Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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STUDY ON ADAPTABILITY OF RUBBER DAM CLAMPS ON PRIMARY SECOND MOLARS IN KOREAN CHILDREN

한국인 소아에서 제2유구치에 대한 러버댐 클램프의 적합도에 관한 연구

  • Park, Mirae (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Mah, Yon-Joo (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Ahn, Byung Duk (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University School of Medicine)
  • 박미래 (이화여자대학교 목동병원 소아치과) ;
  • 마연주 (이화여자대학교 목동병원 소아치과) ;
  • 안병덕 (이화여자대학교 의학전문대학원 치과학교실 소아치과학전공)
  • Received : 2012.12.20
  • Accepted : 2013.05.06
  • Published : 2013.05.31
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Abstract

The purpose of this study was to investigate the mesiodistal widths at the cervical level of primary second molars in Korean children, and to compare them with commercial rubber dam clamps commonly used in pediatric dentistry. Dental casts of 115 primary and mixed dentition children were studied. Cervical mesiodistal width (C-MD) was measured at the clinical cervical level of each primary second molar from buccal and lingual sides using a digital caliper (Absolute, Mitutoyo, Kawasaki, Japan). The data were compared with mesiodistal widths of rubber dam clamps #203/204, #10/11, and #205 (Dentech, Japan). C-MDs of primary mandibular second molars were larger than those of primary maxillary second molars, and C-MDs at buccal sides were larger than those of lingual sides. All C-MDs showed statistically significant discrepancies to corresponding widths on clamps (p < 0.05). However the amount of discrepancy was mild in maxillary teeth, while up to 1 mm of discrepancy was shown in mandibular teeth. In conclusion, C-MDs measured in this study imply a relatively fair fit of #10/#11 or #203/#204 clamps on primary maxillary second molars, while suggesting our need for a better clamp with proper size for primary mandibular second molars.

질 높은 치료를 제공하고 안전한 치료환경을 만들기 위한 러버댐 사용의 중요성은 소아치과에서 더욱 강조된다. 한편 잘못된 클램프의 장착으로 발생하는 통증과 불완전한 방습은 협조도를 떨어뜨리고 진정 치료 중 방해가 되기도 한다. 본 연구에서는 혼합치열기 아동 110명의 경석고 모형을 통해 제2유구치의 치경부 근원심 폭경을 측정하고 이를 #203/204, #10/11, #205 클램프(Dentech, Japan)의 근원심 폭경과 비교하여 다음과 같은 결과를 얻었다. 제2유구치의 치경부 근원심 폭경은 하악이 상악보다 크고, 협측이 설측 보다 컸다. 모든 위치의 계측값이 클램프 폭경과 비교 시 통계적으로 유의한 차이가 있었으나, 그 차이값이 상악 제2유구치에서는 작은 반면 하악 제2유구치에서는 1 mm에 가까운 것으로 나타났다. 상악 제2유구치는 #203/204 및 #10/11 클램프와 비교적 잘 맞는 반면 하악 제2유구치를 위해서는 보다 적절한 크기의 클램프가 필요할 것으로 보인다.

Keywords

References

  1. Murray MJ: Value of the rubber dam in operative dentistry. J Am Acad Gold Foil Operators, 3:25-31, 1960.
  2. Raskin A, Setcos JC, Vreven J, et al.: Influence of the isolation method on the 10-year clinical behaviour of posterior resin composite restorations. Clin Oral Investig, 4:148-152, 2000. https://doi.org/10.1007/s007840000069
  3. Slawinski D, Wilson S: Rubber Dam Use: A Survey of Pediatric Dentistry Training Programs and Private Practitioners. Pediatr Dent, 32:64-68, 2010.
  4. Yi SH, Kim JB, Jang KT, Kim CC: A case study of various clinical application of the rubber dam in pediatric dentistry. J Korean Acad Pediatr Dent, 24:549-555, 1997.
  5. Schorer-Jensma MA, Veerkamp JS: A comparison of paediatric dentists' and general dental practitioners' care patterns in paediatric dental care. Eur Arch Paediatr Dent, 11:93-96, 2010. https://doi.org/10.1007/BF03262719
  6. Yoon RK, Chussid S: Topical anesthesia for rubber dam clamp placement in sealant placement: comparison of lidocaine/prilocaine gel and benzocaine. Pediatr Dent, 31:377-381, 2009.
  7. Harris EF, Lease LR: Mesiodistal tooth crown dimensions of the primary dentition: a worldwide survey. Am J Phys Anthropol, 128:593-607, 2005. https://doi.org/10.1002/ajpa.20162
  8. Yuen KK, So LL, Tang EL: Mesiodistal crown diameters of the primary and permanent teeth in southern Chinese--a longitudinal study. Eur J Orthod, 19:721-731, 1997. https://doi.org/10.1093/ejo/19.6.721
  9. Choi JE, Cheong TS, Kim S: A Morphometric study on the primary molars and preformed stainless steel crown. J Korean Acad Pediatr Dent, 28:355-361, 2001.
  10. Moorrees CFA, Thomsen SO, Jensen E, et al.: Mesiodistal crown diameters of the deciduous and permanent teeth in individuals. J Dent Res, 36:39-47, 1957. https://doi.org/10.1177/00220345570360011501
  11. Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics, 33:159-174, 1977. https://doi.org/10.2307/2529310
  12. Wakabayashi H, Ochi K, Tachibana H, et al.: A clinical technique for the retention of a rubber dam clamp. J Endod, 12:422-424, 1986. https://doi.org/10.1016/S0099-2399(86)80078-4
  13. Roberson TM, Heymann HO, Swift EJ: Sturdevant's Art and Science of Operative Dentistry. 5th edn. Mosby, St. Louis, 463-487, 2006.
  14. Lysell L, Myrberg N: Mesiodistal tooth size in the deciduous and permanent dentitions. Eur J Orthod, 4:113-122, 1982. https://doi.org/10.1093/ejo/4.2.113
  15. Barberia E, Suarez MC, Villalon G, et al.: Standards for mesiodistal and buccolingual crown size and height of primary molars in a sample of Spanish children. Eur J Paediatr Dent, 10:169-175, 2009.
  16. Ballard ML: Asymmetry in tooth size : A factor in the etiology, diagnosis and treatment of malocclusion. Angle Orthod, 14:65-70, 1944.
  17. Moorrees CFA, Reed RB: Correlation among crown diameters of human teeth. Arch Oral Biol, 9:685-697, 1964. https://doi.org/10.1016/0003-9969(64)90080-9
  18. Lee JB, Kim CC, Hahn SH, et al.: A morphometric study of the maxillary primary first molars using three-dimensional scanner. J Korean Acad Pediatr Dent, 33:643-652, 2006.
  19. Barrett MJ, Brown T, McDonald MR: Dental observations on Australian aborigions: Mesiodistal crown diameters of permanent teeth. Aust Dent J, 8:150-155, 1963. https://doi.org/10.1111/j.1834-7819.1963.tb03223.x
  20. Garn SM, Lewis AB, Kerewsky RS: Genetic, nutritional, and maturational correlate of dental development. J Dent Res, 44:228-242, 1965. https://doi.org/10.1177/00220345650440011901
  21. Sim EJ, Hwang HS, Moon JD: A study on the error of tooth size measurements. Korea J Orthod, 29:491-501, 1999.

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