使用羟基磷灰石聚合物和 Curdlan 治疗狗异位拔牙引起的骨缺损--病例系列

Life Pub Date : 2024-07-15 DOI:10.3390/life14070879
Anna Misztal-Kunecka, P. Prządka, Stanisław Dzimira
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摘要

异位牙是一种萌出障碍,牙齿位于解剖结构中生理学上不应该出现的位置。异位牙是一种非常罕见的现象,约占犬类总数的 0.5%,现有文献中很少有关于治疗犬类异位牙的描述。本文介绍了九只犬异位牙拔除后龋齿的诊断和治疗处理方法。这些病例又分为非复杂性(异位牙被周围的结缔组织包裹,牙齿周围的骨头没有溶解)和复杂性(除了异位牙的存在,还形成了齿状囊肿)。本文对四例复杂性异位牙进行了详细描述。这项研究不仅特别关注拔牙技术本身,还特别关注使用羟基磷灰石凝胶聚合物固定和愈合拔牙后大面积骨缺损的方法。由于骨替代制剂具有可塑性,因此可以在不扩大拔牙时造成的骨缺损的情况下植入这种材料。对照X光片显示出骨再生的特征,早期和晚期的临床检查均未发现术后并发症。
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The Use of Hydroxyapatite Polymer with Curdlan in the Treatment of Bone Defects Associated with Ectopic Tooth Extraction in Dogs—A Case Series
Ectopic teeth are an eruption disorder in which teeth are located in anatomical structures where, physiologically, they should not occur. An ectopic tooth is a very rare phenomenon, affecting approximately 0.5% of the canine population, and few descriptions of the treatment of such teeth in dogs can be found in the available literature. This article describes the diagnostic and therapeutic handling of cavities following extraction of ectopic teeth in nine dogs. The cases are subdivided into uncomplicated (when the ectopic tooth was encapsulated in the surrounding connective tissue, without lysis of the bone around the tooth) and complicated (in which, in addition to the presence of the ectopic tooth, a dentigerous cyst had formed). Four cases of complicated ectopic teeth are described in more detail. In this study, special attention was paid not only to the technique of tooth extraction itself but also to the method of securing and healing large bone defects after the extraction using hydroxyapatite curdlan polymer. Owing to the plastic properties of the bone substitute preparation, it was possible to implant the material without enlarging the bone defect created during the tooth extraction. Control radiographs showed features of bone regeneration, and clinical examination at both the early and late stages revealed no postoperative complications.
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