• 제목/요약/키워드: 치과임상학

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Analysis of the Characteristics of First Permanent Molars with Delayed Eruption (제1대구치 맹출 지연의 유형에 따른 특징 분석)

  • Lee, Hosun;Lee, Koeun;Kim, Misun;Nam, Okhyung;Lee, Hyo-Seol;Choi, Sungchul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.95-103
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    • 2022
  • The first permanent molars play a key role in maxillofacial development and occlusion. The purpose of this study is to investigate the characteristics and development stages of first molars with delayed eruption, and to evaluate their associations with congenital missing teeth. Eight-year-old patients who had delayed eruption in their first molars were classified into 75 patients with physical barriers and 77 patients without physical barriers. The development stages of the first and second molars in the delayed area were analyzed using Nolla method from the panoramic radiographs. The relationship between congenital missing teeth and delayed area was also investigated. Delayed eruption of first molars were more common in the maxilla alone. With the presence of physical barriers, male patients showed higher frequency in unilateral cases, while female patients had higher bilateral cases when there was no physical barrier. Delayed development of first molars were observed in delayed eruption area. In the absence of physical barriers, adjacent second molars were also developed slowly and the incidence of congenital missing teeth was high in delayed area. If first molars with delayed eruption are observed, clinical and radiographical follow-ups are necessary for the evaluation of their developmental stages and congenital missing teeth.

OVERDENTURES AND OSSEOINTEGRATED IMPANTS (오버덴춰와 골융합성 임프란트)

  • Shin Sang-Wan;Suh Kyu-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.3
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    • pp.197-203
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    • 1991
  • 저작압을 골에 직접 분산시키고 의치를 직접 골에 부착시켜 의치의 안정성을 증진시키는 가능성을 실현하는 것이 오랫동안 보철과의사들의 목표였다. 수십년 동안 골과 티타늄 임프란트가 결합(적합)되는 골융합성 술식이 발전되어 왔으며 이 임프란트의 상부구조물로 고정식 보철물이 받아들여져 왔다. 현재까지 가장 흔한 상부구조는 고정식 보철물이다. 요즈음 골융합성 임프란트에 지지를 받는 오버 덴춰의 술식이 고정식 보철물과 다른 하나의 방법으로 간주되어질 수 있게 되었다. 오버덴춰 술식이 심미적 경제적 이유 그리고 다양하게 적용할 수 있기 때문에 최근에 확대되는 경향이 있다. 골융합성 임프란트에 의한 고정식 보철물에 대한 광범위한 장기 결과들이 있는데 반하여 여러 어태치먼트를 이용한 오버덴춰 술식은 임상결과나 적용에 과한 지식들이 거의 발표되지 않았으며, 현재까지 임프란트 오버덴춰를 가진 환자의 구강기능에 대한 단지 몇개의 연구들만이 발표되었다. 우리는 장기 임상평가에 의해서 임프란트 오버덴춰를 아주 조심스럽게 평가해야 한다.

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Various treatment methods of upper anterior fractured tooth (상악전치부파절 치아의 다양한 치료방법과 그에 따른 치료증례)

  • Seo, Seong Hoon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.1
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    • pp.35-53
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    • 2020
  • The treatment of fractured teeth in the upper anterior area has various causes and clinical symptoms at different ages. Most patients come to the clinic in emergency state, so if you're treating them with accurate diagnosis criteria, You'll get aesthetic and functionally satisfying results. I'm going to take a look at the treatment of the upper anterior tooth, which is more sensitive than other parts, with the case I've treated before. The case I treated cannot be the answer, but I hope it will be of any help if youencounter similar symptoms in your clinical trial.

Examples of clinical applications of flexible composite resin that is quite different from conventional composite resins (Conventional composite resin과 사뭇 다른 flexible composite resin의 여러 임상 활용 예)

  • Kim, Woohyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.92-102
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    • 2020
  • Bond-Fill SB is made of powder/liquid, and the flowability can be controlled by adjusting the amount of liquid in the brush. Thanks to the strong catalyst called TBB, it has the advantage of being able to polymerize even in the presence of water and oxygen. Also, since it contains 4-META, it has the advantage of being able to adhere to metals and ceramics with appropriate surface treatment. If you fully understand these advantages, you can actively utilize them in cases where it is difficult to treat with conventional composite resin.

Dental Characteristics of Microcephalic Osteodysplastic Primordial Dwarfism Type II (소두증 골형성이상 원발성 왜소증 제 II 형의 치과적 특성)

  • Park, Haemin;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Lee, Sang-Hoon;Kim, Jung-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.50-63
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    • 2021
  • Microcephalic osteodysplastic primordial dwarfism type II (MOPD II) is an autosomal recessive inherited disorder form of primordial dwarfism, caused by mutations in the pericentrin gene. The purpose of the study was to examine the clinical and radiological features, physicochemical properties and microstructures of the tooth affected with MOPD II. The mandibular 2nd molar was collected from the MOPD II patient. Micro-computerized tomography, scanning electron microscopy, energy dispersive spectrometry and Vickers microhardness analysis were performed on the MOPD II and the normal control. The morphology of the MOPD II tooth appeared to have malformed pulp and root and showed a small size. The mineral density measurement showed that the MOPD II tooth had similar scores in the enamel, but lower scores in the root 1/2 and apical dentin compared to the normal control. The microhardness values were smaller in the cusp enamel, root 1/2 dentin and apical dentin of the MOPD II compared to the normal control. In this study, the dental characteristics and the physicochemical properties of a tooth affected with MOPD II were analyzed to improve understanding of the oral manifestations of the disease and to assist in proper dental treatment by identifying precautions.

CLINICAL EVALUATION OF AMALGAM BONDING : TWO YEARS FOLLOW-UP (접착형 아말감의 2년 후 임상적 평가)

  • Ryu, Phil-Jun;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.530-534
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    • 2001
  • Many dental practitioners are bonding amalgam to tooth structure. The potential advantage of this procedure, suggested by in vitro test results, are reduced microleakage, which could lead to a reduced incidence of postoperative sensitivity ; increased strength of the prepared tooth ; and retention of restoration in less retentive preparations, with the potential fer conserving tooth structure. Although in vitro studies support this procedure, its efficacy has not been adequately confirmed in the clinical environment. The authors placed traditional Class I and Class II, bonded and unbonded amalgam restorations in 76 teeth. Fuji I Glass Ionomer luting cement was the bonding agent selected. Marginal adaptation were evaluated after two years. the authors found no significant difference in marginal adaptation between bonded and unbonded restorations.

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DENTAL MANAGEMENT OF PATIENT WITH HUNTER SYNDROME (MUCOPOLYSACCHARIDOSIS TYPE II) : A CASE REPORT (Hunter 증후군 환아의 치과적 관리: 증례보고)

  • Lee, Min-Jeong;Kim, Jae-Gon;Yang, Yeon-Mi;Baik, Byeong-Ju;Song, Hee-Jeong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.4
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    • pp.412-417
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    • 2012
  • Mucopolysaccharidosis (MPS) is a disorder which is caused by the defect of the lysosomal enzyme that is essentially needed for resolution of glycosaminoglycans (GAGs). Metabolite of GAGs will accumulate in the lysosome of cells and will result in the dysfunction of cells, tissues, and organs. Eventually, patients will manifest both mental retardation and physical disorders. In worst cases, mucopolysaccharidosis can cause premature death. The current clinical types have been classified as MPS from type I to type IX according to the defect of certain enzyme. The dental complications have been reported as delay of eruption, enamel hypoplasia, microdontia, malocclusion, condylar defects, gingival hyperplasia and dentigerous cystlike follicle. This clinical report presents the case of a boy with MPS type II, Hunter Syndrome which has various dental complications.

Comparative Evaluation of the Survival Rates of Zirconia Crown and Stainless Steel Crown for Proximal Caries in Primary Molars: a Retrospective Study (유구치 인접면 우식증 수복 시 지르코니아 전장관과 기성금속관의 생존율 비교 평가: 후향적 연구)

  • Gahui Jeong;Nanyoung Lee;Hyewon Shin;Suhyun Park;Myeongkwan Jih
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.307-317
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    • 2023
  • Due to increasing demand for aesthetics, zirconia crowns have become a popular choice for treating primary molars. However, there is limited literature available comparing the survival rates of zirconia crowns with those of other restorative materials. The objective of this study was to compare the 36-month survival rates of zirconia crowns and stainless steel crowns for proximal caries, as well as to analyze failure types associated with each crown type. Electronic medical records and radiographs of 1,061 primary molars from 498 patients treated with 2 types of prefabricated crowns at Chosun University Dental Hospital and 2 private dental clinics between 2017 and 2019 were collected and analyzed. The survival rate of zirconia crowns was found to be lower compared to that of stainless steel crowns. Regarding the groups without pulp treatment, the survival rate of stainless steel crowns was significantly higher than that of zirconia crowns. However, in the groups that received pulp therapy, no significant difference in the survival rates was observed between the two preformed crowns. Notably, abnormal root resorption or periapical lesions were identified as the primary cause of restorative failure in stainless steel crowns, whereas loss of restoration was the predominant cause in zirconia crowns. This study holds valuable implications for clinicians when selecting preformed crowns for primary molars.

Current status of dental geriatric education in Korea (한국의 노인치과학 교육 현황)

  • Kim, Ha-Young;Lee, Jeong-Yol;Huh, Jung-Bo;Shin, Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.3
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    • pp.229-235
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    • 2011
  • Purpose: The aim of this study was to evaluate the current status of dental geriatric education in Korea. Materials and methods: One of the faculty members related in geriatric education was selected in each Korean dental school and the questionnaire on geriatric dental education was sent to them by e-mail. The questionnaire consists of the topics about undergraduate geriatric education and administration of the geriatric education. The information obtained from the questionnaire was compared with that of other countries in the aspects of curriculum, teaching methods, subjects, and existence of specific clinics, etc. Results: Seven schools have geriatric dentistry in undergraduate education curriculum. Among those, only two schools had it taught by theoretical lecture as well as clinical lecture. Two dental schools had specific geriatric clinic among seven dental schools. Compared with the USA and western European countries, the geriatric dental education in Korea is at a developing stage and was perfunctory without diverse clinical experience. Conclusion: In Korean dental schools, geriatric education was mostly conducted by lectures, and clinical teaching programs were not well organized compared with developed countries. It seems that the status of geriatric dental education in Korea has not been well established academically or administratively yet.

Dental Management in a Patient with Congenital Insensitivity to Pain with Anhidrosis : A Case Report (선천성 무통 무한증 환자의 치과적 관리 증례보고)

  • Bae, Cheolhyeon;Lee, Daewoo;Kim, Jaegon;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.416-421
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    • 2019
  • Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disorder; affected patients are characterized by inability to feel pain and to sweat over the entire body, as well as by mental retardation. Because, in the oral examination, no specific findings on soft or hard tissue may be found except possible lesions due to self-mutilation, early recognition and diagnosis are essential for these patients. Pediatric dentists must be aware of the clinical manifestations and treatment considerations related to uncontrolled body temperature, tactile hyperesthesia and lack of pain reflex. In this case report, dental management of CIPA was suggested by presenting a 6-year follow-up of young patient.