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中华口腔医学研究杂志(电子版) ›› 2020, Vol. 14 ›› Issue (06) : 339 -344. doi: 10.3877/cma.j.issn.1674-1366.2020.06.001

所属专题: 专题评论 总编推荐 口腔医学 文献

中青年专家笔谈

牙隐裂研究新进展:诊断、治疗决策和预后评估
蓝凯文1, 杜宇1,()   
  1. 1. 中山大学附属口腔医院,光华口腔医学院,广东省口腔医学重点实验室,广州 510055
  • 收稿日期:2020-06-28 出版日期:2020-12-01
  • 通信作者: 杜宇

Research progress on cracked tooth: diagnosis, treatment and prognosis

Kaiwen Lan1, Yu Du1,()   

  1. 1. Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincal Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2020-06-28 Published:2020-12-01
  • Corresponding author: Yu Du
  • About author:
    Corresponding author: Du Yu, Email:
  • Supported by:
    Guangdong Financial Fund for High-Caliber Hospital Construction(174-2018-XMZC-0001-03-0125/C-01); Young Teacher Training Program of Sun Yat-sen University(20ykpy76)
引用本文:

蓝凯文, 杜宇. 牙隐裂研究新进展:诊断、治疗决策和预后评估[J/OL]. 中华口腔医学研究杂志(电子版), 2020, 14(06): 339-344.

Kaiwen Lan, Yu Du. Research progress on cracked tooth: diagnosis, treatment and prognosis[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2020, 14(06): 339-344.

牙隐裂(cracked tooth)是指牙齿存在一条或多条始于牙冠并有根尖延伸趋势的隐匿性裂纹。临床医生常常会面临隐裂牙相关的三大挑战——诊断、治疗决策、预后评估。本文通过回顾文献,探讨关于牙隐裂诊断、治疗决策、预后评估的临床和基础研究进展,为牙隐裂的临床决策和研究方向提供思路。

Cracked tooth indicates one or more hidden cracks that start from the crown and have a trend of apical extension. Clinicians often face three major challenges related to cracked tooth, which refer to diagnosis, treatment and prognosis. This article discusses the clinical and basic research progress of cracked tooth, in order to provide evidence for making clinical decisions and novel targets of further study.

图1 患者,女,52岁,14牙隐裂伴慢性根尖周炎 A:X线根尖片提示14根尖低密度影;B:术前口内照提示14面近远中向隐裂纹;C:患者有Ⅱ°深覆,21缺失;D:46缺失,14、15、44、45颊侧颈部楔状缺损;E:橡皮障隔离,低倍显微镜下观察14隐裂纹;F:患牙开髓,高倍显微镜下提示隐裂纹延伸至根管口下方(箭头示);G:碘酊染色法显示隐裂纹方向
图2 牙隐裂诊疗思路流程图
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