대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제49권1호
  • /
  • Pages.121-130
  • /
  • 2022
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지
DOI QR코드

DOI QR Code

대구치-절치 형태이상 환자의 임상적 치료 및 단기 예후: 증례 보고

Clinical Management and Short-term Prognosis of Molar-Incisor Malformation Affected Patients: Case Reports

  • Kim, Hyojin (Department of Pediatric Dentistry, Sun Dental Hospital) ;
  • Lim, Sumin (Department of Pediatric Dentistry, Sun Dental Hospital) ;
  • Kim, JinYoung (Department of Pediatric Dentistry, Sun Dental Hospital)
  • 투고 : 2021.08.05
  • 심사 : 2021.09.30
  • 발행 : 2022.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

대구치-절치 형태이상(MIM)은 비교적 최근에 보고되고 있는 치아의 형태 이상으로, 주로 제1대구치의 치근, 제2유구치의 치근, 상악 중절치의 치관에 형태이상이 나타난다. MIM을 일으키는 원인에 대해서는 아직 정확하게 밝혀진 바가 없으나, 공통적으로, 조산을 포함한 생 후 1 - 2년 이내에 발생한 의학적 병력을 가진다. MIM에 영향을 받은 제1대구치는 임상적으로 정상적인 치관 형태를 가지므로, 정확한 진단을 위해서는 방사선학적 검사가 꼭 필요하다. 주로 대구치 부위의 극심한 통증과 붓기를 주소로 내원하여 발견되는 경우가 많으며, 염증이 심하지 않고, 치근의 형태 이상이 비교적 양호한 경우에는 근관치료를 시도해 볼 수 있다. 그러나 치근주위 염증이 상당히 진행되어 광범위한 치조골 소실이 관찰되는 경우 발치가 불가피하다. 발치를 해야 하는 경우에는 발치 시기와 제3대구치의 존재 여부를 고려해야 하며, 추후 안정적인 교합을 위해서 적절한 공간 관리와 장기적인 계획이 필요하다. MIM 환자들은 혼합치열기에 있으므로, 정확한 진단과 시기에 맞는 적절한 치료가 중요하다. 이번 증례에서는 두 명의 MIM 어린이의 치료과정과 치료 후 2년의 경과에 대하여 보고하는 바이다.

Molar-incisor malformation (MIM) is a newly reported dental anomaly with molar root deformity and incisor crown defects. MIM-affected teeth may cause severe pain with no apparent tooth caries. Since the affected molars clinically appear normal, radiographs are recommended for accurate diagnosis on the first visit. Since MIM-affected patients are in mixed dentition, timely and appropriate interventions are needed to avoid unnecessary pain and complicated clinical issues. This report was written to describe two patients who had MIM in early mixed dentition and report their 2-year follow-ups.

키워드

참고문헌

  1. Lee HS, Kim SH, Song JS, et al. : A new type of dental anomaly: molar-incisor malformation (MIM). Oral Surg Oral Med Oral Pathol Oral Radiol, 118:101-109, 2014. https://doi.org/10.1016/j.oooo.2014.03.014
  2. Witt CVA, Hirt T, Rutz G, Luder HU : Root malformation associated with a cervical mineralized diaphragm - a distinct form of tooth abnormality? Oral Surg Oral Med Oral Pathol Oral Radiol, 117:311-319, 2014.
  3. Lee HS, Kim SH, Song JS, et al. : Microscopicanalysis of molar-incisor malformation. Oral Surg Oral Med Oral Pathol Oral Radiol, 119:544-552, 2015. https://doi.org/10.1016/j.oooo.2014.10.013
  4. Kim JE, Hong JK, Huh KH, et al. : Clinico-radiologic features of molar-incisor malformation in a case series of 38 patients: A retrospective observational study. Medicine, 98:e17356, 2019. https://doi.org/10.1097/md.0000000000017356
  5. Brusevold IJ, Bie TMG, Espelid I, et al. : Molar incisor malformation in six cases: Description and diagnostic protocol. Oral Surg Oral Med Oral Pathol Oral Radiol, 124:52-61, 2017. https://doi.org/10.1016/j.oooo.2017.03.050
  6. Demirjian A, Goldstein H, Tanner JM : A new system of dental age assessment. Hum Biol, 45:211-217, 1973.
  7. Teo TKY, Ashley PF, Parekh S, Noar J : The evaluation of spontaneous space closure after the extraction of first permanent molars. Eur Arch Paediatr Dent, 14:207-212, 2013. https://doi.org/10.1007/s40368-013-0042-7
  8. Vargo RJ, Reddy R, Potluri A, et al. : Molar-incisor malformation: Eight new cases and areview of the literature. Int J Paediatr Dent, 30:216-224, 2020. https://doi.org/10.1111/ipd.12592
  9. Mitra S, Rennie J : Neonatal jaundice: aetiology, diagnosis and treatment. Br J Hosp Med, 78:699-704, 2017. https://doi.org/10.12968/hmed.2017.78.12.699
  10. Amaral THA, Guerra CS, Queiroz AM, et al. : Tooth pigmentation caused by bilirubin: a case report and histological evaluation. Spec Care Dentist, 28:254-257, 2008. https://doi.org/10.1111/j.1754-4505.2008.00048.x
  11. Brits H, Adendorff J, Joubert G, et al. : The prevalence of neonatal jaundice and risk factors in healthy term neonates at National District Hospital in Bloemfontein. Afr J Prim Health Care Fam Med, 10:1-6, 2018. https://doi.org/10.1071/HCv10n1_ED1
  12. Wright JT, Curran A, Kim JW, et al. : Molar root-incisor malformation: considerations of diversedevelopmental and etiologic factors. Oral Surg Oral Med Oral Pathol Oral Radiol, 121:164-172, 2016. https://doi.org/10.1016/j.oooo.2015.08.024
  13. Centers for Disease Control and Prevention : Preterm Birth. Available from URL: https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pretermbi rth.htm#:~:text=Preterm%20birth%20is%20when%20a,of%20pregnancy%20ha ve%20been%20completed (Accessed on June 1, 2021).
  14. Zeichner-David M, Oishi K, Bringas P : Role of Hertwig's Epithelial Root Sheath Cells inTooth Root Development. Dev Dyn, 228:651-663, 2003. https://doi.org/10.1002/dvdy.10404
  15. Kim HM, Yang SD, Nam SH, et al. : Relationship between the developmental stage and chronological age, and the changes of tooth position in relation to the tooth development on mandibular permanent teeth. J Korean Acad Pediatr Dent, 29:607-617, 2002.
  16. William V, Messer LB, Burrow MF : Molar incisor hypomineralization: review and recommendation for clinical management. Pediatr Dent, 28:224-232, 2006.
  17. Kaczmarek U, Jaworski A : Molar-Incisor Hypomineralisation - Etiology, Prevalence, Clinical Picture and Treatment - Review. Dent Med Probl, 51:165-171, 2014.
  18. Toomarian L, Mashhadiabbas F, Mirkarimi M, Mehrdad L : Dentin dysplasia type I: a case report and review of the literature. J Med Case Rep, 4:1, 2010. https://doi.org/10.1186/1752-1947-4-1
  19. O Carroll MK, Duncan WK, Perkins TM : Dentin dysplasia: review of the literature and a proposed subclassification based on radiographic findings. Oral Surg Oral Med Oral Pathol, 72:119-125, 1991. https://doi.org/10.1016/0030-4220(91)90202-N
  20. Nieminen P, Papagiannoulis-Lascarides L, Alaluusua S, et al. : Frameshift mutations in dentin phosphoprotein and dependence of dentin disease phenotype on mutation location. J Bone Miner Res, 26:873-880, 2011. https://doi.org/10.1002/jbmr.276
  21. Kim JW : Molecular pathophysiology of dentinogenesis imperfecta: a review. J Korean Acad Pediatr Dent, 33:738-742, 2006.
  22. Kim MJ, Song JS, Hyun HK, et al. : Clinical Considerations for Dental Management of Children with Molar-Root Incisor Malformations. J Clin Pediatr Dent, 44:55-59, 2020. https://doi.org/10.17796/1053-4625-44.1.10
  23. Cobourne MT, Willians A, Harrison M : National clinical guidelines for the extraction of first permanent molars in children. Br Dent J, 217:643-648, 2014. https://doi.org/10.1038/sj.bdj.2014.1053
  24. Lygidakis NA, Wong F, Espelid I, et al. : Best Clinical Practice Guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH): An EAPD Policy Document. Eur Arch Paediatr Dent, 11:75-81, 2010. https://doi.org/10.1007/bf03262716
  25. Eichenberger M, Erb J, Zwahlen M, Schatzle M : The timing of extraction of non-restorable first permanent molars: a systematic review. Eur J Paediatr Dent, 16:272-278, 2015.
  26. Rotstein I, Simon J : Diagnosis, prognosis and decision-making in the treatment of combined periodontal-end-odontic lesions. Periodontol 2000, 34:165-203, 2004. https://doi.org/10.1046/j.0906-6713.2003.003431.x
  27. Yue W, Kim E : Nonsurgical endodontic management of a molar-incisor malformation-affected mandibular first molar: a case. J Endod, 42:664-668, 2016. https://doi.org/10.1016/j.joen.2015.11.004
  28. Park S, Byun S, Oh S : Treatment of molar incisor malformation and the short term follow-up: case reports. Eur J Paediatr Dent, 21:238-242, 2020.
  29. Uzamis M, Kansu O, Taner TU, Alpar R : Radiographic evaluation ofthird-molar development in a group of Turkish children. ASDC J Dent Child, 67:136-141, 2000.