• Title/Summary/Keyword: 상악 견치

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TREATMENT OF TRANSPOSED AND IMPACTED MAXILLARY ANTERIOR REGION : A CASE REPORT (전위 매복된 상악 측절치와 상악 견치의 치험례)

  • Lee, Ki-Young;Choi, Hyung-Jun;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.4
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    • pp.630-635
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    • 1999
  • Transposition has been described as an interchange of position of permanent tooth and is a relatively rare dental anomaly. Transposition of teeth may occur both in the maxillary and mandibular arches. but it appears more often in the maxilla of individual teeth, the maxillary canine is the most often involved. A canine transposes most often with a first premolar and less frequently transposes with a lateral incisor. Incomplete transposition is a condition describing an interchange in the position of the crowns of two permanent teeth, while the root apices remain in their relative position. Complete transposition is a situation in which both the crowns and entire root structure are transposed. The etiologic factors of transposition are tooth buds interchange, retained deciduous canines, migration of the erupting canine, trauma to deciduous teeth etc. This report describes a case of a transposition between a maxillary left canine and a lateral incisor and impaction of a maxillary left central incisor due to trauma to deciduous dentition.

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THE STUDY ON THE PREDICTION OF THE MESIODISTAL DIAMETERS OF UNERUPTED CANINES AND PREMOLARS IN KOREAN MALE AND FEMALE (미맹출 영구 견치 및 소구치 근원심 폭경 추정에 관한 연구)

  • Hwang, Min-Sung;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.115-124
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    • 2002
  • The purpose of this study was to establish regression equations and probability charts for predicting the sum of mesiodistal crown diameters of unerupted unilateral canine and premolars from the sum of mesiodistal crown diameters of four mandibular incisors in Korean male and female. The plaster casts of 162 children(75 boys and 87 girls) among the contestees in 1994-2001 Healthy Dentition Contest in Seoul were measured. Sex differences are compared and the following results were obtained: 1. Bilateral comparison of sum of widths of permanent canine and premolars showed no significant differences for either sex(p>0.05). Sum of widths of permanent canine and premolars of male were significantly larger than that of female(p<0.01). 2. Regression equations for the prediction of sum of widths of permanent canine and premolars in each sex were as follows Male ${\Sigma}Maxillary$ 345 y= 10.45+0.53x Male ${\Sigma}Mandibular$ 345 : y= 10.07+0.51x Female ${\Sigma}Maxillary$ 345 : y=12.65+0.42x Female ${\Sigma}Mandibular$ 345 : y=11.70+0.42x Male+female ${\Sigma}Maxillary$ 345 y=11.01+0.50x Male+female ${\Sigma}Mandibular$ 345 : y=9.87+0.51x

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Prosthetic restoration of the maxillary anterior teeth using implantation and forced eruption: Case report (인위적 정출술과 임플란트 치료를 통한 상악 전치부 보철치료)

  • Kim, Kyoung-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.80-86
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    • 2011
  • When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.

Evaluation or potency or panoramic radiography for estimating the position of maxillary impacted canines using 3D CT (3D CT를 이용한 파노라마 방사선 사진상 상악 매복 견치 위치 정보의 유용성 평가)

  • Kim, Hye-Jung;Park, Hyo-Sang;Kwon, Oh-Won
    • The korean journal of orthodontics
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    • v.38 no.4
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    • pp.265-274
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    • 2008
  • Objective: The aim of this study was to evaluate the potency of panoramic radiography for the detection of maxillary impacted canines. Methods: Twenty-five patients were selected, comprised of 7 males (mean age: 10.9 years, range: 8.5 - 14.5 years) and 18 females (mean age: 10.9 years, range: 8.2 - 15.7 years). In total, thirty-five maxillary impacted canines were estimated. The position of the canine and root resorption of adjacent teeth were evaluated on panoramic radiography and 3D CT. Results: Except for angulation to the occlusal plane, the other parameters, such as tooth length, crown width, vertical distance and lateral shift showed larger values on panoramic radiography compared to 3D CT. In palatally impacted cases, the angulation of canine was smaller, and the vertical distance to the occlusal place was larger on panoramic radiography than 3D CT. For labially impacted canines, tooth length, crown width, and angulation to the occlusal plane were similar for the two methods. The sensitivity for detecting root resorption on panoramic radiography was calculated as being 33.3% of 3D CT. Conclusions: The position of labially impacted canines can be effectively estimated using panoramic radiography, but palatally impacted canines need further investigation such as 3D CT for proper diagnosis.

THREE-DIMENSIONAL EVALUATION OF IMPACTED MAXILLARY CANINES USING CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS (Cone beam CT와 파노라마방사선사진을 이용한 매복 상악 견치의 3차원적 분석)

  • Jeon, Sang-Yun;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.106-117
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    • 2013
  • Normal eruption of the canine is important for the transition to the permanent dentition. Etiologies, including premature loss or delayed retention of deciduous teeth, neoplasm and abnormality of lateral incisor can cause impaction of the maxillary canine. Untreated canine impaction can result in malocclusion, cyst formation and obstacles in orthodontic treatment. The aim of this study is to evaluate location of the impacted maxillary canine and to identify correlation between location and management of the impaction including complications. Using panoramic radiographs and CBCT scan, images of 89 children diagnosed with impaction of the maxillary canine, location of impacted canines was evaluated. The choice of treatment and complications were investigated to identify correlation. Results show that the most commonly impacted location of the maxillary canine was in the mid-alveolar area, followed by buccal side and palatal side. Orthodontic traction was selected more frequently than the other treatments. As complications, displacement of adjacent tooth was occurred most frequently. Buccally impacted canines showed increased tendency towards displacement. The more buccally the canine was impacted, the less orthodontic traction was chosen as the treatment. The canine impacted mesially to the central incisor showed increased tendency to occur root resorption. Therefore, early diagnosis by periodic examination, appropriate treatment and intervention is required.

Nonextraction treatment of Class II division 2 in an adult patient using microimplant anchorage (MIA) (Microimplant Anchorage(MIA)를 이용한 II급 2류 성인 환자의 비발치 치험례)

  • Chae, Jong-Moon
    • The korean journal of orthodontics
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    • v.35 no.6 s.113
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    • pp.485-494
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    • 2005
  • Maxillary anterior teeth were intruded and lingually root torqued with two maxillary anterior microimplants between the lateral incisors and canines. Overerupted maxillary canines were intruded with two other microimplants between the maxillary canines and first premolars. Maxillary posterior teeth and canines were distalized, then the maxillary incisors were retracted with two maxillary posterior microimplants between the first and second molars. The mandibular anterior teeth were intruded and the mandibular posterior teeth were extruded with conventional method such as anterior bite plane, intrusion arch and Class II elastics. The mandible moved slightly forward after the correction of deep bite and retroclination of the upper incisors. Consequently, microimplant anchorage (MIA) provided absolute anchorage for simultaneous correction of Class II canine and molar relationships and deep overbite.

A photoelastic study of the stress distribution on canine retraction by segmented TMA T-loop spring (Segmented TMA T-loop spring에 의한 견치 후방이동시의 응력분포에 관한 광탄성법적 분석)

  • Yoon, Young-Jooh;Kim, Kwang-Won;Yu, Pil-Sik
    • The korean journal of orthodontics
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    • v.31 no.2 s.85
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    • pp.199-207
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    • 2001
  • The segmented TMA T-loop spring, used for reciprocal space closure and described by Burstone, was used to achievebodily movement of canine. Photoelastic analysis is a technique for the transformation of internal stress into visible light patterns. The two-dimensional photoelastic stress analysis was performed, and stress distribution was recorded by photography. The purpose of this study was to visualize photoelastically the distribution of forces transmitted to the alveolus and surrounding structures using new segmented TMA T-loop spring for canine retraction. The results were as follows: 1. Decreased activation produced decreased stress of upper 1st. premolar extraction site and increased intrusive stress of upper 1st. molar, regardless of T-loop position. 2. At 5mm activation, More posterior positioning of T-loop Produced an increased stress in upper 1st. premolar extraction site. 3. At 3mm activation, More posterior positioning of T-loop produced an increased stress in upper 1st. premolar extraction site and mesial lower half of upper 1st. molar mesio-buccal root. 4. At 1mm activation, More anterior positioning of T-loop produced an increased stress in upper mesial and blew apex area of upper canine root. 5. 0.25 B/L ratio and 3mm activation produced bodily movement of canine. To summarize, desired tooth movement and anchorage requirement is possible by altering the activation and mesio-distal position of the T-loop spring.

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A CLINICAL STUDY ON ANCHORAGE CONTROL OF MOLAR ANCHORING SPRING(MAS) DURING RETRACTION OF THE MAXILLARY CANINE (상악 견치 후방견인시 MAS(Molar Anchoring Spring)의 저항원 조절에 대한 임상적 연구)

  • Kim, Sun-Min;Rhee, Joon-No;Row, Joon;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.269-276
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    • 1998
  • In maxillary canine retraction by means of sliding mechanics, we designed MAS(molar anchoring spring) to prevent anchorage loss and uncontrolled tipping of tooth movement and have applied it in clinical cases. The anchorage control of the maxillary first molar and type of tooth movement of the maxillary canine were studied in 31 subjects. The measurements were made on cephalograms, orthopantomograms and dental casts. The obtained results were as follows. 1. In case of the maxillary first molar, there was a little sagittal anchorage loss, but there was no vertical & transverse anchorage loss. 2. In case of the maxillary canine, there was distal tipping movement and also there was a little intrusion tendency.

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Retrospective Analysis of Incisor Root Resorption Associated with Impacted Maxillary Canines (매복된 상악 견치에 의한 전치의 치근 흡수에 대한 후향적 연구)

  • Jung, Seo-Hyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.2
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    • pp.203-214
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    • 2018
  • Root resorption of the permanent maxillary incisors can occur due to ectopic eruption of the permanent canines. Severe root resorption threatens the long-term survival of the affected incisors. The aim of the present study was to identify risk factors for root resorption of the maxillary incisors associated with impacted maxillary canines. In the present study, we retrospectively analyzed the Cone-Beam Computed Tomography (CBCT) scans of 65 children and adolescents with ectopically erupting maxillary canines (total of 88 impacted canines). Root resorption of central incisors was significantly associated with the mesiodistal position and root development of the adjacent canine. Root resorption of lateral incisors was significantly associated with sex, age, and the buccolingual and vertical position of the adjacent canine. However, enlargement of the dental follicle was not significantly associated with root resorption of adjacent incisors. Although incisor resorption is difficult to diagnose and predict, our findings suggest that changes in the dental follicles of the erupting maxillary canines do not cause resorption of the adjacent permanent incisors. CBCT should be utilized to ensure early diagnosis of impacted canines and precise evaluation of incisor root resorption.

PREDICTION OF THE SUM OF MESIODISTAL WIDTHS OF THE UNERUPTED PERMANENT CANINES AND PREMOLARS (미맹출 영구견치 및 소구치의 폭경 예측)

  • Park, Dong-Ock;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.18 no.2
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    • pp.407-420
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    • 1988
  • The primary objective of this study was to make the prediction percentile tabulation of the sum of mesiodistal widths of the unerupted permanent canines and premolars derived from the sum of mesiodistal widths of the erupted permanent incisors in normal and crowding groups. Crowding group consisted of 85 pairs of dental casts (42 males and 43 females) with more than 4mm of crowding in anteriors. Normal group consisted of 109 pairs of dental casts (65 males and 44 females) with less than 1mm of spacing or crowding in anteriors. The mesiodistal crown diameters of permanent teeth were measured from the dental casts using the sliding calipers (Mitutoyo Co., Japan). From the study, the obtained results were as follows: There were not significant differences between male and female in both groups on the basis of the ratios between the sum of mesiodistal widths of incisors and the sum of mesiodistal widths of canines and premolars. There was not significant difference between two groups on the basis of the ratio between the sum of mesiodistal widths of mandibular incisors and the sum of mesiodistal widths of mandibular canines and premolars and was significant differences between two groups on the basis of the ratio between the sum of mesiodistal widths of mandibular incisors and the sum of mesiodistal widths of maxillary canines and premolars. There was significant difference between two groups on the basis of the ratio between the sum of mesiodistal widths of maxillary incisors and the sum of mesiodistal widths of mandibular canines and premolars. There was significant difference between two groups on the basis of the ratio between the sum of mesiodistal widths of maxillary incisors and the sum of mesiodistal widths of maxillary canines and premolars. The percentile prediction tabulations were made in an attempt to predict the sum of mesiodistal widths of the unerupted permanent canines and premolars derived from the sum of mesiodistal widths of the erupted permanent mandibular incisors in each group. The percentile prediction tabulations were made in an attempt to predict the sum of mesiodistal widths of the unerupted permanent canines and premolars derived from the sum of mesiodistal widths of the erupted permanent maxillary incisors in each group.

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