대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제45권4호
  • /
  • Pages.521-527
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  • 2018
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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심한 치관 손상이 발생한 치관-치근 파절 치아의 일회 내원 치근관형성술 및 파절편 재부착 : 증례 보고

One-visit Apexification Using MTA and Reattachment of a Crown-root Fractured Tooth with Severe Coronal Damage: A Case Report

  • 박영준 (원광대학교 부속치과병원 소아치과) ;
  • 이제우 (원광대학교 치과대학 소아치과학교실 및 치의학연구소) ;
  • 라지영 (원광대학교 치과대학 소아치과학교실 및 치의학연구소)
  • Park, Youngjun (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Jewoo (Department of Pediatric Dentistry and Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Ra, Jiyoung (Department of Pediatric Dentistry and Dental Research Institute, College of Dentistry, Wonkwang University)
  • 투고 : 2018.07.24
  • 심사 : 2018.08.13
  • 발행 : 2018.11.30
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초록

치아의 외상에서 파절편의 재부착은 본래 치아의 형태, 질감, 색, 방사선투과성을 재현하여 우수한 심미성을 제공한다. 9세의 남자 환자가 상악 우측 중절치의 복잡 치관-치근 파절로 내원하였다. 심한 치관 손상과 골 연하로 연장된 파절로 인해 예후가 불량했지만 환자의 나이를 고려하여 치아 파절편을 재부착하기로 결정하였다. Mineral trioxide aggregate(MTA)를 이용한 일회 내원 치근관형성술 후에 골절제술과 포스트 식립을 동반하여 치아 파절편을 재부착하였다. 정기적인 관찰결과 임상 및 방사선학적으로 양호한 결과를 나타냈기에 보고하고자 한다.

In dental trauma, reattachment of the original tooth fragment improves the reproduction of original tooth shape, texture, color, and radiolucency; thus, it provides good aesthetics. A 9-year-old boy was referred due to complicated crown-root fracture of the maxillary right central incisor. Although it had poor prognosis due to severe coronal damage and subcrestal fracture, reattachment of the tooth fragment was chosen due to the patient's age. One-visit apexification with mineral trioxide aggregate (MTA) was performed, followed by osteotomy and reattachment of the tooth fragment with post placement. Regular observation revealed no clinical signs or symptoms and no radiologic complications.

키워드

참고문헌

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