• Title/Summary/Keyword: 발거

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MANAGEMENT OF IMPACTED TEETH BY AUTOTRANSPLANTATION IN CHILDREN (소아에서 자가치아이식에의한 매복치의 처치)

  • Ryu, Hyun-Seop;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.564-572
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    • 2000
  • We decided among extraction, orthodontic traction and autotransplantation such as direction and position of unerupted tooth, degree of developing root apex, eruption space, being of supernumerary tooth or odontoma or cyst when tooth impacted. Autotransplantation is considered when orthodontic traction is unrealistic or when tooth movement can absorb root of neighbor tooth. The prognosis for successful autotransplantation is dependent on a number of factors such as root development, surgical technique, patient's age, endodontic treatment, time and type of splinting, preservation of periodontal ligament and storage medium. Especially when severe osseous defect is being, bone graft considered for reducing of mobility and for assisting recovery. In all cases, chief complaint is unerupted tooth and various causing factors were supernumerary, odontoma, ectopia and so on. Before autotransplantation, space regaining was done if needed and demineralized freezed dried bone and autogenous bone graft was done when there is severe osseous defect by extraction of supernumerary tooth or odontoma. Splinting was removed after 2-3weeks At 3-4weeks after autotransplantation, endodontic treatment was decided. At follow up check, normal recovery was done and there was no inflammatory or replacement root resorption in periapical radiograph.

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TREATMENT OF IMPACTED MAXILLARY CENTRAL INCISORS USING ORTHODONTIC TRACTIONS (매복된 상악 중절치의 교정적 처치를 통한 치험례)

  • Kim, Nam-Hyuk;Kim, Seong-Oh;Song, Je-Seon;Son, Heung-Kyu;Choi, Byung-Jai;Lee, Jae-Ho;Choi, Hyung-Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.1
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    • pp.109-116
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    • 2010
  • Impaction is defined as a cessation of the eruption of a tooth caused by a clinically or radiographically detectable physical barrier in the eruption path or by an ectopic position of the tooth. The reasons for impaction of the maxillary central incisor are supernumerary tooth, odontoma, ectopic position of tooth germ, dilacerated tooth and so force. Impacted tooth cause space loss due to proximal movement of adjacent tooth, malocclusion, root resorption of adjacent tooth, cyst formation, so careful observation and early detection is important and exact treatment should be applied to prevent these results. The treatment options of impacted tooth include induction an eruption through extraction of deciduous tooth or surgical exposure, reposition of impacted tooth by surgical method or orthodontic treatment. Orthodontic traction is recommended when an eruption does not happen after removal of barrier or surgical exposure, when eruption path is too transpositioned to be corrected spontaneously so eruption does not expected. In these cases, traction of impacted maxillary central incisor was carried out using orthodontic method with closed eruption technique and it showed good clinical results so we report these cases.

EFFECTS OF ANTICURVATURE FILING ON DANGER ZONE WIDTH IN CURVED ROOT CANALS (만곡된 근관 성형시 스테인레스 강 파일과 니켈 티타늄 파일의 anticurvature filing 영향)

  • Kim, Eui-Seong;Kim, Hyun-Jung;Seo, Deog-Gyu;Roh, Byoung-Duck
    • Restorative Dentistry and Endodontics
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    • v.34 no.3
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    • pp.232-239
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    • 2009
  • The aim of this study was to compare the effects of anti curvature filing with stainless steel k-file versus nickel-titanium ProFile in the shaping of mesial root canals of extracted mandibular molars. A total of 60 canals from 30 mesial roots of mandibular molar teeth were randomly assigned to three groups with n=20 each. They were prepared with different instruments and methods: The first group with stainless steel k-file and circumferential filing. the second with precurved stainless steel k-file and anticurvature filing and the third with ProFile C06 taper) and anticurvature filing. Using a micro-computed tomography system (skyscan-1076, SKYSCAN, Antwerpen, Belgium), pre-and post-operative specimens were scanned. Subsequently, canal images were superimposed and changes in root dentin thickness were measured at distal side (danger zone) of the canal. The data was analyzed using a one-way ANOVA and the comparison of means was conducted using a post hoc multiple comparison Tukey test. There were significant differences in the change of root dentin thickness at the $7.5{\sim}8.5\;mm$ level between group 1 and 2, $3.5{\sim}6mm$ level between group 1 and 3 and $3.5{\sim}6mm$ level between group 2 and 3(n=20, P<0.05).

3D printed interim immediate denture by using the occlusal plane digital transfer method of the POP BOW system in a patient planning to extract upper and lower residual teeth: a case report (상하악 전악 발거 환자에서 POP BOW 시스템의 교합평면 디지털 전이법을 이용한 3D 프린팅 임시 즉시의치의 수복 증례)

  • Park, Do-Hyun;Bae, Eun-Bin;Jung, In-Hwan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.178-188
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    • 2022
  • Interim immediate denture is fabricated to minimize the period of edentulousness after removal of the patient's remaining teeth and before delivery of final prosthesis. In the case of using the CAD/CAM system, there is an advantage in that the manufacturing process in the clinic and laboratory can be simplified by overcoming some of the limitations of manufacturing interim immediate dentures in the traditional way. However, there are also disadvantages in that errors occur in the process of transmitting information about the patient's intermaxillary relationship to the digital network of the laboratory, resulting in unstable occlusal relationships or non-esthetic prostheses. To overcome this problem, using the simple and accurate POP BOW system's occlusal plane digital transfer method, it was possible to fabricate an esthetic and functional 3D printed interim immediate denture after removal of the remaining upper and lower anterior teeth.

Digital interim immediate denture fabrication and implant-supported removable partial denture fabrication after multiple teeth extraction in patient with chronic periodontitis: a case report (만성 치주염 환자에서 다수치 발거 후 디지털 임시 즉시 의치 제작 및 임플란트 지지 가철성 국소의치 수복 증례)

  • Min-Jae Park;Ji-Won Bang;Joo-Hyuk Bang;Seon-Young Lim;Yong-Sang Lee;Keun-Woo Lee;Sung-Yong Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.104-112
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    • 2024
  • When teeth are extracted, patient face social, psychological and aesthetic problems which can be minimized by fabricating a interim immediate denture. Interim immediate denture manufactured using digital technology can be completed with reduced number of patients' visits and simple laboratory process. Implant-supported removable partial denture (ISRPD) has been suggested as alternative treatment option when fixed implant prosthesis is not feasible. In this case, interim immediate dentures were fabricated using digital technology for patient after teeth extraction and treatment using ISRPD by installing implants and surveyed crowns is found to be successful with better support, stability and maintenance of removable partial dentures.

EXTRACTION OF MULTIPLE SUPERNUMERARY PREMOLARS IN MENTAL RETARDATION PATIENT : CASE REPORT (다수의 과잉 소구치를 가진 정신지체 환자의 치험례)

  • Choi, Hae-In;Song, Je-Seon;Lee, Hyo-Sul;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.118-121
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    • 2013
  • The supernumerary premolars account for 4%-9% of all supernumeraries and reported prevalence is 0.01%-1.00%. Multiple supernumerary teeth can be seen in syndromic phenotypes. But, only 2% of supernumerary premolars exhibited any pathological changes. Most of them cause interference with normal occlusal development that makes maintaining the disabled patients's oral hygiene difficult. It is recommended to delay the timing of extraction until the full permanent dentition is mature. If there is no complication, leaving the supernumerary premolars impacted is recommended. This case is about mental retardation patients with multiple supernumerary premolars.

The comparison on micro-tensile bond strengths of variable adhesive systems to Class V cavity (5급 와동에서의 수종 접착 시스템의 결합강도에 관한 비교연구)

  • Kwon, Jung-Mi;Choi, Kyung-Kyu;Park, Sang-Jin
    • Restorative Dentistry and Endodontics
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    • v.29 no.1
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    • pp.1-12
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    • 2004
  • 이 연구는 발거 소구치에서 5급 와동을 형성하여 접착 시스템 및 와동 위치에 따른 상아질에 대한 접착시스템의 미세 인장결합강도의 차이를 비교, 연구하였다. 접착방법은 resin-modified glass ionomer(Gl), compomer(부식여부에 따라 DE 및 DN군으로 분류), 그리고 상아질 접착제인 Single Bond(SB) 및 Cleayfil SE Bond(SE)와 복합레진(Clearfil AP-X)을 사용한 5개의 실험군으로 분류하였다. 소구치 협측 치경부에 wedge형태의 와동을 형성하고 5종의 접착 시스템을 제조자의 지시에 따라 적용, 충전하여 시편을 제작하여 미세인장결합강도를 측정하고, One-way ANOVA / Duncan's test로 통계분석하였다. SEM 검사는 미세인장결합강도의 시편제작과 동일한 방법으로 시편을 제작한 후 관찰하였다. 실험 결과, 상아질 접착제 및 복합레진(SB, SE)의 미세인장결합강도가 GI보다 높게 나타났고(p<0.05), 치은측이 교합측보다 더 낮게 나타났으며, CI, DE, SE에서 유의성 있게 낮게 나타났다(p<0.05). Compomer에서 conditioning 여부(DN, DE)에 따른 변화는 치은측에서만 유의차 있는 것으로 나타났다. SEM 관찰에서, 교합측의 상아세관은 결합 계면과 평행하게 주행하였고, 치은측에서는 결합계면에 수직으로 주행하는 것으로 관찰되었다.

하악 매복지치의 예방적 발거 후 구취의 평가

  • Sim, Jeong-Hwan;Kim, Yeong-Gyun;Choe, Yong-Geun
    • The Journal of the Korean dental association
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    • v.41 no.1 s.404
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    • pp.42-47
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    • 2003
  • Dental professions recommend that mandibular impacted third molar be extracted for the prevention of osteomyelities crneoplasm or for the treatment of halitosis. Even the possibility of emergence of unexpected halitosis after the preventive extraction exists, there are few studies describing the unexpected halitosis. This study intended to measure the emergence of halitosis after extraction of mandibular impacted third molar. Thirty-eight patients who visited Daejin Medical Center participated in this study. Halitosis was objectively measured using Halimeter in 3 intervals-before, after I day, after 7 days. Third factors, scaling and gender, which may influence the halitosis were analyzed with stratification. This study finds that in general halitosis decreased after 1 day but increased after 7 days. Scaling was helpful in decreasing halitosis and women have less severe halitosis than men. The effects of time interval(p<0.05), gender(p=0.836), and scaling(p=0.7929) on the severity of halitosis were not statistically significant. However, since this study's patients are neither a representative sample nor a random sample, all data interpretation was focused on clinical significance instead of conventional statistical significance. Clinical significance of this study's findings are: 1) scaling should be conducted in advance, 2) men should be notified of the higher possibility of halitosis.

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Comparative Evaluation of Infection Rate according to Extraction of Teeth in the Line of Mandibular Angle Fractures Treated with Stable Internal Fixation (안정된 내고정이 시행된 하악각 골절에서 골절선상의 치아 발거에 따른 감염률 비교평가)

  • Kim, Jin-Ha;Kim, Su-Gwan;Moon, Seong-Yong;Oh, Ji-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.32-35
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    • 2011
  • Purpose: Mandibular angle fractures constitute approximately 30% of mandibular fractures, and the mandibular third molar is usually in line with the fracture. This study evaluated the relationship between the extraction of a tooth in line with a mandibular angle fracture and the infection rate. Methods: One hundred and forty seven patients with mandibular angle fractures containing a tooth in line with the fracture from 2005 to 2008 were enrolled in this study. The patients were divided into two groups based on an extraction, and the infection rates were evaluated in both groups. Results: An extraction was performed in 70 patients (47.6%) and postoperative infections occurred in 14 patients (9.5%). Six (8.6%) of the 70 patients in the extraction group and 8 (10.4%) of the 77 patients in the non-extraction group had an infection. There was no significant difference between the two groups (P=0.708). Conclusion: These results show that there is no increased risk of postoperative complications when a tooth is present

MORPHOLOGICAL STUDY ON PERIODONTAL REGENERATION AND ROOT RESORPTION FOLLOWING TOOTH REIMPLANTATION IN RATS (쥐 치아 재식후 나타나는 치주조직의 치유와 치근흡수에 관한 형태학적 연구)

  • Lee, Seung-Jong;Matsuura, Masahiro;Lin, Wen-Lang;Cho, Moon-Il
    • Restorative Dentistry and Endodontics
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    • v.24 no.1
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    • pp.116-128
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    • 1999
  • 치근흡수 연구에서 치아재식을 위한 적당한 동물모델을 찾는일은 대단히 중요하다. 본 실험에서는 쥐 대구치의 발치 및 재식을 통해서 치근흡수가 발현되는 모양을 관찰했다. 모두 20마리의 쥐(30일생)에게 0.4% ${\beta}$-APN(aminoproprionitrile)가 포함된 분말용쥐사료를 5일간 먹인후 케타민 마취후 상악좌우측 제일대구치를 손상을 최소화하여 발치 하였다. 발거된 쥐치아는 0.02M Tris-HCl로 표면처리하여 부착치근막을 제거한후 파라핀팍스로 치근단을 밀폐 하여 재식하였다. 재식후 1, 2, 4, 6, 8 및 12일이 경과된 후 심장관혈을 통하여 쥐를 희생시킨후 3% glutaraldehyde가 포함된 EDTA에서 탈회한후 Epon 포매 하였다. 모든 시편은 유리칼을 사용하여 1미크론 두께로 절편한후 veronal acetate buffer에 녹인 1% toluidine blue로 염색하였다. 파치세포양 세포에 의한 치근흡수는 재식 5-7일후 처음 관찰되었다. 재식 12일후에는 치근 전체에 걸친 광범위한 치근흡수가 관찰되었다. 이상의 결과 ${\beta}$-APN을 포함한 쥐사료 식이요법은 쥐 상악제일대구치의 발치와 재식을 용이하게 하여 일정한 치근흡수를 발현시키는데 많은 도움이 된 것으로 판단되었다.

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