1 / 17

根尖周病的临床表现及诊断

根尖周病的临床表现及诊断. 西安交大医学院 侯铁舟 Tel 02988088507. 根尖周病痛 Periradicular Pain. 定位明确 May be well localized 持续性痛 Deep pain 咀嚼加重 Intensified by chewing 中、重度疼痛 Moderate to severe in intensity. Periradicular /Periodontal Pain.

benard
Download Presentation

根尖周病的临床表现及诊断

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 根尖周病的临床表现及诊断 西安交大医学院 侯铁舟 Tel 02988088507

  2. 根尖周病痛 Periradicular Pain • 定位明确 May be well localized • 持续性痛 Deep pain • 咀嚼加重 Intensified by chewing • 中、重度疼痛 Moderate to severe in intensity

  3. Periradicular /Periodontal Pain

  4. 急性根尖周炎acute periapical periodontitis 急性浆液性根尖周炎症状 自发性、持续性钝痛, 患牙咬合痛，患牙定位准确，患牙伸长，有 浮出感。检查 牙体病或牙周病或充填体 牙髓活力叩痛 松动牙龈x线诊断 咬合痛+叩痛

  5. 急性根尖周炎acute periapical periodontitis 急性化脓性根尖周炎

  6. 临床上病人口腔内排脓有四种途径穿通骨壁突破粘膜（最常见）穿通骨壁突破皮肤（少见）突破上颌窦（极少见）突破鼻底粘膜（罕见）临床上病人口腔内排脓有四种途径穿通骨壁突破粘膜（最常见）穿通骨壁突破皮肤（少见）突破上颌窦（极少见）突破鼻底粘膜（罕见）

  7. 通过根尖孔经根管从牙冠缺损处排脓通过牙周膜从龈沟或牙周袋排脓通过根尖孔经根管从牙冠缺损处排脓通过牙周膜从龈沟或牙周袋排脓

  8. 急性化脓性根尖周炎临床表现根尖周脓肿 骨膜下脓肿 粘膜下脓肿

  9. 诊断要点临床症状十检查

  10. 慢性根尖周炎chronic periapical peridontitis分型根尖肉芽肿慢性根尖脓肿 慢性根尖囊肿 根尖周致密性骨炎

  11. 临床表现症状一般无自觉症状，病人常以牙龈长一脓包而就诊检查患牙有龋病或有非龋性的疾病 牙冠变色失去光泽（前牙多见） 牙髓活力无反应 牙龈或皮肤可探及窦道口溢脓X 线可见根尖囊肿或肉芽肿的表现

  12. X线根尖骨质表现情况如下表根尖肉芽肿根尖囊肿根尖周脓肿根尖周透影区小圆、透射阴影大圆、透射阴影 透射阴影形状不规则透影区边界边界清晰边界很清楚边界不清根尖周骨质正常或稍致密边界有一圈 周围骨质疏松骨阻射白线呈云雾状模糊病变范围小，＜1cm 大小不等 较小

  13. 诊断要点X线骨质破坏阴影为依据牙髓活力测验阴性病史及牙冠情况作参考诊断诊断要点X线骨质破坏阴影为依据牙髓活力测验阴性病史及牙冠情况作参考诊断

More Related