구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제30권4호
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  • Pages.324-328
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  • 2014
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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CBCT와 치과용 현미경을 이용한 C형 근관을 가지는 하악 제1소구치의 근관치료

Endodontic management of mandibular first premolar with C-shaped canals by using cone-beam computed tomography and dental operating microscope

  • 장훈상 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 김민정 (원광대학교 치과대학 산본치과병원 치과보철과) ;
  • 이석련 (원광대학교 치과대학 치과보존과) ;
  • 홍성옥 (원광대학교 치과대학 치과보존과)
  • Chang, Hoon-Sang (Department of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Min-Jeong (Department of Prosthodontics, Wonkwang University Sanbon Dental Hospital) ;
  • Lee, Seok-Ryun (Department of Conservative Dentistry, Wonkwang University) ;
  • Hong, Sung-Ok (Department of Conservative Dentistry, Wonkwang University)
  • 투고 : 2014.10.01
  • 심사 : 2014.11.07
  • 발행 : 2014.12.31
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초록

한국인에서는 하악 소구치의 변이가 매우 드물게 나타나며, 변이는 하악 소구치 근관치료시 성형과 세정으로 자극원의 제거를 어렵게 하여 근관치료의 실패를 야기할 수 있다. 본 증례에서는 C형의 드문 근관 형태를 가지는 하악 제1소구치를 CBCT를 촬영하여 복잡한 치아의 내부 형태를 확인한 후, 치과용 현미경을 사용해 확대된 시야와 개선된 조명하에서 성공적으로 근관치료 하였다.

Aberrant anatomy of mandibular premolars is very rare in Korean, but aberration can contribute the endodontic failure as it makes difficult to remove the irritants during cleaning and shaping procedure. This case report describes the successful root canal treatment of a rare mandibular first premolar with C-shaped root canal as using a cone-beam computed tomography to understand the internal shape of root canal system and a dental operating microscope to improve the magnification and illumination.

키워드

참고문헌

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