• Title/Summary/Keyword: 치근 흡수

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ORTHODONTIC TRACTION OF HORIZONTALLY IMPACTED MAXILLARY CANINE (수평 매복된 상악 견치의 교정적 견인)

  • Choi, Hyung-Jun;Lee, Jong-Eun;Lee, Jae-Ho;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.600-604
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    • 2003
  • Tooth impaction is defined as a cessation of the eruption of a tooth at the level of the oral mucosa or alveolar bone. Maxillary canines are the most frequently impacted teeth next to the third molar. Maxillary canine impaction is associated with congenital missing of lateral incisors, peg lateralis and genetic factors such as ectopic positioning of a tooth germ. The clinicians have an important role in early detection of tooth impaction for prevention of esthetic and functional problems. There are specific methods to treat impacted tooth for different conditions. In this case, an 11-year-old girl with a horizontally impacted maxillary right canine in a palatal position was treated through orthodontic traction along with surgical button attachment procedure. On regaining of eruption space, canine traction was performed. At the completion of treatment, the canine was positioned fairly within the arch with proper keratinized gingiva and complications such as root resorption were not observed.

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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.

ERUPTION GUIDANCE OF IMPACTED MANDIBULAR FIRST MOLAR BY SURGICAL EXPOSURE (외과적 노출술을 이용한 매복된 하악 제1 대구치의 자발적 맹출유도)

  • Kim, Eun-Jung;Kim, Nan-Jin;Jo, Ho-Jin;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.598-604
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    • 2004
  • Impaction of mandibular first molar is relatively rare and its overall frequency has been reported to be 0.01%. The etiology of impaction are lack of eruption space, physical obstacles such as supernumerary teeth, odontomas or odontogenic tumors, hereditary factors, functional disturbances of endocrine glands and traumas. Impaction of mandibular first molar can result in a short lower facial height, formation of a follicular cyst, pericoronal inflammation, resorption of the roots of neighboring teeth and malocclusion. The treatment options available for impacted teeth include surgical exposure, orthodontic forced eruption, surgical repositioning and surgical removal of unerupted molar. This report presents two cases of distally tilted and impacted mandibular first molars which were treated by surgical exposure. In these cases, we could observe spontaneous eruption of the impacted mandibular first molars after surgical exposure.

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MANAGEMENT OF ECTOPICALLY ERUPTING PERMANENT MOLARS BY THE DEGREE OF IMPACTION (매복 정도에 따른 대구치 이소맹출의 치험례)

  • Lee, Ji-Hyun;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.1
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    • pp.136-142
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    • 2010
  • Ectopic eruption is defined as the eruption of the tooth in an abnormal position or orientation. In the molar region, ectopic eruption may cause distal root resorption and premature exfoliation of the neighbor teeth and uncontrolled space loss is followed. Prolonged partial impaction of the permanent molar may also cause undetected caries or abscess formation of the neighbor teeth. While 66% of ectopically erupting permanent molars are corrected spontaneously without treatment, the treatment is necessary for the irreversible ectopic eruption cases. The optimal treatment approach depends on a number of factors including the clinical eruption status of the molar, amount of enamel ledge and the mobility of the neighbor tooth, and the presence of pain or infection. This case report presents the results of treatment of the ectopically erupting maxillary first permanent molars and mandibular second molars using elastic separators or modified Halterman appliance with or without surgical approach.

A Case of the Dentigerous Cyst which produce the Facial and Palatal Deformity (안면부 및 경구개부 기형을 초래한 거대 여포성 치아낭종 1례)

  • 박순일;문태용;이석용;윤강묵;심상열
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.12.1-12
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    • 1981
  • The dentigerous cyst originates through alteration of the reduced enamel epithelium after the crown of the tooth has been completely formed, with accumulation of fluid between the reduced enamel epithelium and the tooth crown. The dentigerous or follicular cyst comprises about 20% of all dental cysts. It usually occurs between 20 and 30 years of age but is occasionally seen in children or in old people. The most common sites of this cyst are the mandibular third molar and maxillary cuspid areas, since these are the most commonly impacted teeth. Many of these cysts give no clinical symptoms until noticeable asymmetry of the face develops. Rarely it develops to an ameloblastoma, epidermoid carcinoma and mucoepidermoid carcinoma, so early removal leads to better result. Roentgenographic examination of the jaw involved by a dentigerous cyst will reveal a radiolucent area. Recently the authors have experienced a giant dentigerous cyst which produced the bony deformity of the maxillary and hard palate bone. The cyst was completely removed under the local anesthesia by Caldwell-Luc approach.

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COMPARISON OF CANAL FILLING EFFICIENCY ON THE INTERNALLY RESORBED ROOT ACCORDING TO CANAL FILLING TEHNIQUES (근관충전방법에 따른 내흡수 치근의 근관충전 효율성 비교)

  • Ha, Sang-Yoon;Shin, Dong-Hoon;Hong, Chan-Ui
    • Restorative Dentistry and Endodontics
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    • v.20 no.2
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    • pp.789-801
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    • 1995
  • Canals with artificially made internal resorption were filled with 4 techniques(Lateral condensation, Ultrafil, Obtura II, Thermafil) to compare the efficacy of canal filling according to the filling techniques. After canal filling, radiographic examination, dye penetration through the apical portion and percentage of G-P filled area on the internal resorption area were evaluated. To examine the degree of crystal-like structure and the interface between filled G-P and canal wall, SM and SEM images were taken too. The results were as follows : 1. There was no statistically significant difference in apical microleakage among the 4 root canal filling techniques. 2. As a result of radiographic examination, Ultrafil was the best and Obtura II was acceptable but Lateral condensation and Thermafil showed unfavorable canal filling pattern similarly. 3. Ultrafil filled most of artificially made internal resorption area and Obtura II, Lateral condensation, Thermafil in that order filled unfavorably. 4. Degree of crystal like structure was the highest in the group filled with Ultrafil and those of Obtura II and Thermafil were similar and that of gutta percha used in Lateral condensation showed the lowest value. 5. Penetration of gutta percha into the dentinal tubules couldn't be seen in all groups. In the contact surface between the filled G-P and the canal wall, Lateral condensation showed relatively close sealing, Obtura II and Thermafil had irregular contact surface and Ultrafil showed regular filling pattern. 6. Contact surface between the core of Thermafil and the gutta percha showed close relationship without gap formation.

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A THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS ON THE LOCATION OF CENTER OF RESISTANCE DURING INTRUSION OF UPPER ANTERIOR TEETH (상악 전치 intrusion시 저항중심의 위치에 관한 3차원 유한요소법적 연구)

  • Park, Chun-Keun;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.27 no.2
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    • pp.259-272
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    • 1997
  • This study was performed to locate the anteroposterior position of the center of resistance of upper anterior teeth when intrusive forces are acted on them by applying segmented arch mechanics. Three-dimensional finite element model of upper six anterior teeth, periodontal ligament and alveolar bone was constructed The locations of the center of resistance were compared according to the three variables, which are number of teeth contained in anterior segment, axial inclination of anterior teeth, and degree of alveolar bone loss. The following conclusions were drawn from this study; 1. When the axial inclination and alveolar bone height were normal, the locations of center of resistance of anterior segment according to the number of teeth contained were as follows; 1). In 2 teeth segment, the center of resistance was located in the distal area of lateral incisor bracket 2) In 4 teeth segment, the center of resistance was located in the distal 2/3 of the distance between the brackets of lateral incisor and canine. 3) In 6 teeth segment, the center of resistance was located in 3mm distal of canine bracket, which is interproxirnal area. between canine and 1st premolar. 4) As the number of teeth contained in anterior segment increased, the center of resistance shifted to the distal side. 2. As the labial inclination of incisors increased, the center of resistance shifted to the distal side. 3. As the alveolar bone loss increased, the center of resistance shifted to the distal side.

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CORRECTION OF ECTOPIC ERUPTION WITH BILATERAL ANCHORAGE : REPORT OF CASES (양측성 고정원을 이용한 이소 맹출의 치료에 대한 증례 보고)

  • Ahn, Sung-Ihn;Shun, Ye-Kyung;Shim, Youn-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.2
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    • pp.446-452
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    • 1999
  • Ectopic eruption of the first permanent molar means the first permanent molar assumes an atypical path of eruption resulting in premature atypical resorption of the second primary molar. If the reversible eruption does not occur, early loss of the second primary molars results in space loss, mesial tipping of the first permanent molar, impaction of the second premolar, buccal segment crowding and overeruption of opposing tooth. The main objectives of treatment are (1) to prevent loss of the second deciduous molars so it can continue to serve as a space maintainer and (2) to regain lost arch length, allowing the second premolar to erupt into normal position. The optimal treatment approach depends on a number of factors including the clinical eruption status of /6/, the change in position of /6/, the amount of enamel ledge of /E/ entrapping /6/, the mobility of /E/, and the presence of pain or infection. Unilateral appliance to correct the mesial angulation of ectopic permanent first molars, as in the majority of the appliance designs, would produce a resultant force that would further enhance the space loss. A bilateral support similar to the holding arch design is recommended to maximize the anchorage. These case reports present the successful result of preserving space for the second premolar in treatment of ectopic eruption of the first permanent molar using Halterman appliance with bilateral anchorage on patients visiting department of pediatric dentistry in Samsung Medical Center.

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The rehabilitation of an edentulous maxilla with an implant-supported fixed prosthesis using a zirconia framework: A case report (상악 완전무치악에서 지르코니아 framework을 이용한 임플란트 지지형 고정성 보철 수복 증례)

  • Byun, Jae-Joon;Jang, Eun-Sun;Kong, Dae-Ryong;Song, Joo-Hun;Lee, Gyeong-Je
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.342-348
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    • 2020
  • Anatomical changes in the facial and alveolar bones occur after multiple teeth are extracted. In the maxilla, the alveolar bone is absorbed in the direction and inclination of the root, and the remaining alveolar bone becomes shorter, reducing the diameter of the arch. In addition, as the nasolabial angle increases, the support of the lips and the aesthetics of the face are lost. This case reports a functional and aesthetically satisfactory results of full mouth rehabilitation with the implant-supported fixed prosthesis using a zirconia framework.

HISTOLOGIC CHANGES IN MANDIBULAR PERIODONTIUM OF THE MONKEY FOLLOWING EXPERIMENTAL EXTRUSION OF ANTERIOR TEETH (실험적 전치 정출시 원숭이 하악 치주 조직의 변화)

  • Lee, Sung-Youn;Kim, Tae-Woo;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.403-414
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    • 1995
  • The purpose of this study was to investigate the histologic changes in mandibular periodontium during overbite closure for openbite treatment by continuous arch wires and anterior vertical elastics. Two female monkey(Macaca nemestrina) with permanent dentition were used. Posterior bite block was fixed to each of their maxillae, which made the animal temporary anterior openbite as well as stabilized the whole maxillary anchorage. In each mandible, all the teeth except the second molars which had been extracted, were prepared for cast crowns. 018 inch Standard brackets were welded on these crowns. After cementation, two types of the $016{\times}022$ inch continuous arch wires, the plain ideal arch to the control animal and the MEAW(multiloop edgewise archwire) to the other experimental one were inserted. Then anterior vertical elastics were applied for two weeks. The overbite depth changes in the monkeys and histologic examinations of the mandibular periodontiums suggested the following conclusions. 1. During two weeks of the experimental period, the overbite increased + 0.3 mm in the control and + 1.3 mm in the experimental one. 2. In both the control and the experimental animal, histologic examinations showed that incisors, canines and first premolars were subject to extrusive force and the rest of posteriors were subject to intrusive one. 3. In periodontiums of the extruded incisors of the experimental one, reorientation of the periodontal fiber structures reflected the direction of force and the alveolar bone surfaces including apical and crestal areas which had been subject to tension, were the front of new bone formation. 4. In periodontiums of the extruded incisors of the experimental one, neither excessive hyalinization nor gross root resorption was observed. 5. Alveolar bone remodeling of anteriors and posteriors was more remarkable in the experimental one than the control.

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