Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)
- Volume 33 Issue 1
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- Pages.131-138
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- 2006
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- 1226-8496(pISSN)
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- 2288-3819(eISSN)
TREATMENT OF MINOCYCLINE STAINED NON-VITAL TOOTH
Minocycline에 의해 변색된 실활치의 치료
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Kim, Dae-Eop
(Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
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Lee, Kwang-Hee
(Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
- Cho, Jin-Hyung (Department of Orthodontic Dentistry, College of Dentistry, Wonkwang University) ;
- Cho, Hyun (Department of Dentistry, Gachon Medical School)
- Published : 2006.02.28
Abstract
A mixture of metronidazole, ciprofloxacin and minocycline(3Mix) in distilled water or in a root canal sealer were used to disinfect the infected endodontic and periapical lesions. It has been well acknowledged in recent literature that minocycline, a semisynthetic tetracycline derivative, causes discolorations in adult teeth and various other collagenous tissues. In these cases, pulp treatments were finished successfully using a combination of antibiotics but severe discolorations of the teeth were observed. Discolored non-vital posterior tooth was treated using the prosthodontic procedure. And anterior tooth was successfully treated using the walking bleach technique. Bleaching was performed by temporarily placing a mixture of sodium perborate and distilled water into the pulp chamber. There were significant esthetic improvement.
통상의 기계적 방법에 의해 치유가 안되는 감염된 치아의 치수치료에 항생제를 이용한 화학적 방법을 함께 적용할 수 있다. Metronidazole, ciprofloxacin 및 minocycline으로 조합된 항생제 (3Mix)의 사용은 근관 및 치근단 주위 병소를 멸균시키는데 효과적이다. 이들 항생제 중 minocycline은 반합성 tetracycline유도체로써 치아는 물론 콜라겐 조직의 변색을 유발하는 것으로 알려져 있다. 본 증례에서는 치수치료에 항생제를 사용하여 치료를 완료하였으나 minocycline에 의해 유발된 치아변색을 관찰하였다. 변색된 실활 영구치 중 구치는 금속도개관을 이용한 보철치료로 수복하였고 전치에는 과붕간나트륨과 증류수를 혼합 적용하는 표백술을 시행한 바, 심미적 개선을 관찰할 수 있었다.