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患者,女,32岁.因13崩溃来诊.查:13残冠,不松,无叩痛、变色.X线片示:53滞留,根已吸收,龈下有似骨质瘤2cm×1cm影像,考虑骨质瘤.13牙埋藏阻生.在局麻下拔除53牙,搔刮窝内,口服抗生素3d.2周后复查伤口愈合良好.局麻下拔除牙骨质瘤和埋伏的13牙时,见13牙发育完整,呈倾斜状位于相应根尖区上方牙槽骨内,13牙尖距12牙根尖约0.5cm,12根尖位于牙瘤骨腔内.挺出13,搔刮13外下方,见有大小不等、形态不一的13个多生牙,由米粒大到接近正常牙齿大小,呈锥形或弯曲不等,彻底搔刮瘤腔,生理盐水冲洗,放复合羟基磷灰石3粒(每粒直径约1.0cm)于11、12根尖相应部位骨腔中,缝合唇侧粘骨膜瓣.术后诊断:13牙龈下根尖区组合牙瘤,13埋伏阻生.术后7d复查,自诉无自觉症状.伤口愈合良好,拆线后复拍X线片示:骨创内组合牙瘤去除干净,羟基磷灰石呈颗粒状显影.
Patients, female, 32 years old. Due to the collapse of the 13 to check. Check: 13 residual crown, not loose, no percussion pain, discoloration. X-ray showed: 53 retention, root absorption, subgingival osteoma 2cm × 1cm Imaging, consider the bone tumor .13 teeth burial impaction 53 patients were removed under local anesthesia, scraping fossa, oral antibiotics 3d.2 weeks after the review wound healing well. Local anesthesia removal of cementoblasts and ambush 13 Tooth, see 13 teeth complete development, was inclined at the corresponding apical area above the alveolar bone, 13 teeth tip 12 teeth root tip about 0.5cm, 12 tips in the alveolar bone cavity. 13 outside the bottom, see there are sizes, different forms of 13 more raw teeth, from the grain size to close to the normal size of the teeth, ranging from conical or curved, thoroughly scratch the tumor cavity, saline flush, put the compound hydroxyl Apatite three (each diameter of about 1.0cm) in the 11,12 root tip corresponding parts of the bone cavity, suture lip side mucoperiosteal flap .Postoperative diagnosis: 13 subgingival aponeurotic area combination of dental tumor, 13 ambush impacted .After 7d review, the private prosecution without symptoms.Wound healing is good, after taking stitches X-ray film showed: bone crest within the combined removal of the tumor, hydroxyapatite granular development.