대한치과의사협회지 (The Journal of the Korean dental association)

  • 제55권8호
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  • Pages.565-573
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  • 2017
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

End or And... 근관치료시 천공의 수복

Management of Endodontic Perforation

  • 장지현 (경희대학교 치과대학 치과보존학교실)
  • Jang, Ji-Hyun (Department of Conservative Dentistry School of Dentistry, Kyung Hee University)
  • 투고 : 2017.06.15
  • 심사 : 2017.06.19
  • 발행 : 2017.08.01
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초록

Root canal perforations are defined as the communication between the pulp cavity, the periodontal tissue and alveolar bone. The occurrence of perforations during endodontic treatment is reported to range from 2.3%~12%, which is not a complication rarely happens. Perforations have iatrogenic or pathological etiologies that involve caries or resorption. It leads to inflammation and the destruction of periodontal fibers and alveolar bone, followed by periodontal defects. Mineral trioxide aggregate (MTA) is currently the most indicated material for repair of root perforation, because of its favorable biocompatibility and sealing ability. Using magnification with dental operating microscope enhance the accessibility and visibility to manage the root perforation. It is important to diagnose and repair perforations immediately if possible.

키워드

참고문헌

  1. Alhadainy HA. Root perforations. A review of literature. Oral surgery, oral medicine, and oral pathology. 1994;78:368-374. https://doi.org/10.1016/0030-4220(94)90070-1
  2. Sinai IH. Endodontic perforations: their prognosis and treatment. Journal of the American Dental Association. 1977;95:90-95. https://doi.org/10.14219/jada.archive.1977.0531
  3. Igor Tsesis, Zvi Fuss. Diagnosis and treatment of accidental root perforations. Endodontic topic. 2006;13:95-107. https://doi.org/10.1111/j.1601-1546.2006.00213.x
  4. Moreinis SA. Avoiding perforation during endodontic access. Journal of the American Dental Association. 979;98:707-712.
  5. Abou-Rass M, Jann JM, Jobe D, Tsutsui F. Preparation of space for posting: effect on thickness of canal walls and incidence of perforation in molars. Journal of the American Dental Association. 1982;104:834-837. https://doi.org/10.14219/jada.archive.1982.0305
  6. Souza EM, do Nascimento LM, Maia Filho EM, Alves CM. The impact of post preparation on the residual dentin thickness of maxillary molars. The Journal of prosthetic dentistry. 2011;106:184-190. https://doi.org/10.1016/S0022-3913(11)60119-4
  7. Gutmann JL, Lovdahl PE. Problem solving in Endodontics: Prevention, Identification, and Management: Fifth edition (Elesvier) 2014;484-491.
  8. Ha JH, Jin MU, Kim YK, Kim SK. Comparison of screw-in effect for several nickel-titanium rotary instruments in simulated resin root canal. Journal of Korean Academy of Conservative Dentistry. 2010;35:267-272. https://doi.org/10.5395/JKACD.2010.35.4.267
  9. Lee SJ, Monsef M, Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. Journal of endodontics. 1993;19:541-544. https://doi.org/10.1016/S0099-2399(06)81282-3
  10. Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. Journal of endodontics. 1993;19:591-595. https://doi.org/10.1016/S0099-2399(06)80271-2
  11. Roda RS. Root perforation repair: surgical and nonsurgical management. Practical procedures & aesthetic dentistry. 2001;13:467-42.
  12. Main C, Mirzayan N, Shabahang S, Torabinejad M. Repair of root perforations using mineral trioxide aggregate: a long-term study. Journal of endodontics. 2004;30:80-83.
  13. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review?part III: clinical applications, drawbacks, and mechanism of action. Journal of endodontics. 2010;36:400-413. https://doi.org/10.1016/j.joen.2009.09.009
  14. Bergenholtz G, Horsted-Bindslev P, Reit C. Textbook of Endodontology. second edition (Wiley-Blackwell) 2010; 189,344.
  15. Ibarrola JL, Biggs SG, Beeson TJ. Repair of a large furcation perforation: a four-year follow-up. Journal of endodontics. 2008;34:617-619. https://doi.org/10.1016/j.joen.2008.01.017
  16. Taschieri S, Del Fabbro M, Weinstein T, Rosen E, Tsesis I. Magnification in modern endodontic practice. Refu'at ha-peh veha-shinayim (1993). 2010;27:18-22, 61.
  17. Song M, Kim HC, Lee W, Kim E. Analysis of the Cause of Failure in Nonsurgical Endodontic Treatment by Microscopic Inspection during Endodontic Microsurgery. Journal of endodontics. 2011;37:1516-1519. https://doi.org/10.1016/j.joen.2011.06.032
  18. Setzer FC, Shah SB, Kohli MR, Karabucak B, Kim S. Outcome of Endodontic Surgery: A Metaanalysis of the Literature?Part 1: Comparison of Traditional Root-end Surgery and Endodontic Microsurgery. Journal of endodontics. 2010;36:1757-1765. https://doi.org/10.1016/j.joen.2010.08.007