Wednesday, August 5, 2009

陳柏堅醫師發表牙冠加長手術失敗之病例-1

患者因轉診來要求左下小臼齒做牙冠加長手術




手術時






拆線及癒合



裝上假牙後



5 comments:

  1. crown margin往下包得不夠? (沒看到第二套temp. bridge)

    ReplyDelete
  2. the initial x-ray: 35 PDL widen around , but in

    the final x-ray:37 mesial and apical PDL widen , maybe fracture or deep probing

    of 37

    ReplyDelete
  3. 1. 手術後冠根長度比大於1:1 加上此小臼齒為椎狀小牙根

    2. 倖存臨牙們 咬合面有異常咬耗情形



    綜合以上術後作為5X7牙橋之支台齒承受力不足

    ReplyDelete
  4. insufficient ostectomy around mesial side of 35

    and maybe too sharp the bone crest transition from

    34 to 35 , it should be more gradual

    ReplyDelete
  5. 初出茅廬的小鬼頭September 2, 2009 at 5:05 PM

    可以請問一下,失敗是因為病人有甚麼症狀嗎?

    另外我覺得X光片看起來#35似乎有apical lesion(所以應該要re-endo?)

    #35 post略為短一點

    ReplyDelete