• Title/Summary/Keyword: 발치

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상악 매복치아의 효과적인 발치술 및 환자관리

  • Lee, Jae-Hun
    • The Journal of the Korean dental association
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    • v.41 no.4 s.407
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    • pp.230-238
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    • 2003
  • 본 연재는 상악 매복치아들의 발치술 및 발치 후 환자관리에 대한 내용을 기술하기에 앞서 매복치의 정의 및 분류, 매복치의 원인과 빈도, 매복치의 진단 및 외과적 처치법 등의 전반적인 내용에 대해 간략히 알아 본 다음 상악 매복치아 들의 발치법 및 환자관리 순으로 설명하고자 한다.

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Effect of maxillary premolar extraction on transverse arch dimension in Class III surgical-orthodontic treatment (III급 부정교합의 수술-교정 치료시 상악 소구치 발치가 치열궁 폭경 변화에 미치는 영향)

  • Lee, Shin-Jae;Hong, Sung-Joon;Kim, Young-Ho;Baek, Seung-Hak;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.35 no.1 s.108
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    • pp.23-34
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    • 2005
  • Collective changes caused by orthodontic tooth movement evaluated in a specific treatment modality could give suggestive information on the specific treatment strategy. The aim of this study was to investigate retrospectively the characteristics of the orthodontic tooth movement during surgical-orthodontic treatment in order to provide an effective presurgical orthodontic treatment planning for the maxillary premolar extraction modality In the skeletal Class III malocclusion patient. Pre- and post-treatment dental casts of skeletal Class III malocclusion patients with nonextraction (N=:24) and the maxillary premolar extraction (N=31) were collected. The angulation and inclination measuring gauge(Invisitech Co. Seoul, Korea) was used to evaluate the orthodontic tooth movement. The changes in the maxillary and mandibular dental arch widths were also measured from the canines to the second molars. As a result, more palatal inclination change in the maxillary dentition was found with the premolar extraction modality than with the nonextraction modality. Linear regression analysis showed that the inter-arch width coordination was mainly due to the inclination changes of maxillary posterior teeth We conclude that the indications and proper treatment planning for surgical-orthodontic treatment in skeletal Class III malocclusion with maxillary premolar extraction could depend partly on the magnitude of the transverse inter-arch coordination especially in the maxillary dentition.

Effects of Educational Content for Dental Extraction Using Virtual Reality Technology on Dental Extraction Knowledge, Skill and Class Satisfaction (가상현실 기술을 활용한 치아발치 교육콘텐츠가 치아발치에 관한 지식, 수행능력 및 실습만족도에 미치는 효과)

  • Park, Jong-Tae;Kim, Ji Hyo;Kim, Moon Young;Lee, Jeong Hyun
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.650-660
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    • 2019
  • The purpose of this study is to verify the effect of the contents of tooth extraction education using VR(virtual reality) on knowledge, performance and satisfaction of practicing teeth. To accomplish this purpose, we divided 72 dental students into the two groups: The experimental group 30 dental students using VR based tooth extraction training contents. And the control group consisted of 42 participants. As a first result for the study, The experimental group using VR tooth extraction content and control group receiving the training using the tooth model based content showed no statistically significant difference in tooth extraction knowledge. Second, in the case of performance of tooth extraction (before tooth extraction-tooth extraction-after tooth extraction-finishing), the training group using VR tooth extraction contents was higher than the control group. Third, The satisfaction rate of the practice group using VR tooth extraction education contents was higher than in the control group. Therefore, it can be seen that the practical training using the VR applied tooth extraction contents improves the performance of the tooth extraction and the satisfaction of the practice more than the existing practice method.

Lower Incisor Extraction for Dental Camouflage (하악전치발치를 통한 교정)

  • Lee, Won-You;Lee, Young-Taek
    • The korean journal of orthodontics
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    • v.27 no.4 s.63
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    • pp.661-668
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    • 1997
  • There is a variation in the range of normal occlusion, and we must fit our treatment to the needs of each patient. If the upper or lower incisors are congenital)y missing, malformed, or crowded, the extraction of the incisor has some advantages over the extraction of premolars and nonextractions. The advantages are 1)simple mechanics, 2)reduced treatment time, 3)less relapse tendency, and 4)fewer facial profile changes. In order to decide which incisor should be extracted, we must consider certain factors 1)discrepancies in anterior arch length, 2)anterior tooth ratio, 3)periodontal and tooth health condition, and 4)the relationship between the upper and lower midline. Diagnostic set-up can be helpful to plan the treatment and show us the post treatment result.

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Immediate implantation for single mandibular first molar restoration: clinical case report (하악 제1대구치 단일 수복을 위한 발치 즉시 임플란트의 임상증례)

  • Park, Cheol-Woo
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.4-12
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    • 2021
  • Immediate implantation is widely applied as it is recognized as a useful implant treatment in dental clinic due to its various advantages as well as being able to shorten the treatment period. Immediate implant treatment was performed on 5 patients who needed extraction of the mandibular first molar for various reasons, shortening the overall treatment period, and obtaining satisfactory results. Immediate implantation after extraction is a high-level treatment that requires proper initial fixation at the exact location of the extraction socket and the surrounding soft tissues, but is considered to be a clinically very useful prosthetic restoration method

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).

Comparison of finite element analysis of the closing patterns between first and second premolar extraction spaces (상악 제1 및 제2소구치의 발치공간 폐쇄기전에 대한 3차원 유한요소 해석의 비교 연구)

  • Koh, Shin-Ae;Im, Won-Hee;Park, Sun-Hyung;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.37 no.6
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    • pp.407-420
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    • 2007
  • The aim of this study was to compare the differences in closing extraction spaces between maxillary first premolar and second premolar extractions using 3-dimensional finite element analysis (FEA). Methods: Maxillary artificial teeth were selected according to Wheeler's dental anatomy. The size and shape of each tooth, bracket and archwire were made from captured real images by a 3D laser scanner and FEA was performed with a 10-noded tetrahedron. A $10^{\circ}$ gable bend was placed behind the bull loop on a $0.017"{\times}0.025"$ archwire. The extraction space was then closed through 12 repeated activating processes for each 2mm of space. Results and Conclusions: The study demonstrated that the retraction of anterior teeth was less for the second premolar extraction than for the first premolar extraction. The anterior teeth showed a controlled tipping movement with slight extrusion, and the posterior teeth showed a mesial-in rotational movement. For the second premolar extraction, buccal movement of posterior teeth was highly increased.

TREATMENT OF CLASS I CROWDING WITH EXTRACTION OF THE SECOND PERMANENT MOLAR (제2대구치 발치를 이용한 Class I crowding의 치험례)

  • Park, Song-Young;Choi, Nam-Ki;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.421-429
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    • 2001
  • Since Non-Extraction treatment in some orthodontic case shows unstable result and unfavorable profile, extraction is selected as inevitable treatment option for the harmonious profile, facial skeleton, and the stable dentition on both arches. For the achievement of proper goal, premolars, molars, sometimes incisors or canines are selected to be extracted. The first Premolar is usually extracted for relieving the crowded dentition with which the molar relations are class I to gain stable dentition and proper profile, but often results in the depression of profile or the loss of vortical dimension. On the contrary, the extracton of the second molar helps maintaining the fullness of profile and the vertical dimension, prevents additional space closural procedures which often make the procedures complicated, relieves both anterior and posterior crowding, and substitutes the extraction fossae for newly erupting 3rd molars. From the point of recurrence, the second molar extraction procedure, therefore, is more beneficial. This cases showed the good results of second molar extraction procedures in the patients with class I crowding.

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The Effects of Alendronate on healing of the extraction sockets in rats (백서발치와의 치유과정에 Alendronate가 미치는 영향)

  • Moon, Keung-Ky;Lee, Jae-Mok;Suh, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.31 no.4
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    • pp.713-726
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    • 2001
  • Bisphosphonate가 백서 발치와의 치유과정에 미치는 영향에 대해 관찰하고자 생후 2개월 된 Sprague-Dawley계의 백서 18마리를 사용하여, 실험군과 대조군 모두 발치를 용이하게 하고 외상을 최소화 하기 위해 발치 전에 하루 ${\beta}-Aminoproprionitrile(APN)$ 0.2g/㎏을 5일간 투여한 후 발치하고, 감염방지를 위해 매일 1.5㎎/㎏ ampicillin을 3일 동안 근육주사 하였다. 실험군에서는 Biosphosphonate 1㎎/㎏을, 대조군에서는 vehicle(0.9%saline)을 1주에 3회씩 2주 동안 피하 주사하였으며, 각 군은 발치 후 1주, 2주, 4주 간격으로 3마리씩 희생시켜 H&E 염색에 의한 조직학적인 관찰, TRAP 염색에 의한 파골 세포의 활성, 경도 측정기에 의한 경도 측정을 통해 다음과 같은 결과를 얻었다. 1. 각 주간의 전반적인 치유양상은 시간이 경과함에 따라 실험군과 대조군 공히 유사한 치조골 회복 양상을 보였다. 2. 파골 세포의 활성은 1주, 4주 군에서는 실험군과 대조군에서 유사한 양상을 나타내었으나, 2주 군에서는 실험군에서 대조군에 비해 감소된 파골 세포 활성 양상을 관찰 할 수 있었다. 3. 경도측정에서는 모든 군에서 대조군에 비해 실험군에서 유의성 있는 증가 양상을 보였으며, 시간경과에 따른 경도의 차이에서는 1주군과 4주군 간에서 대조군에 비해 실험군에서 통계학적으로 유의성 있는 증가 양상을 보였다.(p<0.05) 이상의 연구를 통해 Bisphosphonate가 백서 발치와의 치유과정과 파골 세포의 활성에 영향을 미치며, 치유된 발치와의 경도를 증가시키는 것으로 나타났다.

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Treatment of Gingival Invagination after Orthodontic Treatment with Extraction (발치 교정치료시 치은 함입에 관한 치은 처치)

  • Kim, Yun-Sang;Cho, Jin-Hyoung;Cho, Jin-Woo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.1
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    • pp.79-86
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    • 2012
  • In most patients with severe crowding or lip protrusion, orthodontic treatment with tooth extraction is done. In these patients, even though space is closed after orthodontic treatment, gingival invagination is observed on the extracted site. Since there are possibilities of space recurrence and regional periodontic problems occurrence, periodontic treatment is necessary on the gingival invagination region. This case was a 16 year old female with a chief complaint of crooked teeth. Since her maxillary premolars were already extracted a few years ago at a local dental clinic, orthodontic treatment was done by extracting mandibular premolars. Unlike maxillary premolar regions, gingival invagination occurred in mandibular premolar regions and gingival flattening was done by excising the gingival invaginated region. Gingival flattening was done once on the left side, twice on the right side and showed stable results. This is a case report of a patient that was prone to gingival invagination after orthodontic treatment with extraction and was treated with gingival flattening.