지속적인 교상을 가진 무의식 환자에서 치근관 및 발치창 통한 배농술의 효과 : 증례 보고

EFFECT OF DRAINAGE VIA DENTAL ROOT CANAL & EXTRACTION WOUND IN THE UNCONSCIOUS PATIENT WITH CONTINUOUNS SELF-BITE WOUNDS

  • 김종배 (계명대학교 의과대학 치의학교실) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 최병호 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 문선재 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원))
  • Kim, Jong-Bae (Department of Dentistry, School of Medicine, Keimyung University) ;
  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Moon, Seon-Jae (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital))
  • 발행 : 2001.10.30

초록

In the unconscious patient with general muscle rigidity, the natural teeth can be luxated and then bite wounds may be occurred around lip, owing to the pathologic involuntary self-biting habit. If the forceful biting is generated continuously, the teeth may be avulsed and aspirated into the aerodigestive tract with the infection of biting wound. For the prevention of pulmonary aspiration of the teeth and wound infection, the biting teeth should be cared before the fact. The authors treated the teeth as endodontic drainage with removal of the crown or iodoform gauze drainage into the socket with extraction of the teeth. The prognosis was more favorable without biting wounds.

키워드