뇌성마비 환자에서 함입된 상악 중절치의 외과적 재위치- 증례보고
SURGICAL REPOSITIONING OF AN INTRUDED PERMANENT MAXILLARY INCISOR IN A CEREBRAL PALSY PATIENT - A CASE REPORT -
이고은, 이명연, 이제호,
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이고은 ( Lee Ko-Eun ) - 연세대학교 치과대학 소아치과학교실
이명연 ( Lee Myeong-Yeon ) - 연세대학교 치과대학 소아치과학교실
이제호 ( Lee Jae-Ho ) - 연세대학교 치과대학 소아치과학교실
KMID : 1144020170130010043
Abstract
Patients with cerebral palsy have higher risk of traumatic dental injuries because of clinical characteristics, such as, ataxia, large overjet and lip incompetency. Especially, intrusive luxation has rare occurrence but higher incidence of complications. It can be treated by expecting re-eruption, orthodontic reposition, and surgical reposition. Clinicians should be aware of management and follow-up in dealing with cerebral palsy patients who are exposed by intrusive luxation, due to their involuntary movement.
This case report describes a 9-year-old male patient with cerebral palsy and epilepsy who experienced intrusion of maxillary permanent central incisor. After one-month follow-up, waiting for spontaneous eruption, pulp necrosis on maxillary permanent central incisor had proceeded. Therefore, surgical reposition with resin wire splint and apexification was performed under conscious sedation with midazolam. After two months, removal of resin wire splint was done. Gutta percha filling and composite resin restoration were performed after sixteen months. During five-year follow-up ankylosis and partial root resorption were observed. But there was no significant complications.
키워드
Intrusion; Surgical reposition; Traumatic dental injury; Cerebral palsy
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