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病例:男性,54岁。因2咬东西痛3～4日就诊t。体检:全身情况无特殊。专科检查:(?)叩痛(+),不松动,无牙周袋。X线片示:(?)牙周膜间隙增宽,无龋坏。初诊:2创伤(牙合)。给于磨改调(牙合)、(?)根尖部激光治疗。二月后,(?)叩痛(+++),曾在某院开髓。因(?)仍痛,故来我科治疗,给于扩大根管、降(?)、开放。十日后,(?)持续性疼痛,(?)叩痛(+++),局麻下做(?)开髓,取出完整牙髓,血多,开放,一周后复诊,(?)疼痛难忍,伴下唇麻木,给于左下齿槽神经封闭,可维持2～3小时.考虑为牙髓石症。
Case: Male, 54 years old. Due to 2 bite 3 ~ 4 days of pain treatment. Physical examination: the whole body no special circumstances. Specialist examination: (?) Percussion pain (+), not loose, no periodontal pocket. X-ray showed: (?) Periodontal membrane gap widening, no caries. New diagnosis: 2 trauma (occlusion). To change the grinding adjustment (occlusal), (?) Apical laser treatment. After February, (?) Percussion pain (+++), had a marrow in a hospital. Because (?) Is still painful, it came to our department for treatment, to expand the root canal, down (?), Open. Ten days later, (?) Persistent pain, (?) Percussion pain (+++), under local anesthesia (?) Open the pulp, remove the complete pulp, more blood, open, a week after the referral, Forbearance, with lower lip numbness, to the left lower alveolar nerve closed, can be maintained for 2 to 3 hours. Considered as stone disease.