1病历摘要女,28岁。因右下后牙反复疼痛0.5 a加重1周于2010-03-11就诊。检查:46残冠,颊侧瘘管溢脓,松动(-),叩(++),探查髓室底已穿孔。诊断:46残冠。治疗计划:炎症控制后拔除46。处理:(1)1.5%双氧水、氯化钠溶液隔日冲洗瘘管涂碘甘油;(2)口服阿莫西林、甲硝唑。10 d后患者复诊,自诉患牙无疼痛,要求拔除。再查:46牙周组织无红肿,颊侧瘘管基本愈合,叩(-)。患牙急性期炎症消退,适宜拔牙。2%利多 1 medical record summary female, 28 years old. Due to lower right and back teeth repeated pain 0.5 a increase in 1 week at 2010-03-11 treatment. Check: 46 residual crown, buccal fistula overflow pus, loose (-), knock (++), exploration of the pulp chamber has perforation. Diagnosis: 46 crown. Treatment plan: removal after inflammation control 46. Treatment: (1) 1.5% hydrogen peroxide solution, sodium chloride solution flushed next day flushed iodine glycerol; (2) oral amoxicillin, metronidazole. Patients after 10 days referral, self-prosecution of teeth without pain, requiring removal. Re-check: 46 periodontal tissue without swelling, basic buccal fistula healing, knocking (-). Acute inflammation of the teeth subsided, suitable for tooth extraction. 2% more profit