Journal of Periodontal and Implant Science

  • 제33권1호
  • /
  • Pages.103-111
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  • 2003
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  • 2093-2278(pISSN)
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  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지

변형 Widman 판막술 후 치아 동요도 변화에 관한 연구

Comparative Study on the Tooth Mobility after Modified Widman Flap

  • 김수용 (단국대학교 치과대학 치주과학교실) ;
  • 정진형 (단국대학교 치과대학 치주과학교실) ;
  • 임성빈 (단국대학교 치과대학 치주과학교실)
  • Kim, Soo-Yong (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Chung, Chin-Hyung (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Lim, Sung-Bin (Department of Periodontology, College of Dentistry, Dan-Kook University)
  • 발행 : 2003.03.30
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초록

Tooth mobility is an important part of a periodontal examination and represents a function of the persisting height of the alveolar bone and the width of the periodontal ligament. The purpose of this study was to evaluate the changes of the tooth mobility over 4 week-period following surgical therapy on the periodontal disease. Thirty five patients presenting with moderate periodontal pockets were selected and tooth mobility was measured at weekly intervals using Periotest (Siemens Co., Germany) beginning at the pre-operation examination and ending four weeks following the modified Widman Flap. All data were statistically analyzed using the one-way ANOVA test. The results were obtained as follows; 1. All teeth exhibited the greatest change in mobility at 1 week post-op, mobility generally decreasing with time. 2. Comparison of the weekly tooth mobility data regarding the 1st premolars showed significant differences only between weeks 1 (9.94) and 4 (6.14) (p<0.05). 3. Comparison of the weekly tooth mobility data regarding the 1st molar showed significant changes in the intervals between pre-op (6.49) and week 1 (11.22), pre-op and week 2 (9.37), weeks 1 and 3 (7.65), weeks 1 and 4 (5.62), and weeks 2 and 4 (p<0.05). 4. Comparison of the weekly tooth mobility data regarding the 2nd premolar and 2nd molar showed significant differences between pre-op (6.91, 8.60) and week 1 (11.02, 12.62), weeks 1 and 3 (8.00, 8.05), weeks 3 ad 4 (6.22, 6.71), and weeks 2 (9.34, 11.01) and 4 (p<0.05).

키워드

참고문헌

  1. Ramfjord SP, Nissle RR : The modified Widman Flap J Periodontol. 45 ; 601-7, 1974 https://doi.org/10.1902/jop.1974.45.8.601
  2. Carranza FA : Glickman's Clinical Periodontology 7th ed., W. B. Saunders, Philadelphia. 1990
  3. Linde J :Textbook of Clinical Periodontology 2nd ed., Munksgarrd, Copenhagen. 1989
  4. Ferris RT : Quantitative evaluation of tooth mobility following initial periodontal therapy. J Periodontol., 37 : 190-197, 1966 https://doi.org/10.1902/jop.1966.37.3.190
  5. Laster L, Laudenbach WK, Stoller NH : An evaluation of clinical tooth mobility measurement. J Periodontol., 46 : 603-607, 1975 https://doi.org/10.1902/jop.1975.46.10.603
  6. Perlitsh MJ : Asystematic approach to the interpretation of tooth mobility and its clinical implication. Dent. Clin. Nor. Am., 24 ; 177-93, 1980
  7. Persson R : Assessment of tooth mobility using small loads. Ⅲ. Effect of periodontal treatment including a gingivectomy procedures. J Clin Periodont. 8 ; 4-11, 1981 https://doi.org/10.1111/j.1600-051X.1981.tb02018.x
  8. Schulte W : The new Periotest method. Compend. Contin. Educ. Dent., 12 : 410-417, 1988
  9. 이규호, 한경윤 : 외과적 치주치료에 따른 치은열 구액의 삼출량과 치아동요도의 변화에 관한 연구. 대한치주과학회지. 15 ; 345-53, 1991
  10. Rateikschak KH : The therapeutic effect of local treatment on periodontal disease assessed upon evaluation of different diagnostic criteria. I. Changes in tooth mobility. J Periodontol., 34 : 540-544, 1963 https://doi.org/10.1902/jop.1963.34.6.540
  11. Goodson JM, Cugini MA : Comparative response of mobile teeth following monolithic fiber therapy or scaling. Compend. Contin. Educ. Dent., 12 : 418-423, 1988
  12. Hill RW, Ramfjord SP, Morrison, E.C. : Four types of periodontal treatment compared over two years, J Periodontol., 52: 655, 1981 https://doi.org/10.1902/jop.1981.52.11.655
  13. Kaldahl WB, Kalkwarf KL, Patil KD : Evaluation of four modalities of periodontal therapy. Mean probing depth, probing attachment level and recession changes, J Periodontol., 59: 783, 1988 https://doi.org/10.1902/jop.1988.59.12.783
  14. Pihlstrom B, Orits-Campos C, Mchugh RB : A randomized four-year study of periodontal therapy, J Periodontol., 52 : 227, 1981 https://doi.org/10.1902/jop.1981.52.5.227
  15. Caton JG, Zander HA : The Attachment between tooth and gingival tissues after periodontic root planing and soft tissue curettage, J Periodontol, 50 : 463, 1979
  16. Caton J, Nyman S, Zander H : Histometric evaluation of periodontal surgery. Ⅱ. connective tissue attachment levels after four regenerative procedures, J Clin Periodontol., 7 : 224, 1980 https://doi.org/10.1111/j.1600-051X.1980.tb01965.x
  17. Stahl SS, Weiner JM, Benjamin S, Yamada L : Soft tissue healing following curettage and root planing. J Periodontol., 53 : 420-423, 1982 https://doi.org/10.1902/jop.1982.53.7.420
  18. Caton J, Proye M, Polson A : Maintenance of healed periodontal pockets after a single episode of root planing. J Periodontol, 53 : 420-423, 1982 https://doi.org/10.1902/jop.1982.53.7.420
  19. Perlitsh MJ : A systematic approach to the interpretation of tooth mobility and its clinical implication. Dent. Clin. Nor. Am., 24 : 177-193, 1980
  20. Kampe T, Haraldson T, Hannerz H, carlsson GE : Occlusal perception and bite force in young subjects with and without dental filling. Acta. Odont. Scand., 45 : 101-107, 1987 https://doi.org/10.3109/00016358709098364
  21. Steenberghe D, Vries JH : The influence of local anaesthesia and occlusal surface area on the forces developed during repetitive maximal clenching efforts. J Periodont. Res., 13 : 270-274, 1978 https://doi.org/10.1111/j.1600-0765.1978.tb00179.x
  22. Schulte W, Lukas D : The periotest method. Int Dent J, 42 : 433-440, 1992
  23. Egloff ET, Hochman M : The assessment of periodontal disease activity. Compend. Contin Educ Dent., 12 : 424-427, 1988
  24. Schulte W, Lukas D, Enrst E : Periotest values and tooth mobility in periodontal disease. A comparative study. Quint Int, 21 : 289-293, 1990
  25. Howell AH, Brundevold F : Vertical Forces used during Chewing of Food. J Dent Res 29:127-130, 1950
  26. Mhlemann HR : 10 Years of Tooth Mobility Measurements. J Periodontol 31 : 110-122, 1960 https://doi.org/10.1902/jop.1960.31.2.110
  27. O`Leary TJ, Rudd KD, Nabers CD : Factors affecting horizontal tooth mobility. Periodontics 4 : 308, 1966
  28. Nyman S, Linde J : Persistent tooth hypermobility following completion of periodontal treatment. J Clin Periodontol. 3 : 81-93, 1976 https://doi.org/10.1111/j.1600-051X.1976.tb01854.x
  29. Goldberg HJV : Changes in tooth mobility during periodontal therapy. J Dent Res. 41(S) abstract 261, 1962
  30. Rateitschat KH : The therapeutic effect of local treatment on periodontal disease assessed upon evaluation of different diagnostic criteria. I. Changes in tooth mobility. J Periodontol 34 ; 540-544, 1963 https://doi.org/10.1902/jop.1963.34.6.540
  31. Fleszar TJ : Tooth mobility and periodontal therapy. J Clin Periodontol. 7 ; 495-505, 1980 https://doi.org/10.1111/j.1600-051X.1980.tb02156.x
  32. Galler C, Selipsky H, Phillips C, Ammons WF : The effect of splinting on tooth mobility after osseous surgery. J Clin Periodontol. 6 ; 317-333, 1979 https://doi.org/10.1111/j.1600-051X.1979.tb01933.x
  33. Wilderman N : Histogenesis of repair following osseous surgery. J Periodontol. 41 ; 551-565, 1970 https://doi.org/10.1902/jop.1970.41.10.551
  34. Kerry GJ, Morrison EC, Ramfjord SP, Hill RW, Caffesse RG, Nissle RR, Appleberry EA : Effect of periodontal treatment on tooth mobility, J periodontol, 53: 635-638, 1982 https://doi.org/10.1902/jop.1982.53.10.635
  35. Burch JG, Conroy CW, Ferris RT : Tooth mobility following gingivectomy ; A study of gingival support of the teeth, Periodontics, 6: 90-94, 1968
  36. Persson R : Assessment of tooth mobility using small loads. Ⅳ. Effect of periodontal treatment including a gingivectomy and flap procedures, J Clin Periodontol, 8; 88-97, 1981 https://doi.org/10.1111/j.1600-051X.1981.tb02348.x
  37. Stoller NH, Laudenbach KW : Clinical standardization of horizontal tooth mobility, J Clin Periodontol, 7: 242-250, 1980 https://doi.org/10.1111/j.1600-051X.1980.tb01967.x