Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CLINICAL STUDY OF THE PULP VITALITY AFTER ORTHOGNATHIC SURGER-PRELIMINARY STUDY

악교정 수술 후 치수 생활력에 관한 임상적 연구

  • Yang, Byung-Eun (Dept. of Oral & Maxllofacial Surgery, Kangnam General Hospital, Public corporation) ;
  • Song, Sang-Hun (Dept. of Oral & Maxllofacial Surgery, Kangnam General Hospital, Public corporation) ;
  • You, Jun-Young (Dept. of Oral & Maxllofacial Surgery, Kangnam General Hospital, Public corporation) ;
  • Kim, Yong-Kwan (Dept. of Oral & Maxillofacial Surgery, Evergreen General Hospital) ;
  • Shin, Dong-Yong (Dr. Shin's Dental Clinic) ;
  • Lee, Chang-Sun (Dept. of Oral & Maxillofacial Surgery, Pochun Medical Center)
  • 양병은 (서울특별시 지방공사 강남병원 구강악안면외과) ;
  • 송상훈 (서울특별시 지방공사 강남병원 구강악안면외과) ;
  • 유준영 (서울특별시 지방공사 강남병원 구강악안면외과) ;
  • 김용관 (부천 늘푸른병원 구강악안면외과) ;
  • 신동용 (신동용치과의원) ;
  • 이창선 (포천의료원 구강악안면외과)
  • Received : 1998.09.08
  • Accepted : 1998.10.16
  • Published : 1998.12.31
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Abstract

After orthognathic surgery, postoperative complications are studied by many clinician. The complications include sensory disturbance, jaw fracture, excessive bleeding, condylar positional changes and loss of pulp vitality. Few surgical procedures are as satisfying for the surgeon and patient as a well-done orthognathic surgery. On the other hand, the patient is more satisfied with the result than who are treated with only orthodontic treatment especially in severe deformity case. There are problems that patient overcome but it is not serious complications. One of these, the problem about loss of pulp vitality can't influence function but give a lot of discomfort to the patient. From September 1997 to January 1998, 7 patients who are treated for dentofacial deformity via Le Fort I osteotomy or anterior segmental osteotomy were examined pulp sensitivity using digital pulp tester. This preliminary study have a focus on the investigation of recovery of pulp vitality. The electric pulpal test were used at preoperative, postoperative, at intervals. And we report some results acquired from this study. Follwing result are obtained 1. In anterior segmental ostetomy case (1 case), total 12 teeth were examined. Postoperative 8 weeks, 1 tooth are positive reaction 2. In Le Fort I osteotomy case (6 case), total 71 teeth were examined. Postoperative 8 weeks, 5 teeth are positive reaction

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