구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제36권1호
  • /
  • Pages.48-54
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  • 2020
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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상악 전치부 치관-치근 파절 증례에서의 보존적 접근법: 교정적 정출술

Conservative approach for anterior crown-root fractured teeth: forced eruption

  • 김지은 (전남대학교 치과대학 보존학교실) ;
  • 최성현 (전남대학교 치과병원 치과보존과) ;
  • 장훈상 (전남대학교 치과대학 보존학교실) ;
  • 황윤찬 (전남대학교 치과대학 보존학교실) ;
  • 황인남 (전남대학교 치과대학 보존학교실) ;
  • 오원만 (전남대학교 치과대학 보존학교실)
  • Kim, Ji-Eun (Department of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Sung-Hyeon (Department of Conservative Dentistry, Chonnam National University Dental Hospital) ;
  • Chang, Hoon-Sang (Department of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Hwang, Yun-Chan (Department of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Hwang, In-Nam (Department of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Oh, Won-Mann (Department of Conservative Dentistry, School of Dentistry, Chonnam National University)
  • 투고 : 2020.02.19
  • 심사 : 2020.02.26
  • 발행 : 2020.03.31
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초록

상악 전치부 외상으로 인한 치관-치근 파절의 경우 파절선이 치은연하에 위치할 때 결손된 골조직과 연조직을 재생성하기 위해 교정적 정출술이 제안되었다. 교정적 정출술은 심미적인 결과와 좋은 예후를 나타내는 쉬운 교정 접근법 중 하나이다. 그러나 강한 힘을 사용하거나 매우 빠른 교정력을 가하게 되면 조직손상이나 유착이 발생할 수 있다. 다음 증례는 두 환자에서 외상으로 인한 상악전치의 치관-치근 파절에 대해 교정적 정출술을 이용한 임상치료과정을 서술하였다.

In the case of crown-root fracture due to traumatic injury in anterior tooth and the fracture margin is located subgingivally, forced eruption has been proposed for the reconstruction of deficient bone and soft tissue. Forced eruption is one of the easiest orthodontic approaches that can have an acceptable outcome and prognosis, and has a low incidence of relapse. However, using heavy forces or very fast movements can also cause tissue damage or ankylosis. The following case reports present forced eruption as treatment option of crown fracture in maxillary anterior teeth.

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참고문헌

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