Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Fixed Prosthodontic Restorations after Forced Eruption of Traumatised Anterior Teeth

치아 정출술을 이용한 고정성 보철 수복

  • Kim, Dae-Gon (Department of Prosthodontics and Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Institute of Oral Science, College of Dentistry, Kangnung National University)
  • 김대곤 (강릉대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉대학교 치과대학 치과보철학교실 및 구강과학연구소)
  • Received : 2008.02.23
  • Accepted : 2008.09.25
  • Published : 2008.09.30
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Abstract

A subgingival crown-root fracture presents a restorative problem to the clinician because restoration is complicated by the need to maintain the sound tooth structures. Forced eruption offers a method of treatment of teeth fractured close to the alveolar crest. Extrusion of such teeth allows elevating the fracture line above the epitherial attachment and so the proper finishing margins can be prepared. The purpose of this case is to report successful tooth restoration using forced eruption in case of crown-root fractures.

외상으로 치아가 파절되었거나 우식으로 인해 치질이 치조정 수준이나 그 하방까지 소실된 경우 특별한 치료가 동반되지 않는다면 만족스럽게 수복할 수 없다. 이럴 경우 발치 후 임플란트 식립이나 레진 접착 가공 의치, 고정성 가공 의치 등을 이용할 수 있는데 각각의 상황에 따라 여러 가지 제한이 따른다. 이를 극복하는 방법의 하나로 치아 정출술을 이용할 수 있는데, 치아 정출술이란 연조직 및 골 변화를 일으키는 약한 힘을 지속적으로 적용하여 치아를 치관 방향으로 이동시키는 교정 술식으로 치주 건강을 유지하면서 보철 수복을 가능하게 하는 술식이다. 본 증례는 상악 전치부 파절이 발생한 치아를 치아 정출 술식을 이용하여 효과적으로 수복할 수 있었기에 이를 보고하는 바이다.

Keywords

References

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