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目的分析老年人重度磨耗致牙髓病误诊为牙本质敏感症的原因和预防措施。方法对16例老年人重度磨耗致牙髓病误诊为牙本质敏感症的病例进行系统性分析。结果重度磨耗致牙髓坏死误诊为牙本质敏感症的12例,重度磨耗致根尖周炎误诊为牙本质敏感症的4例。结论重度磨耗由于牙齿无龋,老年人对病史表达不清及临床医师检查不细和经验不足是造成误诊的主要原因。
Objective To analyze the causes and preventive measures of misdiagnosis of odontogenic pulp disease caused by severe abrasion in the elderly. Methods A systematic analysis was performed on 16 cases of elderly patients with misdiagnosis of dental pulp disease caused by severe abrasion caused by dentin. Results 12 cases of misdiagnosis of dental pulp necrosis due to severe abrasion were diagnosed as dentin hypersensitivity, and 4 cases of misdiagnosis of periapical periodontitis as dentin hypersensitivity. Conclusion Severe wear and tear due to tooth-free caries, the elderly poorly expressed medical history and clinician examination is not detailed and inexperienced is the main reason for misdiagnosis.