国际口腔医学杂志2026，Vol.53Issue(5)：778-786,9.DOI:10.7518/gjkq.2026016
第二磨牙远中根面龋伴牙周牙髓联合病变意向性牙再植的临床考量
Clinical considerations for intentional replantation in cases of distal root surface caries with periodontal-endodon-tic lesions in second molars
摘要
Abstract
The second molars often develop distal root surface caries due to the impaction of the third molars,which subsequently induces periodontal-endodontic lesions.Clinical root canal treatment for such cases faces numerous chal-lenges,including limited operating space,complex root canal anatomy,difficulty in repairing subgingival caries,and low cure rates for periodontal lesions.These factors often lead to complex procedures and poor prognosis in conventional en-dodontic treatments.Intentional replantation,as a last-resort tooth-saving technique,has gradually been applied to treat complex and refractory endodontic periapical diseases given its simplicity,thorough removal of caries,and simultaneous management of periodontal lesions.However,its clini-cal application requires careful consideration of the ana-tomical features of the second molars,the characteristics of caries and periodontal lesions,and the key points of surgical procedures.This study analyzes these aspects one by one and provides a comprehensive review to of-fer a reference for the clinical treatment of periodontal-endodontic lesions in the second molars with root damage via in-tentional replantation.关键词
第二磨牙/第三磨牙/根面龋/意向性牙再植术/牙周牙髓联合病变Key words
second molars/third molars/root surface caries/intentional replantation/periodontal-endodontic le-sions分类
医药卫生引用本文复制引用
陶倩媛,李向芬,苏勤..第二磨牙远中根面龋伴牙周牙髓联合病变意向性牙再植的临床考量[J].国际口腔医学杂志,2026,53(5):778-786,9.基金项目
Natural Science Foundation of Sichuan Province(2024NSFSC1583) （2024NSFSC1583）
National Natural Science Founda-tion of China(82201044) 四川省自然科学基金(2024NSFSC1583) （82201044）
国家自然科学基金(82201044) （82201044）
