• Title/Summary/Keyword: 치조골 상실

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HYPOPHOSPHATEMIC RICKETS : CASE REPORT (저인산혈증성 구루병 환아의 증례 보고)

  • Park, Yoon-Hee;Choi, Byung-Jai;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.108-112
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    • 2000
  • Hypophosphatemic rickets is lack of reponse to physiologic doses of vitamin D, different from the vitamin D-dependent rickets. It is inherited in an X-linked dominant fashion. The prime features of this disorder are lowered serum phosphate levels, elevated serum alkaline phosphatase and normal serum calcium levels. The dental manifestation often include apical radiolucencies, abscess and fistulas of clinically sound teeth. Dental radiographs show ricketic bone trabeculations, abscent or abnormal lamina dura and abnormal cementum. This case which was diagnosed to hypophosphatemic rickets, showed multiple spontaneous periapical abscess and gingival fistula enlarged pulp chambers, extension of the pulp horns into the cusp tips and delayed eruption.

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SURGICAL REPOSITIONING OF AN IMPACTED INCISOR IN MIXED DENTITION (매복된 중절치의 재식)

  • Choi, Su-Mi;Lee, Keung-Ho;Choi, Yeong-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.687-692
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    • 2005
  • Delayed eruption of a maxillary incisor results in midline shift, the space occupied by adjacent teeth and different levels of alveolar height. Extraction or surgical/orthodontic therapy is the most common treatment for a impacted maxillary incisor. Surgical repositioning provides another option for treatment of this problem. The advantages of this approach include immediate esthetic improvement, use of a single and simplified surgical procedure, simple and short orthodontic therapy, a normal gingival margin and the possibility of the developing root adapting to the new position. Autotransplantation of an immature tooth provides for possible adaptation of the developing root apex to the new position. A root with an open apex has good chance of pulp revascularization after transplantation.

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Titanium-zirconium alloy narrow-diameter implants for the rehabilitation of horizontally deficient mandibular posterior edentulous ridges (좁은 치조제를 가진 하악 구치부에서 지르코늄-티타늄 합금의 작은 직경 임플란트 사용 증례)

  • Lee, In Hye;Park, Young Bum;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.212-217
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    • 2017
  • In case of the insufficient horizontal bone loss, a regular diameter implant is not possible without lateral bone augmentation. In this situation, narrow diameter implants (NDIs) could be the alternative to lateral bone augmentation procedures. However, complication generally expected with the NDI is implant fracture. Recently, the survival rate and success rate of NDI in the posterior region are similar to that of standard-diameter implants (SDIs). These 3 case reports demonstrate the incorporation of NDI to replace missing mandibular posterior teeth. So far, the follow-up examination period was maintained and no unusual complications were presented for more than four years. Long term follow-up clinical data are needed to confirm the excellent clinical performance of these implants.

PROGNOSIS OF THE SURGICALLY REPOSITIONED MAXILLARY CENTRAL INCISOR IN INTRUSIVE INJURY (함입된 상악 중절치의 외과적 재위치 후 예후)

  • Min, Sung-Jin;Ryu, Jung-Ah;Kim, Seong-Oh;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.33 no.3
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    • pp.522-528
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    • 2006
  • When tooth is displaced within the alveolar bone, it could apply pressure and rupture the apical vessels. Pulpal reaction in such case is affected by the stage of root formation, amount of intrusion and pulpal infection. Determining the need of pulp treatment depends on the pulp vitality. Therefore, periodic vitality tests, coronal color changes and radiographic root resorption signs should be observed through periodic post-trauma follow-up. Pulp necrosis, pulp canal obliteration, external root resorption, root ankylosis and marginal bone loss could result from periodontal injuries. Negative sign changes from positive signs of vitality tests suggest pulp necrosis. In this case, pulp treatment should be held before root resorption occurs. By comparing the following two cases, complications of intrusion and factors producing them could be confirmed, thus we propose to report these two cases.

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A CASE REPORT OF DENTINOGENESIS IMPERFECTA (상아질 형성 부전증에 대한 증례보고)

  • Kim, Jae-Gon;Lee, Doo-Cheol;Lee, Seung-Young;Lee, Seung-Ik;Baik, Byeoung-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.1-6
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    • 2000
  • Dentinogenesis imperfecta is an inherited disorder of dentin formation, usually exhibiting an autosomal dominant mode of transmission. Type I dentinogenesis imperfecta occurs in patients afflicted with osteogenesis imperfecta. Type II dentinogenesis imperfecta is not associated with osteogenesis imperfecta. Type III dentinogenesis imperfecta (Brandywine type) occurs in a racial isolate area in the state of Maryland. In all three types, teeth of both dentitions are affected with variable clinical appearances. The teeth are opalescent with the color ranging from bluish-gray to brown to yellowish. The dentin is abnormally soft, providing inadequate functional support to the overlying enamel. Although the enamel is normal, it fractures or chips away easily, exposing the occlusal and incisal dentin. The exposed soft dentin often undergoes rapid and severe functional attrition. The teeth exhibit bulb-shaped crowns with constricted cementoenamel junctions and thin roots. The teeth will exhibit varying stages of obliteration of the coronal and root pulpal chambers. The cementum, periodontal ligament and supporting alveolar bone appear normal. The enamel is normal. The mantle dentin remains nearly normal, whereas the remaining dentin is severely dysplastic. The dentinal tubules are disoriented, irregular, widely spaced, and usually larger than normal.

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Photoelastic evaluation of Maxillary Posterior Crossbite Appliance (Maxillary Posterior Crossbite Appliance의 적용시 응력 분포에 관한 광탄성법적 연구)

  • Jang, Sung-Ho;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.31 no.6 s.89
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    • pp.549-558
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    • 2001
  • This study was undertaken to demonstrate the forces in the maxillary alveolar bone generated by the activation of the maxillary posterior crossbite appliance In the treatment of posterior buccal crossbite caused by buccal ectopic eruption of the maxillary second molar. A photoelastic model was fabricated using a Photoelastic material (PL-3) to simulate alveolar bone and ivory-colored resin teeth. The model was observed throughout the anterior and posterior view in a circular polariscope and recorded photographically before and after activation of the maxillary posterior crossbite appliance. The following conclusions were reached from this investigation : 1. When the traction force was applied on the palatal surface of the second molar, stresses were concentrated at the buccal and palatal root apices and alveolar crest area. The axis of rotation of palatal root was at the root apex and that of the buccal root was at the root li4 area. In this result, palatal tipping and rotating force were generated. 2. When the traction force was applied on the buccal surface of the second molar, more stresses than loading on the palatal surface were observed in the palatal and buccal root apices. Furthermore, the heavier stresses creating an intrusive force and controlled tipping force were recorded below the buccal and palatal root apices below the palatal root surface. In addition, the axis of rotation of palatal root disappeared whereas the rotation axis of the buccal root moved to the root apex from the apical 1/4 area. 3. When the traction force was simultaneously applied on the maxillary right and left second molars, the stress intensity around the maxillary first molar root area was greater than the stress generated by the only buccal traction of the maxillary right or left second molar. As in above mentioned results, we should realize that force application on the palatal surface of second molars with the maxillary posterior crossbite appliance Produced rotation of the second molar and palatal traction, which nay cause occlusal Interference. That is to say, we have to escape the rotation and uncontrolled tipping creating occlusal interference when correcting buccal posterior crossbite. For this purpose, we recommend buccal traction rather than palatal traction force on the second molar.

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New maxillary anterior ridge classification according to ideal implant restorative position determined by CAT (전산화단층영상을 이용한 이상적 임플란트 수복 위치에 따른 상악 전치부 치조제의 새로운 분류)

  • Park, Young-Sang;Cho, Sang-Choon;Kim, Kyoung-Nam;Kim, Kwang-Mahn;Choi, Seong-Ho;Moon, Hong-Seok;Lee, Yong-Keun
    • Journal of Periodontal and Implant Science
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    • v.37 no.sup2
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    • pp.385-396
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    • 2007
  • This study proposed a new classification system for maxillary anterior alveolar ridge deformities based on CAT-scan implant simulation as a useful concept in order to more precisely predict treatment outcomes and the necessity for ridge augmentation prior to implant placement. The results indicate that a high number of cases in the maxillary anterior area would require augmentation procedures in order to achieve ideal implant placement and restoration.

Rehabilitation using mandibular implant overdenture with CAD/CAM milled bar: A case report (CAD/CAM 시스템으로 제작한 Milled Bar를 이용한 하악 임플란트 피개의치 수복증례)

  • Ban, Min-Hee;Yang, Hongso;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Shin, Jin-Ho;Park, Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.292-299
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    • 2017
  • Long-term alveolar bone resorption in edentulous patient causes difficulty in denture use. Applying an implant overdenture with 2 to 4 implants to edentulous patient is easily approachable. Moreover, it improves denture stability, support, and retention. Milled bar, the attachment used in implant overdenture, can be used to induce better stability and retention to the supporting structure than conventional bar. It has become convenient to use due to the development of CAD/CAM system which had allowed the simplification of dental techniques. In this case, application of conventional maxillary full denture and mandibular overdenture made of CAD/CAM milled bar with 4 implants showed satisfactory results in the patient who had used upper and lower full dentures for a long time.

LEUKOCYTE ADHESION DEFICIENCY TYPE I: CASE REPORT (Leukocyte adhesion deficiency type I 환자의 치험례)

  • Yoon, Eun-Young;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.586-590
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    • 2009
  • Leukocyte adhesion deficiency is rare inherited defect on phagocytic function resulting lack of leukocyte cell surface expression of $\beta2$ integrin molecule that are essential for leukocyte adhesion to endothelial cells and chemotaxis. Clinical features of patients with leukocyte adhesion deficiency type I include recurrent necrotic infection of the skin mucous membranes, and intestinal tract with septicemia, and omphalitis arising from delayed umbilical cord separation. Oral manifestations are severe progressive periodontitis with alveolar bone loss, periodontal pockets, and partial and total premature loss of the deciduous and permanent dentitions. We report a case of leukocyte adhesion deficiency type I in a 5-year-old child with severe periodontitis. In order to prevent local and systemic infection, we controlled periodontal disease with periodic oral prophylaxis. Oral swabs and blood cultures were perfomed for suspected infection, so that optimal measures were taken through the use of appropriate antibiotics.

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TREATMENT OF THE INTRUDED PERMANENT INCISORS : SURGICAL REPOSITION AND ORTHODONTIC TRACTION (외과적 재위치와 교정적 정출술을 이용한 함입된 외상치의 치험례)

  • Shin, Ji-Sun;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.654-659
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    • 2003
  • Intrusive luxation that takes approximately three percent of permanent teeth commonly occures at anterior teeth. This intrusion frequently leads to pulp necrosis, root resorption, marginal bone loss and these complications are influenced by depth of intrusion and stage of root development. Various treatment approaches have been suggested to manage of intrusive luxation. Techniques aiming to reposition the intruded tooth include an observation for spontaneous re-eruption, surgical or orthodontic repositioning. We report two cases with clinically satisfactory results for traumatically intruded maxillary central incisor. In one case which has a large open apex and mild intrusion depth, we observed for spontaneous eruption and then repositioning by forced eruption method. In other case, which has been completely intruded, was repositioned by surgical extrusion and followed by apexification.

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