치근단 방선균증: 증례보고와 문헌고찰
Periapical Actinomycosis: Case Report and Literature Review
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초록
Actinomycetes is a type of normal inhabitants of the oral cavity and is an anaerobic bacteria mainly distributed on the root surface in contact with the gingival sulcus. A. israelii, a gram-positive bacterium, is normally present in carious teeth and calculus with the highest frequency. In the environment such as traumatic injury, apical infection, and pericoronitis that occurs around a partially impacted tooth, the nature changes to infectivity and causes an acute inflammatory response. For the treatment of actinomycosis, large doses of penicillin are administered for at least 10 days after surgical drainage and debridement. The apical lesions on radiographs can sometimes appear as malignant lesions, so differentiation is necessary and biopsy is essential. Therefore, in this classroom, actinomycosis was diagnosed and reported in the biopsy of the apical lesion of a tooth that had been extracted due to severe dental caries, and the literature review was conducted.
Abstract
Actinomycetes is a type of normal inhabitants of the oral cavity and is an anaerobic bacteria mainly distributed on the root surface in contact with the gingival sulcus. A. israelii, a gram-positive bacterium, is normally present in carious teeth and calculus with the highest frequency. In the environment such as traumatic injury, apical infection, and pericoronitis that occurs around a partially impacted tooth, the nature changes to infectivity and causes an acute inflammatory response. For the treatment of actinomycosis, large doses of penicillin are administered for at least 10 days after surgical drainage and debridement. The apical lesions on radiographs can sometimes appear as malignant lesions, so differentiation is necessary and biopsy is essential. Therefore, in this classroom, actinomycosis was diagnosed and reported in the biopsy of the apical lesion of a tooth that had been extracted due to severe dental caries, and the literature review was conducted.
참고문헌 (14)
- Sapp JP, "Contemporary Oral and Maxillofacial Pathology" (2004)
- Korean Oral and Maxillofacial Society, "Oral & Maxillofacial Surgery" (2013)
- Wong VK, "Actinomycosis", BMJ, 343, pp.d6099~ (2011)
- Bonnefond S, "Clinical features of actinomycosis: A retrospective, multicenter study of 28 cases of miscellaneous presentations", Medicine(Baltimore), 95, pp.e3923~ (2016)
- Miller M, "Cervicofacial actinomycosis", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 85, pp.496~508 (1998)
- Hirshberg A, "Periapical actinomycosis : a clinicopathologic study", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 95, pp.614~620 (2003)
- Gomes-Silva W, "Clinicopathological and ultrastructural characterization of periapical actinomycosis", Med Oral Patol Oral Cir Bucal, 25, pp.e131~6 (2020)
- NAIR PNR, "Non-microbial etiology : periapical cysts sustain post-treatment apical periodontitis", Endodontic Topics, 6, pp.96~113 (2003)
- Nair PN, "Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study", J Endod, 16, pp.580~588 (1990)
- Nair PN, "Therapy-resistant foreign body giant cell granuloma at the periapex of a root-filled human tooth", J Endod, 16, pp.589~595 (1990)
- Ramachandran Nair PN, "Periapical actinomycosis", J Endod, 10, pp.567~570 (1984)
- Sjogren U, "Factors affecting the long-term results of endodontic treatment", J Endod, 16, pp.498~504 (1990)
- Bystrom A, "Healing of periapical lesions of pulpless teeth after endodontic treatment with controlled asepsis", Endod Dent Traumatol, 3, pp.58~63 (1987)
- Sjogren U, "Survival of Arachnia propionica in periapical tissue", Int Endod J, 21, pp.277~282 (1988)