Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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The palato-gingival groove-anatomical anomaly occurred in maxillary lateral incisors: case reports

상악 측절치에서 발생한 구개-치은구: 증례 보고

  • Kim, Hyun-Il (Department of Conservative Dentistry, College of Dentistry, Wonkwang University) ;
  • Noh, Young-Shin (Department of Conservative Dentistry, College of Dentistry, Wonkwang University) ;
  • Chang, Hoon-Sang (Department of Conservative Dentistry, College of Dentistry, Wonkwang University) ;
  • Ryu, Hyun-Wook (Department of Conservative Dentistry, College of Dentistry, Wonkwang University) ;
  • Min, Kyung-San (Department of Conservative Dentistry, College of Dentistry, Wonkwang University)
  • 김현일 (원광대학교 치과대학 치과보존학교실) ;
  • 노영신 (원광대학교 치과대학 치과보존학교실) ;
  • 장훈상 (원광대학교 치과대학 치과보존학교실) ;
  • 류현욱 (원광대학교 치과대학 치과보존학교실) ;
  • 민경산 (원광대학교 치과대학 치과보존학교실)
  • Published : 2007.11.30
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Abstract

This report describes clinical cases of a palato-gingival groove on a maxillary lateral incisor with associated localized periodontal disease and pulp necrosis. The tooth of the first case was extracted because of severe bone destruction. The palato-gingival groove of the second case was eliminated using a round bur, and the resulting defect was filled with synthetic graft and covered by an absorbable membrane. Both diagnosis and treatment of palato-gingival groove were very difficult and usually extraction of the involved tooth is the treatment of choice. but combined endodontic-peri-odontic treatment allowed the tooth to be saved.

본 연구는 상악 측절치에서 발생한 구개-치은구로 인한 치수괴사와 치주병소에 관한 임상종례이다. 첫 번째 증례는 심한 골소실로 인하여 발거되었고, 두 번째 증례는 근관치료 후 치주외과적 수술을 통하여 구개-치은구를 제거하고, 합성골 이식 시행 후 흡수성막을 이용하여 치료하였다. 구개-치은구의 진단과 치료는 모두 어려우며, 많은 경우에서 발치가 선택되지만, 근관-치주 복합 치료를 통하여 구개-치은구의 성공적인 치료가 이루어질 수 있다.

Keywords

References

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  1. Endodontic treatment of maxillary lateral incisors with anatomical variations vol.38, pp.4, 2013, https://doi.org/10.5395/rde.2013.38.4.253