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刘某,男,28岁。主诉:右下后牙阵发疼痛一天.夜间加重,不能睡眠。遇热疼痛加重,不时含凉水能缓解之。检查:8(牙合)面可见龋坏。龋洞内有较多软化牙本质,探痛(卅),叩痛(±),热试验可诱发疼痛,位置正常,有对(牙合)、7缺失。诊断8急性化脓牙髓炎。处理,局麻下开髓引流,口服抗生素。二天后,来院封入牙髓失活剂,次日取出.探痛(一),叩痛(一)。揭开髓室顶,除去(冠髓,用生理盐水冲洗,按常规完成干尸治疗。
Ryu, male, 28 years old. Chief Complaint: Right lower back teeth burst ache one day. Night aggravate, can not sleep. Case of hot ache aggravated, from time to time with cold water can ease it. Check: 8 (occlusal) visible carious surface. There are more softened dentin in the cavity of the carious cavity, painful pain ()), percussion pain ()), thermal test can induce pain, the position is normal, there are pairs of occlusion, 7 missing. Diagnosis 8 acute suppurative pulpitis. Treatment, under local anesthesia medullary drainage, oral antibiotics. Two days later, the hospital was filled with dental pulp deactivator, taken out the next day .Abody pain (a), percussion pain (a). Uncover the top of the pulp chamber, remove (crown pulp, rinse with saline, according to the routine to complete the treatment of morgas.