使用Biodentine联合辅助激光光动力和光生物调节疗法保守治疗侵袭性宫颈吸收：一例病例报告
Conservative Management of Invasive Cervical Resorption Using Biodentine With Adjunctive Laser-Assisted Photodynamic and Photobiomodulation Therapy: A Case Report.
摘要(中文译文)
侵袭性颈部吸收（ICR）是一种侵袭性的外根吸收形式，若未早期发现，可造成显著的结构性破坏。本病例报告描述了一例采用Biodentine（Septodont公司，法国圣莫代福塞）联合辅助性激光光动力疗法（PDT）和光生物调节疗法（PBM）以增强消毒并促进愈合的ICR保守治疗。一名53岁女性患者因上颌中切牙折断就诊，被诊断为Heithersay III级ICR。先行牙髓治疗，随后手术暴露吸收缺损。使用掺铒钇铝石榴石（Er:YAG）激光（2,940 nm）去除肉芽组织。使用0.01%亚甲蓝经660 nm二极管激光激活，进行抗菌光动力疗法。缺损以Biodentine修复。缝合后应用810 nm二极管激光进行术后光生物调节疗法，以促进软组织愈合。术后评估显示手术部位软组织愈合满意，无炎症或感染迹象。影像学检查显示颈部缺损已以Biodentine修复，周围牙周结构得以保留。这种多模式激光辅助方法可能代表一种可预测且微创的ICR治疗策略。
Abstract
Invasive cervical resorption (ICR) is an aggressive form of external root resorption that can cause significant structural damage if not detected early. This case report describes the conservative management of ICR using Biodentine (Septodont, Saint-Maur-des-Fossés, France) with adjunctive laser-assisted photodynamic therapy (PDT) and photobiomodulation therapy (PBM) to enhance disinfection and promote healing. A 53-year-old female patient presented with a fractured maxillary central incisor and was diagnosed with Heithersay Class III ICR. Endodontic treatment was initiated, followed by surgical exposure of the resorptive defect. Granulation tissue was removed using an erbium-doped yttrium aluminum garnet (Er:YAG) laser (2,940 nm). Antimicrobial PDT was performed using 0.01% methylene blue activated with a 660 nm diode laser. The defect was restored with Biodentine. Postoperative PBM using an 810 nm diode laser was applied after suturing to enhance soft tissue healing. Postoperative evaluation demonstrated satisfactory soft tissue healing at the surgical site without signs of inflammation or infection. Radiographic examination revealed restoration of the cervical defect with Biodentine and preservation of the surrounding periodontal structures. This multimodal laser-assisted approach may represent a predictable and minimally invasive strategy for the management of ICR.
如何引用
AMA
Vandana Kumari, Savitha B Naik, Kiran Kumar Neelakantappa, Biji Brigit. Conservative Management of Invasive Cervical Resorption Using Biodentine With Adjunctive Laser-Assisted Photodynamic and Photobiomodulation Therapy: A Case Report.. Cureus. 2026; doi:10.7759/cureus.107364.
APA
Vandana Kumari, Savitha B Naik, Kiran Kumar Neelakantappa, Biji Brigit (2026). Conservative Management of Invasive Cervical Resorption Using Biodentine With Adjunctive Laser-Assisted Photodynamic and Photobiomodulation Therapy: A Case Report.. Cureus. https://doi.org/10.7759/cureus.107364
GB/T 7714
Vandana Kumari, Savitha B Naik, Kiran Kumar Neelakantappa, Biji Brigit. Conservative Management of Invasive Cervical Resorption Using Biodentine With Adjunctive Laser-Assisted Photodynamic and Photobiomodulation Therapy: A Case Report.[J]. Cureus, 2026 doi:10.7759/cureus.107364.
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