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首页> 外文期刊>Clinical advances in periodontics. >Successful Multidisciplinary Management of an Endodontic‐Periodontal Lesion Associated With a Palato‐Radicular Groove: A Case Report
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Successful Multidisciplinary Management of an Endodontic‐Periodontal Lesion Associated With a Palato‐Radicular Groove: A Case Report

机译：与pala -radicular凹槽相关的牙髓牙齿牙髓病变的成功多学科管理：病例报告

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Introduction This case report describes the collaborative management of an extensive combined endodontic‐periodontal lesion related to a long palato‐radicular groove (PRG) on a maxillary lateral incisor. Cases with similar severity have been reported minimally in the endodontic journals but even less in the periodontal journals. This case report illustrates the result of multidisciplinary treatment of the combined lesions associated with PRG. Case Presentation A 63‐year‐old patient presented with a periapical radiolucency on tooth #10. After evaluation, the patient was diagnosed with an endodontic‐periodontal lesion associated with PRG. After being informed of a guarded prognosis, the patient consented to a surgical procedure in an effort to retain the tooth. Management of the case involved a combination of endodontic therapy, odontoplasty under dental operating microscopy to attempt to eliminate the root anomaly, and periodontal regenerative procedures with allografts and a resorbable barrier membrane. Clinical examination and the cone‐beam computed tomography scan at a 2‐year postoperative visit revealed a substantial reduction in probing depth and significant bone fill of the defect. Conclusions In the past, a long PRG in combination with a periapical lesion often resulted in extraction of the tooth. With accurate assessment of the etiology of the defect, patient education, and a multidisciplinary approach, teeth with a PRG may be retained with a stable outcome for years.
机译：简介本案例报告描述了与长palato -radicular凹槽（PRG）在上颌外侧切牙相关的广泛组合牙髓牙齿牙髓病变的合作管理。在牙髓期刊中，据报道，严重程度相似，但在牙周期刊中的病例甚至更少。该病例报告说明了与PRG相关的组合病变的多学科治疗的结果。病例表现为一名63岁的患者，在牙齿＃10上表现出根本的辐射率。评估后，患者被诊断出与PRG相关的牙髓牙髓牙齿病变。在被告知预后的预后之后，患者同意进行手术程序，以保留牙齿。该病例的管理涉及牙髓疗法，牙科工作显微镜下的牙膜成形术的结合，以试图消除根部异常，以及带有同种异体移植物和可吸收屏障膜的牙周再生程序。术后2年的临床检查和圆锥体计算机断层扫描扫描显示，探测深度和显着的骨骼填充物大大减少了缺陷。结论过去，长期PRG与根尖的病变结合使用通常会导致牙齿提取。通过准确评估缺陷，患者教育和多学科方法的病因，具有PRG的牙齿可以保持稳定的结果多年。

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