대한장애인치과학회지 (The Journal of Korea Assosiation for Disability and Oral Health)

  • 제14권1호
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  • Pages.31-35
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  • 2018
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  • 1738-8813(pISSN)
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  • 2287-7142(eISSN)
대한장애인치과학회 (Korean Association for Disability and Oral Health)
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Shell teeth 환자의 전신마취 하 치과치료 : 증례보고

DENTAL TREATMENT OF SHELL TEETH UNDER GENERAL ANESTHESIA: A CASE REPORT

  • 장은정 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 이형직 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김지연 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실)
  • Jang, Eunjeong (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Lee, Hyeongjik (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Jiyeon (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Taesung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 투고 : 2018.06.14
  • 심사 : 2018.06.25
  • 발행 : 2018.06.30
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초록

부산대학교 치과병원 소아치과에 내원한 Shell teeth에 이환된 소아 환자를 전신마취 하에 치료하였다. 임상검사시 다수 치아의 치관 파괴와 치수 노출 및 상악 유전치 잔존치근이 관찰되었다. 방사선검사상 전반적인 유치열에서 정상보다 큰 크기의 치수강과 넓은 치근관 및 얇은 경조직 층이 존재했으며 발생중인 영구치 치배의 형태이상이 관찰되었다. 환자의 언니와 아버지를 포함한 부계 가족 구성원 일부에서 상아질형성부전증 병력이 조사되었다. 치료시 수복이 불가능한 치아는 발거하였고 보존 가능한 치아는 치수치료 및 기성금속관, 복합레진 수복치료를 시행하였다. 치료 결과 환자의 통증이 감소하였고 저작능력이 회복되었다. 주기적인 내원 및 경과관찰이 요구된다.

Dentinogenesis imperfecta is a hereditary disorder that causes abnormal dentin formation and tooth morphology. Affected teeth show very thin dentin and large pulp chamber. Immediately after their eruption, the teeth tend to be destroyed rapidly. Early dental intervention is recommended to improve the feeding capacity and quality of life for the child, to maintain vertical dimension, and to promote healthy and functional dentition. This case report describes a treatment for a 4-year-2-month-old girl whose primary and permanent dentition were affected by Dentinogenesis Imperfecta. Shell teeth were observed in the entire primary dentition. The pulp of most teeth was exposed and the patient complained of pain. Most paternal family members were transferred to the Dentinogenesis Imperfecta. She needed an extensive dental treatment, but her compliance could not be expected because she was very young and anxious. So we decided to treat her under general anesthesia. All molar teeth are restored with Stainless Steel crown. Maxillary anterior teeth were extracted and mandibular anterior teeth are restored with composite resin. The patient's pain disappeared and masticatory function was restored.

키워드

참고문헌

  1. Shields ED, Bixler D, el-Kafrawy AM : A proposed classification for heritable human dentine defects with a description of a new entity. Arch Oral Biol, 18:543-553, 1973. https://doi.org/10.1016/0003-9969(73)90075-7
  2. Ten Cate AR : Oral histology, development, structure and function, 5th ed, Mosby, St. Louis, 10, 1998.
  3. Korean Academy of Pediatric Dentistry : Child and Adolescent Dentistry, 5th ed, Dental wisdom, Seoul, 114, 2014.
  4. Jindal M, Maheshwari S, Verma R, Khan MT : Comparative study of dentinogenesis imperfecta in different families of the same topographical region. Int J Clin Pediatr Dent, 2:27-34. 2009. https://doi.org/10.5005/jp-journals-10005-1015
  5. Rushton MA : A new form of dentinal dysplasia: shell teeth. Oral Surg Oral Med Oral Pathol 7:543-549, 1954. https://doi.org/10.1016/0030-4220(54)90013-4
  6. Harrison R, Kennedy D : Shell teeth-management from the mixed to the permanent dentition: case report. Pediatr Dent, 14:110-114, 1992.
  7. Kamboj M, Chandra A : Dentinogenesis imperfect type II: an affected family saga. J Oral Sci, 49:241-244, 2007. https://doi.org/10.2334/josnusd.49.241
  8. Regezi JA, Sciubba JJ, Jordan RC : Oral Pathology, clinical pathologic correlations, 4th ed, Saunders, St. Louis, 375, 2002.
  9. Barron MJ, McDonnell ST, MacKie I, Dixon MJ : Hereditary dentine disorders: Dentinogenesis imperfecta and dentine dysplasia. Orphanet J Rare Dis, 3:31, 2008. https://doi.org/10.1186/1750-1172-3-31
  10. Witkop CJ, Maclean CJ, Schmidt PJ, Henry JL : Medical and dental findings in the Brandywine isolate. Ala J Med Sci, 3:382-403,1966.
  11. Schimmelpfennig CB, McDonald RE : Enamel and dentine aplasia; report of a case. Oral Surg Oral Med Oral Pathol, 6:1444-1449, 1953. https://doi.org/10.1016/0030-4220(53)90243-6
  12. Kinirons MJ : Shell teeth affecting a child patient: report of a rare dental anomaly. ASDC J Dent Child, 51:441-443, 1984.
  13. Shafer WG, Hine MK, Levy M, Tomich CE : A textbook of oral pathology, WB Saunders Company, Philadelphia, 58-61, 1993.
  14. Wei SH : Pediatric dentistry: oral patient care, 1st ed, Le and Febiger, Philadelphia, 368, 1988.
  15. Mc Donald RE, Avery DR, Dean JA : Dentistry for the child and adolescent, 8th ed, CV Mosby Co., St. Louis, 769, 2004.
  16. Oh HK : A Study on the Systems for Grouping Disabilities. J Dis Welf, 5:67-109, 2006.