Ferric Sulfate를 이용한 유치의 치수절단술
PRIMANY TOOTH PULPOTOMY USING FERRIC SULFATE
이상헌, 이미나, 이상훈,
소속 상세정보
이상헌 ( ) - 서울대학교 치과대학 소아치과학교실
이미나 ( ) - 서울대학교 치과대학 소아치과학교실
이상훈 ( ) - 서울대학교 치과대학 소아치과학교실
KMID : 0358919980250040843
Abstract
결론
저자는 서울대학교병원 소아치과에 내원한 환자 중 임상적 및 방사선학적 진단에 의해 치
수절단술의 적응증에 해당하는 치아에 ferric sulfate를 사용하여 치수절단술을 행하여 다음
과 같은 결론을 얻었다.
1. 절단된 치수조직에 15-30초간 15.5% ferric sulfate를 적용하고 IRM 이장재를 사용하는
치수절단술을 행하여 최대 10개월이 지난 현재까지 양호한 임상적 및 방사선학적 결과를 얻
었다.
2. 추후 계속적인 임상적 및 방사선학적 관찰이 필요할 것으로 보인다.
#초록#
Pulpotomy is a frequently used treatment modality in primary teeth. It is method by
which injected coronal pulp is removed while retaining vital radicular pulp. Since its
introduction in 1930 by Sweet formocresol remains the most popular medicament for this
treatment. However, despite its outstanding bactericidal properties, formocresol is known
to cause adverse tissue reactions. Theoretically. formocresol disinfects and fixes radicular
pulp and thus prevents infection and internal resorption. In reality, however, it leads to
chronic inflammation and is sometimes responsible for failures through abscess formation
and internal root resorption. Also, Myers et at., in 1978, reported on the systemic
distribution of FC and other studies have followed with reports of its immunological,
mutagenic and carcinogenic effects. Much effort has, therefore, focused on the
development of alternative medicaments and techniques.
Since its introduction in 19C, ferric sulfate proven itself as an effective hemostatic
agent and is used as an astringent in dentistry. In 1988, Landau and Johnson suggested
ferric sulfate be used as a medicament in pulpotomy and many studies have focused on
it to overcome the toxic effects of FC. Ferric sulfate acts through its ferric ion and iron
ion, which react with blood protein leading to aggregation. The aggregated protein acts
to plug the blood vessels, causing mechanical hemostasis. As blood clot formation is
minimal, there is reduced inflammation of radicular pulp and enhanced healing. There are
no reports regarding its systemic distribution.
This is a report of cases treated by the author using pulpotomy with ferric sulfate.
키워드
pulpotomy; ferric sulfate; primary teeth;
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