치내치의 제거를 동반한 상악 측절치의 근관치료: 증례보고
‘Cutting off’ dens invagination as a treatment of dens invaginatus: a case report
이정훈, 김의성,
소속 상세정보
이정훈 ( Lee Jung-Hoon ) - 연세대학교 치과대학 치과보존학교실
김의성 ( Kim Eui-Seong ) - 연세대학교 치과대학 치과보존학교실
KMID : 1035020160170010020
Abstract
The presence of complicated anatomy of root canal space, such as dens invaginatus, frequently hinders proper canal enlargement and obturation in root canal treatment, which might drive unfavorable clinical endodontic outcome. It would be a decent way to remove only theinvaginated portion and perform typical endodontic treatment. This case describes a clinical case of patient with dens invaginatus with apical periodontitis. The treatment was achieved by means of modifying complicated root anatomy with removing invaginated hard tissue and orthograde obturation with mineralized trioxide aggregate (MTA). ‘Cutting off’ invaginated tooth structure can provide sufficient vision which will lead practitioner to achieve favorable canal irrigation and obturation. Furthermore, anatomical analysis via cone beam computed tomography (CBCT) will help dentists to treat properly.
키워드
dens invaginatus; root canal anatomy; variation; cone beam computed tomography
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