재식된 상악 중절치의 장기간에 걸친 추적례
Tooth replantation after traumatic avulsion: a 8-year follow up
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초록
완전 탈구된 치아의 치료 목적은 치주인대 세포의 손상과 치수 조직의 감염에 의한 염증 반응을 예방하거나 최소화하는 것이다. 치주인대 세포의 생활력은 완전 탈구된 치아의 예후에 있어 중요한 요소인데 치주인대 세포가 생활력을 유지하는 경우 재식시 재부착을 하게 되어 최소한의 염증반응 후 신생 백악질로 회복되지만, 생활력을 상실하게 되면 심한 염증반응을 야기하게 되어 광범위한 치근 흡수와 유착이 나타나게 된다. 치근이 유착되면 특히 성장하는 어린이일 경우 치조돌기의 성장을 방해하여 저위교합을 유발하게 된다. 또한 광범위한 치근 흡수나 유착으로 인한 치아의 조기 상실은 치조골의 흡수와 인접치의 지속적인 이동을 야기하여 기능적, 심미적인 문제를 발생케 한다. 본 증례는 상악 우측 중절치의 완전 탈구 후 재식한 후 항생제 투여 및 장기간의 수산화 칼슘 적용을 통해 9년에 걸쳐 기능적, 심미적으로 양호한 결과를 얻었기에 이에 보고하는 바이다.
Abstract
Tooth avulsion usually causes inflammatory root resorption and ankylosis, and ankylosis cause severe functional and esthetic problems, especially in childhood. A 7-year-old female visited the Dept. of Pediatric Dentistry, Yonsei University with the chief complaint of avulsive trauma to the upper right incisor which was left dry for 40 minutes. Tooth was irrigated with saline and replanted immediately and splinted. Anti bacterial agent and anti inflammatory agent were prescribed. After 4 months of replantation slight external root resorption and apical radiolucency was seen at radiographic examination, therfore pulp extirpation and calcium hydroxide(Vitapex™) canal filling were carried out. After 16 months, root canal was filled with gutta-percha, and bleaching treatment was done. Treatment results were satisfactory both esthetically and functionally for 8 years and 5 months.
참고문헌 (18)
- "Etiology and pathogenesis of traumatic dental injuries A clinical study of 1", pp.298 329~342 (1970)
- "The treatment of permanent incisor teeth of children following traumatic injury", 2, pp.9~24 (1957)
- "Text book and colour atlas of traumatic injuries to the teeth", pp.587~633 (1994), Munksgaard
- "Root resorption due to Dental Trauma", 1, pp.79~100 (2002)
- "Periodontal healing of replanted monkey teeth prevented from drying", 41, pp.117~123 (1983)
- "Milk and saliva as possible storage media for traumatically exarticulated teeth prior to replantation", 8, pp.1~26 (1981)
- "Pre-replantation storage of avulsed teeth : Fact and fiction", 29(4), pp.275~281 (2001)
- "Replantation of tooth Radiographic and clinical study of 110 human teeth replanted after accidental loss", pp.263~86 (1966)
- "An investigation of replantation of traumatically avulsed permanent incisor teeth", 172, pp.17~20 (1992)
- "Rate and predictability of pulp revascularisation in therapeutically reimplanted permanent incisors", 2, pp.83~89 (1986)
- "Tooth avulsion and replantation:a review", 2, pp.1~18 (1986)
- "The role of the necrotic periodontal membrane in cementum resorption and ankylosis", 1, pp.96~101 (1985)
- "The effect of systemic tetracycline on resorption of dried replanted dogs-teeth", 14, pp.127~132 (1998)
- "Effect of systemic tetracycline and amoxicillin on inflammtory root resorption of replanted dogs-teeth", 14, pp.216~220 (1998)
- "pH changes in dental tissues after root canal filling with calcium hydroxide", 7, pp.17~21 (1981)
- "The antibacterial effect of camphorated paramonochlorophenol and calcium hydroxide in the treatment of infected root canal", camphorated phe(l), pp.170~175 (1985)
- "Short-versus long-term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth", 11, pp.124~128 (1995)
- "Treatment of non-vital permanent incisors with calcium hydroxide Variation of occurrence of ankylosis of reimplanted teeth with duration of extra-alveolar period and storage enviroment", pp.43~56 (1974)