구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제27권3호
  • /
  • Pages.305-316
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  • 2011
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지

균열치 증후군에 대한 문헌고찰

A Literature Review on Cracked Teeth

  • 조웅래 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 김대곤 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Cho, Woong-Rae (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Kim, Dae-Gon (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University)
  • 투고 : 2011.06.03
  • 심사 : 2011.09.25
  • 발행 : 2011.09.30
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⟨ 이전 논문 다음 논문 ⟩

초록

균열치는 저작운동과 온도자극에 대한 치아의 통증을 호소하는 환자에서 자주 발견되는 질환으로 균열의 진행정도에 따라 다양하게 분류할 수 있다. 가장 흔한 원인으로는 저작과정 중의 갑작스러운 사고로 알려져 있지만 대부분 증령, 기존 수복물 또는 의원성 응력집중과 같은 기여요인이 있을 때 발생한다. 균열의 진행정도 및 치수침범에 대한 정확한 진단이 필수적이며 저작시 통증을 확인한 후 균열을 가급적 눈으로 확인하는 것이 좋다. 이를 위해 투과광이나 염색과 같은 보조적 방법을 이용할 수 있다. 치료는 즉각적인 통증완화를 위한 교합조정이나 파절편 고정이 필요하며 치수의 상태에 따라 근관치료가 추가적으로 필요할 수도 있다. 궁극적인 치료로는 복합레진이나 접착 아말감으로 균열부위에 가해지는 충격을 완화시킨 후 주조수복물을 이용한 교두보호가 필요하다. 이 논문에서는 균열치에 대한 다양한 원인, 치료, 예후 등에 관한 문헌을 고찰할 것이다.

Cracked teeth are a common problem with incomplete fracture that typically shows pain on biting and temperature stimuli. The most common cause of crack is known to be the masticatory accident. Predisposing factors were aging, old restoration, and iatrogenic stress concentration, etc. Accurate diagnosis is needed for detecting the extent of crack and pulp vitality. There are many diagnostic tools like bite test, direct observation with transillumination, dye penetration, and radiographs. Immediate treatment for pain relief and occlusal adjustment would be needed. Composite resin and bonded amalgam showed favorable prognosis. Moreover, cusp protection is reliable permanent treatment for cracked teeth. The purpose of this article is to review the literature about the prevention, diagnosis, and treatment for cracked teeth.

키워드

참고문헌

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