Open-face Stainless Steel Crown을 이용한 유전치의 치료에 대한 증례보고
A CASE REPORT ON PRIMARY INCISOR TREATMENT USING OPEN-FACE STAINLESS STEEL CROWN
김종민, 최형준, 이제호, 최병재,
소속 상세정보
김종민 ( ) - 연세대학교 치과대학 소아치과학교실
최형준 ( ) - 연세대학교 치과대학 소아치과학교실
이제호 ( ) - 연세대학교 치과대학 소아치과학교실
최병재 ( ) - 연세대학교 치과대학 소아치과학교실
KMID : 0358919970240040781
Abstract
결론
1. 다른 수복물로는 회복이 어려울 만큼 치질 파괴가 심한 유전치의 수복치료시 open-face
stainless steel crown은 심미성과 기능적 안정성을 만족시킬 수 있다.
2. 수직 피개가 깊거나 전치부 반대교합과 같이 유전치의 절단연 부위에 강한 교합압이 작
용하는 경우 수복물의 파절을 방지할 수 있는 open-face stainless steel crown을 선택하는
것이 유리하다.
3. 유전치의 조기 상실시 stainless steel crown을 납착하여 상실치를 대체하는 심미적 보
철물 제작이 가능하다.
#초록#
In spite of the improvements of the techniques in the field of preventive dentistry,
many children still present with extensive destruction of primary anterior teeth. Not only
the practioner must consider the pulp state of the primary incisor, but also restore the
form, function and esthetics of the tooth. Restorative treatment of primary incisor tooth
requires durability, retention and esthetics.
Stainless steel crowns used in restoring primary anterior teeth is retentive and durable
in comparison with the composite resin, celluloid crown. But they are not esthetic. To
enhance the esthetics of the anterior stainless steel crown without reducing its superior
retention, an open-face stainless steel crown has been suggested. Several authors have
suggested cutting away the labial portion of the stainless steel crown and placing the
composite resin in that area. By following this technique, the practioner can prepare a
retentive, durable, and esthetic restoration for primary teeth which have suffered from
extensive loss of teeth structure. In addition, the single missing primary anterior teeth
can be successfully restored by soldering the stainless steel crown together. Open-face
stainless steel crown is indicated in the areas of large interproximal lesions involving
incisal edge, crown fracture with pulp exposure and congenital malformation of the
teeth. By this technique, the practioner can restore primary anterior teeth successfully
regardless of the amount of remaining tooth structure, bruxism habit and presence of
attrition. In this case, rampant caries with extensive loss of tooth structure and single
missing of primary anterior tooth hart been successfully treated with open-face stainless
steel crown.
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