摘要
年轻恒牙挫入性损伤是预后最差的牙外伤类型之一,常导致牙齿缺失,影响患儿的美观及健康。治疗方案通常包括观察再萌出、正畸牵引复位和外科复位3种;临床上应根据患牙的牙根发育情况及挫入程度,参考患儿及家长意愿,选择单独或结合使用上述3种治疗方案进行治疗。治疗后的主要并发症包括牙髓坏死、牙根吸收、牙槽骨边缘性吸收、根管闭塞等。尽量减少并发症并将不良影响降到最低是年轻恒牙外伤治疗的主要目的,因此了解并发症的发生概率及预后、定期复诊、密切观察,在并发症出现的早期进行恰当处理非常重要。本文就年轻恒牙挫入性损伤的处理方法及术后并发症进行综述。
The intrusive luxation,one of the worst types of dental trauma,often leads to missing teeth,thereby affecting aesthetics and health.Clinical treatments should be based on the developmental stage of tooth roots and the degree of intrusion.Three treatment options,including re-eruption,orthodontic repositioning,and surgical repositioning,are commonly chosen by children and parents.The main complications including pulp necrosis,root resorption,marginal bone resorption and pulp canal obliteration.Additionally,minimizing the occurrence of complications and adverse effects is the main purpose of the treatment in young permanent tooth trauma.The incidence and the prognosis of complications,including pulp necrosis and root resorption,should be learned and reviewed regularly to perform the appropriate management early in the occurrence of complications.This article reviews the handling strategies and the postoperative complications of intrusive luxation of young permanent teeth.
作者
周懿婕
宋光泰
Zhou Yijie;Song Guangtai(Dept.of Pediatric Dentistry,Hospital of Stomatology,Wuhan University,Wuhan 430079,China)
出处
《国际口腔医学杂志》
CAS
CSCD
2021年第2期135-140,共6页
International Journal of Stomatology
关键词
挫入性牙外伤
治疗
年轻恒牙
牙髓坏死
牙根吸收
intrusive luxation
treatment
young permanent teeth
pulp necrosis
root resorption
