터널화 술식을 이용한 치근 이개부 병변의 치료: 임상증례
Tunnel preparation for the treatment of furcation area: Case report
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Furcation area has complex anatomy and the furcation involvement of periodontitis impedes accessibility for professional root debridement. Many treatment options can be taken and among them, the tunnel preparation exposes the furcation area surgically and eases cleansing. This study described 3 cases treated by tunnel preparation. Before the treatment, mobility, probing depth and clinical attachment level of the tooth were evaluated and thorough tooth brushing instruction was performed at each visit. After treatment, each patient was followed up by suppotive periodontal treatment. By thorough tooth brushing instruction and supportive periodontal treatment, the treated area were well maintained for each follow-up period. Reduction on mobility, probing depth and clinical attachment level of the teeth were observed. Also improved gingival index and plaque index could be obtained. And no further alveolar bone loss could be identified with radiographic examination. These results provide us with good prognosis of furcation-involved teeth treated with both tunnel preparation and supportive periodontal treatment.
Abstract
Furcation area has complex anatomy and the furcation involvement of periodontitis impedes accessibility for professional root debridement. Many treatment options can be taken and among them, the tunnel preparation exposes the furcation area surgically and eases cleansing. This study described 3 cases treated by tunnel preparation. Before the treatment, mobility, probing depth and clinical attachment level of the tooth were evaluated and thorough tooth brushing instruction was performed at each visit. After treatment, each patient was followed up by suppotive periodontal treatment. By thorough tooth brushing instruction and supportive periodontal treatment, the treated area were well maintained for each follow-up period. Reduction on mobility, probing depth and clinical attachment level of the teeth were observed. Also improved gingival index and plaque index could be obtained. And no further alveolar bone loss could be identified with radiographic examination. These results provide us with good prognosis of furcation-involved teeth treated with both tunnel preparation and supportive periodontal treatment.
참고문헌 (22)
- Bower RC, "Furcation morphology relative to periodontal treatment. Furcation entrance architecture", J Periodontol, 50, pp.23~27 (1979)
- Carnevale G, "Long-term effects of rootresective therapy in furcation-involved molars", J Clin Periodontol, 25, pp.209~214 (1998)
- Chiu BM, "Periodontal implications of furcation entrance dimensions in Chinese first permanent molars", J Periodontol, 62, pp.308~311 (1991)
- Eickholz P, "Postsurgical findings after tunnel preparation in mandibular molars with Class III furcation involvement", Dtsch Zahnarztl, 46, pp.356~357 (1991)
- Goldman HM, "Therapy of the incipient bifurcation involvement", J Periodontol, 29, pp.112~ (1958)
- Hamp SE, "Periodontal treatment of multirooted teeth. Results after 5 years", J Clin Periodontol, 2, pp.126~135 (1975)
- Hellden LB, "The prognosis of tunnel preparations in treatment of class III furcations", J Periodontol, 60, pp.182~187 (1989)
- Hou GL, "Types and dimensions of root trunk correlating with diagnosis of molar furcation involvements", J Clin Periodontol, 24, pp.129~135 (1997)
- Hirschfeld L, "A long-term survey of tooth loss in 600 treated periodontal patients", J Periodontol, 49, pp.225~237 (1978)
- Lee KH, "Tunneling technique: a case report", Oral Biology Research, 32, pp.65~72 (2008)
- Langeland K, "Periodontal disease, bacteria, and pulpal histopathology", Oral Surg Oral Med Oral Pathol, 37, pp.257~270 (1974)
- Langer B, "An evaluation of root resections. A ten-year study", J Periodontol, 52, pp.719~722 (1981)
- Little LA, "Lack of furcal bone loss following the tunneling procedure", J Clin Periodontol, 22, pp.637~641 (1995)
- Lowman JV, "Patent accessory canals: incidence in molar furcation region", Oral Surg Oral Med Oral Pathol, 36, pp.580~584 (1973)
- Müller HP, "Management of furcation-involved teeth. A retrospective analysis", J Clin Periodontol, 22, pp.911~917 (1995)
- Newell DH, "Current status of the management of teeth with furcation invasions", J Periodontol, 52, pp.559~568 (1981)
- Ramfjord SP, "Changing concepts in periodontics", J Prosthet Dent, 52, pp.781~786 (1984)
- Ravald N, "Long-term evaluation of root surface caries in periodontally treated patients", J Clin Periodontol, 13, pp.758~767 (1986)
- Topoll HH, "Surface changes of enamel, root cementum and fillings after treatment with tooth cleaning instruments", Dtsch Zahnarztl Z, 44, pp.387~390 (1989)
- Vandersall DC, "The mandibular molar class III furcation invasion: a review of treatment options and a case report of tunneling", J Am Dent Assoc, 133, pp.55~60 (2002)
- Vertucci FJ, "Furcation canals in the human mandibular first molar", Oral Surg Oral Med Oral Pathol, 38, pp.308~314 (1974)
- Waerhaug J, "The furcation problem. Etiology, pathogenesis, diagnosis, therapy and prognosis", J Clin Periodontol, 7, pp.73~95 (1980)