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Changes in pulpal blood flow during orthodontic tooth movement studied by Doppler ultrasound (Doppler ultrasound를 이용한 교정적 치아 이동 시 치수 혈류량의 변화의 측정- 예비실험)

  • Lim, Kyoung-Sub;Bae, Young-Min;Cha, Jung-Yul;Yu, Hyung-Seog;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.39 no.6
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    • pp.372-382
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    • 2009
  • Objective: This study was to change of pulp blood flow among maxillary and mandibular anterior tooth with mild crowding and adjacent teeth using Ultrasound Doppler graphy. Methods: The change of pulp blood flow was measured three times using Ultrasound Doppler graphy; before the attachment of brackets, after 3 week, and after 6 week. The sample consists of 15 year old eighteen patients. Results: Before the attachment of brackets, after 3 weeks, and after 6 weeks, there were no significant differences in the change of pulp blood flow in each part (maxilla and mandible) and each tooth according to period. In addition, to compare internal dangerousness of loss of the pulp vitality, when pulp blood flow is compared in each tooth before orthodontic treatment, there were no statistically significant differences in maxillary lateral incisor and mandibular canine but it showed low values in all measurement items (p > 0.05). Conclusions: Results of this study can be not only methodological preliminary data in further study such as tooth movement type of Ultrasound Doppler graphy and particular study considered the patient age, but also reference materials for the loss of pulp vitality in orthodontic treatment.

Studies of Automatic Dental Cavity Detection System as an Auxiliary Tool for Diagnosis of Dental Caries in Digital X-ray Image (디지털 X-선 영상을 통한 치아우식증 진단 보조 시스템으로써 치아 와동 자동 검출 프로그램 연구)

  • Huh, Jangyong;Nam, Haewon;Kim, Juhae;Park, Jiman;Shin, Sukyoung;Lee, Rena
    • Progress in Medical Physics
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    • v.26 no.1
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    • pp.52-58
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    • 2015
  • The automated dental cavity detection program for a new concept intra-oral dental x-ray imaging device, an auxiliary diagnosis system, which is able to assist a dentist to identify dental caries in an early stage and to make an accurate diagnosis, was to be developed. The primary theory of the automatic dental cavity detection program is divided into two algorithms; one is an image segmentation skill to discriminate between a dental cavity and a normal tooth and the other is a computational method to analyze feature of an tooth image and take an advantage of it for detection of dental cavities. In the present study, it is, first, evaluated how accurately the DRLSE (Direct Regularized Level Set Evolution) method extracts demarcation surrounding the dental cavity. In order to evaluate the ability of the developed algorithm to automatically detect dental cavities, 7 tooth phantoms from incisor to molar were fabricated which contained a various form of cavities. Then, dental cavities in the tooth phantom images were analyzed with the developed algorithm. Except for two cavities whose contours were identified partially, the contours of 12 cavities were correctly discriminated by the automated dental caries detection program, which, consequently, proved the practical feasibility of the automatic dental lesion detection algorithm. However, an efficient and enhanced algorithm is required for its application to the actual dental diagnosis since shapes or conditions of the dental caries are different between individuals and complicated. In the future, the automatic dental cavity detection system will be improved adding pattern recognition or machine learning based algorithm which can deal with information of tooth status.

MANAGEMENT OF DENTIGEROUS CYST AND ERUPTION GUIDANCE OF INVOLVED TEETH USING OBTURATOR (Obturator를 이용한 함치성 낭종의 처치 및 이환된 치아의 맹출 유도)

  • Im, Chul-Seung;Lim, Kwang-Ho;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.4
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    • pp.669-676
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    • 1999
  • The dentigerous cysts originate through alteration of the reduced enamel epithelium after amelogenesis is completed, with accumulation of fluid between the layers of the enamel epithelium, or between this epithelium and the tooth crown. Next to the radicular cyst, they are the second most common type of odontogenic cyst. They occur over a wide age range with a peak frequency in the 2nd to 3rd decade. A substantial majority involve the mandibular third molars, followed in order of frequency by the maxillary permanent canines, mandibular second premolars, and maxillary third molars. With regard to the treatment of these cysts, the marsupialization procedure with obturator is recommended during the age when the eruptive force of the teeth is still strong. It can be effective when preservation of the displaced teeth is desirable. We treated the dentigerous cyst by marsupialization with obturator and guided the eruption of involved teeth to normal position. And we got the results as follows : 1. Severely dislocated teeth associated with dentigerous cyst erupted into proper position. 2. The enamel hypoplasia and the root deformity were observed some cases. 3. The bone expansion and defect were healed without infection and recurrence.

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AUTOTRANSPLANTATION OF TOOTH WITH IMMATURE ROOT FORMATION (치근단 미완성 치아의 자가치아이식)

  • Jung, Ji-Sook;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.1
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    • pp.66-72
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    • 2012
  • Autogenous tooth transplantation can be defined as the surgical movement of a tooth from one position in the mouth to another in the same individual. The most common reasons for tooth transplantation include replacement of a missing first molar, transplantation of impacted canines to their normal positions in the arch, and transplantation of premolars in areas of missing teeth, especially in the anterior area of the mouth. The key to successful tooth transplantation is proper selection of graft with adequate root development as well as the design of surgical operation. Root development stage with half to three-quarter-developed roots increase the success rate of autotransplantation. We report the cases of successful autotransplantation which resulted in ideal healing of periodontal ligament, gingiva and alveolar bone. All transplanted teeth presented immature root formation at the moment of the procedure. After surgical procedure, we can observe good healing pattern without endodontic problem.

The Effects of Screw Retained Prosthesis Misfit & Cantilever on Stress Distribution in Bone Around the Implant (나사유지형 임플란트 고정성 보철물의 적합도와 캔틸레버가 지지골조직의 응력분산에 미치는 영향)

  • Lee, Jae-In;Kim, Tae-Young;Cho, Hye-Won
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.3
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    • pp.224-235
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    • 2013
  • A passively fitting prosthesis is an essential prerequisite to attain long-lasting success and maintenance of osseointegration. However, true "passive fit" can not be achieved with the present implant-supported prosthesis fabrication protocol. Many clinical situations are suitably treated with cantilevered implant-supported fixed restorations. The purpose of this study was to compare the stress distribution pattern and magnitude in supporting tissues around ITI implants with cantilevered, implant-supported, screw-retained fixed prosthesis according to the fitness of superstructures. Photoelastic model was made with PL-2 resin (Measurements, Raleigh, USA) and three ITI implants (${\phi}4.1{\times}10mm$) were placed in the mandibular posterior edentulous area distal to the canine. Anterior and posterior extended 4-unit cantilevered FPDs were made with different misfit in the superstructures. 4 types of prosthesis were made by placing a $100{\mu}m$ gap between the abutment and the crown on the second premolar and/or the first molar. Photoelastic stress analysis were carried out to measure the fringe order around the implant supporting structure under simulated loading conditions (30 lb).

RELATIONSHIP BETWEEN LINEAR AND VOLUMETRIC MEASUREMENTS OF DYE PENETRATION IN THE SEALING EFFECT OF CANAL OBTURATION (근관충전의 폐쇄효과 평가에서 색소침투의 정성적 및 정량적 측정의 상호관계)

  • Paek, Sung-Rae;Cho, Kyeu-Zeung
    • Restorative Dentistry and Endodontics
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    • v.17 no.2
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    • pp.343-354
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    • 1992
  • The purpose of this study was to analyze the relationship between linear and volumetric measurements of apical dye penetration in canals obturated by various kinds of methods. The canals of 108 roots without crown were conventionally prepared and randomly assigned to four group. The canals of group I a2 were obturated by lateral condensation with sealer, group II a2 by thermoplasticized low-temperature ($70^{\circ}C$) gutta-percha with sealer, group III by Thermafil endodntic obturation with sealer and group IV by injection-molded thermop-lasticized guttapercha One mm of root apex was exposed to a 2 % methylene blue solution at $7^{\circ}C$or 10 days, and the quality of apical seals was assessed by measuring the leakage linearly and volumetrically. The obtained results were as follows: In linear measurements, group II showed significanty less leakage than group III, I and group III also showed less than group N, but no statistically significant difference was demonstrated between the others. In volumetric measurements, group II showed significantly less leakage than group I and II, and no significant differnce from group III. There was a weak significant correlation between the linear measurement and the volumetric measurement(r=0.3391, P<0.001).

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AN EXPERIMENTAL STUDY ON THE STRESS DISTRIBUTION IN THE PERIODONTAL LIGAMENT (치주인대의 응력 분포 양상에 관한 실험 연구)

  • Choy, Kwang-Chul;Kim, Kyung-Ho;Park, Young-Chel;Han, Jung-Yun
    • The korean journal of orthodontics
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    • v.31 no.1 s.84
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    • pp.15-24
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    • 2001
  • In order to achieve a desirable tooth movement, it is of great importance to control the M/F ratio and to know the location of the center of resistance. The purpose of this study was to locate the center of resistance and the axis of rotation, and to estimate the stress distribution in the periodontal ligament with experimental model. After preparing a model of an upper canine with a simulated periodontal ligament and alveolar bone, the force and moment were applied. The tooth movement was traced using measuring device with LVDTs(Linear variable differential transformers) that can measure three dimensional tooth movement in real time. The results were as follows. 1. The location of center of resistance by transverse force was $29\%$ of root length measured from alveolar crest to apex regardless of force magnitude. The position of the center of resistance is more coronal than that of two-dimensional model($42\%$). 2. The center of resistance and the axis of rotation coincide when couple moment was applied. 3. As the magnitude of moment increases, tooth tends to extrude irrespective of the direction of the moment. 4. The relationship between location of force and axis of rotation (a x b = $49.6\;mm^2$) was obtained. A tooth movement can be predicted through this formula. 5. The centers of rotation by transverse force were plotted linearly.

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Directional forces using skeletal anchorage for treatment of skeletal Class II div. 1 malocclusion (Directional force와 skeletal anchorage를 이용한 골격성 II급 1류 부정교합 환자의 치험례)

  • Chae, Jong-Moon
    • The korean journal of orthodontics
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    • v.34 no.2 s.103
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    • pp.197-203
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    • 2004
  • Tweed-Merrifield directional force technology is a very useful concept, especially for the treatment of Glass II malocclusion. It has contributed to treating a favorable counter-clockwise skeletal change and balanced face, while head gear force using high pull J-hook (HPJH) in an appropriate direction is also essential to influence such results. Clinicians have encountered some problems concerning patients' compliance; however skeletal anchorage has been used widely of late because it does not necessitate patients' compliance, yet produces absolute anchorage. In this case, a good facial balance was obtained by Tweed-Merrifield directional force technology using HPJH together with skeletal anchorage, which provided anchorage control in the maxillary posterior area, torque control in the maxillary anterior area, and mandibular response. This indicates 4hat skeletal anchorage can be used to reinforce sagittal and vortical anchorage in the maxillary posterior area during the retraction of anterior teeth. The author used HPJH for torque control, Intrusion, and the bodily movement of maxillary anterior teeth during on masse movement. However, it is thought that such a result nay also be achieved by substituting mini- or microscrews for HPJH. Consequently, Tweed-Merrifield directional force technology using skeletal anchorage for the treatment of Class II malocclusion not only maximiaes the result of treatment but can also minimize patients' compliance.

ACCURACY OF CONE-BEAM COMPUTED TOMOGRAPHY IN PREDICTING THE DIAMETER OF UNERUPTED TEETH (Cone-beam computed tomography를 이용한 미맹출 영구치의 계측)

  • Kim, Seong-Hee;Kim, Young-Jong;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.2
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    • pp.139-144
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    • 2012
  • The purpose of this study was to evaluate the accuracy and reproducibility of measuring the size of unerupted permanent tooth via cone beam computed tomography(CBCT). Ten children were scanned with dental CBCT, and 3-dimensional reconstruction of the dentitions were generated CBCT. Mesio-distal dimension and buccolingual dimension of the teeth were made directly on the model with a high-precision digitalcaliper and on the CBCT by using three-dimensional dental imaging software. Reliability and accuracy were assessed by using intraclass correlation and paired $t$-tests. ($p$ <0.05) The results were as follows : 1. Intraclass correlations were above 0.9 for Both the CBCT and the model measurements, showinghigh reliability. 2. Although there were high correlation values(r=0.91) between CBCT and model messurement methods, comparisons between the CBCT and model messurement methods showed a statistically significant difference($p$ <0.05). 3. The CBCT measurements tended to slightly underestimate by 0.2 mm. But, the systematic difference of CBCT measurements were clinically acceptable Therefore, CBCT measurement method can be used to measure the size of unerupted teeth in a sufficiently accurate way.

Fixed prosthodontic rehabilitation of maxillary posterior teeth using functionally generated path technique and intraoral digital scan: Case report (Functionally generated path technique 및 구내 디지털 스캔을 이용한 상악 구치부의 고정성 보철 수복 증례)

  • Kim, Sung-Ho;Lee, Jonghyuk;Choi, Yu-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.228-238
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    • 2020
  • In order to deliver fixed partial denture to a patient successfully, dentist must take into many considerations beforehand. Patient's occlusal pattern should be fully understood before delivering any type of prosthesis, whether it's canine guidance or group function occlusion. In order to do so, movement of mandible should be recorded precisely. Introduced by Meyers in 1933, functionally generated path technique (FGP) has been successfully used to record mandibular movement with various materials, such as wax, and utilize it in fabricating precise prosthesis. In the following cases, patients showed secondary caries or endodontic-periodontic lesion on maxillary molars. Root canal treatment and subgingival curettage were done for each patient. Since the long term prognosis of each tooth was questionable, lateral force should be minimized. In order to do so, FGP technique was used to record mandibular movements precisely. Instead of using conventional plaster impression, intra-oral scanning of wax tracing was done to fabricate prosthesis efficiently. After delivery of fixed partial denture, favorable outcome was obtained.