| 完全脱位牙再植的牙髓、牙周膜愈合:从生物学基础到牙外伤指南 |
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| 引用本文： | 马心笛,陈蕾.完全脱位牙再植的牙髓、牙周膜愈合:从生物学基础到牙外伤指南[J].国际口腔医学杂志,2020(3):336-344. |
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| 作者姓名： | 马心笛 陈蕾 |
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| 作者单位： | 南方医科大学口腔医院综合急诊科 |
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| 摘 要： | 牙完全脱位又称牙撕脱伤,是一种严重的牙外伤,指在外力作用下,牙齿从牙槽窝中脱出,导致牙髓血运中断,牙周膜细胞暴露于体外。首选治疗方法是根据国际牙外伤协会(IADT,2012年)和美国牙髓病协会(AAE,2013年)修订的完全脱位牙再植治疗指南对患牙进行再植,以增大牙周膜愈合及牙髓血运重建的可能。但是完全脱位牙的预后受到多种临床因素影响。在某些情况下,即使按照指南进行规范治疗,完全脱位牙的术后并发症仍无法完全避免。因此,本文详细介绍牙外伤指南制定的相关生物学基础,结合临床病例,帮助临床医生理解和应用上述指南来治疗完全脱位牙及评估患牙的预后,以期为临床提供参考。
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| 关 键 词： | 牙完全脱位 牙髓愈合 牙周膜愈合 生物学基础 牙外伤指南 |
Pulp and periodontal ligament healing of tooth avulsion replantation: from biological basis to guidelines |
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| Ma Xindi,Chen Lei.Pulp and periodontal ligament healing of tooth avulsion replantation: from biological basis to guidelines[J].Journal of International Stomatology,2020(3):336-344. |
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| Authors: | Ma Xindi Chen Lei |
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| Institution: | (Dept.of Oral Emergency,Stomatological Hospital,Southern Medical University,Guangzhou 510220,China) |
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| Abstract: | Tooth avulsion is a serious traumatic tooth injuries and is characterized by the complete displacement of the tooth from its alveolar socket due to trauma.The avulsed tooth has severe damaged pulp and periodontal tissue,and the treatment plan is immediate replantation to its original position with possibility of periodontal ligament regeneration and pulp revascularization.However,the prognosis of tooth avulsion is influenced by many clinical factors.In some cases,the complications are unavoidable even with standardized treatments for avulsed tooth according to the recommended guidelines of the International Association of Dental Traumatology(2012)and American Association of Endodontics(2013).Basing on the advancement in biological research and some clinical cases,this review attempts to help clinical doctors understand and apply the guidelines into practice. |
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| Keywords: | tooth avulsion pulp healing periodontal ligament healing biological basis the guidelines to treat tooth avulsion |
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