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作者报告1例72岁白人妇女,因右下颌持续性钝痛3d就诊,前两晚因疼痛难于入睡,止痛药难以缓解,疼痛主要位于右下前牙区且向右眼耳区放射,初诊为牙髓炎。经牙髓病科检查,面颈部未见损伤或肿胀,右下牙中度结石和3～4mm深牙周袋,除牙颊舌向叩敏感外,无探叩痛或触痛,右侧上下牙冷刺激反应正常,牙银汞充填物边缘折裂,牙冠近中悬突,X线片未见病理性根尖改变。排除病变后将充填物去除,发现牙本质敏感、窝洞较浅且未见隐裂、继发龋或露髓,不支持牙髓炎诊断。于是用氧化锌丁香油暂充
The authors report a 72-year-old white woman who presented with persistent dull pain in the right lower jaw for 3 days. She was hard to fall asleep for the first two nights and painkillers were hard to be relieved. The pain was mainly located in the lower right anterior area and the right ear area. Pulpitis. The endodontics examination, no damage or swelling of the face and neck, moderate right lower quadrant stones and 3 ~ 4mm deep periodontal pocket, in addition to dental buccal and lingual tapping sensitivity, no probe percussion pain or tenderness, right Upper and lower tooth cold stimulus response was normal, tooth silver-mercury filling the edge of the fracture, the crown near the overhang, X-ray film no pathological apical changes. Removal of lesions after the filler was removed, found that dentin is sensitive, shallow cave and no crack, secondary caries or exposed pulp, does not support the diagnosis of pulpitis. So with zinc oxide clove oil temporary charge