Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Guided tissue regeneration therapy after root canal therapy for long standing periodontal-endodontic combined lesion in the mandibular anterior area: case report

하악 전치부에서 발생한 치주-근관 복합 병소의 근관치료 후 조직 유도 재생술을 이용한 치료: 증례보고

  • Kwon, Eun-Young (Dental Clinic Center, Pusan National University Hospital) ;
  • Jung, Kyoung-Hwa (Dental Clinic Center, Pusan National University Hospital) ;
  • Kim, So-Yeun (Dental Clinic Center, Pusan National University Hospital) ;
  • Jeon, Hye-Mi (Dental Clinic Center, Pusan National University Hospital) ;
  • Choi, Youn-Kyung (Dental Clinic Center, Pusan National University Hospital) ;
  • Joo, Ji-Young (Department of Periodontology, School of Dentistry and Dental Research Institute, Pusan National University)
  • 권은영 (부산대학교병원 치과진료센터) ;
  • 정경화 (부산대학교병원 치과진료센터) ;
  • 김소연 (부산대학교병원 치과진료센터) ;
  • 전혜미 (부산대학교병원 치과진료센터) ;
  • 최윤경 (부산대학교병원 치과진료센터) ;
  • 주지영 (부산대학교 치의학전문대학원 치주과학교실)
  • Received : 2018.01.08
  • Accepted : 2019.03.05
  • Published : 2019.03.30
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Abstract

When inflammatory products are found in both periodontal and pulpal tissues simultaneously, a periodontal-endodontic combined lesion is established. The treatment of periodontal-endodontic combined lesions includes root canal therapy and periodontal regenerative procedure for resolution of both the apical and marginal inflammatory lesions. The present study reports the treatment of periodontal-endodontic combined lesions in the mandibular anterior area with root canal therapy, followed by guided tissue regeneration therapy. Teeth with severe bone destruction in each case could be preserved, without extraction, over a 3-year period. Therefore, it appears that treatment of periodontal-endodontic combined lesions in the mandibular anterior area using guided tissue regeneration technique after root canal therapy may provide clinical advantages.

치수 질환 그리고 치주 질환이 복합적으로 발생하여 치근단 조직과 변연부 치주 조직이 개통되는 것을 치주-근관 복합병소라 일컫는다. 치주-근관 복합 병소의 치료를 위해서는 근관치료 및 치주 재생 처치 둘 다를 필요로 하며, 이는 치근단 및 변연부 조직 모두의 치유를 위함이다. 본 연구에서는 치주-근관 복합 병소를 나타내는 하악 전치부 치아에서 근관치료 이후 조직유도 재생술을 시행하였으며, 각각의 증례에서 심한 치조골 흡수를 보이는 치아들은 3년이 넘는 경과 관찰기간 동안 발치되지 않고 유지될 수 있었다. 따라서 하악 전치부에서 발생한 치주-근관 복합 병소의 근관치료 후 조직유도 재생술을 이용한 치료는 임상적으로 이점이 있는 것으로 고려된다.

Keywords

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