대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제43권2호
  • /
  • Pages.207-212
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  • 2016
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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상악 중절치의 이소맹출로 인해 발생한 자극성 섬유종

Irritation Fibroma Associated with Ectopic Eruption of the Maxillary Incisor

  • 정연욱 (연세대학교 치과대학 소아치과학교실) ;
  • 강정민 (연세대학교 치과대학 소아치과학교실) ;
  • 김승혜 (아주대학교병원 치과학교실 소아치과) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실)
  • Jeong, Younwook (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Kang, Chungmin (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Seunghye (Division of Pediatric Dentistry, Department of Dentistry, Ajou University School of Medicine) ;
  • Lee, Jaeho (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
  • 투고 : 2015.05.14
  • 심사 : 2015.06.23
  • 발행 : 2016.05.31
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초록

자극성 섬유종은 만성적인 자극 또는 외상에 의해 발생하는 구강 내의 흔한 섬유증식성 병소이다. 자극성 섬유종과 유사한 형태의 다른 양성 또는 악성 연조직종양의 감별진단을 위해서는 병리조직학적 검사가 필요하다. 본 증례는 엔젤만 증후군 환아에서 상악 좌측 중절치의 이소맹출로 인해 자극성 섬유종이 발생하여 미다졸람을 이용한 근육내 진정 하에 절제생검을 시행한 뒤, 병소의 재발 없이 양호한 치유 결과를 나타내고 있기에 보고하는 바이다.

Irritation fibroma is a common hyperplastic lesion of the oral mucosa that can occur in response to chronic irritation or trauma. This report presents an unusual case of irritation fibroma associated with ectopic eruption of the maxillary left central incisor in a patient with Angelman syndrome. Considering the patient's medical history and cooperative ability, excisional biopsy under intramuscular sedation using midazolam was performed. The patient exhibited successful healing without lesion recurrence. It is important to perform histopathological examination followed by excisional biopsy, because other benign or malignant tumors may mimic the clinical appearance of an irritation fibroma.

키워드

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