구치의 의도적 재식술에 대한 단기간의 임상 연구
A short-term clinical study of intentionally replanted posteior molars
김정호, 김욱천, 이장렬, 김현철, 김수남,
소속 상세정보
김정호 ( Kim Jung-Ho ) - 리빙웰치과병원 구강악안면외과
김욱천 ( Kim Uk-Cheon ) - 리빙웰치과병원 구강악안면외과
이장렬 ( Lee Jang-Yeol ) - 리빙웰치과병원 구강악안면방사선과
김현철 ( Kim Hyun-Chull ) - 리빙웰치과병원 구강악안면외과
김수남 ( Kim Soo-Nam ) - 리빙웰치과병원 구강악안면외과
KMID : 1025720160350020033
Abstract
Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolar socket. Intentional replantation was performed due to difficulties in anatomically accessing the lesions and/or close proximity to the thick cortical bone, inferior alveolar nerve, or maxillary sinus, which rendered the ordinary apicoectomy impossible. This study evaluated the therapeutic effects of the intentional replantation procedure performed on the maxillary and mandibular molars of 21 patients. During intentional replantation procedure, we used physics forcep for intentional extraction of teeth, Er:YAG laser for removal of apical granulation tissue, MTA for apical sealing. The success of the procedure was evaluated in terms of clinical and radiographic success. The results revealed the following: (a) 3 cases (14%) of extraction due to periodontal ligament reattachment; (b) 18 cases (86%) of normally functioning teeth without obvious problems.
키워드
Intentional replantation; Posterior molar; Success rate
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