PDF(Pubmed)
Abstract：
Traumatic injuries to the permanent dentition have deleterious sequelae if not treated adequately. In luxation injuries, it has been observed that tertiary dentin apposition may occur and can lead to calcification and closure of the pulp space. This is commonly referred to as pulp canal calcification or pulp canal obliteration. This often presents a challenge to clinicians when endodontic treatment is indicated. Static guided endodontic therapy has been advocated in such cases and has been successfully employed as a treatment strategy in recent years. This involves the design and fabrication of a digital stent, which serves as a guide for the clinician and provides a straight path to the targeted tissue site. This article reports a case of pulp canal obliteration secondary to a luxation injury sustained due to a vehicular accident. The case was treated using the static guided endodontic approach to achieve a minimal direct access to the targeted pulp chamber space.
摘要：
如果不充分治疗，永久性牙列的创伤性损伤会造成有害的后遗症。在脱臼伤中，已经观察到，三级牙本质并置可能发生，并可能导致牙髓间隙的钙化和闭合。这通常被称为牙髓管钙化或牙髓管闭塞。当需要牙髓治疗时，这通常会给临床医生带来挑战。在这种情况下，提倡静态引导的牙髓治疗，并且近年来已成功用作治疗策略。这涉及数字支架的设计和制造，其用作临床医生的引导并且提供到目标组织部位的直线路径。本文报道了一例因交通事故而导致的脱位伤继发的牙髓管闭塞。使用静态引导的牙髓方法治疗该病例，以实现对目标牙髓室空间的最小直接访问。
