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患者女,32岁.上颌前牙痛2月余,近一周觉腭部有包块,检查12牙体完好,色喑.叩(+),松1°,根尖区龈红肿有波动.对15牙腭穹窿中缝处有1.5×1.5cm的隆起,波动,压痛,轻压此处可见12牙根尖区龈隆起处增大。X线片示:12牙根尖黄豆大小阴影,牙根无异常;上腭相当于15牙一侧蚕豆大小阴影,两阴影边缘均未见密度增高线,似有一条12牙根尖至15牙相对腭穹窿的密度减低线。诊断:12牙根尖周脓肿伴15牙相对腭穹窿脓肿。处理。①12牙开髓,拔除坏死牙髓,敞开,12牙根尖区和15牙相对腭穹窿脓肿切开引流,肌注洁霉素,口服甲硝唑。一周后复诊,两处脓肿消失,切口仍有少量脓性分
Female patient, 32 years old. Anterior maxillary ankle pain in more than 2 months, nearly a week felt palate with mass, check 12 teeth intact, color 喑. Knock (+), loose 1 °, Teeth in the palate fornix with 1.5 × 1.5cm of the uplift, fluctuations, tenderness, light pressure can be seen here 12 apex of the gingival bulge Department increased. X-ray film showed: 12 root tip of the size of the shadow of soybeans, no abnormal root; the palate is equivalent to the size of the side of the shadow of the side of the 15 teeth shadow, no increase in the density of both edges of the shadow line, like a 12 root tip to 15 teeth relative palate fornix The density decreases the line. Diagnosis: 12 root apical abscess with 15 teeth relative palatal dome abscess. deal with. ①12 dental pulp, removal of necrotic pulp, open, 12 apical areas and 15 teeth relative palate fornix abscess incision and drainage, intramuscular injection of lincomycin, oral metronidazole. A week after the referral, two abscesses disappeared, incision still a small amount of purulent points