Orthograde MTA 충전의 실패
Failure of orthograde MTA filling: MTA wash-out?
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참고문헌
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초록
Mineral trioxide aggregate (MTA)는 치근 천공을 수복하기 위한 생체적합성이 우수한 재료로 소개되었으며 현재 근관 치료의 다양한 분야에서 사용되고 있다. MTA는 전통적인 수복재료와는 달리 수분이 있는 환경에서 경화되는 특징이 있다. 임상에서 흔치는 않지만 경화되지 않은 MTA가 관찰되는 경우가 있으나 이의 원인은 불명확하며 관련된 연구도 많지 않다. 본 증례는 정 방향 MTA 충전 6년 후 MTA가 소실(wash-out)된 환자에 대한 증례로서 그 원인에 대해 고찰해보고자 한다.
Abstract
Mineral trioxide aggregate (MTA), which was originally developed for repair of root perforations, is a biocompatible material with numerous clinical applications in endodontics. MTA must be allowed to set in the presence of moisture to optimize the material’s physical and chemical properties. In the clinic, occasionally unset MTA has been detected after application of MTA on the tooth, and the reason has been unclear. This case report presents MTA washed-out for several years after placement at the root apex as an apical plug, and discusses the reason and things to consider in clinics.
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