[논문]완전 탈구된 미성숙 영구치의 치수재생치료 증례 보고

박나경; 송지현

doi:10.5933/jkapd.2018.45.2.250

완전 탈구된 미성숙 영구치의 치수재생치료 증례 보고
Outcome of Regenerative Endodontic Treatment for an Avulsed Immature Permanent Tooth: A Case Report 원문보기

大韓小兒齒科學會誌 = Journal of the Korean academy of pediatric dentistry, v.45 no.2, 2018년, pp.250 - 256

박나경 (원광대학교 치과대학 소아치과학교실) , 송지현 (원광대학교 치과대학 소아치과학교실)

초록
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치아의 완전 탈구는 치조골에서 치아가 완전히 이탈된 것으로 정의되며, 결과적으로 신경혈관 공급의 중단을 야기하는 가장 심각한 치과적 손상 중 하나로 알려져 있다. 완전 탈구는 조직 허혈(tissue ischemia)을 야기하며, 이는 치수 괴사를 초래할 수 있다. 치근단형성술(apexification)은 치수 괴사로 진단된 미성숙 영구치에서 치근단 장벽을 유도하는 전통적인 치료 방법이다. 하지만 치근단형성술로는 치근 길이 및 두께의 증가를 포함하는 치근 발육을 얻을 수 없다. 본 증례는 완전 탈구되어 재식된 이후 치수 괴사로 진단된 치아를 가진 5세 환자에서 ciprofloxacin, metronidazole, cefaclor 및 CollaTape과 Biodentine을 이용하여 시행된 치수재생치료(regenerative endodontic treatment)의 임상적 및 방사선학적 결과를 다루고 있다.

Abstract ▼ AI-Helper

Dental avulsion, defined as the complete displacement of a tooth from the alveolar bone with consequent loss of the blood and nerve supply, was reported as one of the most severe dental injuries. Avulsion can cause tissue ischemia, which leads to pulp necrosis. Apexification is a conventional treatment method that induces an apical calcified barrier in immature roots with pulp necrosis. However, root development characterized by an increase in the root thickness and length cannot be achieved by apexification. The purpose of this case report was to describe the radiographic and clinical outcomes of regenerative endodontic treatment for the avulsed and necrosed permanent tooth with an immature root after replantation in a 5-year-old girl; the treatment was performed using a mixture of ciprofloxacin, metronidazole and cefaclor, CollaTape and Biodentine.

주제어

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문제 정의

However, these outcomes are not always achieved in teeth with immature roots that are subjected to trauma[8-13]. In this report, we described a case involving a 5-year-old girl who successfully underwent RET after replantation of an avulsed mandibular central incisor with an immature root and pulp necrosis.
The aim of this report was describing the radiographic and clinical outcomes of RET after replantation of an avulsed and necrosed permanent mandibular central incisor with an immature root in a 5-year-old girl.

대상 데이터

A healthy 5-year-old girl presented to the emergency room at Wonkwang University Daejeon Dental Hospital with avulsion of the mandibular right central incisor secondary to dental trauma sustained during a fall at home 1 hour back. The tooth had been stored in cold milk until presentation at the emergency department.

성능/효과

However, there is little evidence related to the outcomes of RET for avulsed and replanted teeth with immature roots. Although there is limitation of single case, the findings from this case demonstrate that RET for a replanted tooth with little prior root development can potentially provide excellent treatment outcomes, including an increase in the root thickness and length and apical narrowing. Thus, it can be considered as a first-line treatment for replanted teeth with pulp necrosis, particularly those in the early stages of root development.

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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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완전 탈구된 미성숙 영구치의 치수재생치료 증례 보고
Outcome of Regenerative Endodontic Treatment for an Avulsed Immature Permanent Tooth: A Case Report 원문보기

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완전 탈구된 미성숙 영구치의 치수재생치료 증례 보고 Outcome of Regenerative Endodontic Treatment for an Avulsed Immature Permanent Tooth: A Case Report 원문보기

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완전 탈구된 미성숙 영구치의 치수재생치료 증례 보고
Outcome of Regenerative Endodontic Treatment for an Avulsed Immature Permanent Tooth: A Case Report 원문보기

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