• Title/Summary/Keyword: 치아발치

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Clinical Management and Short-term Prognosis of Molar-Incisor Malformation Affected Patients: Case Reports (대구치-절치 형태이상 환자의 임상적 치료 및 단기 예후: 증례 보고)

  • Kim, Hyojin;Lim, Sumin;Kim, JinYoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.121-130
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    • 2022
  • Molar-incisor malformation (MIM) is a newly reported dental anomaly with molar root deformity and incisor crown defects. MIM-affected teeth may cause severe pain with no apparent tooth caries. Since the affected molars clinically appear normal, radiographs are recommended for accurate diagnosis on the first visit. Since MIM-affected patients are in mixed dentition, timely and appropriate interventions are needed to avoid unnecessary pain and complicated clinical issues. This report was written to describe two patients who had MIM in early mixed dentition and report their 2-year follow-ups.

Histological Periodontal Tissue Reaction to Rapid Tooth Movement by periodontal Distraction in Dogs (치주인대 신장에 의한 치아의 급속 견인 시 성견 치주조직의 변화)

  • Chang, Young-Il;Kim, Tae-Woo;Choi, Hee-Young
    • The korean journal of orthodontics
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    • v.32 no.6 s.95
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    • pp.455-466
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    • 2002
  • The objective of this study was to evaluate the changes that occurred over time in the distracted periodontal ligament space following the rapid retraction of a tooth by periodontal distraction after bone undermining surgery had been conducted in the dogs. The upper second premolars were extracted on the left and right side in 4 male beagle dogs. Immediately after extraction, the interseptal bone distal to the upper first premolar was thinned and undermined by grooving to decrease the bone resistance. Activating an individualized distraction appliance at the rate of 0.225mm twice a day, the upper first premolar was retracted rapidly toward the extraction socket. Periodontal distractions were performed for 5, 10, and 20 days, and 20-day-distraction cases were followed by maintenance periods of 0, 14, 28, and 56 days. After 20 days of rapid retraction, the average distal movement of the upper first premolar was 5.02mm, and the average mesial movement of the upper third premolars serving as an anchorage unit was 0.18 mm. On histological examination, the regeneration of bone occurred in a highly organized pattern. Distracted periodontal ligament space was filled with newly formed bone oriented in the direction of the distraction, and this was followed by extensive bone remodeling. This result was similar to those observed in other bones after distraction osteogenesis. In the periodontal ligament, the relationship between collagen fibers and cementum began to be restored 2 weeks after the distraction was completed, and showed almost normal features 8weeks after the completion of the periodontal distraction. However, on the alveolar side, the new bone formation was still in process and collagen fiber bundles and Sharpey's fibers were not present 8 weeks after the completion of the periodontal distraction. Reactions in the periodontal ligament of the anchorage tooth represented bone resorption on the compressed side and new bone deposition on the tension side as occurred in conventional orthodontic tooth movement. In conclusion, the results of this study showed that periodontal structures on the distracted side of the periodontal ligament were regenerated well histologically following rapid tooth movement.

A Study on the Factors Giving Effects to Patient's Satisfaction in the Selection of Implant Operation (임플란트 시술선택에 있어 환자 만족도에 영향을 미치는 요인)

  • Kim, Gi-Ug;Choi, Sung-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4354-4359
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    • 2010
  • The study performed questionnaire to the patients receiving implant operation, who visited dental clinics and hospitals(2 hospitals and 5 clinics) from Jul. 1, 2009 to Sep. 12, 2009 in order to study the factors giving effects to patient's satisfaction in the selection of implant. 145 questionnaire papers collected from patients were analyzed with SPSS12.0 program. The result revealed that the satisfaction with implant operation was usually normal when implant was operated because of tooth extraction due to dental caries and periodontal disease and it was usually high when implant was operated because of wound(P<0.05). When considering each cause of tooth extraction, the satisfaction with pronunciation function was usually normal(P<0.001), the satisfaction with functional part including foreign body sense was very low when the cause of operation was periodontal disease(P<0.01). The satisfaction with hospital environment depending on the cause of hospital selection was usually high when hospital was selected because of doctor's fame. It was low when hospital was selected because it was close to home(P<0.001). The satisfaction with the number of hospital visits depending on the number of implanted teeth was usually low when many teeth were implanted(P<0.01). The analysis on the satisfaction with tooth shape and color showed that the satisfaction was high when '1~2' teeth and 'more than 6' teeth were implanted(P<0.05). In order to improve patient's satisfaction with implant, it is necessary to recognize individual's oral status and request correctly. It is determined that proposal of operation period, number of hospital visits, function and expected aesthetic satisfaction degree will contribute to the improvement of mutual reliance between doctor and patient and post-operation satisfaction degree.

A STUDY ON THE PRE-ERUPTIVE POSITIONAL CHANCE OF THE LOWER THIRD MOLAR FOLLOWING ORTHODONTIC TREATMENT (교정치료에 따른 미맹출 하악 제3대구치의 위치 변화에 관한 연구)

  • Lee, Kyoung-Won;Bae, Seong-Ryol;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.26 no.1 s.54
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    • pp.105-111
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    • 1996
  • Most of orthodontic cases are treated with extraction of certain teeth, which influence the pre-eruptive movement of the lower third molar The purpose of this study was to evaluate the positional change of lower third molar following orthodontic treatment. Pre- and post-treatment pantomograms of 163 orthodontic patients (77 nonextraction group, 78 first premolar- extraction group, 8 second molar- extraction group) were analyzed in terms of the mesiodistal and buccolingual angles of lower third molar. The results were as follows. 1. The change of the mesiodistal angle of lower third molar by orthodontic treatment was significant in second molar-extraction group. 2. The mesiodistal angle of lower third molar in pre-treatment was significantly correlated to the mesiodistal angle in post-treatment and/or the change of the mesiodistal angle by treatment. 3. The change of the buccolingual angle of lower third molar by orthodontic treatment was significant in non -extraction group or first premolar-extrction group. 4. The change of the buccolingual angle of lower third molar by treatment was significantly correlated to the mesiodistal angle in post-treatment, the change of the mesiodistal angle by treatment, the buccolingual angle in pre-treatment or the buccolingual angle in post-treatment.

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IDIOPATHIC MESIAL MOVEMENT OF IMPACTED MAXILLARY CANINE (미맹출 견치의 특발성 근심 이동)

  • Choi, Ami;Song, Je Seon;Lee, Jae Ho;Choi, Hyung Jun;Choi, Byung Jai;Kim, Sung Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.1
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    • pp.41-47
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    • 2013
  • Maxillary canines are the most commonly impacted or ectopically erupted teeth. If we find the abnormality of maxillary canines early, we can manage it reasonably and systematically. If we cannot see the spontaneous normalization at the periodic recall, primary canine extraction will be the next treatment choice. However, if the primary canine is extracted too early, the extraction socket will be filled with hard bone and then the eruption pathway can be locked. So it is more beneficial to extract the primary canine at the period about 6 months before the normal canine eruption time. The next treatment plan can be surgical and orthodontic approaches before the root apical closure of the impacted canine. Sometimes, surgical extraction and further prosthetic procedure can be needed for a severely malposed impacted canine or badly resorpted incisor. This is the case of the idiopathic mesial movement of impacted maxillary canines.

ROOT SURFACE CHANCES DURING THE INITIAL LEVELING AND ALIGNMENT PHASE IN ORTHODONTICS: A SCANNING ELECTRON MICROSCOPIC STUDY (교정적 치아초기배열단계시 발생하는 치근 변화에 관한 주사전자현미경적 연구)

  • Choi, Jung-Yoon;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.591-600
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    • 1998
  • The purpose of this study was to investigate the root resolution and repair pattern of human teeth according to the force magnitude, direction and duration during the initial leveling and alignment phase. 40gms to 500gms of force applied to the 37 experimental teeth with duration of 3 weeks to 7 months. Then, the experimental teeth were extracted. 13 control teeth were extracted without treatment. The results are as follows: 1. $59.5\%$ of 37 teeth exhibited root resorption. The initial resorption site was visible at the apex within 3 weeks with 100 gms samples, and the initial repair site was visible at the apex within 3 months with 400 gms samples. 2. Number of resorbed teeth increased with the duration of the force. 3. The depth of the resorption increased with the magnitude of the force. 4. The areas of resorbed root corresponded with the loading pattern. 5. The areas of resorbed root were highly correlated with the magnitude of the force. The result of this study suggest that root resorption could occur during the initial leveling and alignment phase, These initial injuries are all small and insignificant. It is the extensive type of apical root resolution that must be regarded as deleterious to the function and stability of the tooth moved. During the initial leveling and alignment phase lighter force of the interrupted type and short treatment period would be favorable with regard to avoidance of root resorption and repair of resorbed root surface.

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Dental Characteristics of Microcephalic Osteodysplastic Primordial Dwarfism Type II (소두증 골형성이상 원발성 왜소증 제 II 형의 치과적 특성)

  • Park, Haemin;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Lee, Sang-Hoon;Kim, Jung-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.50-63
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    • 2021
  • Microcephalic osteodysplastic primordial dwarfism type II (MOPD II) is an autosomal recessive inherited disorder form of primordial dwarfism, caused by mutations in the pericentrin gene. The purpose of the study was to examine the clinical and radiological features, physicochemical properties and microstructures of the tooth affected with MOPD II. The mandibular 2nd molar was collected from the MOPD II patient. Micro-computerized tomography, scanning electron microscopy, energy dispersive spectrometry and Vickers microhardness analysis were performed on the MOPD II and the normal control. The morphology of the MOPD II tooth appeared to have malformed pulp and root and showed a small size. The mineral density measurement showed that the MOPD II tooth had similar scores in the enamel, but lower scores in the root 1/2 and apical dentin compared to the normal control. The microhardness values were smaller in the cusp enamel, root 1/2 dentin and apical dentin of the MOPD II compared to the normal control. In this study, the dental characteristics and the physicochemical properties of a tooth affected with MOPD II were analyzed to improve understanding of the oral manifestations of the disease and to assist in proper dental treatment by identifying precautions.

저온 대기압 플라즈마의 생의학 응용

  • Lee, Hyeon-U;Lee, Jae-Gu
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.02a
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    • pp.265-267
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    • 2011
  • 저온 대기압 플라즈마는 21세기에 들어 생의학 분야에 이용될 수 있는 새로운 도구로서 많은 관심을 받고 있다. 대기압 플라즈마는 고가의 진공 장비를 필요로 하지 않고 저전력 구동이 가능하기 때문에 저비용 구동이 가능하고 방전 장치와 전력공급 장치의 소형화에 매우 유리하다. 특히 저온 대기압 플라즈마는 고온의 전자와 저온의 이온 입자가 공존하는 열적 불평형(thermal non-equilibrium) 상태에 있기 때문에 플라즈마의 저온 특성은 유지하면서도 (${\sim}30^{\circ}C$) 물리/화학적 반응성은 매우 높아 그 응용 분야가 매우 넓다. 플라즈마의 다양한 생의학 분야 응용 가운데 세포의 사멸 유발 또는 생장 촉진, 살균/멸균, 지혈, 상처 치유 등에 저온 대기압 플라즈마가 매우 뛰어난 효능을 보인다는 것이 국내외의 다양한 연구를 통해 밝혀지고 있다 [1]. 20 kHz 정현파로 구동되는 플라즈마 장치를 이용한 암 세포 제거 실험에서 플라즈마 처리 효과를 증대시키기 위해 항체-금나노입자 중합체를 암 세포에 주입시켰다 (그림 1(a)). 그 결과 세포의 사멸율은 74%로서 플라즈마 또는 플라즈마-금나노입자만을 처리한 경우에 비하여 사멸율이 매우 높게 나타났다 (그림 1(b)). 이를 통해 암세포 선택성을 가진 항체-금나노입자 중합체와 플라즈마 처리 기술을 융합한 암 세포의 선택적 사멸 유발 기술의 개발 가능성이 열렸다. 또한 플라즈마 처리를 통해 일어나는 세포의 자멸사 기작이 Cytochrome C의 방출 이후 이어지는 Caspase-3의 활성화 경로와 관계가 있음이 밝혀졌다 (그림 1(c)). 치아 미백은 최근 부상하고 있는 저온 대기압 플라즈마의 새로운 응용 분야이다 [5-6]. 대기압에서 동작하는 헬륨 플라즈마 제트를 미백제(과산화수소)와 함께 발치된 치아에 적용하였을 때 (그림 2(a)) 미백제만을 사용하였을 경우에 비해 치아의 색상 변화가 2배 이상 크게 나타나는 것을 확인하였다 (그림 2(b)). 이처럼 최근 그 범위가 크게 넓어지고 있는 저온 대기압 플라즈마의 생의학 응용 기술의 최적화를 위해서는, 다양한 생의학 응용 분야에 따라 요구되는 플라즈마의 특성 및 응용별 기저 기 작에 대한 이해와 연구가 필요하다.

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AUTOTRANSPLANTATION OF IMPACTED MAXILLARY CANINES (매복된 상악 견치의 자가치아이식을 통한 치험례)

  • Kim, Tae-Wan;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.2
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    • pp.326-333
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    • 2003
  • The appropriate treatment for eruption guide of impacted teeth necessitates the formulation of a comprehensive treatment plan, which is dependent upon a number of factors such as the condition of the deciduous teeth, dental and skeletal relationship, dental age of the patient, willingness of the patient to undergo extensive dental treatment and financial considerations. If the etiology of the eruption disturbance has been identified, the elimination of the causes and various procedures can be used for eruption guide. Particularly the transplantation is a valuable alternative to extraction of impacted teeth, where surgical exposure and subsequent orthodontic realignment are difficult or impossible. This report present three cases of autotransplantation of impacted maxillary canine. As the result in these cases, atraumatic removal of donor tooth during operation is prerequisite to an optimal clinical result. Due to a high possibility of pulp necrosis, endodontic treatment of fully developed transplanted teeth should be undertaken. In complex case, autotransplantation can save time and less expensive than orthodontic forced eruption. Recipient socket should be prepared to a size that is slightly larger than the root of the donor tooth, and can be prepared with open or close procedure depends on root size of donor tooth and buccolingual width at transplantion site.

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Survey on the Dental Health Status & Dental Health Behaviors of Workers (근로자의 구강건강실태 및 구강보건행동에 관한 조사)

  • Jang, Ji-Eon
    • Journal of dental hygiene science
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    • v.12 no.1
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    • pp.55-62
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    • 2012
  • The purpose of this study was to obtain database for development of education and programs of dental examination in industries. survey and dental examination was conducted by dental hygienist and dentist, and the data from 1016 respondents were analyzed. The result obtained was as follows: 1. Dental disease was 58.2% among 1,016, there was most a lot of peridontal disease, and overlapping disease, dental caries, missing tooth, fracture and abrasion, in order. 2. Utilization of dental care was 40% for last six months, it was significant high that age and working periods, married in marriage state, and unhealthy in subjective dental health state. 3. It was significant high that woman, fourty ages, middle economic state and working periods in above three times of tooth brushing a day. 4. Utilization of dental hygiene auxiliary devices was 41.8%, it was significant high that age, marriage state, economic state and working periods. 5. As for relationship between dental disease status and dental health behaviors, a person without periodontal disease was significant high in above three times a day, and a person without extraction, a person with fracture and abrasion, a person without overlapping disease was significant high in utilization of dental hygiene auxiliary devices.