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囊腫으로 因하여 拔齒를 要하게된 齒牙의 保存術

A New Conservative Method for the Affected Tooth with Large Alveolar Cyst

중앙의학 1964년 7권 1호 p.43 ~ 49
한택선,
소속 상세정보
한택선 (  ) - 수도의과대학 치과학교실

Abstract


The author applied the reosteogenic operation method in order to conserve the affected human tooth which has large alveolar cyst. Having performed gingival incision, removing of cystic tissue and root canal filling in usual manner with no apicoectomy, a piece of absorbable gelatin sponge was inserted into the cavity which was previously occupied by the cystic tissue, and the gingival wound was sutured.
After the operation, clinical and x-ray examinations were made at regular intervals. The results were summarized as follows.
1. Reaction to the vertical percussion´ on the tooth and mobility of the tooth were reduced remarkably.
2. The area inserted with the gelatin sponge was filled with regenerated new bone, and periodontal membrane-like line appeared surrounding the cementum surface.
3. There was no evidence of regeneration on the area of apicoectomized dentin surface and on the exposed surface of the canal filling material at the root apical foram-en.
4. The author believes that the regenerative phenomenon of the lesion depends upon the technical condition of this method or the clinical situation of the patient. With skillful application of this method, many teeth with large alveolar cyst would be saved from extraction.

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