대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)
- 제33권1호
- /
- Pages.131-138
- /
- 2006
- /
- 1226-8496(pISSN)
- /
- 2288-3819(eISSN)
Minocycline에 의해 변색된 실활치의 치료
TREATMENT OF MINOCYCLINE STAINED NON-VITAL TOOTH
-
Kim, Dae-Eop
(Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
-
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)
- 발행 : 2006.02.28
초록
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.
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.