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논문KCI 등재

치관주위염 및 치근단 염증으로 인한 하치조신경 손상

Inferior Alveolar Nerve Dysfunction Related with Periapical and Pericoronal Lesions

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참고문헌

키워드

주제분류치의학

초록

하치조신경은 삼차신경 중 하악분지이며, 하악, 하악치아, 하악치조골의 치은 및 하순의 감각을 지배한다. 하치조신경손상은 치과에서 시행하는 외과적 술식 중 일어날 수 있으며, 하악골 골절, 양성 및 악성종양, 골수염과 같은 병적소견과도 연관성이 있다. 본 병원에서는 치관주위염 및 치근단 병소로 유발된 감각이상에 대한 두 증례에서 발치술을 이용한 감압술 및 투약으로 성공적인 치료결과를 얻었고, 정량적인 방법으로서 호전양상을 평가했다. 따라서, 본 저자는 이처럼 드물게 발생하는 치관주위염 및 치근단 병소로 유발된 감각이상에 대한 두 증례를 보고하는 바이다.

Abstract

The inferior alveolar nerve (IAN) is one of the branches of the mandibular division of the trigeminal nerve and innervates the mandible, mandibular teeth, gingiva of inferior alveolus, and lower lip. IAN dysfunction can occur during many dental surgical procedures and is associated with pathologic findings such as mandibular fractures, benign and malignant tumors, and osteomyelitis. We treated two patients with IAN injuries, caused by periapical and pericoronal lesions, by decompression via extraction and medication, and confirmed quantitative improvement. The aim of this article report was to review rare cases of successful treatment of IAN dysfunction following periapical and pericoronal lesions.

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