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신경이 괴사한 치아는 이미 제 기능을 하지 못하고 통증을 야기하기 때문에 반드시 처방이 필요하다. 피부까지 병변이 생겼다면 이미 치근단 주위는 염증현상이 상당히 진행된 상황여서 해당 치아를 발치하고 주위 염증 부위까지 청결하게 제거하는 것도 고려해야한다.
이 과정에서 식립 될 인공 치근이 단단히 고정되기 어려운 상태라면 필요에 따라 치주염 치료나 인공뼈이식이 선행되어야 한다. 혹 전체 임플란트가 요구되는 경우라면 이와 더해지는 역학적인 배치와 심미성을 높이기 위한 치료 계획을 세워야 한다.
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