생활치에서 나타나는 치근단 병소 : 보존적 치료 후 자연치유 = Vital tooth with periapical lesion: spontaneous healing after conservative treatment

다국어 초록 (Multilingual Abstract)

It is often presumed that apical periodontitis follows total pulp necrosis, and consequently root canal treatment is commonly performed. Periapical lesion development is usually caused by bacteria and its byproduct which irritate pulp, develop pulpitis, and result in necrosis through an irreversible process. Afterwards, apical periodontitis occurs. This phenomenonis observed as an apical radiolucency in radiographic view. However, this unusual case presents a spontaneous healing of periapical lesion, which has developed without pulp necrosis in a vital tooth, through conservative treatment.

참고문헌 (Reference)

1 Kovacevic´ M, "The transition from pulpitis to periapical periodontitis in dogs´ teeth" 34 : 12-18, 2008

2 Khayat BG, "Responses of nerve fibers to pulpal inflammation and periapical lesions in rat molars demonstrated by calcitonin gene-related peptide immunocytochemistry" 14 : 577-587, 1988

3 Kim IS, "Position of the mental foramen in a Korean population: a clinical and radiographic study" 15 : 404-411, 2006

4 Stashenko P, "Periapical inflammatory responses and their modulation" 9 : 498-521, 1998

5 Caviedes-Bucheli J, "Neuropeptides in dental pulp: the silent protagonists" 34 : 773-788, 2008

6 Romanos GE, "Implant periapical lesions: etiology and treatment options" 37 : 53-63, 2011

7 Byers MR, "Effects of injury and inflammation on pulpal and periapical nerves" 16 : 78-84, 1990

8 Resnick CM, "Cemento-osseous dysplasia, a radiological mimic of periapical dental abscess" 15 : 367-374, 2008