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외상으로 파절된 치아의 치료에 대한 증례보고

The treatment options for the traumatically fractured tooth; Case reports

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주제분류치의학

초록

The traumatic accident could cause various damages to the teeth and surrounding tissues. It makes dentist embarrass because it not only requires the dentist to make quick decision, but also delayed decision affect the prognosis of the treatment. Depending on the location of the fracture, the fractured teeth are divided into crown fracture without pulpal involvement (Uncomplicated crown fracture), crown fracture with pulpal involvement (Complicated crown fracture), crown-root fracture, and root fracture. When the crown was fractured, treatment was performed with reattachment of the fragment or direct composite resin restoration depending on the presence or absence of the crown fragment. In the case of crown-root fracture, the direction of treatment can be set depending on whether the moisture control for final restoration is properly performed. In the case of root fracture, follow-up was observed after fixation using resin wire splint fixation, and if necessary, endodontic treatment of the crown fragment is recommended. The cases reported here have led to positive treatment outcome in fractured tooth for various traumatized situation.

Abstract

The traumatic accident could cause various damages to the teeth and surrounding tissues. It makes dentist embarrass because it not only requires the dentist to make quick decision, but also delayed decision affect the prognosis of the treatment. Depending on the location of the fracture, the fractured teeth are divided into crown fracture without pulpal involvement (Uncomplicated crown fracture), crown fracture with pulpal involvement (Complicated crown fracture), crown-root fracture, and root fracture. When the crown was fractured, treatment was performed with reattachment of the fragment or direct composite resin restoration depending on the presence or absence of the crown fragment. In the case of crown-root fracture, the direction of treatment can be set depending on whether the moisture control for final restoration is properly performed. In the case of root fracture, follow-up was observed after fixation using resin wire splint fixation, and if necessary, endodontic treatment of the crown fragment is recommended. The cases reported here have led to positive treatment outcome in fractured tooth for various traumatized situation.

참고문헌 (11)

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  7. Abbott P, "Diagnosis and management of transverse root fractures", J Endod, 45(12), pp.S13~S27 (2019)
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