MTA APPLICATION TO PATIENTS WITH CELLULITIS CAUSED BY DENS EVAGINATUS |
1이화여자대학교 의과대학 목동병원 2아주대학교 의과대학 치과학교실 |
치외치로 인한 봉와직염 환자에서 MTA를 이용한 치험례 |
구정은1, 백광우2 |
1이화여자대학교 의과대학 목동병원 2아주대학교 의과대학 치과학교실 |
Correspondence:
, |
Received: 29 May 2008 • Accepted: 11 March 2009 |
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Abstract |
Dens evaginatus is a dental anomaly involving an extra cusp or tubercle that protrudes from the occlusal surface of the affected tooth. The prevalence of dens evaginatus is 1 to 4 percent, and dens evaginatus is observed most commonly in premolars. It can be worn or fractured easily, resulting in pulpal exposure, pulpal infection, loss of vitality, facial infection and osteomyelitis. Since the tooth frequently has the immature apex when the tubercle is fractured, there is difficulty in treatment. Although calcium hydroxide is widely used for pulp treatment of an immature permanent tooth, several alternatives have been suggested to reduce patient's appointments. Mineral trioxide aggregate is considered biocom-patible and has excellent marginal sealing ability. In addition, it can minimize patient's visits. In this case report, apexification with MTA was attempted on the immature premolars in patients with cellulitis patient, caused by pulp necrosis due to dens evaginatus. Favorable clinical and radiologic results were achieved. In one case, continued root formation was observed. |
Key Words:
Dens evaginatus, Mineral trioxide aggregate, Open apex, Apexification, Root formation, Hard tissue formation |
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