Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

ALVEOLAR BONE LOSS AFTER THE EARLY LOSS OF UPPER CENTRAL INCISOR IN GROWING CHILDREN

성장기 어린이에서 상악 중절치 조기 상실 후 치조골 소실

  • Na, Hye-Jin (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Song, Je-Seon (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Lee, Jae-Ho (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Hyung-Jun (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Oh (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Son, Heung-Kyu (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Byung-Jai (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University)
  • 나혜진 (연세대학교 치과대학 소아치과학교실) ;
  • 송제선 (연세대학교 소아치과학교실 및 구강과학연구소) ;
  • 이제호 (연세대학교 소아치과학교실 및 구강과학연구소) ;
  • 최형준 (연세대학교 소아치과학교실 및 구강과학연구소) ;
  • 김성오 (연세대학교 소아치과학교실 및 구강과학연구소) ;
  • 손흥규 (연세대학교 소아치과학교실 및 구강과학연구소) ;
  • 최병재 (연세대학교 소아치과학교실 및 구강과학연구소)
  • Received : 2011.09.01
  • Accepted : 2012.01.11
  • Published : 2012.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

The anterior maxillary incisor is the most traumatized region in the mouth and trauma is frequent between the ages of 8-10. Traumatic loss of teeth, can lead to many complications in children. Thus, as possible to keep traumatic teeth, but if you need extractions There may be. Complications occur and early tooth loss is frequent. Complications of early loss of central incisors are esthetic compromise, loss of vertical and horizontal width, height, contour of alveolar bone, tilting of adjacent teeth, arch length loss. Alveolar bone loss may affect normal function and stability, and results in esthetic problem for future prosthesis restoration. The 9-year-old girl and 6-year-old boy got early loss of upper central incisor. The amount of alveolar bone resorption was measured using cone beam computed tomograph and cast analysis.

어린이는 8-10세 경에 외상을 자주 받으며 구강 내에서는 상악 절치부가 호발하는 부위이다. 외상으로 인하여 상악 절치가 상실되면 어린이에게 합병증을 야기할 수 있으므로 가능한 한 상악 절치를 유지해야 하지만 조기 상실되는 경우가 있다. 상악절치의 조기 상실로 인한 합병증으로는 심미적 문제나 치조골의 수직적 높이와 수평적 너비의 감소, 인접치의 경사, 악궁 장경 감소 등이 있다. 그 중에서 치조골이 소실되면 보철적 수복 시에 기능성과 안정성, 심미적인 면에 영향을 준다. 이 증례는 외상으로 인하여 상악 중절치가 조기 상실된 9세 여아와 6세 남아에서 각각 5년 5개월, 3년 7개월 후의 치조골소실 정도를 cone beam computed tomography와 진단 모형 상에서 관찰하였기에 보고하는 바이다.

Keywords

References

  1. 정주현, 이제호, 최병재 등 : 유치열과 혼합치열기 어린이의 상악 절치부 외상. 대한소아치과학회지, 31:290-298, 2004.
  2. Andresasen JO, Andreasen FM, Andreasen L : Textbook and color atlas of traumatic injuries to the teeth. 대한 나래 출판사 4th ed. 217-254, 2008.
  3. Nik-Hussein NN : Traumatic injuries to anterior teeth among schoolchildren in Malaysia. Dent Traumatol, 17:149-152, 2001. https://doi.org/10.1034/j.1600-9657.2001.170402.x
  4. Rodd HD, Malhotra R, O'Brien CH et al. : Change in supporting tissue following loss of a permanent maxillary incisor in children. Dent Traumatol, 23:328-332, 2007. https://doi.org/10.1111/j.1600-9657.2006.00466.x
  5. 이동우, 곽지윤, 김성오 등 : 재식된 상악 중절치의 장기간에 걸친 추적례. 대한소아치과학회지, 31:729-733, 2004.
  6. Chadwick BL, White DA, Morris AJ et al. : Noncarious tooth conditions in children in the UK, 2003. Br Dent J, 200:379-384, 2006. https://doi.org/10.1038/sj.bdj.4813424
  7. Hamdan MAM, Rajab LM : Traumatic injuries to permanent anterior teeth among 12-year-old schoolchildren in Jordan. Community Dent Health, 20:89- 93, 2003.
  8. Pietrokovski J, Massler M : Alveolar ridge resorption following tooth extraction. J Prosthet Dent, 17:21-127, 1967. https://doi.org/10.1016/0022-3913(67)90046-7
  9. Tylman SD, Tylman SG : Theory and practice of crown and bridge prosthodontics. The C.V. Mosby Company, 69-71, 1970.
  10. Atwood DA, Coy WA. : Clicinal, cephalometric and densitometric study of reduction of residual ridges. J Prosthet Dent, 26:280-295, 1971. https://doi.org/10.1016/0022-3913(71)90070-9
  11. Schwartz-Arad D, Levin L, Ashkenazi M : Treatment options of untreatable traumatized anterior maxillary teeth for future use of dental implantation. Implant Dent, 13:120-128, 2004. https://doi.org/10.1097/01.ID.0000116367.53563.19
  12. Adams LP, Williams RJC : A photomicrogrammatic method for monitoring changes in the residual alveolar ridge form. J Oral Rehabil, 12:443-450, 1985. https://doi.org/10.1111/j.1365-2842.1985.tb01550.x
  13. Carlsson CE, Thirlander H, Hedegard B : Changes in contour of the maxillary alveolar process after extractions with or without insertion of an under immediate full denture. Acta Odontol Scand, 25:21- 43, 1967. https://doi.org/10.3109/00016356709072521
  14. Atwood DA : Reduction of residual ridges: a major oral disease entity. J Prosthet Dent, 26:266-277, 1971. https://doi.org/10.1016/0022-3913(71)90069-2
  15. Ostler MS, Kokich VG : Alveolar ridge changes in patients congenitally missing mandibular second premolars. J Prosthet Dent, 71:144-149, 1994. https://doi.org/10.1016/0022-3913(94)90022-1
  16. Jones ML, Newcombe RG, Barry G et al. : A Reflex Plotter investigation into the dimensional stability of alginate impressions following disinfection by varying regimes employing 2.2 per cent glutaraldehyde. Br J Orthod, 15:185-192, 1988. https://doi.org/10.1179/bjo.15.3.185
  17. Van der Zee E, Vogels MF, Oosterveld P et al. : Reproducibility and accuracy of automated probe measurements of gingiva and bone levels on stone casts following guided bone regeneration treatment. J Clin Periodontol, 31:318-323, 2004. https://doi.org/10.1111/j.1600-051X.2004.00448.x
  18. Jean A, Epelboin Y, Rimsky A et al. : Digital image ratio: a new radiographic method for quantifying changes in alveolar bone. Part 1: Theory and methodology. J Periodontal Res, 31:161-167, 1996. https://doi.org/10.1111/j.1600-0765.1996.tb00479.x
  19. Swasty D, Lee JS, Huang JC et al. : Anthropometric analysis of the human mandibular cortical bone as assessed by cone-beam computed tomography. J Oral Maxillofac Surg, 67:491-500, 2009. https://doi.org/10.1016/j.joms.2008.06.089
  20. Klemetti E : A review of residual ridge resorption and bone density. J Prosthet Dent, 75:512-514, 1996. https://doi.org/10.1016/S0022-3913(96)90455-2
  21. Sandor GK, Kainulainen VT, Queiroz JO et al. : Preservation of ridge dimensions following grafting with coral granules of 48 post-traumatic and postextraction dento-alveolar defects. Dent Traumatol, 19:221-227, 2003. https://doi.org/10.1034/j.1600-9657.2003.00164.x