구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제41권3호
  • /
  • Pages.231-238
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  • 2025
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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비수술적 다학제적 접근을 통한 치간유두 소실 회복에 관한 증례 보고

Case series on the non-surgical restoration of lost interdental papilla using a multidisciplinary approach

  • 박언정 (부산대학교 치의학전문대학원 치주과학교실) ;
  • 이주연 (부산대학교 치의학전문대학원 치주과학교실)
  • Eon-Jeong Park (Department of Periodontology, Pusan National University) ;
  • Ju Youn Lee (Department of Periodontology, Pusan National University)
  • 투고 : 2025.06.05
  • 심사 : 2025.07.23
  • 발행 : 2025.08.31
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초록

현대 심미 수복 치료의 궁극적인 목표는 심미적으로 민감한 부위에서 치아의 심미뿐 만 아니라 치주조직과도 조화로운 심미를 달성하는 것이다. 치주조직의 부착 상실과 골 지지 감소가 동반된 중증 치주염 환자에서는, 특히 상악 전치부와 같이 심미적으로 중요한 부위에서 이러한 심미성의 손상은 환자와 치과의사 모두에게 큰 어려움을 야기한다. 특히 치간 유두의 소실은 치주치료에서 가장 도전적이고 예측이 어려운 치료 중 하나로 여겨진다. 본 증례 보고에서는 치아 주변에 발생한 치간 공극(black triangle)을 개선하기 위해 적용할 수 있는 다양한 비수술적 다학제 치료법들을 소개하고, 적절한 치료 옵션 선택에 영향을 미치는 주요 요소들을 논의하고자 한다.

The ultimate goal of modern restorative dentistry is to achieve harmonious "white" and "pink" esthetics, especially in esthetically sensitive areas. In patients with severe periodontitis-marked by significant attachment loss and reduced bone support-compromised esthetics can pose a serious concern for both patients and clinicians, particularly when involving the maxillary anterior region. The restoration of lost interdental papillae remains one of the most challenging and unpredictable procedures in periodontal therapy. This study presents current multidisciplinary, non-surgical treatment modalities aimed at correcting black triangles around natural teeth and discusses key factors that influence the selection of appropriate treatment options.

키워드

과제정보

This study was supported by 2-year Research Grant of Pusan National University.

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