牙吸收诱发因素与临床诊治策略

doi:10.13591/j.cnki.kqyx.2023.04.001

Abstract

Abstract:

Tooth resorption is an idiopathic dental disease that can be further classified as external root resorption and internal tooth resorption. The predisposing factors are diverse and have not been well explained to date. In the early stages of tooth resorption, there are no characteristic clinical manifestations. As a result, tooth resorption is often detected only after it has caused pulpal symptoms, which makes early diagnosis and intervention difficult. A variety of treatment strategies exist depending on the extent of lesion involvement, and clinicians have been attempting with innovative treatment approaches in recent years, but there is a lack of systematic categorization. This review will focus on the predisposing factors, clinical diagnosis and treatment strategy of tooth resorption.

Key words: tooth resorption, root resorption, predisposing factor, diagnosis, treatment

CLC Number:

R781.3

LI Xueying,ZOU Xiaoying,YUE Lin. Predisposing factors, clinical diagnosis and treatment strategy of tooth resorption[J]. Stomatology, 2023, 43(4): 289-293.

Figures/Tables 1

References 39

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类型	牙根外吸收				牙内吸收
类型	表面性	炎症性	替代性	颈部	表面性	炎症性	替代性
临床症状及体征	无明显异常	牙冠颜色改变,动度增加,牙髓炎/根尖周炎症状	动度消失,叩诊金属音	牙颈部呈粉红色,探诊易出血,牙髓炎/根尖周炎症	无明显异常	状冠部透粉,牙髓炎/根尖周炎症状	无明显异常,或表现为牙髓炎/根尖周炎症状
牙髓活力	正常	异常	正常/异常	正常/异常	正常	异常	异常
影像学表现	不易分辨,牙根表面细小不规则影像,局部牙周膜增宽	牙根表面碟形凹陷,牙根变短,骨硬板影像消失	牙周膜、骨硬板影像消失,牙根表面不规则,骨组织直接接触牙根表面	颈部不规则透射影,可随投照角度改变发生位置变化,根管影像连续	不易分辨	髓腔内圆形/椭圆形透射影,对称或偏心分布,边缘光滑,不随投照角度改变发生位置变化	根管内非对称不规则增大影像,内部密度高低混杂,根管壁影像模糊

Predisposing factors, clinical diagnosis and treatment strategy of tooth resorption

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