• Title/Summary/Keyword: First Permanent Molars

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Ectopic Eruption of transposed mandibular lateral incisors

  • Kim, Ga-Yeong;Kim, Seon-A
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.12 no.1
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    • pp.39-42
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    • 2003
  • Mandibular permanent lateral incisors showing bilateral transposition and ectopic eruption were seen beside deciduous first molars in a female aged 8yr 8month. Repositioning of the ectopic lateral incisor is difficult not only because of its distal displacement and severe rotation but also because of the potential development of transposition with the erupting canine. This paper is focused on the diagnosis of the ectopic eruption and advocates treatment with active orthodontic management at the early stage of mixed dentition, before the eruption of the permanent cuspid.

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A Survey Research on the Actual Condition for Intra-oral Treatment in Patients with a Visit to Dental Hospital in K Region (K지역 치과 병원에 내원한 일반 성인의 구강 내 치료 상태 실태조사)

  • Kim, Dong-Yeol
    • Journal of dental hygiene science
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    • v.9 no.5
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    • pp.563-570
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    • 2009
  • This study carried out the survey of the actual condition targeting 303 patients with execution of treatment after medical examination among patients who visited from January 2, 2008 to December 31, 2008 at dental hospital where is located in K region, and analyzed by using a program of SPSS13.0. The ratio of treatment in posterior was high with 76.9% in central incisor, 62.3% in the 1st bicuspids, and 45.3% in the first permanent molars as for health in the right teeth of maxillary, and with 77.9% in central incisor, 64.4% in the 1st bicuspids, and 47.6% in the first permanent molars as for the left teeth. In the lower jaw, the ratio of treatment in posterior was high with 92.1% in central incisor, 73.9% in the 1st bicuspids, and 42.6% in the first permanent molars as for health in the right teeth, and with 92.1% in central incisor, 75.9% in the 1st bicuspids, and 43.2% in the first permanent molars as for the left teeth. The upper left cuspid was treated in older patients by age(${\chi}^2=32.33$, p=0.000), in the more patients with high blood pressure(${\chi}^2=12.60$, p=0.000), and in case of systemic disease. The significant difference was shown(${\chi}^2=6.37$, p=0.012). The older patients led to being treated cuspid among right teeth in the lower jaw. The significant difference was shown according in the more patients with high blood pressure(${\chi}^2=8.26$, p=0.004). The left cuspid in the lower jaw was treated in the older patients by age the statistically significant difference was shown(${\chi}^2=12.10$, p=0.007).

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THE IATROGENIC DAMAGES OF THE FIRST MOLARS FOLLOWING THE STAINLESS STEEL CROWN RESTORATION THE SECOND PRIMARY MOLARS (제 2유구치 기성금관 수복에 따른 제 1대구치의 의원성 손상)

  • Bae, Ik-Hyun;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.153-158
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    • 2004
  • Preformed stainless steel crown is an useful restorative material for the treatment of badly broken down primary teeth. However iatrogenic damage to adjacent teeth might occur during the process of tooth reduction. Such damages might lead to plaque accumulation and increase the risks of caries initiation. Especially the damage can make a problem in the first permanent molar. Purpose of this study was to investigate an iatrogenic damage to the first permanent molar during preparation of second primary molar for preformed stainless steel crown. Twelve children restored with preformed stainless steel crown to second primary molar were selected. Contact areas were separated with separation elastics, and tooth surfaces were cleaned. After taking negative impression using vinylpolysiloxane impression material, the specimens were examined by scanning electron microscope for the detection of iatrogenic damage. The prevalence of iatrogenic damage was 66.7% and variable appearances and So we can suggest that when preparing teeth for preformed stainless steel crown, we should be careful about adjacent teeth not to make an iatrogenic damage.

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RADIOGRAPHIC STUDY OF ERUPTION CHARACTERISTICS FOR UPPER PERMANENT 1ST MOLAR CLASSIFIED AS IRREVERSIBLE ECTOPIC ERUPTION (비가역성 이소맹출로 분류된 상악 제1대구치의 맹출 특성에 관한 방사선학적 연구)

  • Im, El;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.556-562
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    • 2009
  • Ectopic eruption of the maxillary first permanent molar means that the molar erupts out of the normal position and is arrested in its eruption by the second primary molar. This local eruption disturbance results in a premature atypical resorption on the distal part of the second primary molar. In most irreversible cases, the second primary molar is lost prematurely, either by spontaneous exfoliation or by extraction, In cases of doubt as to whether the eruption is of the irreversible type or not, careful radiographic observation period for a few months would be valuable in evaluating the possibilities of the tooth's freeing itself. The purpose of this study was to determine the characteristics and occurrence of the ectopic eruption of the maxillary first permanent molar. A descriptive, observational, retrospective study was done using the radiographs of 25 conseutive patients, who were in the first phase of mixed dentition. A method was designed to evaluate the amount of pathologic resorption of the second maxillary primary molar and the mesial angulation of the first permanent molar. The study showed that the most important etiologic factor was the eruption path or mesial angulation of the first permanent molars relative the chosen reference lines.

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TREATMENT OF THE IMPACTED LOWER SECOND MOLARS (매복된 하악 제2대구치 맹출유도의 치험례)

  • Hahn, Soo-Kyoung;Kim, Jung-Wook;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.41-45
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    • 2004
  • In the normal growth and development of the mandible, the molar tooth buds distal to the first permanent molar have a mesial inclination. This inclination is usually self-correcting, but, unfortunately, this self-correction does not always occur. The first case is about, 14-year-old female patient with familial history of lower second molar impaction. Her lower second molars were both impacted, and she was treated with sectional wires and open-coil springs. The second case, 14-year-old male, we treated his impacted #47 with Halterman appliance. The third case, 11-year-old male, his both mandibular second molars were impacted during full-fixed orthodontic treatment. They were treated with brass wire, sectional wire and open-coil spring.

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ORAL REHABILITATION OF UNSTABLE OCCLUSION DUE TO SEVERELY DESTRUCTED FIRST PERMANENT MOLARS (제1대구치의 광범위 치관파괴로 인한 불안정한 교합의 재건)

  • Baik, Byeong-Ju;Lee, Sun-Young;Kim, Jae-Gon;Jeon, So-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.2
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    • pp.204-209
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    • 2003
  • A 9-year old boy visited Department of Pediatric dentistry, Chonbuk National University Hospital due to unstable occlusion. He had permanent 1st molars destructed severely by dental caries and lost vertical stop. He could not occlude in the same position on closing of the jaw since he could not find his centric occlusion. The treatment plan was made, which was oral rehabilitation with crown restorations on permanent 1st molars based on clinical and radiographic examinations and centric relation of the jaw. Treatment plan consisted of endodontic treatment, crown lengthening and restoration of the occlusal vertical dimension (OVD) with gold crown by 3mm-increase of OVD. After endodontic and periodontal treatments, temporary crowns made of acrylic resin were set for assessment of tolerance to an increased OVD. After a month for tolerance, final prosthetics were made and set temporarily. In a month, gold crowns were set finally. Immediately after setting, the patient showed anterior open bite, but at the appointment after 4 months, he showed normal overjet, overbite and stable occlusion.

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Changes of Occlusion following the Placement of Preformed Metal Crown to the Permanent First Molar in Children and Adolescents (소아청소년에서 제1대구치의 기성금속관 수복 후 교합 변화)

  • Kim, Jiwoong;Lee, Nanyoung;Jih, Myeongkwan;Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.45-56
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    • 2022
  • The purpose of this study is to evaluate changes of occlusion following the placement of preformed metal crown in the permanent first molar affected by severe caries or hypomineralization. The study was conducted on 24 patients who met the criteria among the patients with occlusion in the permanent first molar reaching the occlusal plane. Restorative treatment was performed on one first molar using preformed metal crown. Before treatment, immediately after treatment, after 4 weeks, and after 8 weeks, the T-scan III was used for measuring distribution of bite force at the maximum intercuspal position, and overbite was measured with digital vernier calipers and change of dental midline was surveyed. After 8 weeks, questionnaires survey was conducted. In most cases, immediately after treatment, the distribution of bite force between the restored side and non-restored side of arch was reversed compared to before treatment, and the overbite was decreased. However, after 4 weeks, bite force of the left and right side was balanced and the distribution of bite force on the restored and non-restored permanent first molars had similar values. Also, the changed overbite and midline were returned to pre-treatment status and there was no significant temporomandibular joint and masticatory discomfort after treatment. In this study, it was confirmed that spontaneous occlusal equilibrium was achieved one month after the placement of preformed metal crown.

A STUDY ON THE ANATOMY OF THE PULP CHAMBR FLOOR OF THE PERMANENT MANDIBULAR FIRST MOLAR (하악 제1대구치 치수저의 해부학적 고찰)

  • Kwon, Hyuk-Choon
    • The Journal of the Korean dental association
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    • v.22 no.5 s.180
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    • pp.423-427
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    • 1984
  • A total of 114 extracted human mandibular first molars were used to study the configuration of the floor of the chamber. The specimens were ground and the pulp chamber was examined with a magnifier and explored with sharp explorer. The study showed the shape of the pulp chamber, number of root canals, and the type of canal orifice. The results were as follows; 1. In so far as observing the shape of the pulp chamber of the teeth, 58.8% of the teeth were square, 34.2% were triangle and 7.0% were ovoid shape. 2. 58.8% of the specimens have 4 root canal orifices, 34.2% have 3 root canal orifices, 7.0% have 2 root canal orifices. 3. 41.2% of the specimens show 'H' shape, 17.6% show 'Square' shape, 31.6% show 'T' shape, 2.0% show 'reverse-T' shape and 7.0% show 'I' shape.

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A STUDY ON THE ANAOMY OF THE PULP CHAMBER FLOOR OF THE PERMANENT MAXILLARY FIRST MOLAR (상악(上顎) 제일대구치(第一大臼齒) 치수저(齒髓底)의 해부학적(解剖學的) 고찰(考察))

  • Kwon, Hyuk-Choon
    • Restorative Dentistry and Endodontics
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    • v.6 no.1
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    • pp.105-107
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    • 1980
  • A total of 125 extracted maxillary first molars were used to study the configuration of the floor of the pulp chamber. The specimens were ground and the pulp chamber was examined with a magnifying glass and explored with sharp explorer. The study showed the shape of the pulp chamber, number of root canals, and type of canal orifice. The results were as follows; 1. In so far as observing the shape of the pulp chamber of the teeth, 50.4% of the teeth were trapezoid, 20.8% were inverted trapezoid, 18.4% were rectangle and 10.4% were triangle shape. 2. 71.2% of the specimens have 3 root canal orifices, and 28.8% have 4 root canal orifices. 3. 71.2% of the specimens have 1 mesiobuccal canal orifice, 23.2% have 2 mesio-buccal canal orifices joined by a groove, and 5.6% have 2 mesio-buccal canal orifices seperated each other.

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BILATERALLY PRIMARY FIRST MOLARS WITH SINGLE ROOT (단일 치근을 가진 하악 제1유구치)

  • Yoon, Sang-Il;Kim, Sung-Oh;Lee, Jae-Ho;Son, Heung-Kyu;Choi, Hyung-Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.701-704
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    • 2004
  • In this case, we would like to discuss about the single rooted deciduous mandibular first molar. The deciduous mandibular molar of a five years old boy was shown to have a single root, bilaterally. Ordinarily, the maxilary molars have three roots and the mandibular molars have two roots. However, when the hertwig's epithelial root sheath do not invaginate properly during tooth development, root fusion can occur from the absence of root separation. Molars with fused roots not only have unfavorable crown to root ratio, but also according to many reports, have higher probability of having multiple congenitally missing teeth or dens invaginatus in the maxillary incisors, consequently requiring preventive dental treatment In addition, disorders such as ectodermal dysplasia, syndactyly, clinodactyly, bluish sclera can also be related to this condition. Root fusion is known to be of autosomal recessive inheritance. Up to date, single rooted molars have been reported several times in permanent dentitions but hardly in deciduous dentition, which is the motive for this paper.

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