치면열구전색술 - Advanced technique
Pit and fissure sealing - Advanced technique
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참고문헌
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초록
좁고 깊은 소와 및 열구를 인위적으로 폐쇄해 줌으로써 교합면 우식증을 효과적으로 예방할 수 있는 치면열구전색술의 문제점은 잘 탈락된다는 것이다. 또한 이를 잘 적용하지 못한 경우 오히려 우식발생을 가릴 수 있어 위험하다. 따라서 치면열구전색재의 올바른 적용방법에 대한 이해와 재고가 필요하다. 현재 치면열구전색재 도포 술식은 완벽한 재료가 없고 technique-sensitive하여 다른 수복처럼 반영구적 혹은 영구적일 수 없다. 따라서 치면열구전색재는 불소처럼 주기적으로 도포해 주어야 하는 시술로 생각하면 심적 부담에서 벗어날 수 있다. 치면열구전색을 위해서는 반드시 recall-check가 전제되어야 하는데, 미국의 한 치과 경영학 담당 교수는 치면열구전색재 시술 환자의 70%가 recall이 되었을 때 병원 경영이 효율적으로 이루어지고 있다는 평가를 내릴 수 있다고 하였다. 다시 말해 치면열구전색재 시술 후 recall-check은 그만큼 병원의 환자 관리적인측면에서의 성패를 좌우하는가늠자역할을 한다. 치면열구전색재가 탈락되지 않게 할 수는 없어도 더 오랫동안 붙어 있도록 하는 노력은 필요하다. 앞으로 본 란에서는 더 오랫동안 유지되도록 하기 위한 치면열구전색재의 도포 방법을 다음과 같은 요소를 중심으로 임상적으로 검토해 보도록 하겠다.
Abstract
This paper reviewed the following subheadings and a few selected references in each section were discussed:- Sealant placed over caries; is it possible?Initial caries which is not sticky during proving is possible to be placed with sealants. - Prophylaxis of fissure; which method is most effective?Mechanical preparation with fissurotomy or resin polishing bur is one of the most effective method to clean the pit and fissure. - Glassionomer cement as a sealant; GIC, wheather it released fluoride or not, cannot be as cost-effective as resin-based sealants. - Sealant products; Color(white vs opaque), fluoride(containing vs not), filler component(filled vs non-filled) do not influenced the quality and retention of sealants. - Use of intermediate bonding agent to improve retention; Intermediate bonding may increase the retention rate of sealants - Penetration method of sealants; Several methods including waiting before light curing are recommended.
참고문헌 (19)
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