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Triple antibiotics와 관련한 치아 변색의 예방

Prevention of tooth discoloration associated with triple antibiotics

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초록

Regenerative endodontics has a potential to heal a partially necrotic pulp, which can be beneficial for the continued root development and strengthening of immature teeth. For this purpose, triple antibiotic mixture of ciprofloxacin, metronidazole, and minocycline was recommended as intracanal medicament in an attempt to disinfect the root canal system for revascularization of a tooth with a necrotic pulp. However,discoloration of the tooth was reported after applying this. This case shows the idea for preventing the tooth discoloration using a delivery syringe (SW-O-01, Shinwoo dental) to avoid the contact between the clinical crown and the antibiotics.

Abstract

Regenerative endodontics has a potential to heal a partially necrotic pulp, which can be beneficial for the continued root development and strengthening of immature teeth. For this purpose, triple antibiotic mixture of ciprofloxacin, metronidazole, and minocycline was recommended as intracanal medicament in an attempt to disinfect the root canal system for revascularization of a tooth with a necrotic pulp. However,discoloration of the tooth was reported after applying this. This case shows the idea for preventing the tooth discoloration using a delivery syringe (SW-O-01, Shinwoo dental) to avoid the contact between the clinical crown and the antibiotics.

참고문헌 (13)

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  10. Tanase S, "Reversed-phase ion-pair chromatographic analysis of tetracycline antibiotics. Application to discolored teeth", J Chromatogr B Biomed Sci Appl, (706), pp.279~285 (1998)
  11. 김성교, "Cohens pathways of the pulp, 10th ed.,", pp.602~619 (2011), Elsevier Korea
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  13. Sato I, "Ando-Kurihara N, Kota K, Iwaku M, Hoshino E. Sterilization of infected root-canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ", Int Endod J, 29, pp.118~124 (1996)

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