• 치과방사선
• /
• 제1권1호
• /
• pp.13-19
• /
• 1971

The author has studied on 910 roentgenograms of lower second molars, which were taken by intraoral technic, and obtained the following results. 1. The development of crown of lower second molars was completed 8.25 years. 2. The formation of mesial and distal roots in full length on lower second molars was completed as follows: a. mesial roots 15. 07 years b. distal roots 15. 53 years 3. The formation of apical foramina of mesial and distal roots of lower second molars was closured as follows: a. apical foramen of mesial root 18.00 years b. apical foramen of distal root 18.79 years 4. As a general rule, the mesial roots were developed more earlier than distal roots.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제42권4호
• /
• pp.205-208
• /
• 2016

Actinomycosis is an infection caused by the actinomyces genus and is associated with trauma or previous infection. A 58-year-old male patient was referred from a private dental clinic for root extraction of the lower right molar. The x-ray showed fractured root-like material distal to the distal root of the lower right second molar. A biopsy during extraction of the root-like material was performed, which revealed a sequestrum with actinomycosis by a pathological examination. In this case, the radiopacity of the suspicious lesion was higher than that of the surrounding alveolar bone, which confused it with the root tip. The diagnosis of actinomycosis required long-term antimicrobial therapy, which is very different from simple extraction or removal of sequestrum.

• 대한치과교정학회지
• /
• 제23권4호
• /
• pp.493-501
• /
• 1993

It is the aim of this study to determine the impacts of radicular development of lower third molars on its eruption/impaction and to grope the prediction for eruption and/or impaction in advance. Three hundred and thirty cases of orthopantomogram were employed and classified as mesial root-dominant group, distal root-dominant group and Identical group according to the radicular development of lower third molars. This presentation has carried out the incipient mesial inclination, radicular development, impaction/eruption rate and changes of mesial inclination of the very teeth. Consequently the following summary and conclusions were drawn; Radicular development dominated mesial root than the distal and dominant mesial root invited higher potentialities for normal eruption. The mesial or honzontal impactions were detected on the distal root-dominant group. This analysis has been suggested the potential eruption/impaction of lower third molars were dependent upon the radicular development and the incipient mesial inclination.

• Journal of Periodontal and Implant Science
• /
• 제38권1호
• /
• pp.103-108
• /
• 2008

Purpose: Studies reported controversial results about prognosis of root resection with 0%-38% failure rate. The purpose of this study is to consider clinical efficacy of root resection. Materials and Methods: This study reported three cases of root resection which were performed on different sites. In first case, lower right first molar showed pus discharge and 7 mm of probing pocket depth. It was diagnosed as fracture of mesial root. Hemisection of mesial root was performed. In second case, upper right first molar showed severe bone loss on disto-buccal root and 7 mm of probing pocket. Resection of disto-buccal root was performed In third case, lower left second molar showed severe bone loss on distal root including apex and 15mm of probing pocket depth. Hemisection of distal root was performed. Result: In these three cases of root resection, compromised molars were treated successfully and conserved. Conclusion: Root resection is a successful procedure treating compromised multi-rooted teeth and conserving teeth when proper case selection is performed.

• 대한치과보철학회지
• /
• 제33권3호
• /
• pp.413-439
• /
• 1995

The purpose of this study was to evaluate the stress distribution developed in the supporting structures by mandibular distal extension removable partial dentures with 2 different direct retainer designs and with or without indirect retainer and abutment splinting. The examined direct retainers on the second bicuspid abutment tooth were Akers clasp and RPA clasp, the indirect retainer was located on the mesial fossa of the first bicuspid, and the first and second bicuspid were splinted in case of tooth splinting. Total 8 cases were compared and analyzed with 3-dimensional finite element method. 150N were applied vertically on the artificial teeth of the removable partial denture, and then stress distribution patterns were analyzed and compared. The results were as follows : 1. The forces transmitted to the abutment tooth were primarily from the occlusal rests. 2. The abutment tooth was displaced distally when the force was applied. The compressive stress was observed at the distal root surface of the abutment tooth and the tensile stress, at the mesial root surface. 3. The denture base was displaced posteriorly and inferiorly when the force was applied. At the more distal portion of the denture base, the greater displacement was observed.And the anterior portion of the major connector was displaced superiorly. 4. The occlusal rest placed on the distal part of the abutment tooth tended to tip the tooth more posteriorly than did one on the mesial part of that tooth. 5. Severe superior displacement was observed at the anterior portion of the major connector in case of removable partial dentures without indirect retainer. 6. In case of tooth-splinting, the stress was distributed through all the root surface of both abuments. In case of no tooth-splinting, the stress was concentrated on the distal root surface of the primary abutment.

• 치과방사선
• /
• 제25권2호
• /
• pp.375-387
• /
• 1995

The purpose of this study was to quantitatively evaluated experimental tooth root resorption for digital radiography. For this study, experimentally three root sites were used, and radiograms were taken with standardized apparatus. Digital imaging system were consisted of NEC PC-980l(computer), TRINITRON(monitor), SONY XC-711 CCD camera. The display monitor had a resolution of 512X512 pixels. The obtained results were as follows: 1. In the difference of the four X-ray film of the contrast correction, the contrast difference was one gray scale variation at mean value. 2. Viewing of the view box of the periapical radiographs, experimental tooth root resorption of the periapical area of the first premolar, middle of mesial surface of the first molar mesial root, middle of lingual surface of the first molar distal root were recognized by increased diameter. 3. On the analysis by histogram, the periapical area of the first premolar, the middle of mesial surface of the first molar mesial root were each recognized tooth root resorption of the 5,6,7 pixel, 2,4,5 pixel by increased diameter. 4. On the analysis by histogram, the middle of lingual surface of the first molar distal root was each recognized tooth root resorption of the none, 3,6 pixel by increased diameter.

• Imaging Science in Dentistry
• /
• 제37권2호
• /
• pp.103-110
• /
• 2007

Purpose: To examine the danger zone of mesial root of mandibular first molar of patient without extraction using CBCT (cone-beam computed tomography) to avoid the risk of root perforation. Materials and Methods: 20 mandibular first molars without caries and restorations were collected, CT images were obtained by CBCT ($PSR9000N^{TM}$, Asahi Roentgen Co., Japan), reformed and analyzed by V-work 5.0 (CyberMed Inc., Korea), Distance between canal orifice and furcation was measured. In cross sectional images at 3, 4 and 5 mm below the canal orifice, distal wall thickness of mesiobuccal canal (MB-D), distal wall thickness of mesiolingual canal (ML-D), distal wall thickness of central part (C-D), mesial wall thickness of mesiobuccal canal (MB-M) and mesial wall thickness of mesiolingual canal (ML-M) were measured, Results: The mean distance between the canal orifice and the furcation of the roots is 2.40 mm, Distal wall is found to be thinner than mesial wall. Mean dentinal wall thickness of distal wall is about 1 mm, The wall thickness is thinner as the distance from the canal orifice is farther. But significant differences are not noted between 4 mm and 5 mm in MB-D and C-D, MB-D is thinner than ML-D although the differences is not significant. Conclusion: The present study confirmed the anatomical weakness of distal surface of the coronal part of the mesial roots of mandibular first molar by CBCT and provided an anatomical guide line of wall thickness during endodontic treatment.

• Restorative Dentistry and Endodontics
• /
• 제32권4호
• /
• pp.335-342
• /
• 2007

C형 근관은 복잡한 근관계의 형태로 인해 임상가가 미리 인지하지 못한 경우 근관치료 시 많은 어려움에 직면하곤 한다. 본 연구에서는 하악 제2대구치의 근관치료 환자에서 C형 근관의 형태별 빈도를 알아보고 방사선 사진 상 C형 근관계의 형태학적 특징과의 관련성을 비교 평가하고자 본 연구를 시행하였다. 1998년부터 2005년까지 조선대학교 치과병원 보존과에 내원한 227례의 하악 제2대구치 근관치료 환자의 의무기록지를 조사한 후 임상에서 근관치료 시 기록된 치수강저의 형태와 해당환자의 방사선 사진을 기초자료로 다음과 같은 결론을 얻었다. 하악 제2대구치 C형 근관은 한국인에서 많은 빈도를 보였으며, 근관치료 시 환자의 방사선 사진을 잘 활용하여 치근단의 형태와 원심근관의 위치를 주의깊게 관찰하면 C형 근관을 미리 예측할 수 있을 것으로 사료된다.

• Imaging Science in Dentistry
• /
• 제45권2호
• /
• pp.95-101
• /
• 2015

Purpose: This study used cone-beam computed tomography (CBCT) to characterize mandibular molar root and canal morphology and its variability in Belgian and Chilean population samples. Materials and Methods: We analyzed the CBCT images of 515 mandibular molars (257 from Belgium and 258 from Chile). Molars meeting the inclusion criteria were analyzed to determine (1) the number of roots; (2) the root canal configuration; (3) the presence of a curved canal in the cross-sectional image of the distal root in the mandibular first molar and (4) the presence of a C-shaped canal in the second mandibular molar. A descriptive analysis was performed. The association between national origin and the presence of a curved or C-shaped canal was evaluated using the chi-squared test. Results: The most common configurations in the mesial root of both molars were type V and type III. In the distal root, type I canal configuration was the most common. Curvature in the cross-sectional image was found in 25% of the distal canals of the mandibular first molars in the Belgian population, compared to 11% in the Chilean population. The prevalence of C-shaped canals was 10% or less in both populations. Conclusion: In cases of unclear or complex root and canal morphology in the mandibular molars, CBCT imaging might assist endodontic specialists in making an accurate diagnosis and in treatment planning.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제28권5호
• /
• pp.341-347
• /
• 2002

This study was designed to determine the location of the mandibular canal on lower molar areas. Thirty-three patients were examined with multi-planar reformatted CT scan($Dentascan^{(R)}$). Three kinds of measurements were performed. The first was the distances between the upper border of the mandibular canal and the root apices of the first and second molars, the second was the distance between the cortical plate of the mandible and mandibular canal, and the last was the location of the mandibular canal in the buccolingual plane. The obtained results are as follows 1. The distance between the root apices of lower molars and the superior border of mandibular canal was largest at the mesial root of the first molar, and shortest at the distal root of the second molar(p<0.05). 2. The longest distance between the outer surface of the buccal cortical plate of the mandible and mandibular canal was measured from the distal root of the second molar, and this distance decrease gradually mesially(p<0.05). 3. The distance between the mandibular base and inferior border of mandibular canal was longest at the distal root of the second molar, and shortest at the mesial root of the first molar(p<0.05). 4. The location of mandibular canal was lingually positioned in relation to the axis of teeth and alveolar ridge in molar areas.