包括的アプローチにおける歯内療法の重要性

抄録

Abstract : Before the acceptance of endodontic treatment, a huge caries tooth has been often left without any treatment for a long time. A few patients first visit a dental office due to the appearance of intolerable strong toothache. In these cases, the biologic width of tooth is frequently invaded by subgingival caries. These caries cause various troubles for attaining the final prosthesis after root canal treatment. Furthermore these teeth took not only dental movement (inclination, extrusion) but also inadequate occlusal plane.

 In this case report, we reported a patient who was treated with a comprehensive approach in a narrow sense, where MTM, periodontal surgical treatment and implant were performed for preservation to arrange the periodontal environment and occlusal plane from the root canal treatment until the final prosthesis. These treatment recovered the purpose of esthetic and the occlusal reconstruction on a oral unit.