病患口腔檢查左下第一大臼齒,其 X 光如圖所示。根據病歷記載 5 年前曾經因不可逆牙髓炎治療過左下第一大臼齒。現檢查病患時,無咬痛、無觸摸疼痛、無牙齦腫大等臨床症狀、牙周囊袋檢查正常、補綴物邊緣有繼發齲齒( secondary caries )。則對其左下第一大臼齒診斷與建議之治療計畫何者最適當?

A已根管治療牙齒( previously treated ),症狀型根尖周圍炎( symptomatic apical periodontitis );須根管再治療( endodontic retreatment )
B初步治療牙齒( previously initiated therapy ),症狀型根尖周圍炎( symptomatic apical periodontitis );須根管再治療( endodontic retreatment )
C已根管治療牙齒( previously treated ),無症狀型根尖周圍炎( asymptomatic apical periodontitis );可繼續觀察 3 個月
D已根管治療牙齒( previously treated ),無症狀型根尖周圍炎( asymptomatic apical periodontitis );須根管再治療( endodontic retreatment )正確答案
答案與詳解
