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하악 전치부에서 발생한 치주-근관 복합 병소의 근관치료 후 조직 유도 재생술을 이용한 치료: 증례보고
Guided tissue regeneration therapy after root canal therapy for long standing periodontal-endodontic combined lesion in the mandibular anterior area: case report
J Dent Rehabil Appl Sci 2019;35(1):46-54
Published online March 30, 2019
© 2019 Korean Academy of Stomatognathic Function and Occlusion.

권은영1, 정경화1, 김소연1, 전혜미1, 최윤경1, 주지영2*
Eun-Young Kwon1, Kyoung-Hwa Jung1, So-Yeun Kim1, Hye-Mi Jeon1, Youn-Kyung Choi1, Ji-Young Joo2*

1부산대학교병원 치과진료센터, 2부산대학교 치의학전문대학원 치주과학교실

1Dental Clinic Center, Pusan National University Hospital, Busan, Republic of Korea, 2Department of Periodontology, School of Dentistry and Dental Research Institute, Pusan National University, Yangsan, Republic of Korea
Ji-Young Joo, Assistant Professor, Department of Periodontology, School of Dentistry, Pusan National University, Dental Research Institute, 20 Geumoro, Beomeo-ri, Mulgeum-eup, Yangsan, 50612, Republic of Korea, Tel: +82-55-360-5203, Fax: +82-55-360-5194, E-mail: joojy@pusan.ac.kr
Received January 8, 2018; Revised January 18, 2019; Accepted March 5, 2019.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : guided tissue regeneration; periodontitis; root canal therapy


March 2019, 35 (1)
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