조기 치근관 배농술을 이용한 하악 골절선상 감염치아들의 보존적 관리: 증례보고
The conservative care by early endodontic drainage of infected teeth in the line of a mandibular fracture: report of a case
모동엽, 김하랑, 최병호, 설성한, 이천의, 유재하,
소속 상세정보
모동엽 ( Mo Dong-Yub ) - 연세대학교 치과대학 구강악안면외과학교실
김하랑 ( Kim Ha-Rang ) - 연세대학교 치과대학 구강악안면외과학교실
최병호 ( Choi Byung-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
설성한 ( Sul Sung-Han ) - 연세대학교 치과대학 구강악안면외과학교실
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
KMID : 0355620100360040309
Abstract
The management of teeth in the line of a mandibular fracture is controversial despite the general agreement that most of these teeth can be preserved. Teeth should be retained if bony attachments are adequate for survival, the tooth is sound and important in maintaining fixation of the fractured segment of bone. Teeth should be removed if they are loose and interfere with the reduction of fragments, are devitalized and potentially a source of wound infection, are damaged beyond their usefulness or may become devital and interfere with healing by becoming infected. However, tooth removal will increase the level of trauma, extend the severity of the wound and require expensive prosthetic treatment. Therefore, it is very important to conserve infected teeth in the line of a mandibular fracture through early primary endodontic treatment (pulp extirpation, canal enlargement and canal opening drainage) and splinting. The basic principles underlying the treatment of pulpless teeth are those underlying general surgery. Therefore, debridement of the infected wound (pulp extirpation and canal enlargement), drainage (canal opening) and gentle treatment of the tissues (occlusal reduction and teeth splinting) are the principles of surgery. This is a representative case report of conservative care by the early endodontic drainage of infected teeth in the line of a mandibular fracture.
키워드
Teeth in line of a mandibular fracture; Early endodontic treatment; Conservative teeth care
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