• Title/Summary/Keyword: 치아발치

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The role of Interleukin-6 and Interleukin-10 in human pulpal inflammation (성인 치수염에서의 INTERLEUKIN-6와 INTERLEUKIN-10의 작용에 관한 연구)

  • Park, Han-Soo
    • Restorative Dentistry and Endodontics
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    • v.27 no.5
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    • pp.515-520
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    • 2002
  • 연구목적 : Cytokine은 유해 미생물에 대한 숙주의 방어기전으로서의 염증반응에서 숙주세포 상호간의 작용을 매개해 주는 역할을 하며, 치수조직에서도 그 존재가 확인된 바 있다. Interleukin-6와 Interleukin-10은 염증의 초기에 작용하는 cytokine으로 알려져 있으나, 치수 및 치근단 질환에서의 역할과 상호작용에 대해서는 잘 알려져 있지 않다. 본 연구에서는 성인의 치수염이 있는 치아에서 Interleukin-6와 Interleukin-10의 농도를 측정하고 이를 정상 치수와 비교함으로써 이들의 치수염에서의 작용을 연구하는 것을 목적으로 하였다. 방법 : 총 60개의 성인 치아들을 대상으로 하였다. 치수염으로 진단된 치아들을 실험군으로 하였고, 정상 치수를 가진 치아들을 대조군으로 하였다. 발치한 치아에서 치수조직을 적출하였다. ELISA를 사용하여 적출된 치수조직 내의 Interleukin-6와 Interleukin-10의 양을 측정하였으며, 그 결과를 Mann-Whitney rank sum test를 사용하여 통계학적 유의성을 검증하였다. 조직학적 검사를 위해서는 발치된 치아에서 치수조직을 적출하여 헤마톡실린-에오신 염색을 시행한 후 관찰하였다. 결과 : 1. Interleukin-6의 농도는 실험군에서 대조군보다 유의하게 높게 나타났다(p<0.05). 2. Interleukin-10의 농도는 실험군에서 대조군보다 유의하게 높게 나타났다(p<0.05). 3. 조직학적 관찰 결과 실험군에서 림프구의 침윤과 부분적인 조직의 괴사 등 염증반응의 양상을 관찰할 수 있었다.

A COMPARATIVE STUDY OF PRE- AND POST-TREATMENT CEPHALOMETRIC MEASUREMENTS: EXTRACTION VS. NON-EXTRACTION GROUPS OF CLASS I MALOCCLUSION (제 I 급 부정교합 환자의 발치와 비발치 교정치료 전.후의 두부방사선 계측학적 비교 연구)

  • Yu, Hyung-Seog;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.27 no.5 s.64
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    • pp.761-770
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    • 1997
  • 71 Class I malocclusion samples were selected and they were divided into premolar-extraction and non-extraction groups. Vertical and horizontal cephalometric evaluations on dental and soft tissue measurements were done before and after treatment. Also, treatment results in adolescent patients and adult patients were compared. The following conclusions were obtained: 1. In comparison of extraction and non-extraction groups, all the dental and soft tissue measurements, with exception of SN-MP angle, upper lip to E-line, vertical movement of upper first molar, md horizontal movement of lower first molar, showed statistically significant differences. 2. In comparison of extraction and non-extraction groups of adolescent samples, there were statistically significant differences in upper and lower incisor inclinations, horizontal dental movements from vertical reference line, positional changes in upper and lower lips, and mesial movements of upper first molar. 3. In comparison of extraction and non-extraction groups of adult samples, there were statistically significant differences in upper and lower incisor inclinations, horizontal dental movements from vertical reference line, positional changes in upper and lower lips from I-line and vertical reference line, vertical height of upper first molar, and mesial movement of lower first molar. 4. There was no statistically significant difference in SN-MP angle between extraction and non-extraction groups of both adolescent and adult samples.

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INTENTIONAL REPLANTATION OF CROWN-ROOT FRACTURED TOOTH WITH OPEN APEX (의도적 재식술을 이용한 치관-치근 파절된 미성숙영구치의 치험례)

  • Ryu, Jung-A;Lee, Jae-Ho;Choi, Byung-Jai;Son, Heung-Kyu;Choi, Hyung-Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.267-272
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    • 2004
  • This case report describes an uncommon treatment method for crown-root fractured incisor with immature root. A 7-year-old girl was referred for treatment of crown-root fractured maxillary central incisor. The fracture line extended to 1/2 of the total tooth length with incomplete root formation. The prognosis of crown-root fracture is usually poor and extraction is usually undertaken. But, in the mixed dentition, extraction of maxillary permanent incisor results in many complications, such as resorption of alveolar bone, poor esthetics, pronunciation and mastication. Conservative therapy in the permanent dentition comprises of few treatment modalities; supragingival restoration, gingivectomy, orthodontic extraction of apical fragment, surgical extrusion of apical fragment with or without rotational replantation. However, in this case, these indications are not applicable, so intentional replantation with adhesive resin system is the treatment of choice. The tooth was followed-up for 12 months. Currently, there are no symptoms. Since this modality adopts the respective advantages of both intentional replantation and adhesive treatment, it might be the treatment of choice in cases of vertical crown-root fracture.

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Patient related and tooth related risk factor of tooth loss after periodontal surgical treatment - prospective study (치주수술 후 치아상실에 대한 환자관련, 치아관련 위험요소 - 후향적 연구)

  • Jong-Geun Song;Sung-Jo Lee;Pham-Duong Hieu;Hyun-Seung Shin;In-Woo Cho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.1
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    • pp.1-8
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    • 2023
  • Purpose: The purpose of this study is to analyze the prognostic factors related to tooth loss after 5 years of periodontal surgery in periodontal disease patients. Materials and Methods: From January to December 2017, 22 patients and 124 teeth who underwent periodontal treatment through periodontal surgery were targeted. At the time of treatment, the measured values were evaluated after recording the maximum probing depth, average periodontal probing depth, number of root, furcation involvement, pulp vitality, and prosthesis state on the day of periodontal surgery. Based on the initial records at the time of visit, patient-related factors were gender, age, smoking, tooth loss due to periodontal disease at the time of first visit, diabetes, and maintenance period. The influence of each factor on tooth loss was evaluated. Results: As a result of examining the influence of tooth-related factors on tooth loss, the maximum probing depth depth (P: 0.000), bone loss (P: 0.021) was found to have a significant effect on tooth loss. Conclusion: As a result of examining the influence of patient-related factors on tooth loss, any variables had no significant effect. Bone loss, maximum probing depth acted as statistically significant prognostic factors for tooth loss in patients who underwent periodontal surgery.

THE EFFECTS OF EXTRACTIONS IN FACIAL VERTICAL CHANGES (발치가 안모의 수직변화에 미치는 영향)

  • Ma, Joon;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.27 no.6 s.65
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    • pp.905-916
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    • 1997
  • The purpose of this investigation were to evaluate facial vortical changes occurring in patients treated orthodontically with first premolar, second remolar and second molar extractions : to compare these changes with those occurring in patients treated orthodontically without extractions : and finally, to evaluate the effects of extractions in facial vortical changes. Cephalometric records of 50 male & female nonextraction patients and 88 male & female extraction patients were obtained from the department of orthodontics at Chosun University, College of Dentistry. The second molar fully erupted pPatients to have little variation according to growth were chosen as the sample for this investigation. For comparisons, the samples of 88 male & female extraction patients were subdivided into 42 first premolar extraction, 24 second premolar extraction, and 22 second molar extraction patients. Fourteen cephalometric measurements were selected to examine whether orthodontic extraction treatment led to vertical changes or not. The pretreatment and posttreatment lateral cephalographs were taken on the same radiographic unit. $SPSS/PC^+$ statistical program was used to compare and to analyze the changes between 'before & after' orthodontic treatment. The results of this study were as follows. 1. There were no statistical significances in any cephalometric measurements between 'before & after' orthodontic treatment regardless of orthodontic extractions for each group. 2. On average, the upper 6 to palatal Plane and the lower 6 to mandibular plane after orthodontic treatment were increased in all group. This means most of orthodontic mechanics are extrusive in nature. Especially, in orthodontic extraction. cases, it may be caused by orthodontic mechanics for space closure and alignments. 3. On average, in the second molar extraction group, the facial vertical dimension was increased after orthodontic treatment. It nay be induced as a result of moving the molars distally to gain enough space to correct the molar relationship and to simultaneously improve the deep bite. 4. There was no statistical significance between orthodontic extractions and facial vertical changes. This means that orthodontic extractions have no influence on facial vortical changes. 5. The cephalometric measurements with statistical significance in ficial vertical changes for each group were PP-MP, Op-MP, $\underline{1}$ to PP and $\overline{1}$ to MP.

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The use of granulation tissue for the esthetic implant restoration for missing tooth due to alveolar bone loss (치조골 소실로 발치하게 된 치아의 심미적인 임플란트 수복을 위한 granulation tissue의 활용)

  • Lee, Chang Kyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.33-39
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    • 2021
  • When maxillary anterior tooth is extracted due to alveolar bone loss, the augmentation of alveolar ridge is very important for esthetic implant restoration. Because alveolar bone loss increases after extraction, the ridge preservation performed right after tooth extraction is meaningful for esthetic implant restoration. However, no achievement of primary closure during ridge preservation can negatively affect bone regeneration. To overcome this problem, we can use granulation tissue in the extraction socket for primary closure. This case report confirmed that primary closure using granulation tissue resulted in not only ridge preservation but also ridge augmentation by providing an environment more advantageous of bone regeneration than the open wound.

Factors affecting orthodontically induced root resorption of maxillary central incisors in the Korean population (한국인에서의 교정치료로 인한 상악 중절치 치근 흡수에 영향을 미치는 요소)

  • Chung, Dong-Hwa;Park, Young-Guk;Kim, Kwang-Won;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.41 no.3
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    • pp.174-183
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    • 2011
  • Objective: Orthodontically induced root resorption (OIRR) involves partial loss of cementum and dentin of teeth caused by routine orthodontic treatment. It decreases root length and influences the function of affected teeth. In this study, the treatment and patient factors causing apical root resorption in Koreans were determined. The observed factors were extraction, gender, age, displacement of root apex, total treatment period, total teeth length, and shape of the root. Methods: The records of 137 patients treated with full, fixed edgewise appliances were obtained from the Department of Orthodontics, Dankook University Dental Hospital, from November 2007 to December 2008. Periapical radiographs of the maxillary central incisors and cephalometric radiographs of each patient were used to assess apical root resorption and type of tooth movement. Results: The mean amount of resorption was $1.62{\pm}1.58mm$. The amount of resorption in the extraction and non-extraction groups was $2.10{\pm}1.64mm$ and $1.18{\pm}1.39mm$, respectively. The amount of root resorption increased with the total tooth length. Severe root resorption (> 4 mm) was related to abnormal root shape (blunt, pointed, or eroded). Conclusions: The variables significantly related to OIRR were extraction, initial tooth length, and root shape.

AUTOTRANSPLANTATION OF ECTOPICALLY ERUPTING MAXILLARY ANTERIOR TEETH (이소맹출하는 상악전치의 자가치아이식 치험례)

  • Son, Jeong-Min;Kim, Seon-Mi;Yang, Kyu-Ho;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.704-709
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    • 2006
  • Ectopic eruption should be understood as a change in the course of the normal eruption path of a dental bud at any moment in its origin. Transposition is a unique and extreme form of ectopic eruption. The treatment for ectopic eruption and transposition is various from simple observation to surgical exposure and orthodontic traction, according to direction of erupting tooth degree of developing root apex and eruption space etc. Autotransplantation is transplantation of tooth from one area of the mouth to another in the same individual or is moving a eruption tooth into extraction socket or surgically prepared socket, and autotransplantation is considered as a treatment of choice for the ectopic eruption when orthodontic traction is unable or when tooth movement is limited. These cases which were treated with autotransplantation of maxillary lateral incisor and maxillary canine were reported, and good esthetic and functional result were induced.

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Lower Incisor Extraction for Dental Camouflage (하악전치발치를 통한 교정)

  • Lee, Won-You;Lee, Young-Taek
    • The korean journal of orthodontics
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    • v.27 no.4 s.63
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    • pp.661-668
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    • 1997
  • There is a variation in the range of normal occlusion, and we must fit our treatment to the needs of each patient. If the upper or lower incisors are congenital)y missing, malformed, or crowded, the extraction of the incisor has some advantages over the extraction of premolars and nonextractions. The advantages are 1)simple mechanics, 2)reduced treatment time, 3)less relapse tendency, and 4)fewer facial profile changes. In order to decide which incisor should be extracted, we must consider certain factors 1)discrepancies in anterior arch length, 2)anterior tooth ratio, 3)periodontal and tooth health condition, and 4)the relationship between the upper and lower midline. Diagnostic set-up can be helpful to plan the treatment and show us the post treatment result.

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