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Surgical endodontics in dogs: a review.

机译:狗的外科牙髓治疗:综述。

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摘要

Surgical endodontic therapy (apical surgery) is a treatment alternative aimed at removing periapical inflammatory tissue followed by apical resection and retro-filling of the root canal. These procedures are performed through a trans-osseous approach. Terminology pertinent to this article include: apical (periapical) curettage - a surgical procedure to remove diseased tissue from the alveolar bone in the apical region of a pulpless tooth; apical cyst - a cyst in bone at the apex of a pulpless tooth. It is believed that such cysts arise after the death of the pulp from noxious physical, chemical, or bacterial stimulation of epithelial rests of Malassez; apicoectomy (apical resection) - amputation of the apical portion of the root and removal of soft tissue in the bone; epithelial rests of Malassez - cords, strands, or clusters of ectodermal cells in the periodontal ligament (or sometimes alveolar bone) derived from remnants of Hertwig's epithelial root sheath. These cells frequently begin proliferating when inflammation occurs in the periodontal ligament and are believed to be responsible for the genesis of the epithelial lining of apical cysts..
机译:外科牙髓治疗(根尖手术)是一种治疗选择,旨在去除根尖周炎性组织,然后进行根尖切除和根管充盈。这些程序是通过跨骨方法执行的。与本文相关的术语包括:根尖(刮除)刮除术-一种从无牙髓牙齿的根尖区域去除牙槽骨中患病组织的外科手术;顶端囊肿-无牙髓牙齿的顶端的骨囊肿。据认为,这种囊肿是在果肉死亡后,由于对马拉色兹的上皮细胞的有害的物理,化学或细菌刺激而产生的。根尖切除术(根尖切除术)-切断根的根尖部分并去除骨中的软组织; Malassez的上皮细胞-牙周膜(或有时为牙槽骨)中的脐带,股线或外胚层细胞簇,这些细胞是Hertwig上皮根鞘的残余物。这些细胞通常在牙周膜发炎时开始增殖,并被认为是造成顶囊肿上皮内膜的原因。

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