• Title/Summary/Keyword: 치은 함입

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Treatment of Gingival Invagination after Orthodontic Treatment with Extraction (발치 교정치료시 치은 함입에 관한 치은 처치)

  • Kim, Yun-Sang;Cho, Jin-Hyoung;Cho, Jin-Woo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.1
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    • pp.79-86
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    • 2012
  • In most patients with severe crowding or lip protrusion, orthodontic treatment with tooth extraction is done. In these patients, even though space is closed after orthodontic treatment, gingival invagination is observed on the extracted site. Since there are possibilities of space recurrence and regional periodontic problems occurrence, periodontic treatment is necessary on the gingival invagination region. This case was a 16 year old female with a chief complaint of crooked teeth. Since her maxillary premolars were already extracted a few years ago at a local dental clinic, orthodontic treatment was done by extracting mandibular premolars. Unlike maxillary premolar regions, gingival invagination occurred in mandibular premolar regions and gingival flattening was done by excising the gingival invaginated region. Gingival flattening was done once on the left side, twice on the right side and showed stable results. This is a case report of a patient that was prone to gingival invagination after orthodontic treatment with extraction and was treated with gingival flattening.

TREATMENT OF ANTERIOR TEETH FRACTURE BY FORCED ERUPTION (치아 정출술을 이용한 전치부 외상치의 치험례)

  • Kim, Ji-Young;Choi, Nam-Ki;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.575-582
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    • 2001
  • There have been many treatment methods for traumatic subgingival crown fracture and intrusion without spontaneous eruption. The orthodontic forced eruption generally results in favorable clinical findings than crown lengthening with osteotomy and intentional replantation. In first two cases with subgingival crown fracture due to trauma, authors applied orthodontic forced eruption with axed appliance after root canal therapy and then restored them with composite resin. In another case with traumatic intrusive luxation, we observed spontaneous eruption of the corresponding tooth for about 6 months and then returning it to normal position by forced eruption with removable appliance, but root canal filling was conducted after apexification due to devitalization during forced eruption, and so clinically favorable results were obtained.

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DENS INVAGINATUS IN MAXILLARY LATERAL INCISORS: REPORT OF 2 CASES (상악 측절치의 치내치에 대한 증례보고)

  • Youn, Seok-Hee;Lee, Jae-Cheoun;Kim, Young-Jae;Jang, Ki-Taeg;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.495-500
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    • 2004
  • Dens invaginatus is a malformation of tooth resulting from an infolding of the enamel epithelium during tooth development. This malformation shows a broad spectrum of morphologic variations. This invagination frequently allows the entry of irritants and microorganism, which usually lead to necrosis of the adjacent pulp tissue and then to periapical or periodontal abscess. Root canal treatment of such tooth is often difficult because of the un usual form and complicated pulpal space. This article reports 2 cases of dens invaginatus in maxillary lateral incisors. The first case was successfully treated with $Ca(OH)_2$. In the second case, involved tooth was extracted and this extracted tooth was observed using the micro-computed tomography.

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CONTINUED ROOT DEVELOPMENT AFTER AVULSION OF IMMATURE TEETH (미성숙 영구치의 탈구성 외상 이후 계속된 치근 성장)

  • Lee, Ju-Eun;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.127-132
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    • 2013
  • Traumatic injuries to immature permanent teeth are common and the results can be destructive. Although Hertwig's epithelial root sheath is usually sensitive to trauma, it may resist damage from trauma thereby retaining its vitality and continuing to calcify a root under favorable conditions. This case report describes two cases of trauma to immature permanent incisors. The first case presents an avulsed maxillary central incisor which has been replanted. The other case shows completely avulsed mandibular central incisors which have not been replanted. However, both cases subsequently show continued growing roots separated from the main roots. This report highlights the ability of the immature pulp tissue to continue to form dentin and the robustness of Hertwig's epithelial root sheath to initiate root development despite a traumatic injury.