• Title/Summary/Keyword: 하악 대구치

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The study on success rate of single implant replacing the mandibular first and second molars (하악 제1, 2대구치 단일 임플란트의 생존율에 관한 연구)

  • Jung, Taek-Gyun;Paeng, Joon-Young;Cho, Jin-Hyun;Lee, Sang-Han
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.252-260
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    • 2013
  • Purpose: After the introduction of concept of osteointegration, dental implantology have been successful procedure in the dental field. Recently, it has shown successful results when used to restore single tooth missing. Considering the difference in bone quality of the mandible and maxilla, and the increased occlusal force in the posterior region, the success rates in each region may be different. In this study, success rates of single implants placed in the mandibular first and second molar areas were analyzed. Materials and methods: The subjects were patients (284 patients, 308 implants) who had been operated with single implant installation from 2002 to 2009 in seven dental clinics in Daegu city. One hundred sixty eight implants were placed in the mandibular 1st molar and 140 implants were placed in the mandibular 2nd molar. They were analyzed according to implant site, age, sex, length and diameter. Results: The survival rates of single implant of this study were 97.6% in the mandibular 1st molar and 92.9% in the mandibular 2nd molar. In the mandibular 1st molar, 4 implants were failed. In the mandibular, 2nd molar, 10 implants were failed. Conclusion: The restoration of the mandibular 1st molar using single implant was found to be clinically acceptable treatment and showed higher survival rate than mandibular 2nd molar single implant. Single implant in mandibular 2nd molar needs careful consideration of poor bone quality, risk of overloading and anatomical structure of the mandible.

A Study of Relationship between Pericoronitis and Eruption State of the Mandibular Third Molar among Patients at Dental Hospital (치과병원 환자의 하악 제3대구치 맹출 양상과 치관주위염과의 관계에 대한 연구)

  • Jeon, Eun-Sook;Lee, Hye-Jin
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.275-279
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    • 2007
  • The purpose of this research, which was executed with 200 patients whose chief complaint was the extraction of the mandibular third molar, was to examine the effect that eruption state of the mandibular third molar has on the growth of pericoronitis. The conclusion about distribution of left and right mandibular third molar, angulation, impaction degree, anterior border of mandibular ramus and the interval from mandibular second molar to mandibular third molar was drawn by chi-square test. 1. There was correlation between pericoronitis and position of the mandibular third molar according to age. 2. In angulation of mandibular third molar, mandibular third molar most likely to be afflicted with pericoronitis is mesioangular. 3. The impaction degree between mandibular third molar and the growth of pericoronitis was given in the order of Level a, Level c and Level b. 4. In the anterior border of mandibular ramus with mandibular third molar, pericoronitis was easily generated in the order of Class II, Class I and Class III. 5. The shorter the interval from distal cementoenamel junction of mandibular second molar to mesial cementoenamel junction of third molar became, the more easily pericoronitis was generated.

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THREE DIMENSIONAL FINITE ELEMENT ANALYSIS FOR REACTION TO MOLAR UPRIGHTING SPRING (대구치 직립 스프링 적용시 반작용에 관한 삼차원 유한요소법적 연구)

  • Choe, Yoo-Kyung;Kim, Tae-Woo;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.28 no.1 s.66
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    • pp.61-74
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    • 1998
  • The Purpose of this study was to investigate the stress distribution and tooth displacement at the initial phase produced by 5 types of molar uprighting springs using finite element method. The three dimensional finite element model of lower dentition, bone and springs was composed of 5083 elements and 2071 nodes. The results were as follows: 1. In case of helical spring and root spring, intrusion of lower canine and first premolar were observed md distal tipping, translation and extrusion of lower second molar were observed. 2. In case of T-loop, modified T-loop and box loop, intrusion and distal translation of lower second premolar were observed, and the largest crown distal tipping and translation of lower second molar were observed in T-loop and the smallest were observed in box loop. 3. In case of T-loop with cinch-bact crown distal tipping and translation of lower second molar were decreased, but extrusion was also decreased. 4. With increase of activation in T-loop, mesial translation and won distal tipping of lower second molar were increased and edentulous space was closing, but distal translation of second premolar was also increased. 5. With increase of tip-back bend in T--loop, distal tipping and translation of lower second molar were increased, but extrusion was also increased more largely.

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The Prevalence of Enamel Projection on Molar Teeth Extracted from Dental Patients (치과 환자로부터 발거된 치아에서의 법랑돌기의 발현빈도)

  • Bae, Sung-Suk;Ku, Young
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.207-211
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    • 2007
  • Many studies reported that the presence of cervical enamel projection (CEP) in cemento-enamel junction(CEJ) is greatly related to periodontal disease. The aim of this study was to investigate the prevalence of enamel projections in buccal, mesial, distal and lingual(palatal) surface of maxillary and mandibular first and second molars on extracted teeth. Among 660 teeth extracted due to the periodontal disease and dental caries in Seoul National University Dental Hospital was examined, 530 teeth which has distinct CEJ were examined with 8 times x electronic magnifier by one examiner. The prevalence of CEP for maxillary teeth (45.49%) was higher than that of mandible (39.62%). The first molar (45.22%) had more CEP than second (39.89%). Furthermore, buccal surface had highest incidence of CEP than other surfaces. The results of this study imply that the clinicians should take good care of the prevalence of CEP when scaling or root planning, plaque control instruction and periodontal surgery.

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Effect of the lower third molar on the treatment of Class III malocclusion (하악 제3대구치 발거 시기가 III급 부정교합의 치료에 미치는 영향)

  • Son, Myung-Ho;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.34 no.5 s.106
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    • pp.394-407
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    • 2004
  • The Purpose of this study was to evaluate the effect of the lower third molar on treatment time and distal en masse movement of the lower dentition in Giass III malocclusions. Thirty subjects (9 males and 27 females) were selected, all of whom were diagnosed as Glass III malocclusion and treated by fixed appliances without premolar and/or molar extraction. They were divided into three groups Group 1 consisted of 12 subjects. whose lower third molars were not extracted during the whole orthodontic treatment. Group 2 consisted of 8 subjects. whose lower third molars were extracted after WEAW application and before removal of the orthodontic appliances. Group 3 consisted of 10 subjects whose lower third molars were extracted before MEAW application. For each subject. overall treatment time and duration of MEAW application were determined. In addition. pre-treatment and post-treatment lateral cephalometric radiographs were analyzed. All data were Processed statistically with ANOVA, and the conclusions were as follows: There was no significant difference among the groups in overall treatment time However, duration of MEAW application was longer in Group 2 than in Group 1 or Group 3. The overjet that was established after orthodontic treatment was largest in Group 3, in which the lower third molars were extracted befor MEAW application. After orthodontic treatment, IMPA decreased in Group 3. but increased in Group 1 and Group 2. There was no significant difference among the three groups in the translation of lower second molars However the tipping movement of lower second molars was significantly different, highest in Group 2 and lowest in Group 1 Therefore. it is thought to be better for the orthodontic treatment of Class III malocclusions to extract the lower third molars before MEAW application. In Group 2, the mandibular plane angle was decreased as a result of forward rotation of the mandible This skeletal change was thought to bring about the difficulty of treatment.

매복 하악 제3대구치의 발거에 대하여

  • Ryu, Dong-Mok
    • The Journal of the Korean dental association
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    • v.26 no.10 s.233
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    • pp.898-902
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    • 1988
  • 완전히 발육된 하악 제3대구치가 매복되어 있거나 또는 부분적으로 맹출된 상태일때는 임상증상을 일으키기 전에 발치하는 것이 치관주위염이나 이로 인한 합병증 및 치주질환 등을 예방할 수 있느느 가장 좋은 방법이며 이미 임상 증상을 유발한 매복 하악 제 3대구치는 대부분 재발방지를 위하여 발거하게 된다. 성공적인 발치의 기준을 1) 치아의 완전한 발치 2) 인접조직에 대한 최소한의 외과적 손상 3) 술후 합병증의 극소화 4) 가능한한 시술 시간의 단축 등이라 할때 매복 하악제 3대구치의 성공적인 발거를 위하여는 발치의 기본 원칙을 숙지하여야 함은 물론이며 더욱 면밀한 술전 평가와 외과적 발치술 시 필요한 기구의 완비 등이 필수적이라 할 것이다.

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A RETROSPECTIVE STUDY ON INCIDENCE OF C-SHAPED CANALS IN MANDIBULAR SECOND MOLARS (하악 제2대구치의 C형 근관 발현빈도에 관한 후향적 연구)

  • Kim, Hee-Sun
    • Restorative Dentistry and Endodontics
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    • v.34 no.4
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    • pp.346-349
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    • 2009
  • Mandibular second molars have many variations in canal configuration. Technical modifications in cleaning, shaping and obturation are required. The purpose of this study was to investigate the root canal anatomy of mandibular second molars. 86 teeth of 85 patients were accessed and evaluated with taking radiographs for working length determination. 27 teeth(31.4%) had C-shaped canals, 43 teeth(50%) had 3 canals, 11 teeth(12.7%) had 4 canals, 5 teeth(5.8%) had 2 canals. Incidence of C-shaped canal was 31.7% in male and 31.1% in female. 30.9% of left mandibular second molar and 31.8% of right mandibular second molar showed C-shaped canals.

Epidemiologic Survey on Failed Eruption of Mandibular First Molar (매복된 하악 제1대구치의 매복 양상과 역학적 조사)

  • Kim, Sohyun;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.51-59
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    • 2016
  • The purpose of the present retrospective study was to analyze gender, age, awareness, etiology, and treatment choice in patients with failed eruption of the mandibular first molar. Radiographic material and dental records from 67 patients with 74 mandibular first molars with failed eruption treated during the years 2001-2014 were evaluated. As results, the prevalence of mandibular first molar with failed eruption was higher in males than females, and the average awareness age was 9.19 years old. The most common etiological cause was unknown, and the next most common causes were abnormal eruption pathway and odontogenic tumor in order. In this study, it is suggested that more dental education to children about the time of eruption of permanent tooth is required, and the importance of regular dental check-ups is emphasized during mixed dentition.

ERUPTION GUIDANCE OF IMPACTED MANDIBULAR SECOND MOLAR (매복된 하악 제2대구치의 맹출 유도)

  • Lee, Hye-Lim;Lee, Kwang-Hee;La, Ji-Young;An, So-Youn;Kim, Yun-Hee;Lim, Hwa-Shin;Lee, Je-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.4
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    • pp.404-411
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    • 2012
  • Tooth impaction is defined as a failure of tooth eruption resulting from the physical obstacles in the eruption path or the abnormal position of the tooth germ. Impaction of mandibular second molar is relatively rare, and it may incite pathologic conditions such as dental caries, periodontitis, or root resorption of adjacent first molar. Thus, early diagnosis and treatment is recommended. In the first case, a 10-year-old male patient, was treated by brass wire to separate the bilaterally impacted mandibular second molars. In the second case, a 12-year-old female patient, was treated with Humphrey appliance for impacted mandibular left second molar, which was detected during a periodical dental examination. In the third case, a 17-year-old female patient with impacted mandibular right second molar, was treated by uprighting spring with mini-implant anchorage around premolar area. In the last case, an 18-year-old male patient, was treated with mini-implant placed on the ramus of mandible connected to the orthodontic buttons bonded on impacted mandibular left second molar by elastic thread.

ERUPTION PATTERN OF THE MANDIBULAR FIRST MOLAR USING THE CONE BEAM CT (Cone Beam CT를 이용한 하악 제 1대구치 맹출 양상에 관한 연구)

  • Shin, Jeong-Keun;Kim, Jae-Gon;Baik, Byeong-Ju;Yang, Yeon-Mi;Jeong, Jin-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.3
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    • pp.325-336
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    • 2009
  • The purpose of this study was to investigate the eruption pattern of the mandibular first molar in sagittal, frontal and horizontal views using the cone beam CT scanning. CT images were obtained from healthy 83 children (42 boys, 41 girls) between 3 to 10 years of age with a normal dentition according to Nolla stage. 1. In the frontal and horizontal view, the intermolar width decreased continuously with stage and slightly increased at the last stage. 2. In the sagittal and frontal view, eruption distances from occlusal plane were observed the largest change between stage 5 and 7. 3. In the horizontal and sagittal view, mandibular first molar from distal surface of primary second molar moved distally between stage 4 and 6. 4. In the sagittal view, angle from occlusal plane to mesio-distal axis increased between stage 4 and 8. 5. In the frontal view, angle from occlusal plane to bucco-lingual axis increased continuously during all stage. 6. In the horizontal view, angle from midsagittal plane to long axis increased between stage 5 and 8.

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