老年患者医疗受损的牙髓治疗

Sakiyah Mustainah, Christine Anastasia Rovani
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摘要

有医疗妥协的老年患者进行牙髓治疗不是禁忌症,但需要特殊治疗,这些治疗包括病史、医疗问题、心理、年龄相关变化、牙齿结构变化和组织反应。这篇文章的目的是描述管理牙髓治疗在老年患者中的作用。一名62岁男性被诊断为16号牙无症状根尖牙周炎。x线检查显示牙周韧带变宽,根尖周透光度增大。病人有高血压病史,定期服药。在牙髓治疗程序之前,通过满足牙髓三要素原则,对患者进行关于多次就诊的牙髓治疗的IEC。治疗于上午进行,疗程短。在重筑墙和其他程序之前,在此处理中使用橡胶坝。使用旋转式Protaper Next锉在中颊根管上进行根管预备,直至中远端根管和腭根管的X2锉(#25/06)和X3锉(#30/07)。用5.25% NaOCl和水液冲洗根管。根管充填技术采用单锥技术、环氧树脂密封剂和杜仲胶材料。结果表明,对老年中牙妥协患者进行多访治疗是成功的。结论是,适当的牙髓治疗老年患者的医疗妥协将支持治疗的成功。
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Endodontic management in geriatric patient with medical compromised
Endodontic treatment in geriatric patient with medical compromise is not a contraindication, but needs special treats, those are medical history, medical problems, psychological, age-related changes, changes in tooth structure, and tissue response. This ar-ticle is aimed to describe the role of management endodontic treatment in geriatric patient. A 62 years old male was diagnosed of tooth 16 as asymptomatic apical periodontitis. Radiographic examination shows widening of the periodontal ligament and periapical radiolucency. The patient has a history of hypertension and takes medication regularly. The endodontictreatment pro-cedure is preceded by IEC to the patient regarding the multivisit endodontic treatment by fulfilling the endodontic triad princi-ples. The treatment was conducted in the morning with short duration. Rubber dam was used in this treatment before rewalling and other procedures. Root canal preparation using rotary Protaper Next files on mesiobuccal up to X2 file (#25/06) and X3 file (#30/07) on mesiodistal and palatal canals. The root canals were irrigated using5.25% NaOCl and aquades. The root canal fil-ling technique was performed using a single cone technique, an epoxy resin sealer and gutta-percha materials. Theresult showed endodontic treatment multivisit in geriatric patient with compromise medis is succesfull. It was concluded that appropriate en-dodontic management in geriatric patient with medical compromise will support the success of the treatment.
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