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치근단절제술을 이용한 치근단 병소의 치료에 대한 증례보고
Case Report For Treatment Of Periapical Lesion By Using Apicoectomy

대한소아치과학회지 1997년 24권 3호 p.575 ~ 580

이성준, 손흥규, 김종열, 최형준,

소속 상세정보

이성준 (  ) - 연세대학교 치과대학 소아치과학교실
손흥규 (  ) - 연세대학교 치과대학 소아치과학교실
김종열 (  ) - 연세대학교 치과대학 소아치과학교실
최형준 (  ) - 연세대학교 치과대학 소아치과학교실

KMID : 0358919970240030575

Abstract

결론
저자는 치근단부위의 방사선투과성 병소를 가진 환아를 보존적인 근관치료 후 증상이 호전
되지 않아 gutta-percha를 이용한 가압충전 후 치근단절제술을 시행하여 다음과 같은 결론
을 얻었다.
1. 근관치료과정 중 완전한 근관의 밀폐가 치료의 성공에 영향을 준다.
2. 치수 및 치근단 병소가 있는 치아에서 보존적인 근관치료로는 치료의 성공을 기대하기
어려운 경우 치근단절제술을 시행하여 양호한 결과를 얻었다.
#초록#
It has been reported that the operative treatment for the preservation of tooth having
periapical lesion has shown over ninety percent of success whereas in the case where
calcified canal is severe, canal is perforated, ledge is formed, tooth restored by post and
core and cases where symptoms still exist after treatment, endodontic treatment may
not all be the solution in attaining a successful treatment. Thus apicoectomy would
generally be used to prevent the loss of tooth having periapical lesion where treatment
prognosis is poorly evaluated by endodontic treatment. In case 1 and 2 endodontic
treatment was applied due to unilocular radiolucent lesion in periapical area but the
symptoms somehow did not show improvement and therefore operated apicoectomy, and
as in case 1, favorable results were attained but as in case 2, yet more observation has
to be done. The following are the results we have concluded :
1. In the process of endodontic treatment, absolute canal obturation has great effect in
attaining successful treatment.
2. In cases where endodontic treatment is not highly recommended, for example, tooth
having dental pulp and periapical lesion, favorable results can be attained by applying
apicoectomy