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Type III 치내치를 동반한 상악 측절치에 이환된 치근단 병소의 근관 치료

Other Titles
 ENDODONTIC TREATMENT OF A PERIRADICULAR LESION ON AN INVAGINATED TYPE III MAXILLARY LATERAL INCISOR 
Authors
 김기림 ; 이제호 ; 최형준 ; 김승혜 ; 최병재 ; 송제선 ; 김성오 
Citation
 대한소아치과학회지, Vol.39(2) : 180~185, 2012 
Journal Title
 대한소아치과학회지 
ISSN
 1226-8496 
Issue Date
2012
Abstract
Dens invaginatus is a developmental anomaly resulting in a deepening or invagination of the enamel organ into the dental papilla prior to calcification of the dental tissues. The most widely used classification of dens invaginatus is the system described by Oehler categorizes invaginations into three classes as determined by how far they extend radiographically from the crown into the root. Oehler's classification type III is that the invagination extends through the root and communicates with the periodontal ligament. There is usually no communication with the pulp. In Type III lesions, any infection within the invagination can lead to an inflammatory response within the periodontal tissues giving rise to a 'peri-invagination periodontitis'. In the cases presented here, we treated two patients who were refered for 'peri-invagination periodontitis' on maxillary lateral incisor with Oehler's type III invagination by different approaches each, and they have shown satisfactory outcomes. Although there are several approaches to the management of dens invaginatus, the most important objective is to preserve the health of the pulp, which can be achieved by early diagnosis and the prophylactic treatment regardless of severity. When disease has developed, decision has to be made whether to treat the invagination and the pulp separately.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/92264
DOI
10.5933/JKAPD.2012.39.2.181
Appears in Collections:
1. 연구논문 > 2. College of Dentistry > Dept. of Pediatric Dentistry
Yonsei Authors
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