• Title/Summary/Keyword: 치아경조직

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THE GROWTH OF HOMOGENEOUS EMBRYO TOOTH BUD TRANSPLANTED INTO THE ALVEOLAR SOCKET OF A RAT (흰쥐의 발치와에 이식된 태아 치아싹의 발육)

  • Chang, Suk-Chul;Chung, Han-Sung;Lee, Jae-Ho;Kim, Seong-Oh;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.1
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    • pp.35-42
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    • 2006
  • The developmental process of a tooth is being presented as an important study subject to analyze formation of normal dental arch and tooth. The purpose of this study was to see the formation of tooth from a tooth bud transplanted in a white rat regarding that the jawbone could be used as a new donor site of a trasplant. The first molar of a matured white rat was extracted and the tooth bud of a 13.5 day rat embryo was transplanted. The histological and radiographical results after 4 and 8 weeks respectively are as the following. 1. Calcification in dentin, cementum, pulp and periodontal ligament was formed from the tooth bud transplanted in the alveolar socket. 2. The development of hard and soft tissue was delayed compared to the normal tooth formation and abnormal histologic features such as ankylosis and osteodentin were found. 3. The formed hard tissue did not erupt into the jaw within 8 weeks.

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A STUDY ON THE TRAUMATIC INJURIES TO PRIMARY TEETH (유치 외상에 관한 연구)

  • Chung, Youn-Joo;Kim, Kwang-Chul;Park, Jae-Hong;Choi, Sung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.3
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    • pp.328-337
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    • 2010
  • The purpose of this study was to research the traumatized primary teeth and investigate following factors: sex, age, cause, place and time(of the year) of injury, elapsed time, area and type of injury, dental treatment and prognosis. The analysis includes total of 1533 traumatized primary teeth from 758 children aging from 6 months to 6 years(mean age: 2.8) from 2003 to 2007. The result follows : 1. The children of age between 1-2 and 2-3 were involved in the largest number of injuries in both sexes with boy/girl ratio of 1.77:1(p<0.001). 2. Fall and collision were the main causes of traumatic dental injury, especially in younger children(p<0.05). Places of injury occurrence varied: home, outdoors, and kindergarten. Warm climate accounts for frequent outdoor injuries in May, September and October(p<0.001). 3. Most of the children visited dental clinic within 24 hours of the injury(77.6%). From March to September, dental trauma occurrences were distributed evenly, except for Winter period(p<0.001). 4. Upper central incisors were the most commonly affected teeth, and the injuries usually involved 1 tooth or 2 teeth. 5. Periodontal tissue injuries dominated and subluxation was the most common type. Lateral luxation, enamel fracture, intrusion and root fracture followed.

Esthetic prosthesis for a patient with the maxillary diastema: a case report (상악의 치간이개를 가진 환자에서의 심미보철 수복 증례)

  • Park, Jae-Ho;Kim, Hyeran;Yun, Kwi-Dug;Shin, Jin-Ho;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.314-320
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    • 2017
  • In the treatment of esthetically important areas such as maxillary anterior teeth, they should be corresponded with surrounding tissues, and shape of the smile line, soft tissue, and hard tissue, also the anatomical shape and proportion of the teeth should be considered as well. Esthetic analysis includes facial analysis which evaluates the proper parallelism between the occlusal plane and the horizontal reference line, dentolabial analysis which assesses the position of the incisal edge and the coherence between the occlusal plane and the commissural line, tooth analysis which evaluates not only esthetics but also morphology and appearance for proper function, and gingival analysis which forms ideal outline of gingival margins. A maxillary anterior diastema can be esthetically restored through the systematic diagnostic approach and treatment planning, and orthodontic, prosthetic, and conservative treatment can be applied for the treatment.

Treatment of dental erosion caused by intrinsic and extrinsic etiology: a case report (외인성 및 내인성 요인에 의한 치아부식에 대한 치료 증례)

  • Lee, Gyeong-Je;Jin, Soo-Yoon;Kim, Hee-Jung;Min, Jeong-Bum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.1
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    • pp.42-46
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    • 2017
  • Dental erosion is defined as tooth structure loss by acidic chemical substance. It is caused by extrinsic factors such as acidic foods, drugs, and working environments, and also intrinsic factors such as gastric acid regurgitation in gastro-esophageal disorder or intensive vomiting in bulimia nervosa. These lesions can be treated with direct resin filling, laminate or full contour crown depending on the intensity of clinical problem. This is a case report about treatment of rare clinical case: labial erosion of anterior tooth caused by frequent intake of acidic fruit and palatal erosion of anterior tooth caused by intensive vomiting in bulimia nervosa.

CONTINUED ROOT DEVELOPMENT AFTER AVULSION OF IMMATURE TEETH (미성숙 영구치의 탈구성 외상 이후 계속된 치근 성장)

  • Lee, Ju-Eun;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.127-132
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    • 2013
  • Traumatic injuries to immature permanent teeth are common and the results can be destructive. Although Hertwig's epithelial root sheath is usually sensitive to trauma, it may resist damage from trauma thereby retaining its vitality and continuing to calcify a root under favorable conditions. This case report describes two cases of trauma to immature permanent incisors. The first case presents an avulsed maxillary central incisor which has been replanted. The other case shows completely avulsed mandibular central incisors which have not been replanted. However, both cases subsequently show continued growing roots separated from the main roots. This report highlights the ability of the immature pulp tissue to continue to form dentin and the robustness of Hertwig's epithelial root sheath to initiate root development despite a traumatic injury.

Implant-supported fixed prosthesis in patient with severe defects using staged GBR via 2-step augmentations: A case report (심한 결손부의 단계적 골증대술을 통한 임플란트 지지 고정성 보철 수복 증례 보고)

  • Oh, SaeEun;Jun, Ji Hoon;Park, YoungBum
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.382-394
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    • 2022
  • The treatment of patients with severe periodontitis should be proceeded step-bystep through an accurate diagnosis of each patients' individual tooth and with a strategic treatment plan. Implant-supported fixed prosthetic restoration has the advantage of high patient satisfaction and stable vertical dimension compared to the removable partial denture. However, multiple teeth defect areas lacking hard tissue may be disadvantageous in aesthetic failure and longer treatment time. In addition, it takes a certain period of time to manufacture and install a conventional fixed prosthesis, and during this process, the provisional prosthesis must satisfy the mechanical, biological, and aesthetic requirements of teeth. The purpose of this article is to describe the fabrication of implant-supported fixed prosthesis through a step-by-step approach in a partially edentulous patient.

REGIONAL ODONTODYSPLASIA : CASE REPORT (국소적 치아이형성증 환아에 관한 증례)

  • Kim, Ji-Hee;Choi, Byung-Jai;Lee, Jae-Ho;Son, Heung-Kyu;Kim, Seong-Oh;Choi, Hyung-Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.96-101
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    • 2009
  • Regional odontodysplasia(ROD) is relatively rare localized developmental anomaly of tooth formation in which hard tissue is affected. The maxilla is typically affected than the mandible, and especially the maxillary left quadrant is the most commonly involved. Females are affected twice as often as males, and there is no association with race. Its etiology remains undetermined, but local circulatory disorders, somatic mutations, virus infections, local trauma, hyperpyrexia, irradiation, metabolic disturbances, and hereditary transmission are considered as possible etiologic factors. The affected teeth are likely to be small, hypoplastic, brown, and grooved. Eruption failure or delay is frequently seen as well as abscess or fistulae formation in absence of caries. Radiographically, there is a lack of contrast between the enamel and dentin, both of which are less radiopaque than unaffected counterparts. Moreover, enamel and dentin layers are thin, giving the teeth a “ghost-like appearance”. The pulp chambers and canals are large, the roots seem like to be short and indistinct. A 2-year-3-month old boy came to the department of pediatric dentistry, Yonsei University, with the chief complaint of delayed eruption and abnormal tooth shape on the lower left quadrant. He was diagnosed as regional odontodysplasia based on the clinical and radiographic findings.

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THE RISK INDICATORS OF DENTAL EROSION IN 8- AND 9-YEAR-OLD SCHOOLCHILDREN IN YANGSAN (양산시에 거주하는 8~9세 어린이의 치아침식증과 관련된 위험요인 분석)

  • Kim, Hyun-Jung;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.1
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    • pp.1-10
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    • 2013
  • Dental erosion is a complex disease of multifactorial etiology with high risk of loss of tooth structure, which still has not been appropriate interest. The aim of this study was to assess the prevalence and risk indicators of dental erosion in Korean school children. A cross-sectional survey was performed on 664 children aged 8~9 years. Data concerning gender, types of caregiver, dietary habits, oral hygiene habits and parental knowledge were obtained from a questionnaire, which was answered by the parents of the children. Association between erosion and the factors were statistically analyzed with chi-squared test and independent t-test at a significance level of 0.05. Dental erosion was present in 242 children. In carbonated drinks, dental erosion was significantly associated with preference, frequency of consumption and the ingestion method (p < 0.05). In fruit juices, dental erosion was significantly associated with preference and frequency of consumption (p < 0.05), but no significant associations were found with the ingestion method (p > 0.05). There were no significant associations between dental erosion and gender, type of caregiver, oral hygiene habits and parental knowledge (p > 0.05). In conclusion, it was considered that motivation to be followed by practice is important as well as education for prevention of dental erosion.

A STUDY ON THE TRAUMATIC INJURY OF PATIENTS IN DEPARTMENT OF PEDIATRIC DENTISTRY, KANGNUNG NATIONAL UNIVERSITY DENTAL HOSPITAL (강릉대학교 치과병원 소아치과에 내원한 외상 환자에 대한 분석)

  • Kim, Dong-Won;Lee, Kwang-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.247-254
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    • 2001
  • There is a growing tendency for injury and it is essential to know about the epidemiology of the injured teeth for proper and timely treatment. Through empirical data analysis of 120 children who came to pediatric dentistry of Kangnung National University Dental Hospital, this study purposes to give an understanding about the injury and analyzes the frequency by children's sex and age, the number of injured teeth according to the area in the mouth, the types of injury, causes and places of injury, the frequency occurred by month and hour, the position of injured teeth, and the elapse of time. The main findings of this study are summarized as follows: 1. The frequency analysis by sex shows that the rate of boys is more likely to be higher than girls(1.6:1). 2. The frequency analysis by age shows that the ratio of children between aged 2~4 and 8~10 are high. 3. The number of injured teeth is generally one(51.7%). 4. Periodontal tissue injury is the main cause for the primary teeth. In case of permanent teeth, the ratio of hard tissue injury which is much increased than the case of the primary teeth, is similar to that of periodontal tissue injury. 5. The main cause of injury is fall for both dentition; In case of permanent dentition, the ratio of injury by sports is increased. 6. The place of injury for primary teeth is mainly home(38.8%); Street and school for permanent teeth(42.5% and 35%, respectively). 7. The frequency by month shows that the injury is most frequently occurred in July. 8. The frequency analysis by hour shows that injury for primary teeth mostly happens in the morning; in the afternoon for permanent teeth. 9. The position of injured teeth according to the area in the mouth is mainly maxilla anterior in both case of primary and permanent teeth and especially the ratio of central incisors is high, 10. More than half(59.2%) of patients came to the hospital within one day and the seriously injured were likely to come within one day than the slightly injured.

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ORTHODONTIC TRACTION AFTER THE TRAUMATIC INTRUSION OF UPPER CENTRAL INCISOR (외상에 의하여 함입된 상악 중절치의 교정적 견인)

  • Han, Yoon-Beum;Lee, Jae-Ho;Choi, Hyung-Jun;Sohn, Hyung-Kyu;Kim, Seong-Oh;Song, Je-Seon;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.2
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    • pp.293-297
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    • 2009
  • Traumatic intrusion is a type of injury that involves axial displacement of a tooth toward the alveolar bone. Its occurance is relatively rare compared to other types of luxation in permanent dentition. It is more common in boys than in girls, and most common etiology of intrusion is fallen down. Various complication may occur following traumatic intrusion, such as pulp necrosis, root resorption, pulp obliteration and marginal bone loss. In addition, traumatic intrusion is commonly combined with hard or soft tissue injuries. Therefore, it is difficult to establish proper treatment plan. Choice of treatment for an intruded tooth by trauma include waiting for spontaneous re-eruption, orthodontic repositioning, and surgical repositioning. In this case, we repositioned the intruded central incisor using orthodontic traction, in a six-year old girl, which failed to re-erupt spontaneously.

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