论文部分内容阅读
病例1 患者蔡××,男,52岁,质量检验员。患者有左侧偏头痛史二十余年,长期就医,每日需随身携带去痛片,痛时服用。近期因左上牙剧痛,夜间不能平卧,并有恶心、干呕、于86年8月7日来我科就诊。口腔检查:(?)7Ⅱ°松动,(牙合)面深龋及髓腔,探痛(-),叩(±),颊侧牙龈萎缩达根分叉,腭侧牙周袋深达根尖。根尖片示颊侧牙槽骨吸收达根尖1/3,腭侧根尖区有一φ0.2cm园形阴影。邻牙(?)45颊颈部楔状缺损,探较敏感,(?)6缺失。临床诊断:牙周牙髓合并症。于局麻下拔除(?)7,术后随牙痛消失,偏头痛逐渐好转,继而痊愈。术后随访五年未见复发。
Case 1 patients Cai × ×, male, 52 years old, quality inspector. Patients with left migraine history of more than 20 years, long-term medical treatment, daily to carry painkillers, pain when taking. Due to the recent sharp pain in the left upper teeth, the night can not be supine, and nausea, retching, on August 7, 86 to our department. Oral examination: (?) 7 Ⅱ ° loosen, (occlusal) deep caries and medullary cavity, pain (-), percussion (±), buccal gingival atrophy up to the root bifurcation, . Apical buccal alveolar bone absorption tip of the root tip 1/3, the apical area of the palate a φ0.2cm garden shadow. Adjacent teeth (?) 45 cheek neck wedge-shaped defect, the probe more sensitive, (?) 6 missing. Clinical diagnosis: periodontal pulp complications. Removed under local anesthesia (?) 7, with the disappearance of toothache after surgery, migraine gradually improved, and then healed. No follow-up of five years follow-up.