Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Treatment of a tooth with severe periodontal involvement using intentional replantation: case report

중도 치주염에 이환된 치아의 보존을 위한 의도적 재식술을 통한 치료: 증례보고

  • Choi, Youn-Kyung (Dental Clinic Center, Pusan National University Hospital) ;
  • Jung, Kyoung-Hwa (Dental Clinic Center, Pusan National University Hospital) ;
  • Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Joo, Ji-Young (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Kim, Hyun-Joo (Department of Periodontology, School of Dentistry, Pusan National University) ;
  • Kwon, Eun-Young (Dental Clinic Center, Pusan National University Hospital)
  • 최윤경 (부산대학교병원 치과진료센터) ;
  • 정경화 (부산대학교병원 치과진료센터) ;
  • 이주연 (부산대학교 치의학전문대학원 치주과학교실) ;
  • 주지영 (부산대학교 치의학전문대학원 치주과학교실) ;
  • 김현주 (부산대학교 치의학전문대학원 치주과학교실) ;
  • 권은영 (부산대학교병원 치과진료센터)
  • Received : 2019.02.02
  • Accepted : 2019.04.27
  • Published : 2019.06.30
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Abstract

Although intentional replantation is frequently used as a treatment modality for endodontic problems, severe periodontal involvement has usually been regarded as a contraindication. However, there are some studies suggesting that intentional replantation could be a successful treatment alternative for periodontally involved teeth. This paper reports the treatment of a tooth with severe periodontal involvement using intentional replantation. The tooth, which had had root canal therapy due to endodontic-periodontal combined lesion but showed extensive bone loss, was gently extracted and replanted after thorough debridement of the root surface. By intentional replantation, a tooth with severe periodontal involvement in this case could be preserved, without extraction, over the course of a 3-year follow-up period.

의도적 재식술은 흔히 근관 치료가 실패한 경우 사용되는 치료법이나, 중도의 치주 질환에 이환된 치아에서는 대개 추천되지 않는다. 그러나, 일부 연구들은 의도적 재식술을 이용하여 치주 질환에 이환된 치아를 성공적으로 치료한 것을 보고한 바가 있다. 본 연구에서는 중도 치주염에 이환된 치아를 의도적 재식술을 이용하여 치료한 증례를 보고하고자 한다. 해당 치아는 근관-치주 복합 병소로 진단 후 근관치료를 선행하였으나 광범위한 골소실을 나타냈으며, 이에 의도적으로 발치 후 치근 표면의 국소 인자를 완전히 제거한 후 재식하였다. 의도적 재식술을 이용하여 본 증례에서 중도 치주염에 이환된 치아를 발치하지 않고 3년간의 경과 관찰 기간 동안 보존할 수 있었다.

Keywords

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