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Revisiting root resection treatment in the age of dental implants

임플란트 시대의 치근절제술의 다양한 활용증례 및 부가적 효용

  • Joo, Ji-Young (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Kwon, Eun-Young (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University)
  • 주지영 (부산대학교 치의학전문대학원 치주과학교실) ;
  • 권은영 (부산대학교 치의학전문대학원 치주과학교실) ;
  • 이주연 (부산대학교 치의학전문대학원 치주과학교실)
  • Received : 2016.07.18
  • Accepted : 2016.08.18
  • Published : 2016.09.30

Abstract

Purpose: In this paper, we introduce a wide clinical application of root resection therapy and additional benefits on the next prosthetic or dental implant treatment procedures in the age of dental implants. Materials and Methods: Additional clinical benefits of root resection were monitored by clinical and radiographic evaluation. Results: No complication was reported in all the cases, and the favorable results of root resection were maintained for long period. Conclusion: In compromised multirooted teeth, variety clinical treatment modality should be considered for enhancing the reconstruction of alveolar ridge around root resected in preparation for next implantation.

목적: 임플란트가 대중화 되어 있는 시대에서 치근절제술의 다양한 적용사례와, 장기적 관점에서 보철 치료 또는 임플란트 치료에 있어 긍정적인 부가적 효과를 소개하고자 한다. 연구 재료 및 방법: 본 연구는 다양한 원인으로 치근절제술을 시행한 증례들의 임상적, 방사선학적 평가를 통해, 치근절제술의 부가적 효용을 평가하였다. 결과: 모든 증례에서 부작용 보고 없이, 양호한 치료결과를 보여주었고, 장기적으로 잘 유지되고 있다. 다근치에서 유지하는 치근 주변의 치조제는 잘 보존되고, 절제된 치근부의 치조제는 양호한 회복을 보여주었다. 결론: 손상된 치주조직을 가진 임상증례에서, 다양한 치료 접근법에 대한 고려가 필요하며, 차후 임플란트를 대비한 치조제 회복을 도모하는데, 치근절제술의 부가적인 장점이 있을 것이다.

Keywords

References

  1. Johannsen A, Westergren A, Johannsen G. Dental implants from the patients perspective: transition from tooth loss, through amputation to implants-negative and positive trajectories. J Clin Periodontol 2012;39:681-7. https://doi.org/10.1111/j.1600-051X.2012.01893.x
  2. Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall N, Spencer AJ. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol 2004;32:107-14. https://doi.org/10.1111/j.0301-5661.2004.00131.x
  3. Farrar JN. Radical and heroin treatment of alveolar abscess by amputation of roots of teeth. Dental Cosmos 1884;26:79-81.
  4. Basaraba N. Root amputation and tooth hemisection. Dent Clin North Am 1969;13:121-32.
  5. Park SY, Shin SY, Yang SM, Kye SB. Factors influencing the outcome of root-resection therapy in molars: a 10-year retrospective study. J Periodontol 2009;80:32-40. https://doi.org/10.1902/jop.2009.080316
  6. Fugazzotto PA. A comparison of the success of root resected molars and molar position implants in function in a private practice: results of up to 15-plus years. J Periodontol 2001;72:1113-23. https://doi.org/10.1902/jop.2001.72.8.1113
  7. Buhler H. Evaluation of root-resected teeth. Results after 10 years. J Periodontol 1988;59:805-10. https://doi.org/10.1902/jop.1988.59.12.805
  8. Minsk L, Polson AM. The role of root resection in the age of dental implants. Compend Contin Educ Dent 2006;27:384-8.
  9. Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-8. https://doi.org/10.1111/j.1600-051X.2005.00642.x
  10. Livada R, Fine N, Shiloah J. Root amputation: a new look into an old procedure. N Y State Dent J 2014;80:24-8.
  11. Roccuzzo M, Bonino F, Aglietta M, Dalmasso P. Ten-year results of a three arms prospective cohort study on implants in periodontally compromised patients. Part 2: clinical results. Clin Oral Implants Res 2012;23:389-95. https://doi.org/10.1111/j.1600-0501.2011.02309.x
  12. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23:313-23.
  13. Avila-Ortiz G, Elangovan S, Kramer KW, Blanchette D, Dawson DV. Effect of alveolar ridge preservation after tooth extraction: a systematic review and meta-analysis. J Dent Res 2014;93:950-8. https://doi.org/10.1177/0022034514541127