치아 파절편 재부착을 이용한 수복의 임상증례 보고
RESTORATION OF A FRACTURED INCISOR USING ORIGINAL TOOTH FRAGMENT : A CASE REPORT
김지연, 박기태,
소속 상세정보
김지연 ( ) - 삼성의료원 소아치과
박기태 ( ) - 삼성의료원 소아치과
KMID : 0358919970240020475
Abstract
결론
치수노출을 동반하는 치관파절에 있어서 partial pulpotomy 및 partial pulpectomy후 치아
파절편의 재부착을 시행한 두 증례와 문헌고찰을 통하여 다음과 같은 결론을 얻었다.
1. 치아파절편 재부착은 정확한 치아 형태의 재현, 치료시간의 단축, 경제적이라는 장점을
가지므로, 소아환자의 영구전치 파절에 있어서 비교적 만족할만한 반영구적 수복법이다.
2. Partial pulpotomy는 치수 및 치관부위 치질의 손상이 적고, 상아질의 physiologic
apposition을 허용하며 노출부위의 보호가 용이하다는 장점을 가지므로 영구 전치의 치수노
출을 동반한 치관파절에 있어서 treatment of choice로 사료된다.
#초록#
Fracture of the crown in a permanent incisor is relatively common. When it occurs
with pulp exposure, it presents both restorative and endodontic problems.
In the restoration of a fractured incisor, reattachment of the original fragment or
restoration with a composite resin is preferred over a temporary crown. If fractured
fragment is intact, the tooth can be restored with reattachment of the fragment.
An exposed pulp in a young crown-fractured incisor is usually treated with either pulp
capping or pulpotomy depending on the size of an exposure and time elapsed since
injury. However, in teeth showing vital and/or hyperplastic pulp tissue at the exposure,
only superficial layers of the pulp and surrounding dentin should be removed : i.e.
partial pulpotomy can be performed in immature as well as mature teeth.
This paper reports 2 cases of crown-fractured permanent incisors with pulp exposure
that had been treated by reattachment of original fragment followed by partial
pulpotomy or partial pulpectomy. The following results are obtained. ;
1. Fragment reattachment is an acceptable semi-permanent restoration of crown
fractured young permanent incisor.
2. Partial pulpotomy is recommended as the treatment of choice in crown-fractured
permanent teeth with pulp exposure.
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