• Title/Summary/Keyword: Dental anomaly

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A Study on the Oral Health Behavior Status and Oral Health Awareness of Pregnant Women -Demographic Socialogical Variables- (임산부의 구강보건관리 실태와 구강보건 인지도에 관한 연구 -인구사회학적 변인을 중심으로-)

  • Lee, Sook-Jeong;Choi, Gyu-Yil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5049-5055
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    • 2011
  • The purpose of this study is to emphasis the fact that the oral cavity should be well-managed as it is where the intake of the valuable nutrition for the baby is made, among many other important factors and changes that the pregnant women go through as they prepare for the birth of a human being for 10 months. For this, we surveyed the management of the oral hygiene and the awareness of oral health by the pregnant women. The result showed that the nauseating during the brushing of the teeth and the use of the oral hygienic products varied among different standard of lives with statistical significance. As for the standard of living, those in higher level showed also a higher level of the use, while the middle and low standard of living showed lower level of usage of the oral hygienic products. In case of the dental treatment during the pregnancy, most of the interviewees answered they do not receive dental treatment during pregnancy in the fear of bad influence on the baby and the potential risk of congenital anomaly. The perceived necessity of the education on the oral health was generally high. And, for the contents of such education, they preferred the timing of the dental treatment, the content of the treatment, and misunderstandings regarding the dental treatment.

Root canal treatment of dens invaginatus and fused tooth

  • Park, So-Young;Bae, Kwang-Shik;Lim, Sung-Sam;Baek, Seung-Ho
    • Proceedings of the KACD Conference
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    • 2001.05a
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    • pp.247-251
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    • 2001
  • ;A dental developmental anomaly is defined as an isolated aberration in tooth form, caused by a disturbance or abnormality which occurred during tooth development. There are numerous types of dental anomalies, and a considerable variation in the extent of the defects occurs with each type. Teeth with these anomalies pose unique challenges. Since the defects are not always apparent clinically, they can confuse diagnosticians investigating the etiology of pulpal pathosis. When endodontic treatment is required, the defects often hinder access cavity preparation and canal instrumentation. Treatment planning also becomes more challenging, since the defects can create complicated periodontal problems, and the malformed teeth can be difficult to restore, particularly those weakened by endodontic therapy. Fusion is defined as the joining of two developing tooth germs resulting in a single large tooth structure. The incidence of fusion is < 1% in the Caucasian population, and it is believed that physical force or pressure produces contact of the developing teeth. Clinically and radiographically, a fused tooth usually appears as one large crown with at least partially separated roots and root canals. There may be a vertical groove in the tooth crown delineating the originally separate crowns. Dens invaginatus is a deep surface invagination of the crown or root that is lined by enamel. Teeth in both maxillary and mandibular arches may be affected, but the permanent maxillary lateral incisor is the tooth most commonly involved. Studies have revealed an incidence ranging from 0.25% to as high as 10%. The invagination ranges from a slight pitting to an anomaly occupying most of the crown and root. The invagination frequently communicates with the oral cavity, allowing the entry of irritants and microorganism either directly into pulpal tissues or into an area that is deparated from pulpal tissues by only a thin layer of enamel and dentin. This continuous ingress of irritants and the subsequent inflammation usually lead to necrosis of the adjacent pulp tissue and then to periapical or periodontal abscesses. If the invagination extends from the crown to the periradicular tissue and has no communication with the root canal system, the pulp may remain vital. Recommended treatment of fused tooth and dens invaginatus has been reported in the endodontic literature. This case report describes the endodontic treatment of a maxillary laterl incisors having fused crown and dens invaginatus.natus.

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Conservative Endodontic Treatment of Type III Dens Invaginatus : Case Report (Type III 치내치의 보존적 근관치료 : 증례보고)

  • Jo, Wansun;Lee, Nanyoung;Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.2
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    • pp.174-179
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    • 2014
  • Dens invaginatus is a developmental anomaly resulting from an infolding of the enamel organ into the dental papilla prior to calcification of the dental tissue. Clinical and radiographic presentation of dens invaginatus shows a lot of variation. The classification proposed by Oehlers(1957) is most commonly used among classifications of dens invaginatus. Several treatments have been suggested to treat Type III dens invaginatus where the pulp remains healthy but the invagination is associated with a periodontitis. The top priority objective is to preserve pulp as sound as possible. Thus, if there is no definite evidence of pulpal disease, the conservative access which treat invagination as distinct from the pulp is necessary. But, Endodontic treatment of Type III dens invaginatus has the particular problems associated with achieving adequate chemomechanical debridement of the root canal system and invagination, predictable length control and consistent filling. In this case report, the endodontic treatment limited within invagination was performed for treatment of Type III dens invaginatus, and filling with Mineral Trioxide Aggregate(MTA) resulted in good prognosis.

Clinical characteristics of oral diseases on stray cats in Gwangju (광주지역 길고양이 구강질환의 임상적 특성)

  • Myung, Bo Young;Kim, Se Eun;Shim, Kyung Mi;Ryu, Ji Won;Kim, Sung Ho;Moon, Changjong;Bae, Chun-Sik;Choi, Seok-Hwa;Kang, Seong Soo;Park, Hyunjeong
    • Korean Journal of Veterinary Research
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    • v.50 no.4
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    • pp.303-310
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    • 2010
  • Demand on specialized feline dentistry has increased over the years, partly due to growing feline population in Korea. Despite the notable increase in the population, not much researches has been conducted on oral disease for stray cats. Thus this research was conducted on 81 adult stray cats from Gwangju in Korea (42 males and 39 females) with average weight of 3.4 kg and also focused on occurrence of periodontal disease (plaque and calculus), feline odontoclastic resorptive lesion (FORL), stomatitis and tooth anomaly. Formation of dental plaque and calculus were abundant on maxilla than mandible, especially distributed much on 4th premolar teeth and 1st molar teeth. After thorough examination of oral cavity, 33 stray cats (40.7%) were found to have oral disease. Eighteen stray cats (22.2%) had tooth fracture which was evident on cuspid and missing teeth were present on 2nd premolar tooth of maxilla and 2nd incisor of mandible amongst 20 stray cats (24.7%). FORL was present on cuspids and 2nd premolar tooth of maxilla among 10 stray cats (12.3%). Stomatitis was involved with FORL, missing tooth, and tooth fracture. Therefore, it was determined that stomatitis, FORL, and periodontal disease were closely associated.

AN EPIDEMIOLOGIC STUDY OF ORAL STATUS OF HANDICAPPED PERSONS (심신 장애자의 구강상태에 관한 역학조사)

  • Kim, Seon-Mi;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.2
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    • pp.441-449
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    • 1998
  • For the purpose of knowing oral status of handicapped persons and surveying correlative factors, authors interviewed and inspected 259 persons (cerebral palsy 143, mental retardation 101, Down's syndrome 15) from six year to thirty years old in Kwangju. The results were as follows. 1. The dmf rate and dft index of handicapped persons according to age were lower than that of report of normal persons. 2. The DMF rate and DMFT index of handicapped persons increased with age and were similar to or lower than that of report of normal persons by the age of twenty, but were higher after that age. There was no significant difference between handicaps in DMFT rate. 3. Percentage of toothbrushing by himself or herself was 74% in mental retardation, 69% in Down's syndrome, and 48% in cerebral palsy and the frequency of toothbrushing per day of mental retardation, Down's syndrome was higher than that of cerebral palsy. The frequency of toothbrushing per day increased with age. The number of toothbrushing of handicapped persons was slightly higher than that of report of normal persons. 4. Prevalence of gingivitis was 62% in cerebral palsy, 48% in Down's syndrome and 60% in mental retardation. Prevalence of gingivitis increased with age, and was higher than that of report of normal persons. 5. Percentage of tooth anomaly was 15% in Down's syndrome, 8.5% in mental retardation and 4.9% in cerebral palsy. In this study, dental caries of handicapped persons was similar to or lower than that of normal persons and increased with age. The prevalence of gingivitis was much higher in handicapped persons. Subject or frequency of toothbrushing had no influence on the dental caries and gingivitis, education of oral health and system are needed.

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Tooth Agenesis and Delay in Patients with Agenesis of Mandibular Second Premolars (하악 제2소구치 결손과 연관된 치아 결손 및 발육지연)

  • Park, Minji;Kim, Seong-Oh;Song, Je Seon;Lee, Jaeho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.4
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    • pp.484-491
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    • 2018
  • Tooth agenesis is a common human dental anomaly and the agenesis of mandibular second premolars has been proven to be the most frequently observed. The aim of this study is to investigate tooth agenesis and delayed tooth development in patients with agenesis of mandibular second premolars. This study reviewed 9 to 15 year-old patients with agenesis of mandibular second premolars who visited the department of pediatric dentistry of Yonsei University Dental Hospital and took panoramic radiographs from January 2014 to December 2016. On panoramic radiographs, agenesis of teeth was observed and developmental delay of teeth was evaluated by the Nolla method. Among 125 patients with agenesis of mandibular second premolars, 58 patients (46.4%) showed agenesis of other teeth and 38 patients (30.4%) showed delayed tooth development. In this study, patients with agenesis of mandibular second premolars were more likely to have tooth agenesis or delayed eruption of other teeth.

A RADIOLOGICAL STUDY ON THE TOOTH SHAPE ANOMALY (치아형태 이상에 관한 방사선학적 연구)

  • Choi Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.39-46
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    • 1994
  • The purpose of this study was to evaluate the prevalence and distribution according to the types of tooth shape anomalies in permanent teeth of 6,082 persons by means of analysis of the full mouth periapical radiographs. And the following results were obtained ; 1. Among tooth shape anomalies, the highest incidence was observed on dilaceration (20.14%), foll owed by dens invaginatus(3.02%), peg lateralis(1.48%), taurodontism (0.34%), dens evaginatus (0.33%), talon cusp(0.20%), fusion(0.07%) and gemination(0%) in descending order of frequency. 2. Peg lateralis, dens invaginatus and dilaceration occurred more prevalent in females, and other types of tooth shape anomalies occurred more prevalent in males. 3. Dens evaginatus and taurodontism occurred with bilateral tendency, but other anomalies occur- ed with unilateral tendency. 4. As to the involved teeth, maxillary lateral incisors were the most frequently involved teeth on peg lateralis, dens invaginatus and talon cusp. And the mandibular premolars were the most frequently involved teeth on dens evaginatus, the maxillary first molars were on taurodontism, the maxillary second premolars were on dilaceration, and the mandibular incisors and canines were on fusion.

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Familial Occurrence of Dentin Dysplasia Type I: Case Report (가족 내에 발생한 제 1형 상아질 이형성증: 증례보고)

  • Kim, Sohyun;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.47-53
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    • 2014
  • Dentin dysplasia is a rare hereditary disturbance characterized by a dental anomaly of the dentin layer. The etiology is unclear, and this rare hereditary disturbance affects approximately one person in every 100,000. Dentin dysplasia is classified into two types, radicular dentin dysplasia as type I and coronal dentin dysplasia as type II. The characteristic clinical findings of dentin dysplasia type I are normal appearance of the crown and hypermobility of teeth. The radiographic findings are obliteration of all pulp canals, short, blunted and malformed or absent roots. Dentin dysplasia type II as coronal dentin dysplasia shows similar clinical features with dentinogensis imperfecta. This report shows a case of dentin dysplasia type I affecting one family except the father. The clinical, radiographic and histopathologic findings of this family are presented. Dentin dysplasia type I is difficult to diagnose unless dentist performs radiographic examination. If the affecting patient does not get regular dental care, dental abscesses or cysts may form spontaneously without caries. In this regard, early diagnosis is important to prevent premature loss of dentition.

CLEIDOCRANIAL DYSPLASIA : REPORT OF A CASE (쇄골두개 이형성증 환자에 관한 증례보고)

  • Lee, Yeon-Ho;Yoo, Seung-Hoon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.703-708
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    • 2005
  • Cleidocranial Dysplasia(CCD) is a congenital disorder of skeletal and dental anomaly with an autosomal dominant mode of inheritance. CCD Shows a generalized defect in intramembranous bones, such as the skull, clavicles, and endochondral bones, such as the long bones and the remainder of the skeleton. The specific clinical feature of CCD is an aplasia & hypoplasia of one or both clavicles, frontal & parietal bone bossing, incomplete fontanels and sutures closure of cranial bone. Generally, relative mandibular prognathism is seen, because maxillar is underdeveloped. Dental anomalies of CCD are prolonged primary teeth, delayed eruption of the permanent teeth and multiple supernumerary teeth. Almost patients of CCD can not recognize their dental abnormality until the permanent teeth eruption was begining. So it is difficult to decide the proper timing of the treatment of patients of CCD. Pedodontists should understand the development of the dentition in CCD patient and start the treatment of CCD patient in proper time.

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Prosthetic rehabilitation of an oligodontia patient with atrophic maxilla (위축된 상악골을 가진 부분무치증 환자의 보철수복)

  • Chi, Seung-Seok;Kim, Ye-Jin;Kang, Hyeon-Goo;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.238-247
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    • 2021
  • Congenital tooth agenesis is the most common developmental dental anomaly, of which oligodontia is defined as the absence of six or more permanent teeth, except the third molars. Tooth agenesis causes malocclusion, alveolar atrophy, aesthetic and psychosocial problems. This clinical report describes a multidisciplinary treatment for a patient diagnosed as oligodontia, who exhibited absence of 14 permanent teeth, atrophy of maxillary alveolar bone, and mandibular protrusion. Restoration space was secured and tooth axis was improved by the extraction of deciduous teeth and orthodontic treatment. However, edge-to-edge bite of posterior teeth and arch dimension discrepancy due to atrophic maxilla was remained. To restore the aesthetics and functionality, implant retained prosthesis was planned. Considering minimal bone grafts, location and number of dental implants and prostheses design were determined. Through the gradual adjustment of provisional restoration, the appropriate centric and eccentric occlusion was reflected into a definitive prosthesis. Currently, stable functional results were attained, however, regular follow up and maintenance care over lifetimes should be performed.