• Title/Summary/Keyword: 치아 예후

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Comparative Study on Maximal and Habitual Clenching Through T-Scan System (T-Scan System을 이용한 Maximal Clenching과 Habitual Clenching의 비교연구)

  • Young-Ku Kim
    • Journal of Oral Medicine and Pain
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    • v.14 no.1
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    • pp.35-42
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    • 1989
  • 악구강계의 질환을 진단하고 치료후의 예후를 판정하기 위하여 maximal clenching시에 측정된 tooth contacts의 수와 분포가 이용되어 왔다. 그러나 maximal clenching시 반복된 tooth contacts의 측정은 저작근 피로등 문제점을 가지고 있다. 본연구는 건강한 성인 15명을 대상으로 maximal clenching 및 habitual clenching시 T-Scan system을 이용하여 치아접촉 수와 접촉시간을 측정, 비교 검토하여 habitual clenching을 이용한 방법이 Tooth contacts의 연구에 이용될 수 있는지를 확인 하는데 목적이 있으며, 연구결과는 다음과 같다. 1. Habitual clenching시 upright, semisupine position에서의 전측두근의 근활성은 maximal clenching시의 64.5%, 61.9% 및 73.3%로 나타났다. 2. Maximal clenching시 치아접촉 수와 접촉시간은 16.82개 및 0.429초로 나타났으며 habitual clenching시에는 11.65개 및 0.177초로 나타났다. 3. 치아접촉수와 접촉시간은 체위에 따라 크게 변화되지 않았다. 4. 치아접촉수와 접촉시간의 측정시에 habitual clenching을 이용하는 방법이 maximal clenching을 이용하는 방법보다 재현성이 더 높은 것으로 나타났다. 5. Tooth contacts의 연구시 habitual clenching을 기준으로 사용할 수 있다.

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치근파절의 처치 및 예후

  • 홍찬희
    • Proceedings of the KACD Conference
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    • 2002.05a
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    • pp.350-350
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    • 2002
  • 치아 외상은 크게 fracture와 luxation injury로 분류된다. 이 중에서 영구치의 root fracture는 외상의 0.5~0.7%를 차지하는 것으로 조사되고 있다. 호발부위로는 상악 중절치가, 나이로는 11~20세에서 호발하여, 이보다 어린 나이에서는 alveolar socket의 elasticity 때문에 fracture보다는 luxation 쪽으로 많이 발생하는 것으로 보고되고 있다.(중략)

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Autogenous Transplantation of Third Molar to Replace Hopeless Tooth (예후 불량한 치아를 대체하는 제3대구치를 이용한 자가치아이식술)

  • Song, Il-Seok
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.1
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    • pp.13-24
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    • 2020
  • Autotransplantation is the surgical repositioning of an autogenous erupted or unerupted tooth from one site to another in the same individual. This treatment is indicated in traumatic tooth loss, teeth with severe caries, congenitally missing teeth, teeth with bad prognosis and in case of developmental anomalies of teeth. The following 2 cases describe the potential to utilize autotransplantation to replace hopeless teeth with sound wisdom teeth.

A Clinical and Radiological Study of Regional Odontodysplasia: Five-year Follow-up (국소적 치아이형성증의 임상적 방사선학적 연구 : 5년 추적관찰)

  • Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.322-327
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    • 2014
  • Regional odontodysplasia (RO) is a rare and nonhereditary dental malformation. It is a dental alteration of unknown etiology, involving both mesodermal and ectodermal dental components, which is characterized by clinical, radiographic, and histologic features. The maxilla is more often involved than the mandible (especially the left side), and there is no racial predilection, but females are affected twice as often as males. The affected teeth are clinically hypoplastic and hypocalcified, presenting a "ghost-like" appearance radiographically. The present case features a male patient aged 4 years and 6 months who was diagnosed with regional odontodysplasia in the maxilla on the right side, confirmed by clinical and radiographic examination, with a follow up of 5 years. Since teeth affected by RO have a poor prognosis due to the fragile tooth surface and open apices, the long-term treatment strategy depends on periodic clinical and radiological observations.

Case report: Laminate prosthesis with orthodontic treatment for achieve anterior esthetics and functional occlusion (심미와 기능 회복을 위한 교정- 라미네이트 수복 치료 증례)

  • Lee, Han Na
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.80-85
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    • 2014
  • Orthodontic treatment is obviously the first choice to get aligned teeth cause of conservative treatment. But it is impossible to get highly esthetic result only orthodontic treatment in case of peg lateralis, discrepancy tooth size, discolored teeth or fractured teeth. As all treatment does, especially in esthetic treatment it is always required interdisciplinary diagnosis and treatment plan; orthodontics, periodontology, prothetics, implant therapy. As also, the treatment should be maintained long-term treatment with stable and harmonious state by esthetic satisfaction and functional occlusion those who needs various dental care as interdisciplinary treatment. This case is the laminate treatment with the orthodontic treatment on 37 ages/ Female patient who has cross bite at anteriors and premolar area and abrasion on centralis at right maxilla. By orthodontic treatment aligned teeth positions, it makes functional occlusion. As laminate treatment with minimum teeth preparation is able to release anterior esthetics. Follow up check for 2 years has been performed since the final prosthetics delivery to the patient. No sign of relapse, fracture of laminate were detected.

Autotransplantation of Premolars and Esthetic Rehabilitation in a Traumatized Teenage Patient with Challenging Oral Problems: A Case Report (어려운 구강 문제를 가진 외상당한 청소년 환자의 소구치 자가이식 및 심미적 회복: 증례 보고)

  • Kho, Junhee;Park, Howon;Lee, Juhyun;Seo, Hyunwoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.213-218
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    • 2020
  • The loosely structured periodontal ligament and low mineralized bone surrounding erupting teeth provide minimal resistance to an extrusive force. The maxillary central incisors are the most frequently avulsed due to trauma. The prognosis of replanted teeth is affected by extra-alveolar period and conditions. Implant-supported restorations are contraindicated in adolescent patients with poor prognosis traumatized teeth. Autotransplantation of premolar to the anterior region provides a viable treatment alternative. This case report describes the autotransplantation of premolars and esthetic rehabilitation in a teenage patient with traumatized incisors, poor oral hygiene, and severe crowding. Comprehensive and long-term treatments were performed to improve complex and challenging oral problems.

Prognostic Factors Influencing Survival and Success Rates of Autotransplanted Maxillary Canine (자가이식한 상악 견치의 생존율과 성공률에 영향을 주는 예후 인자 연구)

  • Kim, Dong-Hyun;Hyun, Hong-Keun;Kim, Young-Jae;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.317-326
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    • 2017
  • The aim of this study was to investigate the survival and success rates of autotransplanted maxillary canine at the artificially formed recipient socket and evaluate the factors that influence survival and success rates. A total of 28 children who had 37 impacted canines were reviewed over the mean observation time of 25.1 months. Tooth mobility, pathologic root resorption, vertical bone loss, periapical lesion and anklyosis of donor tooth were investigated clinically and radiographically. The survival rate was 100%. The success rate was 64.9%, because 13 teeth were evaluated as unsuccessful. Significant parameter in determining the success rate of autotransplantation was enlarged follicle size of donor tooth according to Cox proportional hazard regression model. The results provide information necessary for clinician to make a better treatment decision about autotransplantation at the artificially formed recipient socket.

TREATMENT FOR ROOT FRACTURE ON THE IMMATURE MAXILLARY PERMANENT CENTRAL INCISOR (미성숙 상악 영구 중절치에서의 치근파절 치험례)

  • Kim, Ki-Baek;Kim, Seon-Mi;Choi, Nam-Ki;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.454-460
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    • 2007
  • Traumatic dental injuries in childhood and adolescent occurred more frequently than in adult. The time between the accident and the treatment is one of the most critical factors to prognosis, and because of the limited time available to examine and treat patients with traumatic dental injuries, if not treat appropriately, the result would be critical for the patient. In the previous studies, the prevalence and incidence of traumatic injuries were the most frequent at the age of 8 to 10 years, the majority of dental injuries involve the anterior teeth, especially the maxillary incisors, and males were more prevalent than females in an approximated proportion of 2:1. As the mean age of complete root formation is 10 years old, the maxillary permanent incisor involved in the most affected age group is usually immature, and the possibility of pulpal healing through excellent revascularization exists, more positive prognosis for pulp vitality would be expected. These are treatment cases of the immature maxillary permanent central incisor involved in the traumatic injury, and reports for progress and results of preserving the pulp vitality through the conservative treatment instead of the conventional endodontic root therapy.

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MANAGEMENT OF IMPACTED TEETH BY AUTOTRANSPLANTATION IN CHILDREN (소아에서 자가치아이식에의한 매복치의 처치)

  • Ryu, Hyun-Seop;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.564-572
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    • 2000
  • We decided among extraction, orthodontic traction and autotransplantation such as direction and position of unerupted tooth, degree of developing root apex, eruption space, being of supernumerary tooth or odontoma or cyst when tooth impacted. Autotransplantation is considered when orthodontic traction is unrealistic or when tooth movement can absorb root of neighbor tooth. The prognosis for successful autotransplantation is dependent on a number of factors such as root development, surgical technique, patient's age, endodontic treatment, time and type of splinting, preservation of periodontal ligament and storage medium. Especially when severe osseous defect is being, bone graft considered for reducing of mobility and for assisting recovery. In all cases, chief complaint is unerupted tooth and various causing factors were supernumerary, odontoma, ectopia and so on. Before autotransplantation, space regaining was done if needed and demineralized freezed dried bone and autogenous bone graft was done when there is severe osseous defect by extraction of supernumerary tooth or odontoma. Splinting was removed after 2-3weeks At 3-4weeks after autotransplantation, endodontic treatment was decided. At follow up check, normal recovery was done and there was no inflammatory or replacement root resorption in periapical radiograph.

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