치아재식술을 통한 치주 조직 재생의 가능성: 문헌고찰
Possibility of periodontal tissue regeneration with tooth replantation: A literature review
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Periodontitis is caused primarily by dental plaque microorganism. Periodontitis is characterized by the destruction of the periodontium. Sometimes for the patients with severe periodontal diseases who have advanced bone destruction, both surgical and non-surgical methods may not be successful. In these cases, intentional replantation may be an alternative choice at least for a period of time. The following applications are needed for successful periodontal regeneration of replanted teeth. First of all, mechanical, environmental, inflammatory trauma need to be minimized to protect the periodontal tissue on the root surface and alveolar bone surface in the extraction socket. Second, root surface treatment is needed to remove infected tissue and conserve as much cementum as possible. Third, growth factors can be applied to promote the regeneration of periodontal tissue. Fourth, various cell-based approaches can be applied for periodontal tissue regeneration in severe compromised periodontal defect.
Abstract
Periodontitis is caused primarily by dental plaque microorganism. Periodontitis is characterized by the destruction of the periodontium. Sometimes for the patients with severe periodontal diseases who have advanced bone destruction, both surgical and non-surgical methods may not be successful. In these cases, intentional replantation may be an alternative choice at least for a period of time. The following applications are needed for successful periodontal regeneration of replanted teeth. First of all, mechanical, environmental, inflammatory trauma need to be minimized to protect the periodontal tissue on the root surface and alveolar bone surface in the extraction socket. Second, root surface treatment is needed to remove infected tissue and conserve as much cementum as possible. Third, growth factors can be applied to promote the regeneration of periodontal tissue. Fourth, various cell-based approaches can be applied for periodontal tissue regeneration in severe compromised periodontal defect.
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