송곳니 매복치 교정시기 - 조기검진이 중요한 이유 > 원장칼럼 | 치료 끝이 좋은 치과, 이즈치과
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송곳니 매복치 교정시기 - 조기검진이 중요한 이유

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작성자 이즈치과 댓글 5건 조회 4,982회 작성일 21-03-25 10:35

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오늘은 송곳니 매복치에 대한 얘기를 좀 해볼까 합니다.

매복치는 송곳니만 매복되는 것은 아니지만, 가장 호발하는 치아라 언급도 많이 되는 편이지요.

더 호발하는 사랑니가 있지만 아시다시피 중요도는 낮겠지요

특히 상악견치의 매복에 관심이 가는 이유는,

조기에 발견하면 예방할 가능성이 높아지기 때문입니다.


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파란색 화살표가 상악견치의 위치입니다.

오른쪽에 있는 화살표가 정상 견치의 위치고,

왼쪽 화살표 위치에 있어야 할 견치가 주황색 화살표 위치로 매복되어 있습니다

그것에 의해 상악 전치부의 치근이 다 흡수되어 있는 것이 보이실 겁니다.

본인이 이미 알고 있는 경우도 있고, 전혀 모르고 이가 안 났다는 것만 알고 있는 경우도 있지요.

참 안타까운 케이스지만 생각보다 이런 경우가 성인에서 많이 보입니다.


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이런 케이스는 두 앞니 사이에 매복되어 있네요

이 정도라면 별로 해결할 방법이 없습니다.

그렇다고 앞니를 발치할 수도 없는 노릇이고, 그냥 묻어둘 수 밖에요.

요새는 CT로 정확한 매복위치를 확인할 수 있기 때문에, 그냥 포기해야 할 케이스인지, 한번 견인을 시도해 볼만한 케이스인지 잘 구분할 수 있습니다.

치아의 뿌리가 형성되면서 맹출하는 시기에 발견할 수 있다면 어떻게 될까요?


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영구치로 교체가 거의 다 되어가는 시기입니다.

반대편 견치는 정상맹출하고 있지만 주황색 화살표가 표시하는 견치는,

그 앞 전치 치근을 흡수하면서 매복되려고 하는 모습을 보입니다.

조기에 발견했기 때문에,

파란색 화살표가 표시하는 젖니의 송곳니를 미리 발치하여, 맹출경로를 변경하려는 시도를 하였습니다.


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다행히 의도한대로 어떤 개입없이도 정상맹출하는 것을 볼 수 있습니다.

물론 그 앞 치아의 치근이 약간 흡수되어 짧아진 모습은 볼 수 있네요.


모든 케이스가 이렇게 의도한대로 이동하지는 않겠지요.

위의 사례처럼 유치를 발거하는 정도로 해결되기는 힘들어 교정장치가 필요한 경우도 많고,

눈에 띌 정도로 매복치가 진행되기 전에 미리 감지해야 하는 것도 중요하겠습니다.

보통 정기구강검진을 위해 치과에 내원하는 것은 잘 알고계시는데요,


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매복치가 발생하기 전에 미리 예측하는 데는 상당한 경험이 필요합니다.

제 경험으로는,

치배(치아의 머리부분만 있는 상태)단계에서부터 방향이 완전히 틀어져 있는 경우가 아니라면,

어느정도 예방이 가능한 것 같습니다.

교정치료가 필요할 지 안 할지를 떠나서,만6세 정도가 되면 꼭 한번,

위와 같은 엑스레이를 찍어서 볼 수 있게 해 주시면 참 좋겠습니다 ^^

다음번에는 이미 매복이 된 송곳니를 꺼내서 예쁘게 배열하는 증례를 한번 보여드리겠습니다.

치료 끝이 좋은 치과가 되겠습니다.


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마현정님의 댓글

마현정 작성일

송곳니 매복이 이리 많은지는 몰랐네요..ㅠ
우리아이경우가 젤 심한거 같아요.
치료끝이 좋은 치과..믿음이 갑니다

이즈치과님의 댓글의 댓글

이즈치과 작성일

안녕하세요!!! 댓글 주셔서 감사합니다!
항상 처음과 끝이 좋은 치과가 되기위해 노력하겠습니다.

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