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치수에 염증 또는 괴사가 생성하면 보통 치근단 영역으로 확대되면서 치근단에 병소가 발생한다. 병소가 눈 아래쪽에 있는 제4전구치 뿌리에 발생하면 초기에는 염증성 농이 내보내지 못해 눈 밑이 부어오르고 농이 계속 축적되다 피부가 밖으로 터져서 나오게 되는 것이다.

통상적으로 예전에 치아 전체를 촬영하기 위해 가장 많이 사용했던 방사선 사진은 필름을 입안에 넣고 찍은 치근단 사진을 가장 많이 사용했다. 허나 치근단 사진은 치아 2∼6개 정도만 촬영할 수밖에 없어 근래에에는 전체 치아를 한 번에 찍을 수 있는 파노라마 사진을 더욱 많이 찍는다.

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