터널화 술식을 이용한 치근 이개부 병변의 치료: 증례보고
Tunnel preparation for the treatment of furcation area: Cases report
방경일, 이준우, 이창규, 유상준, 김병옥,
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방경일 ( Bang Kyung-Il ) - 조선대학교 치과대학 치주과학교실
이준우 ( Lee Jun-Woo ) - 조선대학교 치과대학 치주과학교실
이창규 ( Lee Chang-Kyu ) - 조선대학교 치과대학 치주과학교실
유상준 ( You Sang-Joun ) - 조선대학교 치과대학 치주과학교실
김병옥 ( Kim Byung-Ok ) - 조선대학교 치과대학 치주과학교실
KMID : 0353320110350020138
Abstract
Furcation area has complex anatomy and the furcation involvement of periodontitis impedes accessibility for professional root debridement. Many treatment options can be taken and among them, the tunnel preparation exposes the furcation area surgically and eases cleansing. This study described 3 cases treated by tunnel preparation. Before the treatment, mobility, probing depth and clinical attachment level of the tooth were evaluated and thorough tooth brushing instruction was performed at each visit. After treatment, each patient was followed up by suppotive periodontal treatment. By thorough tooth brushing instruction and supportive periodontal treatment, the treated area were well maintained for each follow-up period. Reduction on mobility, probing depth and clinical attachment level of the teeth were observed. Also improved gingival index and plaque index could be obtained. And no further alveolar bone loss could be identified with radiographic examination. These results provide us with good prognosis of furcation-involved teeth treated with both tunnel preparation and supportive periodontal treatment.
키워드
Furcation; Supportive periodontal therapy; Tunnel
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