目的:分析咬合创伤致孤立磨牙病变及治疗方法。方法:观察上颌孤立磨牙病变47例,其中牙髓病17例,根尖周病24例,牙隐裂4例,根折2例,并对上述病例进行相应的治疗及临床观察。结果:47例患牙治愈率91.5%,效果满意。结论:临床观察分析表明应及时消除咬合创伤,治疗牙髓、根尖周病变的同时注意患侧缺失牙的合理修复。 Objective: To analyze the isolated orbital lesions caused by occlusal trauma and its treatment. Methods: 47 cases of isolated maxillary solitary lesions were observed. Among them, 17 cases of endodontic diseases, 24 cases of periapical periodontitis, 4 cases of occlusion and 2 cases of root fracture were treated with the corresponding treatment and clinical observation. Results: 47 cases of dental cure rate of 91.5%, with satisfactory results. Conclusion: The clinical observation shows that the occlusion trauma should be promptly eliminated, the pulp and periapical lesions should be treated in time, and the reasonable repair of missing teeth on the affected side should be paid attention to.