의도적 재식술을 위한 비외상성 안전 발치법
Atraumatic Safe Extraction for Intentional Replantation
최용훈, 배지현, 김영균,
소속 상세정보
최용훈 ( Choi Yong-Hoon ) - 분당서울대학교병원 치과보존과
배지현 ( Bae Ji-Hyun ) - 분당서울대학교병원 치과보존과
김영균 ( Kim Young-Kyun ) - 분당서울대학교병원 치과 구강악안면외과
KMID : 0362720100480070531
Abstract
Intentional replantation is useful for failed cases of conventional dental treatment - including root canal treatment - to restore the tooth in question. Based on a recent study, it is relatively very successful; prognosis is good for a long period. On the other hand, a tooth that becomes an indication of intentional replantation is often severely weakened throughout several treatments. Moreover, with multi-rooted teeth, extracting without root fracture is difficult. Safe extraction that is free of coronal or root fracture is important, but little information is known as to a concrete, safe way of extraction. There are a few considerations for safe extraction. First, a tooth with orthodontic extrusion force is easier for extraction due to its increased mobility; it increases the amount of the periodontal ligament, which is essential for re-attachment. As a safe way of extraction, the use of physics forceps® has been introduced recently; it minimizes damage to the gingiva and alveolar bone. This paper reports the good result of using atraumatic safe extraction via both orthodontic extrusion and physics forceps®.
키워드
intentional replantation; atraumatic extraction; orthodontic extrusion; physics forcep®
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