• Title/Summary/Keyword: 치아이식

Search Result 144, Processing Time 0.024 seconds

ORTHODONTIC TREATMENT OF THE DISPLACED UNERUPTED MAXILLARY CANINE : CASE REPORT (변위된 미맹출 상악 견치의 교정 치험례)

  • Lim, Hye-Jeong;Choi, Nam-Ki;Kim, Seon-Mi;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.32 no.3
    • /
    • pp.543-549
    • /
    • 2005
  • The maxillary canine is especially important as it has the longest root, provides guidance for lateral movement of the mandible and masticatory function and is a key in esthetics due to its position. Maxillary canine has the longest time to develop and a complex route from the place of formation to the site of eruption, and so it is prone to impaction more than other teeth. The clinician should consider the various treatment options : (a) No treatment and observation, (b) surgical exposure and orthodontic traction (c) autotransplantation (d) extraction. Surgical exposure of the canine and orthodontic treatment to bring the tooth into the line of occlusion is considered the most desirable approach. This case presents the results of treatment for impacted maxillary canine by surgical exposure and orthodontic tooth movement.

  • PDF

Regeneration of emergence profile with soft tissue graft and wide computer aided design/computer aided mamufacturing abutments: a clinical report (연조직 이식술과 넓은 computer aided design/computer aided mamufacturing 지대주를 이용한 임플란트 고정성 보철물의 출현윤곽 재현)

  • Kim, Min-Kyung;Lee, Ji-Hun;Ahn, Seung-Geun;Kim, Kyung-A;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.31 no.4
    • /
    • pp.364-370
    • /
    • 2015
  • Fixed restoration using implants for patients with posterior partial edentulism is generalized technique. As patient demands increase, the functional and esthetic implant restoration to achieve similar results to lost natural teeth is becoming an important issue. It is inevitable to use customized CAD/CAM abutments rather than ready-made abutments for the creation of implant prosthesis which closely resembles natural teeth. Using CAD/CAM abutment made it possible to obtain natural emergency profiles for posterior implant prostheses, ensuring more comfortable, efficient management of oral hygiene. However, keratinized gingiva with sufficient width and height for a natural emergence profile is required to use a large diameter CAD/CAM abutment which ensures stability and esthetics of hard/soft tissue around the implants. In this case, for esthetical and functional implant zirconia prosthesis, soft tissue graft was performed and customized CAD/CAM abutments were used following ridge augmentation, sinus graft and implantation. Satisfactory results were obtained functionally and esthetically through periodic clinical evaluation, and I hereby report this case.

RESTORATION OF MISSED MAXILLARY CENTRAL INCISOR USING AUTOTRANSPLANTATION OF MESIODENS : A CASE REPORT (정중과잉치의 자가이식을 통한 상실된 상악 중절치의 수복 : 증례보고)

  • Kim, Hye-Kyoung;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.34 no.3
    • /
    • pp.519-525
    • /
    • 2007
  • Supernumerary tooth is developed from overgrowth of dental laminar and is mainly observed in the maxillary anterior area, named 'mesiodens. Mesiodens cause many problems such as malposition of permanent anterior tooth, diastema, formation of cyst, and eruption to oral or nasal cavity. Extraction, therefore, is generally recommended choice of treatment. This case report describes that the patient is a 9 years and 8 months old boy, whose unilateral maxillary incisor was missing due to trauma, and he had a mesiodens. We practiced autotransplantation of the mesiodens to the missing maxillary central incisor area and then restored with prosthetics, substantially kept out alveolar bony resorption and provided esthetic appearance. Mesiodens was too small to be used as an abutment because its length is totally 14mm, so that poor prognosis was anticipated due to bad crown/root ratio. However, we observed clinically acceptable result during the observation period of 8 months after operation.

  • PDF

Increase of the Width of Peri-implant Keratinized Tissue using Apically Positioned Flap: Case Report (근단 변위 판막술을 사용한 임플란트 주위 각화조직 폭경의 증대: 증례보고)

  • Chee, Young-Deok;Seon, Hwa-Kyeong
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.29 no.4
    • /
    • pp.407-417
    • /
    • 2013
  • The one of peri-implant soft tissue problems seen during the maintenance phase of implant therapy is an inadequate zone of keratinized tissue. Keratinized tissue plays a major role around teeth and dental implants, helping in maintaining and facilitating oral hygiene. A free gingival graft (FGG) is chosen to correct the soft tissue defects and provide optimal peri-implant health in order to increase the long-term prognosis of the implant reconstruction. However, the patient treated with FGG has pain and discomfort on donor site such as palate. It is also technically demanding, time consuming, and the color match of the tissue is often less than ideal. An apically positioned flap (APF) is selected for increasing the keratinized tissue simply while or after the second stage implant surgery. This case report shows successfully increasing the width of peri-implant kenratinized tissue through APF procedure on small site of dental implant instead of FGG.

Fabrication of functionally customized fixed prosthesis in a hemimandibulectomy patient with fibular graft using double scan technique: A case report (비골이식을 받은 하악골절제술 환자에서 스캔중첩법을 이용한 기능적 고정성 보철물 제작: 증례 보고)

  • Win, Thaw Thaw;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.60 no.2
    • /
    • pp.195-201
    • /
    • 2022
  • Hemimandibulectomy and free fibular flap (FFF) in patients with squamous cell carcinoma could disturb the functional movement of the mandible. The muscular function in the sectioned side was compromised because of the incompetency of the muscle attachment to the mandible, leading to the unstable occlusal contact in the centric and eccentric occlusion. In this report, we present a case of a 63-year-old male who underwent cancer surgery and reconstruction with fibular graft, and he needed a fixed dental prosthesis to restore tooth loss in the anterior region. Occlusal contact change and instability were found according to the bite force in the centric relation and eccentric movement. This case report aimed to present the prosthetic procedure for fabricating the functionally optimized fixed prosthesis wherein the functionally generated path (FGP) technique and digital imaging method were applied to replicate mandibular movement and vertical dimension of the patient.

Clinical evaluation of tooth replantation and transplantation of old patients (노인 환자에 있어서 치아 재식술 및 이식술의 임상적 고찰)

  • Ha, Jung-Hong;Jin, Myoung Uk
    • The Journal of the Korean dental association
    • /
    • v.50 no.8
    • /
    • pp.507-515
    • /
    • 2012
  • The purpose of this article is to discuss the effect of aging on the treatment of replantation and transplantation of teeth in old patients. I case of replantation and 2 cases of transplantations in old patients are reported in this article. Patients aged 65 and over are included. They had several problems such as periapical lesion, crack or foot fractures. In those cases, the replantation and transplantation were treatment of choice. White ProRoot MTA was used in apical retrograde filling and perforation repair. After replantation and transplantation of teeth, follow-up visits showed signs of healing in 3 cases. Considerations and indications for replantation and transplantation are not much affected by age. Old patients are aware that replantation and transplantation can be performed comfortably and that age is not a factor in prediction success.

THE CLINICAL STUDY OF IMPLANTATION OF TOOTHASH COMBINED WITH PLASTER OF PARIS;LONG-TERM FOLLOW UP STUDY (치아회분과 석고 혼합매식물 이식에 관한 임상적 연구;장기간 추적 연구)

  • Kim, Su-Gwan;Yeo, Hwan-Ho;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.18 no.4
    • /
    • pp.771-777
    • /
    • 1996
  • This study was undertaken to access the effect of toothash combined with plaster of Paris in the filling of jaw defect and the substitution as new bone during the follow up period. We used the toothash and plaster after the cyst enucleation, the apicoectomy, the extraction of supenumerary tooth with ratio of 2 : 1 by weigh. 15 consecutive patients were evaluated retrospectively. Complications were swelling, perforation, infection and treated without problems using incision & drainage, aspiration, antibiotic treatment, 2ndary buccal flap. The follow-up period ranged from 28 to 35 months. Based on radiographic and clinical observation, it may be concluded that toothash and dental plaster of Paris($CaSo_4\;{\cdot}\;1/2H_2O$) are useful for bone substitute.

  • PDF

Orthodontic Treatment with Autotransplantation of Impacted Tooth (매복치의 자가치아이식과 교정치료를 통한 심미적 치험례)

  • Lee, Gye-Bok;Gang, Eun-Ha;Kim, Ga-Yeong
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.10 no.2
    • /
    • pp.9-14
    • /
    • 2001
  • Autotransplantation of tooth has recently become a combined method with orthodontic therapy. With the use of autotransplantation, it has become possible for orthodontists to solve complicated problems in the dental arches. Autotransplanted teeth showed the same development as their contralaterals with respect to both eruption and root growth. This indicates that autotransplantation and orthodontic treatment is a method that should be considered in case of impacted, missing, or malformed teeth. In this report two cases are presented to demonstrate that orthodontic treatment with autotransplantation can contribute to more satisfactory solution to the problem for impacted teeth.

  • PDF

치과용 생체세라믹스의 강화

  • Gong, Yeong-Min
    • Proceedings of the Materials Research Society of Korea Conference
    • /
    • 2010.05a
    • /
    • pp.5.2-5.2
    • /
    • 2010
  • 인체 경조직인 뼈와 치아는 콜라겐 단백질과 인산칼슘 무기질 성분으로 구성된 최적의 복합체라 볼 수 있다. 이러한 인산칼슘 무기질 성분은 결정학적, 화학적으로 hydroxyapatite (HA, Ca10(PO4)6(OH)2)와 거의 유사하여 높은 생체활성과 골전도성을 보이는 것으로 알려져 있다. 또한, hydroxyapatite의 고온 분해 산물로 볼 수 있는 tricalcuim phosphate(TCP, Ca3(PO4)2)는 체내에 이식시 체액에 용해되어 신생골을 유도하는 생체흡수성 세라믹스로 알려져있다. 이러한 HA와 TCP는 우수한 생체친화성에도 불구하고 기계적 특성이 낮아, non-load bearing 부위에 적용이 되어 다공질의 골수복재 용도로 활용되거나, load-bearing부위의 적용을 위한 금속 implant 등의 생체친화성 보완을 위한 표면 코팅재로 사용되고 있는 실정이다. 본 발표에서는 생체특성이 매우 우수한 인산칼슘 생체세라믹스의 load-bearing part 적용을 위하여 강도 및 파괴인성의 기계적 특성을 증진시킨 사례를 살펴보고, non-load bearing part에 실제 사용되는 인산칼슘 생체세라믹스의 다공질(porous) 골수복재(bone graft)의 역학 특성 증진을 위한 아이디어와 함께, 역학 특성이 매우 뛰어난 지르코니아 생체세라믹스의 강화-소결법에 대하여 소개하고자 한다.

  • PDF

Autotransplantation in patient who is not indicated fixed prosthesis: case report (고정성 보철 수복이 부적절한 환자에서 자가치아이식을 응용한 치험례)

  • Baek, Sang-Hyeon;Jeong, Hye-Sim;Seong, Sang-Jin;Mun, Yun-Sik;Jang, Hyeon-Ho;Ra, Yun-Sik
    • The Journal of the Korean dental association
    • /
    • v.42 no.8 s.423
    • /
    • pp.514-522
    • /
    • 2004
  • Clinicians often meet the growing patient who is not treated with fixed prosthesis until alveolar bone growth is completed. When both esthetic and function needs are important, and if proper donor tooth is present, the application of autotransplantation may be better treatment option than space maintainer. Although prognosis of autotransplantation is not always favorable, it depends on the treatment design which is based on the ability of case selection and consideration. This report will present the clinical cases of autotransplantation in growing patient, and discuss about several clinical aspects of autotransplantation.

  • PDF