유치열기 외상성 손상의 진단 및 처치
Diagnosis and treatment for traumatic injury in primary dentition
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초록
최근 현대 사회의 환경 변화에 의해 외상의 위험성이 지속적으로 증가하고 있으며, 이와 함께 치과 영역에서 외상 받은 치아에 대한 정확한 진단과 적절한 처치의 필요성이 커지고 있다. 그러나 치아의 외상성 손상에 대한 연구는 주로 영구치를 대상으로 시행되어 왔고, 상대적으로 유치를 대상으로 한 연구는 드물다. 유치의 외상은 유치열기 치아뿐 아니라 후속 영구치배의 손상으로 인한 영구치의 발생 장애나 맹출 장애 등을 일으킬 수 있으므로, 외상 받은 유치의 처치는 영구치 보다 더욱 세심한 주위를 필요로 한다. 본 연구는치아의 외상성 손상에 대한 여러 문헌 및 임상 증례들을 고찰하여 그 과정을 이해하고 예후에 대해 분석함으로써, 유치의 외상성 손상에 대한 올바른 진단 및 치료에 대한 방안을 모색해 보고자 한다.
Abstract
Recently, the risk of dental trauma is continuously increasing due to the environmental changes in the modern society. Therefore, interest in appropriate management of traumatized teeth is also increasing. However, studies on traumatic injuries of teeth have been performed mainly on permanent dentition, and relatively few researches have been performed on primary dentition. Since trauma to the primary teeth may not only damage primary dentition itself but also lead to developmental impairments of permanent teeth, such as malformation or delayed eruption, treatment of traumatized primary teeth requires more attention than permanent teeth. This study is aimed to search for proper diagnosis and treatment strategy of traumatized primary teeth by reviewing the literature and clinical cases of traumatic injury of teeth and understanding their process and analyzing the prognosis.
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