| 의도적 재식술을 위한 비외상성 안전 발치법 |
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최용훈1, 배지현2, 김영균3 |
1분당서울대학교병원 치과 보존과
2분당서울대학교병원 치과 보존과
3분당서울대학교병원 구강악안면외과 |
| Atraumatic Safe Extraction for Intentional Replantation |
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Yong-Hoon Choi1, Ji-Hyun Bae2, Young-Kyun Kim3 |
1Department of Conservative Dentistry, Section of Dentistry, Seoul National University Bundang Hospital
2Department of Conservative Dentistry, Section of Dentistry, Seoul National University Bundang Hospital
3Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital |
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| Abstract |
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Intentional replantation is useful for failed cases of conventional dental treatment - including root canal treatment - to restore the tooth in question. Based on a recent study, it is relatively very successful; prognosis is good for a long period. On the other hand, a tooth that becomes an indication of intentional replantation is often severely weakened throughout several treatments. Moreover, with multi-rooted teeth, extracting without root fracture is difficult. Safe extraction that is free of coronal or root fracture is important, but little information is known as to a concrete, safe way of extraction. There are a few considerations for safe extraction. First, a tooth with orthodontic extrusion force is easier for extraction due to its increased mobility; it increases the amount of the periodontal ligament, which is essential for re-attachment. As a safe way of extraction, the use of physics forceps has been introduced recently; it minimizes damage to the gingiva and alveolar hone. This paper reports the good result of using atraumatic safe extraction via both orthodontic extrusion and physics forceps(R). |
| Key Words:
intentional replantation;atraumatic extraction;orthodontic extrusion;physics forcep(R); |
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