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对下颌前磨牙急性牙髓炎误诊误治1例分析如下。1病历摘要男,35岁。以右下后牙疼痛2 d来就诊。病史:1 a前患者右下第一磨牙在我门诊全冠修复后一直有食物嵌塞,偶有轻微胀痛。2 d前,右下后牙自发性疼痛,疼痛剧烈,自感疼痛在右下颌第一磨牙和第二前磨牙之间,遇到冷水、冷气时疼痛加剧,难以忍受。夜间疼痛加重。1 a前右上颌第二前磨牙因咬硬物导致腭尖部分折断在我门诊进行调合处理。检查:右下颌第一磨牙金属烤瓷冠,叩(-),冷测无反应。右下颌第二前磨牙咬合面无龋坏
A case of misdiagnosis and mistreatment of acute pulpitis of mandibular premolars is as follows. 1 medical record male, 35 years old. To the right lower back pain 2 d treatment. History: 1 a before the patient right lower first molar in my clinic after the crown has been food impaction repair, occasionally mild pain. 2 d ago, the lower right posterior teeth spontaneous pain, severe pain, pain and pain in the first molar between the right lower jaw and the second premolar, encountered cold water, cold air pain intensified, unbearable. Night pain increased. 1 a before the right maxillary second premolar due to bite hard objects leading to the palate part of the fracture in my clinic for blending treatment. Check: the first right molar mandibular metal porcelain crown, knock (-), cold test no response. Right mandibular second premolar occlusal surface without caries