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신경이 괴사한 치아는 이미 제 기능을 하지 못하고 통증을 야기하기 때문에 확실히 처치가 필요하다. 피부까지 병변이 생겼다면 이미 치근단 주위는 염증반응이 상당히 진행된 상황여서 해당 치아를 발치하고 주위 염증 부위까지 청결하게 제거하는 것도 생각해야한다.