• Title/Summary/Keyword: 치근 절제술

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Surgical Evaluation of Endodontic Treatments for Apicoectomy According to Alveolar Bone Resorption Types (치조골흡수 유형에 따른 치근단 절제술의 수술적 평가에 관한 연구)

  • Hong, Hyoung Taek;Chun, Heoung Jae
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.26 no.6
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    • pp.471-474
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    • 2013
  • The surgical evaluation of the apicoectomy with various types of alveolar bone resorption was conducted in current study. The apicoectomy is the common and important treatment in endodontics. Finite element analysis was used for evaluation. The 3D solid model of the maxillary central incisor was reconstructed using CT images of a mature Asian female. Loading and boundary conditions were simulated in the normal mastication of maxillary central incisor. For evaluation of apicoectomy, lingual, labial and entire alveolar bone resorption models were developed. In the results, lingual alveolar bone resorption did not significantly influence stress distribution pattern of root dentin and labial alveolar bone had an important role for supporting structural stability in tooth system.

치근단 절제술

  • Kim, Jae-Seung
    • The Journal of the Korean dental association
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    • v.26 no.10 s.233
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    • pp.893-897
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    • 1988
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Corticotomy and the Intrusive Tooth Movement (피질골 절제술을 응용한 치아의 함입 이동)

  • Kim, Sang-Cheol;Tae, Ki-Chul
    • The korean journal of orthodontics
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    • v.33 no.5 s.100
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    • pp.399-405
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    • 2003
  • Tooth movement facilitated by corticotomy and distraction osteogenesis, new paradigm in orthodontics, was discussed. Intrusive tooth movement of anterior or posterior teeth was thought to be difficult or impossible. In this study, a part of cortical bone, which was a sort of resistance to tooth movement in alveolar bone, was removed. On the other hand, active bone deposition was made possible in the tension side. That was the main concept of tooth movement facilitated by corticotomy and distraction osteogenesis. Teeth moved at such a speedy tate as we could not imagine in conventional tooth movement, which lead to the reduction of total treatment Period. And intrusive movement was Possible without a side effect, lot example, root resorption or the periodontal breakdown. Those were the superior aspects to the conventional orthodontics.

Recurrent Herpetic Stomatitis Mimicking Post-Root Resection Complication (치근 절제술의 합병증으로 오인 가능한 재발성 구내 헤르페스)

  • Hong, Sung-Ok;Lee, Jae-Kwan;Chang, Hoon-Sang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.418-425
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    • 2013
  • This case report describes about recurrent herpetic stomatitis mimicking post-root resection complication. A 49 year-old male patient was diagnosed vertical root fracture of the mesiobuccal root of his left maxillary first molar (#26). The mesiobuccal root was resected following root canal treatment of the same tooth. 19 months later, the patient presented with pain on left hard palate after a barbecue party. Intra oral examination revealed a gum boil-like blister at the hard palate corresponding to the apex of the palatal root of #26. On clinical examination, there was bleeding on probing and the periodontal pocket depth was measured less than 5 mm with no tooth mobility. On a periapical radiograph, periodontal ligament space widening was observed. Tracing the sinus tract with gutta percha cone was attempted, however, it was impossible. Extending the field of vision, small multiple round ulcerations were observed at the palate front which caused pain to the patient. Therefore, the pain was considered a non odontogenic and the patient was referred to the department of oral medicine. The patient was diagnosed recurrent herpetic stomatitis and after 3 days of antiviral medication, the pain and ulceration were subsided.

Revisiting root resection treatment in the age of dental implants (임플란트 시대의 치근절제술의 다양한 활용증례 및 부가적 효용)

  • Joo, Ji-Young;Kwon, Eun-Young;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.232-239
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    • 2016
  • Purpose: In this paper, we introduce a wide clinical application of root resection therapy and additional benefits on the next prosthetic or dental implant treatment procedures in the age of dental implants. Materials and Methods: Additional clinical benefits of root resection were monitored by clinical and radiographic evaluation. Results: No complication was reported in all the cases, and the favorable results of root resection were maintained for long period. Conclusion: In compromised multirooted teeth, variety clinical treatment modality should be considered for enhancing the reconstruction of alveolar ridge around root resected in preparation for next implantation.

Use of corticotomy for canine and molar retraction (피질골 절제술을 응용한 견치 및 대구치의 후방 견인)

  • Kim, Sang-Cheol;Kim, Sun-Young;Kim, Hyun-Sook;Jung, Hye-Seung;Kim, Hyun-Tae;Jo, Jin-Woo
    • The korean journal of orthodontics
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    • v.35 no.2 s.109
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    • pp.153-161
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    • 2005
  • Tooth movement facilitated by corticotomy and distraction osteoseresis was discussed. In this study, a portion of cortical bone which can provide resistance to tooth movement in alveolar bone was removed Active bone deposition was thor Possible in the tension side. Teeth moved at such a speedy rate as we could not imagine from conventional orthodontic treatment. which lead to the reduction of the total treatment Period Posterior movement of the canine or molar teeth was possible without any side effects such as anchorage loss, root resorption or Periodontal breakdown.

Leakage of SuperEBA in root-end cavities prepared with 3 new ultrasonic tips : KaVo Isthmus, KaVo T-shape and KiS tip (KAVO ISTHMUS, KAVO T-SHAPE과 KIS TIP의 3종 초음파기구로 형성한 역충전와동의 SUPEREBA 변연누출에 관한 연구)

  • Lee, Woo-Cheol
    • Restorative Dentistry and Endodontics
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    • v.27 no.3
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    • pp.270-276
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    • 2002
  • 치근단 수술시 구동형 수술현미경과 미세수술기구들이 사용됨에 따라 치근단 절제술 후 역충전와동의 효과적인 형성 및 충전을 위해 새로운 초음파기구가 개발되었다 따라서 본 연구에서는 최근 상품화되어 사용되고 있는 초음파기구중 신속하게 역충전와동을 형성할 뿐아니라 충분한 깊이를 제공하여 역충전재료의 변연누출 감소에 효과적인 것으로 알려져 있는 3종의 초음파기구를 사용하여 역 충전와동을 형성 한 후 SuperEBA로 충전하여 그 변연누출을 비교하였다. 모두 56개의 근첨형성이 완료된 단근치를 선택하여 Profile .06를 사용하여 근관형성한 후 음성대조군 2개를 제외한 54개의 치아를 수직가압법으로 충전하였다. 근단부 3mm를 절제한 뒤 KaVo Isthmus, KaVo T-shape 그리고 KiS tip을 각각 18개의 치아에 사용하여 역충전와동을 형성하고 그중 각각 2개의 양성대조군 치아를 제외한 나머지 치아에 SuperEBA로 충전하였다. 각치아는 1% methylene blue dye에 침윤시켜 1주일 후 종절단하여 그 색소침투정도를 측정, 비교하였다. 실험결과 측정된 평균 변연누출은 KaVo Isthmus가 $1.5\pm$1.4mm, KaVo T-shape이 1.7$\pm$1.2mm이고 KiS tip은 1.1$\pm$0.7mm 이었으며, 통계적으로 유의할만한 차이는 없었다. 따라서 초음파기구를 사용한 역충전와동의 임상시술 성공여부는 술자의 편의도와 임상적 사용시 조작능력에 달려 있는 것으로 사료된다.

THE INDUCTION OF BONE REGENERATION AT FURCATION LESIONS WITH PULPECTOMY AND FURCATION CURETTAGE IN PRIMARY MOLARS (유구치 치근분지부 병소의 치수절제술과 소파술에 의한 골재생)

  • Lee, Seung-Hyun;Woo, Youn-Sun;Kim, Jae-Moon;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.628-633
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    • 2005
  • Deep caries in primary molars without early intervention frequently induce a pulpal disease and consequent furcation lesion with fistulous openings Up to now, majority of the textbooks on pediatric dentistry and literatures have described that extraction of the inflicted teeth is indicated for these cases and in reality these teeth have usually been extracted in the dental clinics. However when we recognize the excellent capacity of bone regeneration in children and the presence of numerous accessory canals at furcation areas, the removal of infection source in pulp by pulpectomy and inflammatory granulation tissues at furcation areas by furcal curettage might open the possibility of rapid healing at the furcation regions. In this report, 10 cases of primary molars in 3 to 6-year-old children with fistulous openings and furcation lesions in moderate size of 2 to 4mm in depth radiolucency at furcation lesion have been chosen. After pulpectomy and furcal curettage, evident bone regeneration was detected radiographically in all cases. Through the cases, we came to realize that all the cases previously described are not the indications of extraction and this approach could make many cases with pulp and furca combined lesions survive and remain healthy in the children's dental arches. However, in order for this approach to acquire objective appropriateness, it is thought that more scrupulous evaluation is desirable on the various factors regarding the indication such as the extent of furcation lesions, absorption status of teeth, amount of covering bone on succeeding teeth and so on.

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