대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제37권1호
  • /
  • Pages.109-116
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  • 2010
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지

매복된 상악 중절치의 교정적 처치를 통한 치험례

TREATMENT OF IMPACTED MAXILLARY CENTRAL INCISORS USING ORTHODONTIC TRACTIONS

  • 김남혁 (연세대학교 치과대학 소아치과학교실) ;
  • 김성오 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 송제선 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 손흥규 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 최병재 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 최형준 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소)
  • Kim, Nam-Hyuk (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Oh (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Song, Je-Seon (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Son, Heung-Kyu (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Byung-Jai (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Lee, Jae-Ho (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Hyung-Jun (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University)
  • 발행 : 2010.02.26
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초록

매복은 임상 검사나 방사선 사진 검사 상에서 인식 가능한 맹출 경로 상에 장애물이나 이소 위치에 의한 치아 맹출의 정지를 의미한다. 상악 중절치의 치아 매복의 원인으로는 과잉치, 치아종, 치배의 이소위치, 외상 후 연조직 치유에 의한 폐쇄, 만곡치, 정지된 치근 발육 등이 있다. 매복된 치아는 인접치의 근심이동으로 인한 공간 상실, 부정교합, 인접치의 치근 흡수, 낭종의 형성 등을 유발할 수 있으므로 맹출장애에 대한 주의 깊은 관찰과 조기 진단이 중요하며 적절한 치료가 시행되어야 한다. 매복된 치아의 치료방법으로는 유치의 발거나 외과적 노출을 통한 맹출 유도, 경과관찰, 외과적 방법이나 교정력을 이용한 매복치의 재위치, 매복치의 외과적 발거 등이 있다. 이 중 교정적 견인은 매복된 치아가 원인을 제거한 후 또는 외과적으로 치관을 노출시킨 후에 일정기간의 관찰에도 맹출하지 않거나, 맹출경로가 정상에서 많이 벗어나 맹출이 기대되지 않을 경우 적용될 수 있다. 본 증례는 매복된 상악중절치를 교정적 견인을 통해 정상적인 맹출 방향으로 유도한 치험례들로 양호한 치료 결과를 보였기에 이를 보고하고자 하는 바이다.

Impaction is defined as a cessation of the eruption of a tooth caused by a clinically or radiographically detectable physical barrier in the eruption path or by an ectopic position of the tooth. The reasons for impaction of the maxillary central incisor are supernumerary tooth, odontoma, ectopic position of tooth germ, dilacerated tooth and so force. Impacted tooth cause space loss due to proximal movement of adjacent tooth, malocclusion, root resorption of adjacent tooth, cyst formation, so careful observation and early detection is important and exact treatment should be applied to prevent these results. The treatment options of impacted tooth include induction an eruption through extraction of deciduous tooth or surgical exposure, reposition of impacted tooth by surgical method or orthodontic treatment. Orthodontic traction is recommended when an eruption does not happen after removal of barrier or surgical exposure, when eruption path is too transpositioned to be corrected spontaneously so eruption does not expected. In these cases, traction of impacted maxillary central incisor was carried out using orthodontic method with closed eruption technique and it showed good clinical results so we report these cases.

키워드

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