Repositioning of displaced upper left canine after non-surgical root canal treatment ? a case report
´ëÇÑÄ¡°ú±Ù°üÄ¡·áÇÐȸÁö 2014³â 15±Ç 1È£ p.24 ~ p.24
¹Ú¼ºÈ¯(Park Sung-Hwan) - Chosun University Department of Conservative Dentistry
Á¶Èñ¼÷(Jo Heui-Sug) - Chosun University Department of Conservative Dentistry
Ȳȣ±æ(Hwang Ho-Keel) - Chosun University Department of Conservative Dentistry
Abstract
I. Introduction
Periapical lesions are primarily caused by root canal infection. These lesions can undergo asymptomatic progression and reach large dimensions, leading to absorption of alveolar bone and displacement of teeth. This report describes the case of repositioning of displaced upper left canine after non-surgical root canal treatment.
II. Case Presentation
1. Sex/Age: M/30
2. Chief Complaint(CC): Displacement of left upper canine.
3. Past Dental History(PDH): Pulp extirpation and canal medication of #22,23(due to periapical lesion) at L/C
4. Present Illness(P.I): Per(-) Mob(-) of #22,23
Large periapical radiolucency exist between #22 and #23.
Root displacement to distal direction of #23
2 unit temporary br. restoration of #22,23
5. Impression: Periapical lesion between #22 and #23.
6. Tx. plan : Non-surgical root canal treatment
(If needed, apical surgery should be considered)
III. Conclusion
After RCT and long-term follow-up check, the size of lesion was diminished and displaced upper left canine could be repositioned to favorable position. Still there is remaining radiolucent area on radiographs and apical surgery may be needed for removing lesion completely. However, we could reposition the displaced left upper canine without surgical intervention. So, when clinicians treat the large periapical lesions, regardless of whether they are granulomas, abscesses or cysts, non-surgical root canal treatment should be considered as primary treatment modality.
Å°¿öµå
KMID :
1035020140150010024
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)