Reconstruction of Endodontically Treated Teeth using Post and Composite Resin in Three Cats

치아골절이 있는 고양이에서 근관치료 후 복합 레진과 포스트를 이용한 치아 재건술

  • Heo, Su-Young (Bk 21 plus program and College of Veterinary Medicine, Bio-Safety Research Institute, Chonbuk National University) ;
  • Kim, Nam-Soo (Bk 21 plus program and College of Veterinary Medicine, Bio-Safety Research Institute, Chonbuk National University)
  • 허수영 (전북대학교 수의과대학, BK 21 플러스, 생체안전성연구소) ;
  • 김남수 (전북대학교 수의과대학, BK 21 플러스, 생체안전성연구소)
  • Accepted : 2013.08.21
  • Published : 2013.10.31

Abstract

This clinical report describes the dental treatment of canine teeth fractures in three cats. These animals were diagnosed by oral examination and dental radiography as having fractured teeth with pulpal exposure. After endodontic treatment was completed, root canal filling material was removed from the coronal access and a trial post placement was performed. The post was permanently cemented after shortening. Teeth were etched and a bonded composite resin core formed and then shaped using rotary instruments. Fractured canine teeth were treated without any complications observed during a six-month follow-up period, proving that fractured cat canine teeth can be treated successfully with root canal therapy followed by restorative treatment with posts and composite resin.

치아 골절을 가진 고양이에서 근관 치료 이후 복합레진과 포스트를 이용한 재건술의 증례이다. 내원한 고양이 3례 모두 구강검사와 치과 방사선 검사를 통해 치수가 노출된 치아 골절로 진단 되었다. 근관치료가 완료된 후, 일부 충전 물질을 제거하고 포스트를 설치하고 에칭과 본딩 전처치 후 복합 레진으로 광중합을 시행하였다. 치료된 치아들은 치과용 바와 디스크를 이용하여 성형하였으며, 6개월 동안 추시한 결과 치료된 치아들은 특별한 부작용을 발견할 수 없었다. 따라서 고양이에서 치수가 노출된 치아골절의 경우, 먼저 근관치료를 시행한 다음, 결과를 확인하고 복합 레진과 포스트를 이용한 재건술은 실시한다면 임상에 있어서 매우 좋은 효과를 거둘 수 있을 것으로 생각된다.

Keywords

References

  1. Bellows J. Treatment of endodontic disease. In: Feline dentistry: oral assessment, treatment, and preventative care. Ames, Iowa: Wiley-Blackwell. 2010: 196-221.
  2. Cheung W. A review of the management of endodontically treated teeth. Post, core and the final restoration. J Am Dent Assoc 2005; 136: 611-619. https://doi.org/10.14219/jada.archive.2005.0232
  3. Crossley DA. Tooth enamel thickness in the mature dentition of domestic dogs and cats--preliminary study. J Vet Dent 1995; 12: 111-113.
  4. Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, Bourguignon C, DiAngelis A, Hicks L, Sigurdsson A, Trope M, Tsukiboshi M, Von Arx T. Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dent Traumatol 2007; 23: 66-71. https://doi.org/10.1111/j.1600-9657.2007.00592.x
  5. Golden AL, Stoller N, Harvey CE. A survey of oral and dental disease in dogs anesthetized in a veterinary hospital. J Am Anim Hosp Assoc 1982; 18: 891-899.
  6. Harran-Ponce E, Holland R, Barreiro-Lois A, Lopez-Beceiro AM, Pereira-Espinel JL. Consequences of crown fractures with pulpal exposure: Histopathological evaluation in dogs. Dent Traumatol 2002; 18: 196-205. https://doi.org/10.1034/j.1600-9657.2002.00075.x
  7. Kuntsi-Vaattovaara H, Verstraete FJ, Kass PH. Results of root canal treatment in dogs: 127 cases (1995-2000). J Am Vet Med Assoc 2002; 220: 775-780. https://doi.org/10.2460/javma.2002.220.775
  8. Pilo R, Cardash HS, Levin E, Assif D. Effect of core stiffness on the in vitro fracture of crowned, endodontically treated teeth. J Prosthet Dent 2002; 88: 302-306. https://doi.org/10.1067/mpr.2002.127909
  9. Tutt C. Endodontic therapy In: Small animal dentistry : A manual of techniques. Ames, Iowa: Blackwell Pub. 2006: 214-227.
  10. Verstraete FJ, van Aarde RJ, Nieuwoudt BA, Mauer E, Kass PH. The dental pathology of feral cats on marion island, part i: Congenital, developmental and traumatic abnormalities. J Comp Pathol 1996; 115: 265-282. https://doi.org/10.1016/S0021-9975(96)80084-3
  11. Whitney WO, Mehlhaff CJ. High-rise syndrome in cats. J Am Vet Med Assoc 1987; 191: 1399-1403.