Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Retrograde filling with Lid technique in periapical surgery: case report

Lid technique을 활용하여 치근단 수술에서 역충전을 시행한 증례 보고

  • Yoon-Joo Lee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Kyung-Mo Cho (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Se-Hee Park (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Yoon Lee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Jin-Woo Kim (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University)
  • 이윤주 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 조경모 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 박세희 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 이윤 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 김진우 (강릉원주대학교 치과대학 치과보존학교실)
  • Received : 2022.10.30
  • Accepted : 2022.12.05
  • Published : 2023.03.31
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Abstract

Apical sealing with proper retrograde filling material and technique is the key factor for successful apical surgery. In order to provide impeccable apical sealing and healing, various mechanical and chemical characteristics of retrograde filling material is required. MTA has been used as the gold standard of retrograde filling due to its unprecedented advantages. As MTA has long setting time and difficult handling properties, premixed putty type bioceramic material has been newly developed. For efficient retrofilling with premixed putty type biocreamic material, 'Lid technique' was also proposed. The following cases present apical surgery using newly developed premixed putty type bioceramic material with Lid technique.

치근단 수술의 성공 여부는 적절한 역충전 재료와 충전 기법을 선택하여 근단부를 밀폐하는 데 달려있다. 역충전 재료는 확실한 밀폐를 제공하고 양호한 치유를 얻기 위하여 여러가지 물리화학적 특성들이 요구되는데 현재까지 MTA는 기존의 재료들이 가지지 못한 전례없는 우수한 장점을 갖추어 역충전 재료의 gold standard로써 사용되어 왔다. 그러나 이러한 MTA도 경화시간이 길고 조작이 어렵다는 단점이 있어 최근에는 이러한 단점을 개선한 premixed putty type bioceramic material이 개발되었다. 또한 이러한 재료를 활용하여 역충전 와동을 효율적으로 충전하기 위한 'Lid technique'이 함께 제안되었다. 본 증례 보고는 치근단 수술에서 premixed putty type material과 Lid technique을 활용한 증례에 대하여 소개하고자 한다.

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References

  1. Chong BS, Rhodes JS. Endodontic surgery. Br Dent J 2014;216:281-90.
  2. Antony JK, George L, Mathew J, Joy A. Sealing ability of mineral trioxide aggregate, Biodentine, and Endosequence RRM putty used as retrograde restorative material: An in vitro bacterial leakage model study. Endodontology 2022;34:16-21. https://doi.org/10.4103/endo.endo_176_21
  3. Li H, Guo Z, Li C, Ma X, Wang Y, Zhou X, Johnson TM, Huang D. Materials for retrograde filling in root canal therapy. Cochrane Database Syst Rev 2021;10:CD005517.
  4. Ali Nasseh A. Endodontic Practice Us. Available from: https://endopracticeus.com/premixed-nanoparticulate-bioceramics-endodontics-first-decade (updated 2022 July 18).
  5. Pereira IR, Carvalho C, Paulo S, Martinho JP, Coelho AS, Paula AB, Marto CM, Carrilho E, Botelho MF, Abrantes AM, Ferreira MM. Apical sealing ability of two calcium silicate-based sealers using a radioactive isotope method: An In Vitro Apexification Model. Materials 2021;14;6456.
  6. Antunes HS, Gominho LF, Andrade-Junior CV, Dessaune-Neto N, Alves FRF, Rocas IN, Siqueira JF Jr. Sealing ability of two root-end filling materials in a bacterial nutrient leakage model. Int Endod J 2016;49;960-5. https://doi.org/10.1111/iej.12543
  7. Ali Nasseh A. Real World Endo. Available from: https://realworldendo.com/the-rwe-lid-technique-for-retrofilling-during-apicoectomy (updated 2022 July 18).