치근단 감염 치아의 치근단 수술 후 예후에 관한 후향적 연구
A retrospective clinical study of periapically infected teeth treated with periapical surgery
김현민, 박철휘, 이상칠, 김동우, 박대송, 정진환, 이슬기, 송민석,
소속 상세정보
김현민 ( Kim Hyeon-Min ) - 가천의과학대학교 길병원 구강악안면외과
박철휘 ( Park Chul-Hui ) - 가천의과학대학교 길병원 구강악안면외과
이상칠 ( Lee Sang-Chil ) - 가천의과학대학교 길병원 구강악안면외과
김동우 ( Kim Dong-Woo ) - 가천의과학대학교 길병원 구강악안면외과
박대송 ( Park Dae-Song ) - 가천의과학대학교 길병원 구강악안면외과
정진환 ( jung Jin-Hwan ) - 가천의과학대학교 길병원 구강악안면외과
이슬기 ( Lee Seul-Ki ) - 가천의과학대학교 길병원 구강악안면외과
송민석 ( Song Min-Seok ) - 중앙대학교병원 구강악안면외과
KMID : 0360120100320030236
Abstract
Purpose: The purpose of this retrospective clinical study was to monitor the outcomes of periapical surgery in periapically infected tooth with or without retrograde filling materials (MTA or IRM).
Patients and Methods: A total of 85 teeth in 63 patients were included in the study between November 2004 and August 2008. Randomly, MTA or IRM was used as a retrograde filling material or only apical resection without retrograde filling. Teeth with advanced periodontal bone loss or presence of root fracture were excluded from the study. The patients were subjected to a minimum follow-up period of 12 months, with a mean of 17.1 months.
Results: Successful healing was observed in 83.3% of the MTA-treated teeth, 80% of the IRM-treated teeth and 75% of the teeth which was not retrograde filling. Doubtful healing was seen 9.3% (MTA), 13.3% (IRM), 12.5% (no retro-filling). The success rate of upper incisors (92%) was higher than lower lincisor and molars (66.7% and 50%, respectively).
Conclusion: In this study, periapical surgery including retrograde filling improves the prognosis. And, no statistically significant differences were found between retrograde filling materials (MTA or IRM).
키워드
Periapical surgery; Retrograde filling
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