외과적 정출술을 이용한 치관-치근 파절된 미성숙 영구치의 치료: 3년 간의 증례보고

Surgical extrusion of immature permanent tooth with crown-root fractures: a case report with 36-month follow up

  • 전수진 (원광대학교 치과대학 대전치과병원 치과보존과)
  • Jeon, Su-jin (Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital)
  • 투고 : 2019.09.09
  • 심사 : 2019.10.10
  • 발행 : 2019.10.31

초록

A 8-year-old patient presented with a crown-root fracture of the maxillary right central incisor with an oblique subgingival fracture line. A multidisciplinary treatment approach including endodontic treatment, surgical extraction and intraalveolar repositioning was used to gain sufficient crown length of the fractured maxillary incisor. The coronally repositioned maxillary right central incisor was stabilized by a resin wire splint. Apexification using MTA was performed. Resin core and direct resin restoration(Cl IV) on fractured teeth was built up. Clinical and radiographic follow-up of the maxillary right central incisor after 36 months showed no signs of root resorption or pathology and acceptable aesthetics and functions were maintained. Surgical extrusion can be considered as a good treatment modality for young patients.

키워드

참고문헌

  1. Goenka P, Marwah N, Dutta S. A multidisciplinary approach to the management of a subgingivally fractured tooth: a clinical report. J Prosthodont. 2011;20(3):218-23. https://doi.org/10.1111/j.1532-849X.2010.00682.x
  2. Andreasen J, Andreasen F, Andreasen L. Text book and color atlas of traumatic injuries to the teeth. 4th ed: Blackwell Munksgaard; 2007.
  3. Das B, Muthu MS. Surgical extrusion as a treatment option for crown-root fracture in permanent anterior teeth: a systematic review. Dent Traumatol. 2013;29(6):423-31. https://doi.org/10.1111/edt.12054
  4. Tegsjo U, Valerius-Olsson H, Olgart K. Intra-alveolar transplantation of teeth with cervical root fractures. Swed Dent J. 1978;2(3):73-82.
  5. Kim CS, Choi SH, Chai JK, Kim CK, Cho KS. Surgical extrusion technique for clinical crown lengthening: report of three cases. Int J Periodontics Restorative Dent. 2004;24(5):412-21. https://doi.org/10.11607/prd.00.0598
  6. Kirzioglu Z, Karayilmaz H. Surgical extrusion of a crown-root fractured immature permanent incisor: 36 month follow-up. Dent Traumatol. 2007;23(6):380-5. https://doi.org/10.1111/j.1600-9657.2006.00467.x
  7. Andreasen JO, Lauridsen E, Gerds TA, Ahrensburg SS. Dental Trauma Guide: a source of evidence-based treatment guidelines for dental trauma. Dent Traumatol. 2012;28(2):142-7. https://doi.org/10.1111/j.1600-9657.2011.01059.x
  8. Chung MP, Wang SS, Chen CP, Shieh YS. Management of crownroot fracture tooth by intra-alveolar transplantation with 180-degree rotation and suture fixation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(2):e126-30.
  9. Fariniuk LF, Ferreira EL, Soresini GC, Cavali AE, Baratto Filho F. Intentional replantation with 180 degrees rotation of a crown-root fracture: a case report. Dent Traumatol. 2003;19(6):321-5. https://doi.org/10.1046/j.1600-4469.2003.00216.x
  10. Khayat A, Fatehi S. Clinical evaluation of forceps eruption: reestablishing biologic width and restoring no restorable teeth. Iran Endod J. 2006;1(1):1-5.
  11. Elkhadem A, Mickan S, Richards D. Adverse events of surgical extrusion in treatment for crown-root and cervical root fractures: a systematic review of case series/reports. Dent Traumatol. 2014;30(1):1-14. https://doi.org/10.1111/edt.12051
  12. Kahnberg KE. Intra-alveolar transplantation. I. A 10-year follow-up of a method for surgical extrusion of root fractured teeth. Swed Dent J. 1996;20(5):165-72.
  13. Kahnberg KE. Intraalveolar transplantation of teeth with crown-root fractures. J Oral Maxillofac Surg. 1985;43(1):38-42. https://doi.org/10.1016/s0278-2391(85)80011-2
  14. Lee JH, Yoon SM. Surgical extrusion of multiple teeth with crownroot fractures: a case report with 18-months follow up. Dent Traumatol. 2015;31(2):150-5. https://doi.org/10.1111/edt.12121
  15. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod. 2010;36(3):400-13. https://doi.org/10.1016/j.joen.2009.09.009
  16. Thakur A, Arora KS, Kaur K, Dahiya S. Management of subgingivally fractured maxillary anterior tooth: a multidisciplinary approach. BMJ Case Reports. 2019;12(7):e231036. https://doi.org/10.1136/bcr-2019-231036
  17. Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol. 2002;18(3):103-15. https://doi.org/10.1034/j.1600-9657.2002.00004.x