다발성 외골증을 가진 치주염 환자의 삭제형 골수술에 대한 증례 보고

Resective osseous surgery for multiple bony exostoses of the periodontal patient: A case report

  • 이인경 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 임현창 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 이중석 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 채중규 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 정의원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소)
  • Lee, In-Kyeong (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Lim, Hyun-Chang (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Lee, Jung-Seok (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Choi, Seong-Ho (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Chai, Jung-Kiu (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Jung, Ui-Won (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University)
  • 투고 : 2014.07.30
  • 심사 : 2014.11.27
  • 발행 : 2014.12.01

초록

Bony exostosis, one of the osseous deformities, could act as a contributing factor of periodontal disease since it makes proper tooth brushing difficult and causes traumatic ulcer. The purpose of this case report is to show improvement of periodontal health by removal of bony exostoses and creation of physiologic osseous form. A 58 year-old female patient with recurrent ulcer and pain on bony exostoses located on left maxillary palatal area and both mandibular buccal areas was treated. Exostoses were removed and physiologically positive osseous form was created following vertical grooving, radicular blending, flattening interproximal bone and gradualizing marginal bone. The patient showed no further recurring traumatic ulcer and bone exposure. Moreover, periodontal pocket was eliminated and food impaction was decreased. In conclusion, periodontal health could be achieved through removal of multiple bony exostoses and development of ideal osseous form.

키워드

과제정보

연구 과제 주관 기관 : 보건복지부

참고문헌

  1. Antoniades DZ, Belazi M, Papanayiotou P. Concurrence of torus palatinus with palatal and buccal exostoses: case report and review of the literature. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 1998;85:552-557. https://doi.org/10.1016/S1079-2104(98)90290-6
  2. Haugen LK. Palatine and mandibular tori. A morphologic study in the current Norwegian population. Acta odontologica Scandinavica 1992;50:65-77. https://doi.org/10.3109/00016359209012748
  3. Jainkittivong A, Langlais RP. Buccal and palatal exostoses: prevalence and concurrence with tori. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 2000;90:48-53. https://doi.org/10.1067/moe.2000.105905
  4. Kerdpon D, Sirirungrojying S. A clinical study of oral tori in southern Thailand: prevalence and the relation to parafunctional activity. European journal of oral sciences 1999;107:9-13. https://doi.org/10.1046/j.0909-8836.1999.eos107103.x
  5. Pynn BR, Kurys-Kos NS, Walker DA, Mayhall JT. Tori mandibularis: a case report and review of the literature. Journal 1995;61:1057-1058, 1063-1056.
  6. Ochsenbein C. Current status of osseous surgery. Journal of periodontology 1977;48:577-586. https://doi.org/10.1902/jop.1977.48.9.577
  7. Schallhorn RG. Present status of osseous grafting procedures. Journal of periodontology 1977;48:570-576. https://doi.org/10.1902/jop.1977.48.9.570
  8. Barker D, Walls AW, Meechan JG. Ridge augmentation using mandibular tori. British dental journal 2001;190:474-476.
  9. Choi Y, Park H, Lee JS, Kim CS, Cho KS, Jung UW. Prevalence and anatomic topography of mandibular tori: computed tomographic analysis. Journal of oral and maxillofacial surgery 2012;70:1286-1291. https://doi.org/10.1016/j.joms.2011.12.009
  10. Gardner EJ, Richards RC. Multiple cutaneous and subcutaneous lesions occurring simultaneously with hereditary polyposis and osteomatosis. American journal of human genetics 1953;5:139-147.
  11. Gorlin RJ, Pindborg JJ, Cohen MM. Syndromes of the head and neck. 2nd Edition. New York: McGrow Hill. p324-328. 1976.
  12. Pascher F, Shalita A. Leg ulcer associated with osteomyelitis and stasis dermatitis. Archives of dermatology 1968;98:674-675. https://doi.org/10.1001/archderm.98.6.674