Mineral Trioxide Aggregate를 이용한 근관치료재생술 (Regenerative endodontic procedure)
Regenerative Endodontic Procedure using Mineral Trioxide Aggregate
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
근관치료는 치아우식증이나 외상 등으로 인해 손상된 치아의 기능을 회복시키고 원래의 형태를 유지시켜주는 치료이다. 따라서 그 치료 과정에는 치수 및 치근단조직을 손상시키고 통증을 유발하는 세균 감염이나화학적, 물리적 자극을 제거하는 술식이 필수적이며,이러한 과정을 통해 통증이 사라지고 치료전에 존재하던 치근단 병소가 치유되는 것이 주기적인 관찰 과정에서 확인되면 그 치료는 성공적이라고 할 수 있다. 이는치근 성장이 완성되기전 손상을 입어 치근단 병소가 생기고 치수가 괴사되는 미성숙 영구치에서도 동일하게적용되는데 이런 경우 근첨형성술 (apexification)을수십년간 통상적으로 적용해 왔는데 최근에는 근관치료에도 재생의 개념이 도입되어 단지 치근단 병소의 치유만을 치료의 목적으로 하는 것이 아니라 치근의 재생까지도 기대하고 치료하는 경우가 증가하게 되었다1~3). 치근발육의 목적이면 apexogenesis와 같은 개념이아닌가 하고 생각할 수 있지만 apexogenesis는 근첨형성술을 시행한 다음 우연하게 근단부의 완성이 확인되는 경우인 반면 Regenerative endodontic procedure (REP)라고 불리는 재생술식은 치근의 정상적인 발육을 예상하고 적극적으로 치료에 개입하는치료과정이라고 할 수 있다. 따라서 본 논문은 REP를시행하는 rationale와 REP 술식과 REP에 사용되는MTA (mineral trioxide aggregate)의 올바른 적용방법을 확인하여 손상받은 미성숙 영구치 근관치료에 재생술식이 올바르게 적용되도록 하는 것이 그 목적이다.
Abstract
restores the normal function of the pulp-dentin complex. Possible reason for doing REP is not clearly known, however, clinicians perform REP in order to recover the histological structure as well as function of the traumatized and diseased tooth so that this tooth can restore its original root shape and thickness. This REP can be explained by the concept of revascularization or revitalization after induction of blood clot formation in the canal space. For this purpose, several treatment strategies have been suggested. In this regard, the rationale for the application of triantibiotics,calcium hydroxide or mineral trioxide aggregate is discussed in this paper. As a result, we will try to find the best method for REP by reviewing each available technique and their advantages and disadvantages.
참고문헌 (25)
- Murray PE, "Regenerative endodontics: a review of current status and a call for action", J Endod, 33, pp.377~390 (2007)
- Chueb L-H, "Regenerative endodontic treatment for necrotic immature permanent teeth", J Endod, 35, pp.160~164 (2009)
- Thibodeau B, "Pulp revascularization of immature dog teeth with apical periodontitis", J Endod, 33, pp.680~689 (2007)
- Herman BW, "On the reaction of the dental pulp to vital amputation and calxyl capping", Disch Zahnarztl, 7, pp.1446~1447 (1952)
- Kling M, "Rate and predictability of pulp revascularization in therapeutically reimplanted permanent incisors", Endod Dent Traumatol, 2, pp.83~89 (1986)
- Iwaya SI, "Revascularization of an immature permanent tooth with apical periodontitis and sinus tract", Dent Traumatol, 17, pp.185~187 (2001)
- Kaiser JH, "Management of wide-open canals with calcium hydroxide", AAE meeting (1964)
- Frank AL, "Therapy for the divergent pulpless tooth by continued apical formation", J Am Dent Assoc, 72, pp.87~ (1966)
- Roberts SC, "Tricalcium phosphate as an adjunct to apical closure in pulpless permanent teeth", J Endod, 1, pp.263~ (1975)
- Tittle KW, "Apical closure induction using bone growth factors and MTA (abstract)", J Endod, 22, pp.198~ (1996)
- Shabahang S, "A comparative study of root-end induction using osteogenic protein-I, calcium hydroxide and MTA in dogs", J Endod, 25, pp.1~5 (1999)
- Andreasen JO, "Long-term calcium hydroxide as a root canal dressing may increase the risk of root fracture", Dent Traumatol, 18, pp.134~137 (2002)
- Banches F, "Revascularization of an immature permanent teeth with apical periodontitis: new treatment protocol?", J Endod, 30, pp.196~200 (2004)
- Shab N, "Efficacy of revascularization to induce apexification", apexogenesis in infected, nonvital, immature teeth: a pilot clinical study, 2008, pp.34, 919~925
- Reynolds K, "Pulp vascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report", Int Endo J, 42, pp.84~92 (2009)
- Simon S, "The use of MTA in one-visit apexification treatment: a prospective study", Int Endod J, 40, pp.186~197 (2007)
- Cvek M, "Pulp revascularization in reimplanted immature monkey incisors: predictability and the effect of antibiotic systemic prophylaxis", Endod Dent Traumatol, 6, pp.157~169 (1990)
- Hoshino E, "In vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of Ciprofloxacin, Metronidazole, Minocycline", Int Endo J, 29, pp.125~130 (1996)
- Bose R, "A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures", J Endod, 35, pp.1343~1349 (2009)
- Ding RY, "Pulp revascularization of immature teeth with apical periodontitis: A clinical study", J Endod, 35, pp.745~749 (2009)
- Jung IY, "Biologically based treatment of immature permanent teeth with pulpal necrosis: a case series", J Endod, 34, pp.876~887 (2008)
- Kim JH, "Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report", J Endod, 36, pp.1086~1091 (2010)
- Windley W, "Disinfection of immature teeth with a triple antibiotic paste", J Endod, 31, pp.439~443 (2005)
- Wang X, "istologic characterization of regenerated tissues in canal space after the revitalization", revascularization procedure of immature dog teeth with apical periodontitis, 2009, ~
- Arcangelo C, "Use of MTA orthograde obturation of non-vital teeth with open apices: report of two cases", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 104, pp.98~101 (2007)