과잉치와 유합된 상악 우측 제 1 대구치의 직접 치수 복조 및 2급 복합레진 수복
Direct pulp capping and class II composite resin restoration of right maxillary first molar fused to supernumerary tooth
배인혜, 최안나, 손성애, 박정길,
소속 상세정보
배인혜 ( Bae In-Hye ) - 부산대학교 치의학전문대학원 치과보존학교실
최안나 ( Choi An-Na ) - 부산대학교 치의학전문대학원 치과보존학교실
손성애 ( Son Sung-Ae ) - 부산대학교 치의학전문대학원 치과보존학교실
박정길 ( Park Jeong-Kil ) - 부산대학교 치의학전문대학원 치과보존학교실
KMID : 0362720180560060313
Abstract
Among developmental anomalies of tooth shape, fusion and gemination are comparatively common. Developed with different etiologies, both fusion and gemination show similar clinical features. Therefore, many clinicians have difficulty diagnosing those morpho-anatomic anomalies. The purpose of this study is to report malformed right maxillary first molar in a 20-year-old female. With the aid of computed tomography (CT), the tooth was diagnosed as fusion with supernumerary tooth and dental caries lesion was detected. After performing direct pulp capping, the tooth was permanently restored with microhybrid composite resin using direct method to alter union groove into smooth surface for improving oral hygiene management. Until 6 months of follow-up visits, patient’s chief complaint was resolved and tooth is still vital. In conclusion, identifying exact anatomy, conservative treatment and improving oral hygiene are essential in managing unusual morphologic anomalies of tooth.
키워드
Fusion; Gemination; Supernumerary teeth; Computed tomography; Direct pulp capping; Composite resin
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