Intentional Replantation에 의한 상악 제 1 소구치 치료의 증례 보고
A Case Report On Intentional Replantation Of Maxillary First Bicuspid
정우진, 김종범, 이상훈, 한세현,
소속 상세정보
정우진 ( ) - 서울대학교 치과대학 소아치과학교실
김종범 ( ) - 서울대학교 치과대학 소아치과학교실
이상훈 ( ) - 서울대학교 치과대학 소아치과학교실
한세현 ( ) - 서울대학교 치과대학 소아치과학교실
KMID : 0358919970240030556
Abstract
결론
술자는 치근단 병소를 가진 상악 제 1 소구치를 Intentional Replantation으로 치료한 증례
와 문헌고찰을 통하여 다음과 같은 결론을 얻었다.
1. 통상적인 근관치료를 실패한 상악 제 1 소구치의 Intentional Replantation을 시행하여 만
족할만한 임상적, 방사선적 결과를 얻었다
2. 발치 및 소파시 치주인대 손상의 최소화, 시술 이전의 근관치료, 수산화칼슘 충전, 전신적
항생제 사용 등이 양호한 결과에 영향을 미친 것으로 보이며 국소적 chlorhexidine의 사용도
고려되어야 할 것으로 보인다.
#초록#
Intentional replantation of the posterior teeth has been performed as a last resort
except extraction when it is impossible to perform the conventional endodontic or
surgical endodontic treatment. Many studies have done with the prognosis., and root
resorption, of which the responsibility might have been injury of periodontal ligament
and remaining periodontal lesion, proved to be major cause of failure. Intentional
replantation, however, can exclude anatomic difficulty, risk of nerve injury, and maxillary
sinus trauma that surgical access can raise, especially in posterior teeth, and it is
reported that success rate is not less than surgical endodontics, independent of
replantation of traumatically avulsed teeth. The success of intentional replantation can be
evaluated with, clinically, reduction of pocket depth, pain and mobility(physical mobility),
and, radiographically, hard tissue formation, reduction of periapical radiolucency. In this
case report, for the maxillary left first bicuspid with dens evaginatus that had periapical
lesion, painfulness, mobility and showed no reduction of mobility after even extirpation
and a number of irrigation, extraction followed by extraoral root filling with calcium
hydroxide and replantation was performed. Based on many studies, it is conclude that
hard tissue formation was performed. Based on many studies, it is concluded that hard
tissue formation capacity of calcium hydroxide, preceded extirpation before extraction,
and careful extraction without injuring periodontal ligament affected successful results of
this case.
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