구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제35권4호
  • /
  • Pages.260-269
  • /
  • 2019
  • /
  • 2384-4353(pISSN)
  • /
  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지
DOI QR코드

DOI QR Code

구치 결손 환자에서 제3대구치의 교정적 활용

Orthodontic protraction of the third molars to the posterior teeth missing area

  • 이강규 (전북대학교 치과대학 치과교정학교실 및 구강생체과학연구소) ;
  • 박제혁 (전북대학교 치과대학 치과교정학교실 및 구강생체과학연구소) ;
  • 전진 (전북대학교 치과대학 치과교정학교실 및 구강생체과학연구소) ;
  • 강재연 (전북대학교 치과대학 치과교정학교실 및 구강생체과학연구소) ;
  • 김정기 (전북대학교 치과대학 치과교정학교실 및 구강생체과학연구소) ;
  • 전영미 (전북대학교 치과대학 치과교정학교실 및 구강생체과학연구소)
  • Lee, Kang-gyu (Department of Orthodontics, School of Dentistry, Institute of Oral Biosciences, Jeonbuk National University) ;
  • Park, Je-Hyeok (Department of Orthodontics, School of Dentistry, Institute of Oral Biosciences, Jeonbuk National University) ;
  • Jeon, Jin (Department of Orthodontics, School of Dentistry, Institute of Oral Biosciences, Jeonbuk National University) ;
  • Kang, Jae-yoen (Department of Orthodontics, School of Dentistry, Institute of Oral Biosciences, Jeonbuk National University) ;
  • Kim, Jong Ghee (Department of Orthodontics, School of Dentistry, Institute of Oral Biosciences, Jeonbuk National University) ;
  • Jeon, Young-Mi (Department of Orthodontics, School of Dentistry, Institute of Oral Biosciences, Jeonbuk National University)
  • 투고 : 2019.10.11
  • 심사 : 2019.11.11
  • 발행 : 2019.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

구치 결손 부위가 장기간 방치될 경우 후방 구치의 근심이동과 대합치 정출 등의 원치 않는 치아이동, 치조골의 소실, 치아치조 교합의 붕괴를 야기할 수 있다. 따라서 치아상실 후 가능한 빠른 시일 내에 결손 부위에 대한 보철 수복 치료를 권장하고 있지만, 제3대구치 등 잔존 치아를 결손 부위의 적절한 위치로 이동시키는 교정치료를 병행할 경우 최적의 크기와 형태로 보철 수복이 가능하고, 기능교합 시 힘의 분산을 고르게 할 수 있으며, 수복의 범위를 최소화하여 생역학적으로 보다 유리한 치주 환경을 조성할 수 있다. 본 증례는 다수의 구치부 치아를 상실한 두 환자를 비교하여 구치부 치아 결손 환자에서 제3대구치의 교정적 활용시 고려할 사항에 대해 고찰하고자 한다.

The prolonged neglect of the posterior teeth missing area may cause mesial drift, extrusion, unexpected movement of the adjacent teeth and alveolar bone loss with occlusion collapse. Therefore it is recommended to treat that area by the prosthesis as soon as possible after tooth missing. However, if orthodontic treatment is applied to move the remained teeth, it can create improved biomechanical dentoalveolar environment. The use of the third molars in teeth missing area provides advantages as optimizing of prosthesis size. However, crown shape, location, soundness of the third molar and possible of eruption failure should be considered. In this case report, two patients closed a second teeth missing site and reduced the size of the first and second teeth missing area for an implant by protraction of impacted third molars. This case reports the considerations for closing or reducing the posterior teeth space with protracting the third molars by comparing two patients.

키워드

참고문헌

  1. Graber LW, Vanarsdall RL, Vig KW, Huang GJ. Orthodontics current principles and technique. 6th ed. Seoul; Elsevier; 2017. p. 644-97.
  2. Kokich VG, Spear FM. Guidelines for managing the orthodontic-restorative patient. Semin Orthod 1997;3:3-20. https://doi.org/10.1016/S1073-8746(97)80036-9
  3. Nanda R. Esthetics and biomechanics in orthodontics. 2nd ed. Seoul; Elsevier; 2015. p. 567-87.
  4. Tomonari H, Yagi T, Kuninori T, Ikemori T, Miyawaki S. Replacement of a first molar and 3 second molars by the mesial inclination of 4 impacted third molars in an adult with a Class II division 1 malocclusion. Am J Orthod Dentofacial Orthop 2015;147:755-65. https://doi.org/10.1016/j.ajodo.2014.05.030
  5. Gooris CG, Artun J, Joondeph DR. Eruption of mandibular third molars after second-molar extraction: a radiographic study. Am J Orthod Dentofacial Orthop 1990;98:161-7. https://doi.org/10.1016/0889-5406(90)70010-A
  6. Orton-Gibbs S, Crow V, Orton HS. Eruption of third permanent molars after the extraction of second permanent molars. Par1: Assessment of third molar position and size. Am J Orthod Dentofacial Orthop 2001;119:226-38. https://doi.org/10.1067/mod.2001.111556
  7. Orton-Gibbs S, Orton S, Orton H. Eruption of third permanent molars after the extraction of second permanent molars. Part 2: Functional occlusion and periodontal status. Am J Orthod Dentofacial Orthop 2001;119:239-44. https://doi.org/10.1067/mod.2001.111555
  8. De-la-Rosa-Gay C, Valmaseda-Castellon E, Gay-Escoda C. Spontaneous third-molar eruption after second-molar extraction in orthodontic patients. Am J Orthod Dentofacial Orthop 2006;129:337-44. https://doi.org/10.1016/j.ajodo.2005.11.002
  9. De-la-Rosa-Gay C, Valmaseda-Castellon E, Gay-Escoda C. Predictive model of third molar eruption after second molar extraction. Am J Orthod Dentofacial Orthop 2010;137:346-53. https://doi.org/10.1016/j.ajodo.2008.02.026
  10. Richardson ME, Richardson A. Lower third molar development subsequent to second molar extraction. Am J Orthod Dentofacial Orthop 1993;104:566-74. https://doi.org/10.1016/S0889-5406(05)80440-8