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目的:调查了解军队特勤人员前牙外伤折断发生情况与预防。方法:回顾性分析了特勤人员(包括海勤、空勤和海潜人员)62例(87颗)前牙外伤折断的临床资料。结果:受伤牙位以上中切牙(74.71%)、上侧切牙(14.94%)居多;致伤原因以发生于军事训练(25.29%)、体能训练(21.84%)、执行任务(17.24%)居多。冠斜折牙髓未暴露者(9.20%)保留牙髓,采用自攻自断螺纹钉固位-酸蚀-复合树脂粘结技术即时修复;冠折牙髓暴露者(90.80%)采取一次法根管治疗,粘结或铸造桩核烤瓷冠修复。结论:特勤人员前牙外伤发生率较高,应积极治疗并科学防范意外的发生。
Objective: To investigate and understand the occurrence and prevention of traumatic anterior traumatic fracture in the army special service personnel. Methods: The clinical data of 62 cases (87 teeth) of traumatic fracture of anterior teeth were retrospectively analyzed. Results: The number of upper incisors (74.71%) and upper incisors (14.94%) were the most among the injured teeth. The causes of injuries were mostly occurred in military training (25.29%), physical training (21.84%) and executive tasks (17.24%) . Crown dental pulp without exposure (9.20%) retained the pulp, the use of self-tapping self-destructive thread retention - acid etching - composite resin adhesive technology for immediate repair; crown fracture of the exposed pulp (90.80%) to take a Root canal treatment, bonding or casting post-core porcelain fused to the crown. Conclusion: The incidence of traumatic injury of the front teeth of special service personnel is relatively high. Active treatment and scientific prevention of accidents should be taken.