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患者,男。20岁。主诉:上前牙唇侧根部流脓半年。检查:12远中倾斜,无明显龋坏,松动Ⅰ~0,叩痛(+),唇侧根中部有一瘘口。瘘道深,溢脓。13、11缺失,追问病史为先天缺牙。14、12两牙相距约3.0mm,12、21两牙相距约8.0mm。相对13、12、11牙根尖部唇侧、腭侧明显隆起,压之有乒乓球感,压痛明显,X线片示:相对13、12、11根尖区域有一阴影,边缘有白线,12牙根尖1/2位于阴影内,另有两牙影,其一倒置,另一牙冠远中倾斜。诊断:左上前牙埋伏阻生。并发含牙囊肿感染。遂在局麻
Patient, male. 20 years old. Chief Complaint: Upper extremity roots pus six months. Check: 12 tilt in the far, no obvious caries, loosening Ⅰ ~ 0, percussion pain (+), labial root in the middle of a fistula. Fistula deep, overflow pus. 13,11 missing, history of asking for congenital missing teeth. 14,12 between two teeth about 3.0mm, 12,21 between the two teeth about 8.0mm. Relative to the 13,12,11 root tip of the labial side, palatal obvious bulge, there is pingpong feel pressure, obvious tenderness, X-ray showed: the relative 13,12,11 apical area with a shadow, the edge of a white line, 12 Apical 1/2 in the shadow, and another two-tooth shadow, one of the inversion, the other Crown far tilt. Diagnosis: Impacted upper left anterior teeth obstruction. Concomitant cyst infection. Then in the local anesthesia