国际口腔医学杂志

国际口腔医学杂志 ›› 2024, Vol. 51 ›› Issue (2): 172-175.doi: 10.7518/gjkq.2024026

• 病例报告 • 上一篇    下一篇

断冠粘接结合数字化贴面修复在上前牙复杂冠折中的应用1例

杨育泽1,2,3(),艾璐莹1,2,3,张自亮3,肖康3,毛雨典1,2,3,吴赟1,2,陈凌1,2()   

  1. 1.福建医科大学附属第一医院口腔医学中心 福州 350004
    2.福建医科大学附属第一医院滨海院区国家区域医疗中心口腔科 福州 350212
    3.福建医科大学口腔医学院 福州 350004
  • 收稿日期:2023-05-20 修回日期:2023-09-04 出版日期:2024-03-01 发布日期:2024-03-11
  • 通讯作者: 陈凌
  • 作者简介:杨育泽，硕士，Email：yyz1071829403@163.com
  • 基金资助:
    福建省自然科学基金(2021J01215)

Application of fragment reattachment with digital veneers in complex crown fractures of the upper anterior teeth: a case report

Yuze Yang1,2,3(),Luying Ai1,2,3,Ziliang Zhang3,Kang Xiao3,Yudian Mao1,2,3,Yun Wu1,2,Ling Chen1,2()   

  1. 1.Stomatology Center, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, China
    2.Dept. of Stomatology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China
    3.School of Stomatology, Fujian Medical University, Fuzhou 350004, China
  • Received:2023-05-20 Revised:2023-09-04 Online:2024-03-01 Published:2024-03-11
  • Contact: Ling Chen
  • Supported by:
    Natural Science Foundation of Fujian Province(2021J01215)

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摘要：

本文报道了1例因外伤导致上前牙复杂冠折的病例。治疗过程中，首先对患牙行牙髓切断、断冠粘接术，实现了患牙牙髓活力、牙体形态的保存；其次配合数字化技术制作贴面、椅旁外染色技术，增加患牙的固位力及恢复美观；最终实现患牙牙体、牙髓的保存，最大程度恢复了患牙初始形态、颜色、咬合、邻接关系等特征。随访2年多以来，临床效果稳定。

关键词: 复杂冠折, 牙髓切断术, 数字化技术

Abstract:

This article reported a case of a complicated crown fracture of an upper anterior tooth caused by trauma. During treatment, first, pulpotomy and crown reattachment were performed to preserve the vitality and morphology of the affected tooth; second, ultra-thin veneers and chair-side staining were used to increase the retention force and restore the aesthetics; finally, the tooth and pulp were preserved, and the initial morphology, color, occlusion, and adjacent relationship of the affected tooth were restored to the maximum extent. Clinical results have been stable for more than 2 years since the follow-up.

Key words: complicated crown fracture, pulpotomy, digital technology

中图分类号: 

  • R783.4

图 1

患者治疗过程A：初诊上颌面像示：11牙髓腔暴露伴渗血、舌侧缺损至龈下；B：初诊正面像示：11牙牙冠折裂；C：初诊根尖片示11牙牙冠折裂，髓腔暴露，根尖未见明显低密度影；D：橡皮障隔湿下行11牙牙髓切断；E：断冠粘接术后6个月正面像示：11牙牙面条隐裂纹（箭头示）；F：断冠粘接术后6个月复查根尖片；G：数字化技术辅助下行11牙牙贴面修复；H：断冠粘接术后2年3个月正面像；I：断冠粘接术后2年3个月根尖片。"

1 Bourguignon C, Cohenca N, Lauridsen E, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. fractures and luxations[J]. Dent Traumatol, 2020, 36(4): 314-330.
2 Corrêa-Faria P, Paiva SM, Ramos-Jorge ML, et al. Incidence of crown fracture and risk factors in the primary dentition: a prospective longitudinal study[J]. Dent Traumatol, 2016, 32(6): 450-456.
3 Güngör HC. Management of crown-related fractures in children: an update review[J]. Dent Traumatol, 2014, 30(2): 88-99.
4 Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations[J]. Dent Traumatol, 2002, 18(3): 103-115.
5 Petersson EE, Andersson L, Sörensen S. Traumatic oral vs non-oral injuries[J]. Swed Dent J, 1997, 21(1/2): 55-68.
6 Asgary S, Hassanizadeh R, Torabzadeh H, et al. Treatment outcomes of 4 vital pulp therapies in mature molars[J]. J Endod, 2018, 44(4): 529-535.
7 Taha NA, Ahmad MB, Ghanim A. Assessment of Mineral Trioxide Aggregate pulpotomy in mature permanent teeth with carious exposures[J]. Int Endod J, 2017, 50(2): 117-125.
8 钱锟, 潘洁, 朱文昊, 等. 两种硅酸钙类材料用于成熟恒牙牙髓切断术的临床效果[J]. 北京大学学报(医学版), 2022, 54(1): 113-118.
Qian K, Pan J, Zhu WH, et al. Evaluation of bio-ceramic putty repairmen iRoot and mineral trioxide aggregate in mature permanent teeth pulpotomy[J]. J Peking Univ (Heath Sci), 2022, 54(1): 113-118.
9 Eden E, Taviloğlu E. Restoring crown fractures by direct composite layering using transparent strip crowns[J]. Dent Traumatol, 2016, 32(2): 156-160.
10 Ozel E, Karapinar-Kazandag M, Soyman M, et al. Resin composite restorations of permanent incisors with crown fractures: a case report with a six-year follow-up[J]. Oper Dent, 2011, 36(1): 112-115.
11 de Sousa APBR, França K, de Lucas Rezende LVM, et al. In vitro tooth reattachment techniques: a systematic review[J]. Dent Traumatol, 2018, 34(5): 297-310.
12 Madhubala A, Tewari N, Mathur VP, et al. Comparative evaluation of fracture resistance using two rehydration protocols for fragment reattachment in uncomplicated crown fractures[J]. Dent Traumatol, 2019, 35(3): 199-203.
13 Sarapultseva M, Sarapultsev A. Long-term results of crown fragment reattachment techniques for fractured anterior teeth: a retrospective case-control study[J]. J Esthet Restor Dent, 2019, 31(3): 290-294.
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