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Management for traumatic neuropathy after dental treatment

치과 시술 후 나타난 신경손상의 관리

  • Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Lee, Sunhee (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Heo, Jun-Young (Department of Oral Medicine, Pusan National University Dental Hospital, Dental Research Institute) ;
  • Jeon, Hye-Mi (Department of Oral Medicine, Pusan National University Hospital) ;
  • Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute)
  • 정성희 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 이선희 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 안용우 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 허준영 (부산대학교치과병원 구강내과) ;
  • 전혜미 (부산대학교병원 구강내과) ;
  • 옥수민 (부산대학교 치의학전문대학원 구강내과학교실)
  • Received : 2016.04.28
  • Accepted : 2016.06.13
  • Published : 2016.06.30

Abstract

Whereas a somatic pain notifies tissue damage, a neuropathic pain presents disorder of the nerve itself. The causes of neuropathic pains are trauma, infection, chronic irritation by adjacent tissue and so on. The iatrogenic trauma or infection also causes traumatic neuropathy, which may exert a bad influence on doctor-patient relationship. Some of related dental treatments are implantation (directly or indirectly through heating), root canal treatment, teeth extraction, block anesthesia, mandibular surgery. If inappropriate management is performed after nerve trauma, there will be many chances to develop chronic neuropathy for the patient. It is important that the sign of nerve trauma have to be caught by the practitioner as soon as possible and treated properly.

의원성의 외상 혹은 감염은 신경 손상의 중요한 원인 중 하나이며, 이는 의사-환자 관계에 매우 큰 영향을 주는 일로 여겨진다. 관련 치과 술식의 예로는 임플란트 시술시 직접적인 혹은 열에 의한 손상, 근관치료시의 약제 유출, 발치시의 외력, 전달국소마취시 바늘에 의한 외상, 악골 수술로 인한 외상 등이 있다. 이러한 신경손상이 발생하지 않도록 위험군 예측 및 시술 시 주의가 필요하며, 신경 손상 시 조기 발견을 통해 제대로 대처하지 않으면 만성적 신경병증으로 발전할 수 있는 가능성이 높아질 수 있으므로 그 징후를 신속히 파악하고 적절히 관리하는 것이 매우 중요하다.

Keywords

Acknowledgement

Supported by : 부산대학교치과병원

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