• Title/Summary/Keyword: 교정적 정출

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Intentional Passive Eruption Combined with Scaling and Root Planing of Teeth with Moderate Periodontitis (중등도 만성 치주염에 이환된 치아의 의도적 수동 정출을 동반한 비외과적 치료)

  • Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.2
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    • pp.195-202
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    • 2013
  • The relationship between occlusion and periodontal health has been studied extensively. Despite this, there are few reports on the effects of intentional passive eruption (IPE) using an occlusal reduction. The aim of this clinical report was to present the favorable long-term results of IPE using an occlusal reduction combined with scaling and root planing. After periodontal examination, teeth were diagnosed as moderate chronic periodontitis with intrabony defects and mobility. IPE was performed using periodic occlusal reduction combined with initial periodontal therapy. All teeth examined healed uneventfully and the patients did not complain of discomfort. It has been clinically well maintained during 8 years after completion of IPE. Overall, these results suggest that the IPE would be helpful in improving periodontal health.

Orthodontic intrusion treatment of mandibular anterior teeth in a periodontal patient with hyperdivergent skeletal pattern: 8-year follow-up (장안모를 보이는 치주 질환자에서 하악 전치의 압하를 통한 과개 교합 치료: 8년 경과 관찰)

  • Kwon, Eun-Young;Jung, Kyung-Hwa;Park, Soo-Byung;Kim, Seong-sik;Kim, Yong-il;Choi, Youn-kyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.1
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    • pp.48-60
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    • 2021
  • Patients who have extruded anterior teeth and deep bite with pathologic tooth migration, it is necessary not only periodontal treatment for reduce inflammation, but also orthodontic treatment for intrusion of anterior teeth. However, it is difficult to place the orthodontic brackets due to the deep bite, and there is a problem that the extrusion of the posterior teeth occurs more easily than the intrusion of the anterior teeth biomechanically. In particular, in patients with long face, relative intrusion of the anterior teeth by extrusion of the posterior teeth causes the clockwise rotation of the mandible and makes the facial profile worse. Therefore the biomechanical consideration and appliance design that can block these problems are required from the treatment plan. This is a patient who had a deep overbite with extruded anterior teeth, treated by periodontal treatment and intrusion of mandibular anterior teeth using cute brackes and miniscrews, and resulted in favorable maintenance during 8-year retention.

Orthodontic Treatment of Molar Teeth Impacted by Local Factors (국소적 원인으로 매복된 구치의 교정치료)

  • Kim, Seong-Sik;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.29 no.1 s.72
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    • pp.129-136
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    • 1999
  • Etiologies of the molar teeth impaction are cyst, supernumerary teeth, ankylosis by replacement resorption, abnormal eruptive path, improper orthodontic treatment, etc. If the impacted teeth were untreated, the sequallae was as follows : loss of occlusal function, loss of permanent tooth, extrusion of opposite tooth, root resolution of adjacent teeth. The most important factor of solution of impacted teeth is treatment timing & proper application of orthodontic forces.

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A STUDY OF THE SECOND MOLAR WHICH WAS MALPOSITIONED AFTER ORTHODONTIC TREATMENT (교정치료후 부정위치된 제2대구치의 양상에 관한 연구)

  • Yun, Young-Sun;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.25 no.3 s.50
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    • pp.299-310
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    • 1995
  • The purpose of this study is to know about the positional change of second molar when orthodontic treatment is performed. To know about it, we andlysed cephalogram pre. and post treatment for 54 adult patients who werefinished orthodontic treatment by banding to the first molar and classify them into 4 groups Class I extraction group 15, Class I nonextraction group 12, Class II group 13, class Class III group 14. The following conclusions were obtained : 1. In the extraction group of Class I , mandibular second molar showed less extrusion and mon distal inclination than first moarl. But maxillary second molar showed more or less extrusive and mesial inclination to much the same degree of first molar. 2. Inthe non-extractio group of Class I, mandibular second molar in intrusive to first molar, it showed smilar distal inclination to first molar. But maxillary second molar is extrusive similarly to first molar. 3. In the group of Class II , mandibular second molar is less extrusive than first molar and maxillary second molar is more extrusive than first molar. 4. In the group of Class III, mandibular second molar showed similar extrusion to first molar and more distal inclination than first molar. But maxillary second molar showed less extrusion than first molar. 5. A comparision of the positional change of second molar among groups : The change of distance from FH plane to funcation point of maxillary second molar is the difference between Class I extraction group and Class II group, Class I extraction group and Class III group. The change of maxillary second molar to palatal plane and occlusal plane is the difference between Class I extraction group and Class III group. And the change of distance from mandibular plan to furcation point of mandibular second molar is difference between Class I extraction group and non-extraction group, Class I non-extraction group and Class II group, Class I non-extraction group and Class III group. But the change of angle of mandibular second molar to mandibular plane and occlusal plane is make no difference in among groups.

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Surgical exposure of impacted tooth for orthodontic forced eruption : case report (교정적 견인을 위한 매복치의 수술적 노출 방법에 관한 증례보고)

  • Choi, Yongkwan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.2
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    • pp.86-94
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    • 2019
  • Tooth impaction make various problems which are pathologic changes, functional defect and esthetic troubles. Sometimes impacted tooth are extracted. But surgical exposure of impacted tooth and orthodontic forced eruption are usually used a lot to solve these problems. Impacted tooth for orthodontic treatment has two impacted patterns 1) Simple impaction outside alveolar bone covered soft tissue, 2) Fully impaction under alveloar bone. So I introduce way to exposure of impacted tooth for orthodontic treatment with various cases and literatures.

INTRA-ALVEOLAR TRANSPLANTATION OF COMPLETELY CROWN-ROOT FRACTURED TOOTH WITH DEMINERALIZED FREEZED DRIED BONE GRAFT (치은연 하방으로 파절된 치아의 탈회냉동건조골을 이용한 Intra-alveolar transplantation)

  • Lim, Hyoung-Soo;Kim, Dong-Phil;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.344-350
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    • 2000
  • Incidence of crown-root fracture due to traumatic injury, have been reported 3% in the permanent dentiton, 2% in the deciduous dentition. There are two treatment methods for crown-root fractured teeth with pulp exposure, when the fracture line was located under the alveolar crest. One way is the extrusion by orthodontic force the other way is intra-alveolar transplantation which occlusally repositioning of apical fragment in the alveolar socket. Since intra-alveolar transplantation has introduced in 1970s, it was practiced as alternative to orthodontic extrusion. As the result, this method may thoughted that had a good prognosis. As a result of trauma, completely crown-root fracture was occured in the maxillary right central incisor in this case. We couldn't reposition the deepest fracture line above the alveolar crest by the conventional surgical extrusion, because apical fragment was too short. Thus, after extraction of apical fragment, we repositioned it to the socket following demineralized freezed dried bone graft, which possible to support the apical fragment. At the 15-month recall examination, the root still showed normal mobility and there was not observed any in flammatory or replacement root resorption in the periapical radiograph.

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Treatment of ankylosed posterior teeth: Subluxation and Extrusion Method (골유착 대구치의 교정적 치험례)

  • Mun, Cheol-Hyeon
    • The Journal of the Korean dental association
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    • v.38 no.10 s.377
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    • pp.962-968
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    • 2000
  • 치조골과 백악질이 치근막에 의하여 경계되어지지 않고 직접 접촉된 상태인 골유착치는 치조골성장장애, 불안전 맹출, 대합치의 정출, 인접치와의 불안정한 관계 등 다양한 문제를 야기한다. 골유착치의 진단은 방사선 사진에서 치근막의 소실, 타진시의 독특한 소리, periotest를 이용한 동요도 검사 등 다양한 방법이 사용되나 그 신뢰성은 높지 않은 편이다. 따라서 저자는 통산적인 방법은 견인을 시행한 후 견인여부를 평가하여 골유착 여부를 판단하는 임상적 진단법을 사용하고 있다. 골유착치의 치료는 subluxation & extrusion법, autotransplantation법, corticotomy법, segmental osteotomy법, ostectomy법등 다양한 방법이 제시되고 있다. Subluxation & extrusion법은 적용이 간편한 장점이 있으나 골유착의 재발로 인한 교정치료의 실패가능성이 높은 단점이 있다. 본 증례는 다수치의 부분맹출 및 골유착으로 인한 구치부 개방교합이 주소인 환자로 소구치는 통산적인 교정치료법으로 골유착된 대구치는 subluxation & extrusion법을 적용하여 양호한 치료 결과를 얻을 수 있었다.

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Fixed Prosthodontic Restorations after Forced Eruption of Traumatised Anterior Teeth (치아 정출술을 이용한 고정성 보철 수복)

  • Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.3
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    • pp.243-251
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    • 2008
  • A subgingival crown-root fracture presents a restorative problem to the clinician because restoration is complicated by the need to maintain the sound tooth structures. Forced eruption offers a method of treatment of teeth fractured close to the alveolar crest. Extrusion of such teeth allows elevating the fracture line above the epitherial attachment and so the proper finishing margins can be prepared. The purpose of this case is to report successful tooth restoration using forced eruption in case of crown-root fractures.

Skeletodental changes during treatment and retention in Class II division 1 malocclusion (II급 부정교합의 치료와 유지시 골격치성요소의 변화)

  • Kim, Sang-Cheol;Kim, Sun-Young
    • The korean journal of orthodontics
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    • v.30 no.6 s.83
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    • pp.687-698
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    • 2000
  • The purpose of this study was to evaluate the changes of skeletodental patterns during Class II treatment and its retention period. Forty two patients of Class II malocclusion, which was treated with nonextraction or first premolar-extraction were selected and their lateral cephalograms were examined in this study. Various skeletodental changes in lateral cephalograms of pre-treatment, post-treatment and retention were measured by superimposition in reference to the cranial base for jaws, the palatal plane for maxillary teeth, and mandibular plane for mandibular teeth. The data were analyzed by paired t-test. In this study, occlusal plane showed the significant anterior downward steepening after active treatment, and remained during retention period. In the nonextraction group, maxillary incisors were retracted and extruded during treatment. Maxillary molars were extended, and mandibular molar were uprighted, with no mesial movement. In the extraction group, both maxillary and mandibular incisors were retracted and extruded. Maxillary molars were extruded and moved mesially, and mandibular molars were extruded and moved mesially with no mesial tilting. During retention period in both groups, there were tendencies of labial tipping of maxillary incisor, and mesial tipping of maxillary and mandibular molar. But the changes were not significant and most of teeth showed no change in vortical and horizontal direction.

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