Intentional Partial Pulpotomy for Treatment of Immature Permanent Maxillary Incisor with Talon Cusp.

Intentional Partial Pulpotomy for Treatment of Immature Permanent Maxillary Incisor with Talon Cusp.
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有意部分活髓切断术治疗带爪尖的未成熟恒上颌切牙。

DOI:
10.2209/tdcpublication.2016-0045
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发表时间:
2017
期刊:
The Bulletin of Tokyo Dental College
影响因子:
--
通讯作者:
S. Shintani
S. Shintani
中科院分区:
--
文献类型:
--
作者:
K. Tsujino;S. Shintani

文献摘要

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我们报告成功的形态矫正上颌侧切牙与爪尖和保存活髓采用故意部分活髓切断术。爪尖是一种比较罕见的形态牙齿异常,可能会导致多种临床问题。一位11岁的小女孩在接受矫正治疗前,被转介到我科进行上颌骨侧门齿的形态矫正。在对内部形态进行详细的CT检查后,切除了异常的牙尖,并进行了有意的部分活髓切断术。术后5年,牙齿没有异常。这些结果表明,在详细的CT检查后进行有意的部分活髓切断术对纠正复杂的形态异常是有效的,例如包含扩展牙髓的爪尖。
We report the successful morphological correction of a maxillary lateral incisor with a talon cusp and the preservation of vital pulp by employing an intentional partial pulpotomy. A talon cusp is a comparatively rare morphological tooth anomaly that may cause multiple clinical problems. An 11-year-old girl was referred to our department for morphological correction of a maxillary lateral incisor with a talon cusp prior to orthodontic treatment. Following a detailed CT examination of the interior morphology, the abnormal cusp was resected and an intentional partial pulpotomy performed. Five years postoperatively, the tooth showed no abnormalities. These results indicate that an intentional partial pulpotomy following a detailed CT examination is effective in correcting complicated morphological anomalies such as a talon cusp containing extended dental pulp.