• Title/Summary/Keyword: 치아발치

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이인기 원장과 함께하는 실전 수의치과(36) - 유치 견치 발치시 부러지거나 치은을 뚫지 않고, 깔끔하게 유치견치 발치하는 법

  • Lee, In-Gi
    • Journal of the korean veterinary medical association
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    • v.53 no.2
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    • pp.93-96
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    • 2017
  • 수의치과 임상에서 대부분 발치기구로는 발치포셉과 엘리베이터만 가지고 발치를 하였습니다. 발치포셉과 엘리베이터의 종류를 늘리는 것보다 럭세이터, 루트익스트렉팅포셉, 루트피커, 페리오톰, canine luxator를 구비해서 각각의 용도에 맞추어 기구를 사용해야한다는 것이 키포인트입니다. 아울러 치주인대의 2/3를 럭세이터, 페리오돔, canine luxator로 제거하고${\ldots}$ 엘리베이터를 이용해서 견인하고, 치아를 살짝 집어서 빼주는 것은 발치포셉의 역할임을 잊지말고, 루트가 부러졌을때는 루트피커와 루트익스트렉팅포셉을 이용하는것이 팁입니다.

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Mode of tooth movement according to the timing of orthodontic force application after extraction (발치 후 교정력 적용 시기에 따른 치아 이동 양상)

  • Han, Sung-Ho;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.30 no.1 s.78
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    • pp.9-17
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    • 2000
  • This study was performed to compare and analyze the mode of tooth movement according to the timing of orthodontic force application alter extraction. The upper right and left third incisors were carefully extracted at three-week interval in lout adult dogs. Both canines were used as an anchorage for the bodily movement of the upper second incisors. Orthodontic forte of 100 gm was simultaneously applied at one week after extraction on one side and four weeks after extraction on the other side using NiTi closed coil spring. While orthodontic force was applied for twelve weeks, the amount of tooth movement was measured at every second week with digital calipers. The animals were sacrificed at twelve weeks and histologic examination was executed to reveal any difference between both sides. The results were obtained as follows. 1. The tooth movement was likely to be faster in lout-week side 4han one-week side for the first two weeks while faster in one-week side during next two weeks 2. The rate of tooth movement was fastest during four to six weeks period, then decreased gradually. 3. The total amount of tooth movement was likely to be larger in one-week side compared to four-week side. 4. Any damage to tooth and periodontal tissue could not be seen in the histologic section of one-week side. These results suggest that earlier application of orthodontic force is better than later after extraction In terms of the rate of tooth movement.

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매복 하악 제3대구치의 발거에 대하여

  • Ryu, Dong-Mok
    • The Journal of the Korean dental association
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    • v.26 no.10 s.233
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    • pp.898-902
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    • 1988
  • 완전히 발육된 하악 제3대구치가 매복되어 있거나 또는 부분적으로 맹출된 상태일때는 임상증상을 일으키기 전에 발치하는 것이 치관주위염이나 이로 인한 합병증 및 치주질환 등을 예방할 수 있느느 가장 좋은 방법이며 이미 임상 증상을 유발한 매복 하악 제 3대구치는 대부분 재발방지를 위하여 발거하게 된다. 성공적인 발치의 기준을 1) 치아의 완전한 발치 2) 인접조직에 대한 최소한의 외과적 손상 3) 술후 합병증의 극소화 4) 가능한한 시술 시간의 단축 등이라 할때 매복 하악제 3대구치의 성공적인 발거를 위하여는 발치의 기본 원칙을 숙지하여야 함은 물론이며 더욱 면밀한 술전 평가와 외과적 발치술 시 필요한 기구의 완비 등이 필수적이라 할 것이다.

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Ovate Pontic을 이용한 Immediate fixed restoration : Clinical report

  • Kwun, Yee-Buhm;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.1
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    • pp.80-88
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    • 2001
  • 전치부 발치 증례에서 기존의 통상적인 보철 시술은 발치 후 발치창이 치유되기까지 최소 1 개월 이상을 심미적 결함을 안고서 기다려 한다는 불편함이 있었다. 발치 부위의 치조제는 수평, 수직적 흡수가 일어나 차후 보철물 pontic design에 악영향을 미치게 되어 심미적 결함뿐 아니라 발음, 구강 청결의 측면에서도 좋지 않은 결과를 미치게된다. 그러나, 발치 직후 ovate pontic을 이용한 immediate fixed restoration으로 수복하면, 치아 상실로 인한 환자의 기능적 심미적 불편함을 해소하고, 치료 과정은 물론 치료 후에도 보다 나은 심미 치료가 가능하며, 치료의 공백 기간 없이 치료 기간을 줄일 수 있다.

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Replantation of autotransplanted mature third molar in anterior open bite patient: case report (개방 교합 환자에서 자가 이식된 치아의 재식)

  • Hee-Jin Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.1
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    • pp.52-60
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    • 2023
  • Autotransplantation of third molars with completely formed roots is known to be effective and provide a high long-term success rate. However, in case of severe mobility or unexpectedly extraction is observed during the monitoring period after surgery, it is generally considered as a failure. This case report describes successful replantation of autotransplanted mature third molar into surgically created molar socket. 1 year follow up of transplanted tooth showed clinically normal periodontal pocket depth and tooth mobility. Root resorption or bone loss were not observed. Provided that there is no apparent sign of inflammation, re-insertion into socket is a viable alternative to immediate determination of extraction.

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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Clinical evaluation of a new extraction method for intentional replantation (의도적 재식술을 위한 새로운 발치법의 임상 평가)

  • Choi, Yong-Hoon;Bae, Ji-Hyun
    • Restorative Dentistry and Endodontics
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    • v.36 no.3
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    • pp.211-218
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    • 2011
  • Purpose: Intentional replantation (IR) is a suitable treatment option when nonsurgical retreatment and periradicular surgery are unfeasible. For successful IR, fracture-free safe extraction is crucial step. Recently, a new extraction method of atraumatic safe extraction (ASE) for IR has been introduced. Patients and Methods: Ninety-six patients with the following conditions who underwent IR at the Department of Conservative Dentistry, Seoul National University Bundang Hospital, in 2010 were enrolled in this study: failed nonsurgical retreatment and periradicular surgery not recommended because of anatomical limitations or when rejected by the patient. Preoperative orthodontic extrusive force was applied for 2-3 weeks to increase mobility and periodontal ligament volume. A Physics Forceps was used for extraction and the success rate of ASE was assessed. Results: Ninety-six premolars and molars were treated by IR. The complete success rate (no crown and root fracture) was 93% (n = 89); the limited success rates because of partial root tip fracture and partial osteotomy were 2% (n = 2) and 5% (n = 5), respectively. The clinical and overall success rates of ASE were 95% and 100%, respectively; no failure was observed. Conclusions: ASE can be regarded as a reproducible, predictable method of extraction for IR.

Immediate implant placement into extraction sites with periapical lesions in the esthetic zone: a case report (치근단 병소를 가진 치아의 발치 후 즉시 임플란트 식립 및 보철을 통한 심미성 회복)

  • Yi, Jae-Young;Kim, Jee-Hwan;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.191-197
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    • 2012
  • Esthetics is important in restoring maxillary anterior area. Alveolar bone resorption and loss of interdental papilla may be minimized by immediate implantation. Previous studies showed successful results with the immediate implantation in healthy extraction socket, while many of these studies objected the immediate implantation into extraction sites with periapical lesions. Recent studies, however, reported successful results of the immediate implantation into extraction sites with periapical lesions with careful debridement of extraction sockets and general medication of antibiotics prior to implantation. A 73-year-old female visited the department of Prosthodontics in ${\bigcirc}{\bigcirc}$ University Dental Hospital with the chief complaint of fallen post-core and crown on left maxillary incisor. Although the incisor was with vertical root fracture and periapical lesion, the immediate implantation following the extraction of tooth was planned. Thorough socket debridement, irrigation with chlorhexidine, and tetracycline soaking were followed by immediate implantation. The general medication of antibiotics (Moxicle Tab.$^{(R)}$, 375 mg) was prescribed before and after the surgery. Immediate provisional restoration was delivered two days after the surgery, and the definitive metal-ceramic restoration was placed about six months later after reproducing the emergence profile from the provisional restoration. This case presents satisfying result esthetically and functionally upto two years after the placement of prosthesis with the harmonious gingival line and no loss of marginal bone.

THE LONG-TERM GROWTH OF HOMOGENEOUS EMBRYO TOOTH GERM TRANSPLANTED INTO THE MAXILLA OF A RAT (흰쥐의 악골에 동종 이식한 태아 치아싹의 장기간 발육)

  • Ko, Dong-Hyun;Chung, Han-Sung;Kim, Seong-Oh;Lee, Jae-Ho;Choi, Hyung-Jun;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.53-61
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    • 2007
  • In case of missing tooth caused by dental caries or periodontal disease, it can be restored by various methods, and there has been much interest in implant and tooth transplantation. The success of tooth transplantation is going to be attained through the knowledge of growth, development and calcification of tooth. Tooth transplantation has been experimented in vivo and in vitro. Many animals such as rats, mice, cats and dogs are used for tooth transplantation experiment in vivo. In most experiments, tooth was transplanted into the extraoral site, but rare into the intraoral site In this study, to observe the capacity of formation and mineralization of tooth germ, first molar of a matured white rat was extracted and the cap stage tooth germ of a 13.5 Embryonic day embryo rat was transplanted into the extracted socket. The rats were killed 6 months later and the radiographical and histological results are as followings. 1. Tooth germ transplanted for 2 and 6 months are developing calcified tooth material such as dentin, cementum, pulp tissue, and epithelium around enamel space in the maxilla was seen. 2. The epithelium around enamel space was located beneath the oral epithelium and contained connective tissue and periodontal ligament. 3. Tooth formation was progressed as transplantation period but the size of newly formed tooth was small and the shape of tooth was incomplete.

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Relationship of Dental Crowding to Tooth Size and Arch Width (치아 크키와 치열궁 폭경이 치아밀집에 미치는 영향)

  • Hwang, Hyeon-Shik;Kim, Jeong-Tae;Cho, Jin-Hyoung;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.34 no.6 s.107
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    • pp.488-496
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    • 2004
  • The purpose of the present study was to investigate the relationship of dental crowding to tooth size and arch dimension in Korean subjects. Two groups of dental casts with Class I molar relationship, were selected on the basis of crowding. One group, consisting of 82 pairs of study cast (29 males and 53 females), exhibited at least 7 millimeters of crowding in each arch. A second group, consisting of 82 sets of study cast (37 males and 45 females), exhibited normal occlusion with little or no crowding. Mesiodistal tooth diameters, and buccal and lingual dental arch widths were measured and compared between the crowding and normal occlusion groups. Significant differences were observed between the two groups not only in arch widths but also in tooth sizes. The results of the present study suggest that both extraction and expansion can be used as a treatment approach for the crowding cases.