义 牢固附着于牙骨质表面的釉质小块，大小似粟粒，呈球形 错位的成釉细胞，或上皮根鞘的异常分化，再度出现成釉功能 磨牙根分叉内或其附近，或釉牙骨质界附近的根面上 影响牙体与牙龈之间的附着关系，造成龈炎 一般不必处理，必要时磨去 釉 珠 釉 珠 额 外 牙 先天性缺额牙 数 目 额外牙 正常牙数之外多生的牙 Add Your Text Add Your Text Add Your Text Add Your Text Add Your Text 定义 由过多的牙蕾或牙胚分裂而成 病因 上颌两中切牙之间 称为正中牙 好发部位 阻生：影响邻牙的位置，阻碍其正常萌出 后果1 后果2 萌出：导致牙列拥挤，并发牙周病和龋病 大多需要拔除 治疗 额外牙 先天性缺额牙 多认为有家族遗传史，多见于缺少第三磨牙 常有全身性发育畸形的部分表现 常伴有外胚叶的发育不全 个别缺牙 全口多数牙缺额 无牙畸形 先天性缺额牙 早 萌 迟萌 异位 萌出困难 萌 出 病因： 乳牙：很少异位或萌出困难，迟萌与感 染或外伤有关 恒牙：迟萌异位与乳牙滞留有关 萌出困难与乳牙早脱 病因： 乳牙：牙胚距口腔黏膜过近 恒牙：乳牙早脱 early Delay 本节重点内容 釉质发育不