EFFECT OF IMMEDIATE RUBBER DRAINAGE ON THE DENTAL APICOECTOMY IN GERIATRIC CANCER PATIENTS : REPORT OF CASES

악성종양 노인환자에서 치근단 절제술 시 즉시 고무배농법의 효과 : 증례보고

  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital)) ;
  • Han, Sang-Kwon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital)) ;
  • Chung, Won-Gyun (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Noh, Hie-Jin (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kim, Young-Nam (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Jang, Sun-Ok (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Jeon, Hyun-Sun (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, College of Medicine, Keimyung University) ;
  • Nam, Ki-Young (Department of Dentistry, Dong San Medical Center, College of Medicine, Keimyung University)
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 한상권 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 정원균 (연세대학교 원주의과대학 치위생학과) ;
  • 노희진 (연세대학교 원주의과대학 치위생학과) ;
  • 김영남 (연세대학교 원주의과대학 치위생학과) ;
  • 장선옥 (연세대학교 원주의과대학 치위생학과) ;
  • 전현선 (연세대학교 원주의과대학 치위생학과) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과학교실) ;
  • 남기영 (계명대학교 의과대학 동산의료원 치과학교실)
  • Published : 2004.12.31

Abstract

The apicoectomy is an operation in which the root apex is removed and the adjacent periapical pathologic tissue is curetted. In this operation, there are several factors that may lead to the surgical wound infection, such as, local, systemic, environmental, endogenous and surgical factor. The systemic medical and surgical factor that may compromise patients defense are more important cause of the wound infection. The postoperative infection is likely to occur owing to poor systemic condition(especially geriatric cancer patient with operation, radiotherapy and chemotherapy), postoperative accumulation of hematoma & seroma and other contaminated factors. So, the authors established the immediate rubber drainage into the sutured wound of dental apicoectomy for the prevention of postoperative infection. The results are more favorable without the wound infection in total 31 cases of the dentistry of Dong San Medical Center & Wonju Christian Hospital.

Keywords

References

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