임플란트 수술 후 통증의 진단과 치료: 문헌고찰
Diagnosis and Treatment of Postoperatve Pain of Implant Surgery: Review of Literatures
최은주,
소속 상세정보
최은주 ( Choi Eun-Joo ) - 원광대학교 치과대학 구강악안면외과학교실
KMID : 1034220150070020013
Abstract
The most frequent cause of postoperative pain of implant surgery was inflammation following infection or bone pain caused by overload. Inflammation associated with infection generally accompanies the symptoms of pain, local heat, redness, and swelling in soft tissue. However, localized alveolar osteitis - inflammation localized in alveolar bone accompanies only sharp and continuous pain and bone exposure. Inflammation could be prevented with minimal surgical trauma and copious saline irrigation, and be treated by antibiotics/ anti-inflammatory medications and copious saline irrigation. Bone pain was developed by sensitization of intrabony nociceptors by cytokines released from osteoclast, activated by pathologic overload. Characteristics of bone pain was intermittent dull pain aggravated by load and thermal stimuli, and pain reproduction by percussion of adjacent teeth. Bone pain in alveolus was initiated by surgical trauma during bone preparation. It was relieved by avoiding teeth of alveolar bone being exposed to additional loading for 2 to 3 weeks with/without assistance of oral appliance.
키워드
dental implants; inflammation; dry socket; bone disease; bone resorption
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