• Title/Summary/Keyword: 구치부

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A CASE OF BILATERAL SUPERNUMERARY TEETH IN THE MANDIBULAR INCISOR REGION : A CASE REPORT (하악 전치부에 양측성으로 발생한 과잉치의 치험례)

  • Jeong, Nae-Jeong;Kim, Jung-Wook;Kim, Chong-Chul;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.142-145
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    • 2001
  • Supernumerary tooth is one of the abnormalities in tooth number. Supernumerary tooth result from excessive proliferation of dental lamina and incidence reports identify a range of $0.3\sim0.8%$ in primary dentition, $1.0\sim3.5%$ in permanent dentition with males being affected twice as frequently as females, maxilla nine times as frequently as mandible The incidence is more in anterior tooth region than in posterior region. The most common supernumerary tooth is the mesiodens, which located between maxillary central incisors. The occurrence is very rare in the incisor region of mandible and the reports on incidence is 2%. In this case, there were two supernumerary teeth in the mandibular region and we could acquire normal alignment of mandibular incisors by extraction and orthodontic treatment.

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SCISSOR BITE CORRECTION IN PATIENTS WITH WILLAMS SYNDROME: A CASE REPORT (Williams Syndrome 환자에서의 scissor bite correction: 증례보고)

  • Ji, Eun-Hye;Choi, Hyung-Jun;Kim, Seong-Oh;Son, Heung-Kyu;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.1
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    • pp.21-24
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    • 2011
  • Williams syndrome(WS) is a congenital disorder caused by a deletion of the Elastin gene and other contiguous genes at chromosome 7. Patients with WS are at a high risk of dental caries, and they also have a higher frequency of dental malocclusion compared to normal children. Malocclusion occurs in 85% of individuals with WS, which results from combined causes, such as tongue thrust, hypotonia, and connective tissue abnormality. An 11 year-old girl with WS presented scissor bite on the lower right second premolar and the first molar, and she complained of difficulty in chewing. Active lingual arch was used instead of removable appliance, considering the patient's cooperation ability. Unilateral posterior scissor bite was corrected in 7 months. Although patients with WS are sociable and friendly, dental treatment can be a fearful experience for them. Efforts to build rapport with the patients with WS resulted in improved relationship between the doctor and patient, and desired outcome of dental treatment was achieved with patient's improved cooperation.

Consideration on the esthetic problems from implant cases (임플란트 증례에서 발생하는 심미적 문제점들에 관한 고찰)

  • Lee, Dong-Hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.39-48
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    • 2015
  • The critical factors affecting the esthetics of anterior implants can be summarized as following: 1) Correct positioning of implant fixture, 2) Enough amount of alveolar bone, 3) Optimum volume of soft tissue. The position of implant is probably the most important factor in obtaining esthetic treatment outcome. The 3-dimensional orientation of implant is determined by the position on the alveolar ridge and its direction. Clinicians often try to mimic natural teeth when fabricating restorations. During the course of esthetic diagnosis and treatment, however, one should not forget to consider the correlation between facial pattern, lips, gingiva, alveolar ridge, as well as remaining dentition. Since anterior region is biologically unfavorable when compared with posterior region, one minor discrepancy in positioning of implant can cause esthetically undesirable treatment outcome. If one understands the biological and prosthetic meaning of implant' s 3-dimensional position, he or she can achieve superior esthetic outcome in anterior region.

Two-short implant supported single molar restoration in atrophic posterior maxilla : a clinical study (위축된 상악구치부에서 두 개의 짧은 임플란트 지지형 단일치관의 임상연구)

  • Song, Ho-Yong;Heo, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.53 no.9
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    • pp.628-643
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    • 2015
  • Purpose: The aim of this retrospective study was to compare marginal bone loss and survival rates of double short implants(multiple implant) which had been installed and restored in severely atrophic maxillary molar site without a grafting procedure. Material and Method: The subjects were patients (90 patients, 180 implants) who had been installed double short implants in severely atrophic maxillary single molar site without bone augmentation procedure from 2006 to 2014 in dental clinic in Chuncheon city. Following data were collected from dental records and radiographic panoramic views: patient's age, gender, smoking status, implant site, timing of implant installation, residual ridge height. The correlation between those factors and survival rate and marginal bone loss were analyzed. Statistical analysis was performed using Chi-square test, Student's t- test and ANOVA. Result: Eleven implants in 6 patients failed and the cumulative survival rate was 93.9%. No significant differences were found in relation to the following factors: patient's age, gender, implant site, timing of implant installation (P> .05). There were significant differences in smoking status and residual ridge height(P< .05). The average follow-up time was $45{\pm}14.7months$. The mean marginal bone loss of survived 169 implants was $0.08{\pm}0.59mm$. Conclusion: Despite the short term outcomes, the survival rate of double short implants was comparable to normal length implants. This study demonstrated that placement of double short implants without the use of bone grafting procedure for severely atrophic posterior maxilla is a simple and predictable treatment procedure.

THE TREATMENT OF CLASS III MALOCCLUSION USING FR-III (FR-III를 이용한 3급 부정교합 환자의 치험례)

  • Kwak, Ah-Ram;Park, Jae-Hong;Choi, Sung-Chul;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.345-350
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    • 2008
  • In children with Class III malocclusion, it is important to identify whether the etiology is functional, dental, skeletal. FR-III developed by Rolf Frankel in 1970, has been used during deciduous, mixed, and early permanent dentition to correct class III malocclusion characterized by maxillary skeletal retrusion. According Frankel, the vestibular shields and upper labial pads act to counteract the forces of the surrounding musculature that restrict forward maxillary development and cause a retrusion in maxillary tooth position. This can achieve favorable developments with the basal bone, teeth and alveolar bone. We report FR-III that can be applicated in cases of early mixed dentition with mild maxillary deficiency and deepbite before the eruption of permanent maxillary incisor.

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Spatial changes of the upper dentition following en-masse space closure: A comparison between first and second premolar extraction (En-masse 견인에 의한 발치공간 폐쇄 후 상악치열의 이동양상 -제1소구치 및 제2소구치 발치 비교)

  • Kim, Hui-Jung;Chun, Youn-Sic;Jung, Sang-Hyuk
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.371-380
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    • 2005
  • The purpose of this experimental study was to evaluate aㅜd compare maxillary arch dimensional and positional changes between first and second premolar extraction groups. The Calorific Machine was used to illustrate tooth movement in three dimensions. The experimental teeth except the first or second premolars were embedded in artifical alveolar bone. The extraction space was closed using arch wires with bull loops into which 15 degree gable bends were placed. Before and after space closure, radiographs were taken in the sagittal and occlusal directions using occlusal films. The results showed greater mean maxillary incisor retraction and less anchorage loss in the maxillary first premolar extraction group than in the maxillary second premolar extraction group. Mesiopalatal rotation of anchor teeth was greater after extraction of a maxillary second premolar than a maxillary first premolar (P<.001).

ORTHODONTIC TREATMENT WITH UPPER FIRST AND LOWER SECOND PREMOLARS EXTRACTED (상악 제1 및 하악 제2 소구치의 발거를 이용한 교정치료)

  • Na, Jong-Yeal;Kim, Tae-Woo;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.26 no.1 s.54
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    • pp.113-124
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    • 1996
  • The purpose of this report is to present the successful improvement of occlusal relationship and facial estherics in Class II div.1 malocclusion by orthodontic treatment with upper first premolars and lower second premolars extracted. Before treatment, the patients showed Class II div. 1 relation with severe overjet. deep overbite, large ANB angle, retrusive mandible and a convex soft tissue profile. After treatment, normal canine and molar relationships were obtained. Facial esthetics were improved. There were no mesial tipping of lower first molars and root resorptions. With the adequate diagnosis and treatment plan and biomechanics, the application of upper first and lower second premolar extraction may be one of good strategies in some Class II cases treatment.

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Mechanical Properties of Polymeric Dental Restorative Composites Filled With Silica Treated by Heat at Various Temperatures (다양한 온도에서 열처리시킨 실리카가 충진된 치아수복용 고분자 복합체의 기계적 물성)

  • Kim, Ohyoung;Lee, Jung Soo;Seo, Kitaek;Kang, Doo Whan;Kang, Ho-Jong;Gong, Myoung-Seon;Oh, Myoung-Hwan
    • Applied Chemistry for Engineering
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    • v.16 no.4
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    • pp.549-555
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    • 2005
  • To evaluate the posterior and anterior restoration of polymeric dental restorative composite (PDRC), PDRC was prepared using a silica filler treated by heat at various temperatures. Compressive strength (CS) and diametral tensile strength (DTS) values were investigated to study the effect of a heat-treated silica on the mechanical properties of PDRC using the recommended dental specifications. Both the particle size and specific volume of silica were decreased upon increasing the heat treatment temperature. CS and DTS values of PDRC containing a heat-treated silica showed 1.2 and 1.3 times, respectively, higher than that of the PDRC containing a neat silica. Also, it was found that the lower heat treatment temperature, the better mechanical properties of PDRC were observed because there was less agglomeration between silica particles. Specially, PDRC using a silica treated at $600^{\circ}C$ showed superior mechanical strength.

SURVIVAL RATE OF THE DENTAL IMPLANTS PLACED IN POSTERIOR MAXILLA WITHOUT SINUS AUGMENTATION (상악동 골이식술 없이 상악 구치부에 식립된 임프란트의 생존율)

  • Park, Hye-Won;Kim, Myung-Rae;Kim, Sun-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.3
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    • pp.170-175
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    • 2009
  • Purpose : The purpose of this study is to evaluate 7-year survival rate of implants placed without bone graft in posterior maxilla and compare the survival rate by the age and gender of patient, length and diameter of implant, region of implant placement, bicortical engagement of fixture, and connection of prosthesis. Material and methods : 78 patients (170 implants) who visited our institution from 2002 to 2007 and were followed up with panoramic view and medical records. Kaplan-Meier survival analysis and Log Rank (Mantel-Cox) test were used. Results and conclusions : A 7-year cumulative survival rate for implants placed in posterior maxilla without sinus graft was 95.3%. The survival rate in men was 91.8%, significantly lower than 98.8% in woman.(p<0.05). However, the survival rate by the length of the implants did not show any significant differences.(p>0.05), while the wide platform implant resulted in 85% survival rate which was statistically lower than 98.5% in regular platform. The posterior maxillary implants engaged bicortically showed 97.6% of 7-year Survival rate, comparing 88.6% in not engaged implants. The survival rate of the single implant was 91.2%, while 98.5% in splinted prosthesis. Therefore, the bicortical engagement of the fixtures and splinted prosthesis may be recommended to get a long-term survival rate in posterior maxilla.

Implant placement after guided bone regeneration (GBR) in severe defected mandibular alveolar ridge: case report (심하게 결손된 하악 치조골에서 골유도재생술(GBR) 후 임플란트의 식립: 증례보고)

  • Chee, Young-Deok;Yu, Tae-Hoon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.184-191
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    • 2014
  • In the mandibular posterior molar area, ridge deficiency is an unfortunate obstacle in the field of implant dentistry. Many techniques are available to rebuild the deficient ridge. Selection and necessity of these techniques are associated with significant morbidity and often require a second surgical site. With the advent of guided bone regeneration (GBR), one may now graft the deficient ridge with decreased morbidity and without a second surgical site. In this case, guided bone regeneration procedures were performed with a combination of allograft, xenograft, and alloplast, excepting autogerous bone at severe defected mandibular alveolar ridge and then placed to the implant successfully. We report that implant placement were good in two cases.