치아침식증
Dental Erosion
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참고문헌
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초록
최근 들어 치아침식증(이하 침식증)의 유병률이 증가하면서 이에 대한 관심이 급증하고 있지만 아직 우리 사회나 치과계내에서 인식이 부족한 상황이다. 침식증은 비가역적 치아 경조직 소실로, 방치될 경우 복합적인 문제를 야기할 수 있으므로조기에 진단하여 질환의 진행을 예방해야 하며 특히 어린이와 청소년에 있어서는 조기 개입이 더 중요하다. 침식증은 다인자성 질환이므로 조기 진단을 위해서는, 위험인자에 대한 충분한 사전 지식을 갖추고 체계적인 임상검사와철저한 병력청취가 필요하다. 주 원인요소가 파악되면 이를 가급적 제거하고 예방적 방법을 동원하여 질환의 진행을 막도록노력한다. 치료는 치질 소실이 일정 기준 이상 되었을 때 시작하며 가장 덜 침습적인 방법을 선택해야 한다.
Abstract
In recent decades, dental erosion has received a considerable amount of attention with a steady increase of the prevalence. However, the awareness of this matter in our society, including dentistry is still lacking. Dental erosion is an irreversible loss of dental hard tissue leading to a complex condition. To prevent detrimental effects, it is important to detect conditions as early as possible and inhibit progression. In children and adolescents, early intervention is more important than in adults. As dental erosion is a multifactorial condition, dentists need to fully understand the phenomena and do systematic oral examination with thorough history taking for early diagnosis. When the main etiological factor is detected, it is necessary to make an effort to eliminate it and stop progression of the lesions with preventive measures. Restorative treatment should not be started unless substance loss reaches a certain level. Once the decision is made for treatment, care must be taken to choose the least invasive method.
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