龋源性露髓恒牙活髓切断术后根管内吸收1例

doi:10.13591/j.cnki.kqyx.2026.04.012

口腔医学 ›› 2026, Vol. 46 ›› Issue (4): 305-308.doi: 10.13591/j.cnki.kqyx.2026.04.012

龋源性露髓恒牙活髓切断术后根管内吸收1例

陈治君¹, 刘洪静²(), 郭婷婷²

¹ 贵州医科大学口腔医学院, 贵州贵阳 (550004)
² 贵州医科大学附属口腔医院口腔综合急诊科, 贵州贵阳 (550004)

收稿日期:2024-08-22 出版日期:2026-04-28 发布日期:2026-04-17
通讯作者: 刘洪静 E-mail:1617280571@qq.com
基金资助:
贵州省卫生健康委科学技术基金(gzwjkj2021-1-338)

Internal root resorption following pulpotomy in permanent teeth with carious pulp exposure: A case report

CHEN Zhijun¹, LIU Hongjing²(), GUO Tingting²

School of Stomatology, Guizhou Medical University, Guiyang 550004, China

Received:2024-08-22 Online:2026-04-28 Published:2026-04-17

摘要/Abstract

摘要：

在此17岁病例中,考虑患者年轻且遵循保牙保髓原则,首先采用活髓切断术以保留部分活髓,然而在术后3个月第1次随访中发现根管内吸收影像,遂更改治疗方案为根管治疗术。本病例探讨了在恒牙活髓切断术后保髓失败伴根管内吸收的原因,为日后龋源性露髓的成熟恒牙行活髓切断治疗提供新思路。

关键词: 活髓切断术, 根管内吸收, 可复性牙髓炎

Abstract:

In this 17-year-old case, considering the patient was young and the principle of preserving teeth and pulp was followed, the vital pulpotomy was first used to preserve part of the vital pulp. However, the internal root resorption image was found in the first follow-up three months after the operation, so the treatment plan was changed to root canal therapy. Through this case study, the reasons for the failure of pulp preservation and internal root resorption after permanent pulpotomy were discussed, in order to provide a new idea for the treatment of mature permanent teeth with carious pulp exposure in the future.

Key words: vital pulpotomy, internal root resorption, reversible pulpitis

中图分类号:

R781.05

陈治君, 刘洪静, 郭婷婷. 龋源性露髓恒牙活髓切断术后根管内吸收1例[J]. 口腔医学, 2026, 46(4): 305-308.

CHEN Zhijun, LIU Hongjing, GUO Tingting. Internal root resorption following pulpotomy in permanent teeth with carious pulp exposure: A case report[J]. Stomatology, 2026, 46(4): 305-308.

图/表 2

参考文献 24

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龋源性露髓恒牙活髓切断术后根管内吸收1例

Internal root resorption following pulpotomy in permanent teeth with carious pulp exposure: A case report

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