김신, 조봉혜, 김홍렬,
소속 상세정보
김신 ( ) - 부산대학교 치과대학 소아치과학교실
조봉혜 ( ) - 부산대학교 치과대학 소아치과학교실
김홍렬 ( ) - 부산대학교 치과대학 소아치과학교실
KMID : 0358919980250030533
Abstract
결과
하악 우측 유구치부의 종창과 동통으로 부산대학교병원 소아치과에 내원하여 임상검사 및
방사선 검사소견상 Garre 골수염으로 진단된 2명의 환아에 대하여 원인치아의 근관치료 및
전신적 항생제 치료를 시행하고 계속적인 예후를 관찰한 바,다음과 같은 결과를 얻었다.
1. 원인치를 발치하지 않은채 근관치료와 전신적 항생제 치료만으로 치근단 병소가 감소
되었다.
2. 악골의 골팽창 부위는 정상적인 형태를 회복하였다.
3. 유구치 하방의 영구치배도 정상적인 발육상을 보이고 있었다.
#초록#
Garre's osteomyelitis is a chronic from of osteomyelitis in which periosteum is
thickened with peripheral reactive bone formation. Carl Garre first reported localized
periosteal thickening as a response to mild stimuli. In dental literatures, Pell et al. first
reported Garre's osteomyelitis in jaws. This disease frequent occurs in youngsters and
usually in mandible. It usually results in hard swelling over the jaws with little or no
pain. Palpation reveals a localized bony swelling lesion. In radiographic findings, it
usually reveals laminated periosteal thickening on lesion. The treatment of Garre's
osteomyelitis usually consists of elimination of the sources of infection, i.e., either
extraction of an infected teeth or root canal therapy. Two children were admitted with
the chief complaint of intraoral swelling on lower deciduous molar areas which was
diagnosed as Garre's osteomyelitis. The root canal therapy and antibiotic therapy were
performed and prognosis was checked. From these case studies, some results were
obtained as follows : With the aid of root canal therapy and antibiotic administration,
the size of periapical lesions was reduced, the mandible with bony swelling recovered its
normal shapes radiographically, and the permanent tooth germs resumed sound
development.
키워드
Chronic osteomyelitis; Garre's osteomyelitis;
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