Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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RADICULAR CYST ENUCLEATION ON MANDIBULAR ANTERIOR REGION

하악 전치부에 발생한 치근낭종의 치험례

  • Kim, Sun-Ha (Department of Pediatric Dentistry and Institute of Oral biology, School of Dentistry, Kyung Hee University) ;
  • Choi, Sung-Chul (Department of Pediatric Dentistry and Institute of Oral biology, School of Dentistry, Kyung Hee University) ;
  • Park, Jae-Hong (Department of Pediatric Dentistry and Institute of Oral biology, School of Dentistry, Kyung Hee University) ;
  • Kim, Kwang-Chul (Department of Pediatric Dentistry and Institute of Oral biology, School of Dentistry, Kyung Hee University)
  • 김선하 (경희대학교 치과대학 소아치과학교실) ;
  • 최성철 (경희대학교 치과대학 소아치과학교실) ;
  • 박재홍 (경희대학교 치과대학 소아치과학교실) ;
  • 김광철 (경희대학교 치과대학 소아치과학교실)
  • Received : 2011.10.10
  • Accepted : 2012.01.05
  • Published : 2012.02.29
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Abstract

The radicular cyst is the most common odontogenic cyst which is caused by pulpal inflammation, pulp death, and secondary to trauma or dental caries. Usually, the radicular cyst is asymptomatic, but a secondary inflammation can cause pain, swelling and redness. Getting larger, the radicular cyst can cause facial asymmetry and paresthesia by pressure on nerves. It requires conservative endodontic treatment or surgical approach. When the size of cyst is large or invasion of the adjacent tissue is not expected, cyst enucleation is carried out. And most of the case can be completely cured and shows low recurrence. In these radicular cysts cases, by cyst enucleation or apicoectomy after root canal treatment simultaneously, the infected teeth can be preserved successfully.

치근낭은 가장 흔한 치성기원 낭으로 치수감염, 치수실활, 외상으로 인한 이차감염 또는 치아 우식에 의해 발생한다. 보통치근낭은 무증상이나 이차 감염이 발생할 경우 통증, 부종, 발적 등을 유발할 수 있으며, 크기가 커질수록 치근낭은 인접한 신경을 압박하여 안면비대칭 또는 마비증세를 일으킬 수 있다. 치료는 보존적 신경치료 또는 외과적 처치를 요하며, 낭의 크기가 크거나 인접 조직의 침범을 야기할 가능성이 있는 경우에는 낭적출술을 시행해야 한다. 대부분의 증례에서 완벽한 치료가 가능하고 재발율이 낮다. 본 증례의 환아들은 하악전치부 낭을 주소로 내원하여 임상검사에서 일부 하악전치가 괴사되었음을 발견하였으므로 근관치료를 시행한 후 전신마취하에 치근단절제술 및 치근낭 적출술을 시행하였다. 이후 컴퓨터단층촬영을 시행하여 이환부의 골생성 및 재발여부를 관찰하였으며 성공적인 결과를 보였기에 이를 보고하는 바이다.

Keywords

References

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