Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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The significance of diagnosis and treatment planning in periapical lesion overfilled with calcium hydroxide paste

수산화칼슘제재의 과충전이 발생한 치근단 병소 증례에서 진단과 치료 계획의 중요성

  • Jung, Kyoung-Hwa (Dental Clinic Center, Pusan National University Hospital) ;
  • Kwon, Eun-Young (Dental Clinic Center, Pusan National University Hospital) ;
  • Choi, Youn-Kyung (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) ;
  • Park, Jeong-Kil (Department of Conservative Dentistry, School of Dentistry, Pusan National University)
  • 정경화 (부산대학교병원 치과진료센터) ;
  • 권은영 (부산대학교병원 치과진료센터) ;
  • 최윤경 (부산대학교병원 치과진료센터) ;
  • 김소연 (부산대학교병원 치과진료센터) ;
  • 전혜미 (부산대학교병원 치과진료센터) ;
  • 박정길 (부산대학교 치의학전문대학원 치과보존학교실)
  • Received : 2021.01.07
  • Accepted : 2021.03.12
  • Published : 2021.06.30
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Abstract

Calcium hydroxide has been widely used for root canal dressing material in endodontic treatment. This report describes that when the accurate diagnosis and proper nonsurgical endodontic retreatment is applied to periapical lesion with accidentally extruded calcium hydroxide paste, the lesion can be successfully treated. Overfilled calcium hydroxide can affect the healing process, so the overextension of calcium hydroxide agent should be avoided.

수산화칼슘제재는 근관치료 과정 동안 근관 내 첩약제로서 널리 사용되고 있다. 이번 증례 보고에서는 근관 세척제로 사용된 수산화칼슘제재가 치근단 병소로 의도치 않게 과충전된 치아에 대해 정확한 진단과 적절하게 행해진 비외과적인 재근관치료를 통해 성공적으로 치료한 증례를 보고하고자 한다. 과충전된 수산화칼슘제재가 치근단 병소의 치유 과정에 영향을 줄 수 있으므로 수산화칼슘제재의 과충전이 발생하지 않도록 주의를 기울여야 한다.

Keywords

Acknowledgement

This work was supported by clinical research grant from Pusan National University Hospital in 2020.

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