• Title/Summary/Keyword: Impacted

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ORTHODONTIC TREATMENT OF IMPACTED MAXILLARY INCISOR : A CASE REPORT (매복된 상악 전치의 교정적 치료 : 증례보고)

  • Kim, Hae-Ri;Oh, So-Hee;Kim, Young-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.709-717
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    • 2007
  • Impaction of maxillary incisor is rare than the third molar and canine, but its rate is higher than the other anterior teeth due to frequent mesiodens, trauma and variation of root formation (root dilaceration etc.). It is often observed in the dental age of about eight years and over. It will be occurred that the space loss, midline deviation and cyst formation due to the impaction of maxillary incisor. So it is important to evaluate the precise location of impacted tooth and to make appropriate treatment plan. Treatment would be surgical extraction or expectation for spontaneous eruption. If the impacted tooth has no pathologic change and development of the root is favorable, orthodontic traction is recommended for recovery of function and esthetics. In these cases, we performed orthodontic traction for the eruption of impacted maxillary incisors, and obtained satisfactory results.

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Comparison of lidocaine with articaine buccal injection in reducing complications following impacted mandibular third molar surgery: a split-mouth randomized clinical trial

  • Naghipour, Amin;Esmaeelinejad, Mohammad;Dehnad, Seyed Vahid;Shahi, Anahita;Jarrahi, Alireza
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.4
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    • pp.213-221
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    • 2020
  • Background: Complications following impacted third molar surgery significantly affect patients' quality of life during the immediate postoperative period. This study aimed to achieve the proper anesthesia method by comparing the effect of the application of lidocaine alone with the application of lidocaine and articaine simultaneously in reducing the complications during and following impacted mandibular third molar surgery. Methods: The study design was a split-mouth double-blind randomized clinical trial. The study was conducted on 13 patients (26 samples) referred for elective surgical removal of bilateral impacted mandibular third molar with similar difficulty on both sides. Each patient underwent similar surgical procedures on two separate appointments. Each patient randomly received 2% lidocaine for conventional inferior alveolar nerve block and 4% articaine for local infiltration before the surgery on one side (group A) and 2% lidocaine alone (for both block anesthesia and infiltration) before the surgery on the other side (group B). Intraoperative and postoperative variables for both groups were established and statistically analyzed. Results: The findings showed that pain on the first day after surgery in group A was significantly lower than that in group B. The patients in group A mentioned experiencing less discomfort following the surgery. The increased horizontal swelling on the first and third days following surgery and oblique swelling on the seventh day in patients in group B were statistically significant. Conclusion: Choosing an appropriate anesthetic drug for oral surgery, specifically impacted third molar surgery, is dependent on the clinician's opinion, however; it seems that the combination of lidocaine and articaine may control the patient's pain significantly better than lidocaine alone.

Panoramic radiological study to identify locally displaced maxillary canines in Bangladeshi population

  • Alif, Sheikh Mohammad;Haque, Sejuty;Nimmi, Naima;Ashraf, Ali;Khan, Saeed Hossain;Khan, Mahfujul Haq
    • Imaging Science in Dentistry
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    • v.41 no.4
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    • pp.155-159
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    • 2011
  • Purpose : This study was performed to determine the prevalence of maxillary canine impaction on a basis of a single panoramic radiograph in Bangladeshi population. Materials and Methods : A random sample of seven hundred panoramic radiographs was collected from the patient record of a dental clinic. All the selected panoramic radiographs were taken from January 2009 to August 2010 by a single panoramic radiograph machine with the same exposure time (19 seconds) for all radiographs. One hundred and twenty panoramic radiographs were excluded to minimize the selection bias. In a dim lit room, an observer assessed the radiographs on a standard radiographic light box. The position of the impacted maxillary canine was recorded in line with the longitudinal axis of a tooth using the edge of a metal ruler. Data were subsequently put on SPSS 11.5 software and chi-square (${\chi}^2$) tests were applied to find out the association. Results : Among 580 panoramic radiographs it was found that impacted maxillary canines were present in only 7 (1.2%) radiographs. A statistical significant difference was found between the age of the patients and the vertical position of the impacted canines (p=0.000) and between the age of the patients and the horizontal position of the impacted canines (p=0.003). Conclusion : The prevalence was found to be low compared with the present study from the limitation of panoramic image. Further study needs to include three-dimensional imaging modality.

Impacts of Success Factors of Information System on Business Performance through Security Reliability of Casino Information System and Job Satisfaction (정보시스템 성공요인이 카지노정보시스템의 보안신뢰와 직무만족을 통해 경영성과에 미치는 영향)

  • LEE, Dae Kun;HWANG, Chan Gyu
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.181-198
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    • 2016
  • This study explored the performance factors of casino information systems for foreigners, empirically examined the causal relation between these factors and the business performances through organizational trust and job satisfaction and suggested a direction to enhance the casino information systems. The result of this study showed that, firstly, information quality impacted positively on security reliability and job satisfaction. Secondly, system quality impacted positively on security reliability and job satisfaction. Thirdly, service quality impacted positively on security reliability and job satisfaction. Fourthly, security reliability impacted positively on job satisfaction through security reliability. Lastly, security reliability and job satisfaction impacted positively on business performance. This research must be continued by expanding upon the variables of this research study, and there is a need for follow up research on methods that can analyze the management performance of casino information systems from a diverse set of approaches and also research that conducts an analysis on systems that are implemented to prevent tax evasion.

Pain and quality of life related to suture removal after 3 or 7 days at the extraction sites of impacted lower third molars

  • Rodanant, Pirasut;Wattanajitseree, Kannika;Shrestha, Binit;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.2
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    • pp.131-136
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    • 2016
  • Background: This study aimed to evaluate the patient's pain and quality of life after suture removal at either 3 or 7 days following the bilateral surgical extraction of impacted lower third molars. Methods: This study was a prospective, randomized controlled clinical trial carried out in 30 patients, who acted as their own control. Each patient required the bilaterally impacted mandibular third molars to be extracted. The impacted teeth were removed and the wound margins were approximated and sutured with black braided silk. The suture material was removed on day 3 on one side and on day 7 on the other. Each participant was asked to complete a questionnaire after the removal of the suture material on each designated day. Results: Regarding overall clinical symptoms, the mean VAS scores of male and female participants on day 3 were not significantly different from those on day 7. A significant difference was found in female participants, in that overall daily activity was better on day 7. There were significant differences in the ability to smile and laugh in both sexes and the ability to chew in the male participants was better on day 7. Conclusions: There were no significant differences in the patient's pain and quality of life between suture removal on day 3 or on day 7 following surgery to remove impacted lower third molars.

IMPACTED MANDIBULAR CANINES; CASE REPORT (하악 매복 견치의 치과적 접근)

  • Baik, Byeong-Ju;Seo, Jeong-Ah;Park, Jong-Ha;Yang, Yeon-Mi;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.611-617
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    • 2003
  • Impacted mandibular canines are less common than impacted maxillary canines. The proceeding studies show that impacted mandibular canines occur in approximately 0.1% of patients examined. The causes of impacted mandibular canines are inadequate space, premature loss of the primary dentition, excessive crown length, hereditary factors, functional disturbances of endocrine glands, tumors, and traumas. The basic choices for treatment of those cases are orthodontic migration or surgical removal. This is a case report about those two different treatment methods. One patient was 11 years old female who had treated with surgical approach and the other was 14 years old male who had received orthodontic treatment.

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PHYSIOLOGIC ERUPTION INDUCTION OF TRANSPOSED IMPACTED UPPER INCISORS THROUGH AUTOTRANSPLANTATION (변위매복된 상악전치의 자가이식을 통한 자발적 맹출 유도)

  • Kim, Jae-Gon;Lee, Doo-Cheol;Oh, Kyong-Seon;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.281-286
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    • 2001
  • The treatment method of impacted tooth is various from simple observation to surgical exposure and orthodontic methods, autotransplantation is concerned to severe malposed impacted tooth. Autotransplantation is the transplantation of embedded, impacted, of unerupted tooth, into extraction socket of surgically prepared in the same individual. Autotransplantation of tooth with $\frac{1}{2}{\sim}\frac{3}{4}$ root development provides a good chance of easily extracted, a little complication, pulp survival, and complete root formation. Transplantation of uncompleted root apex tooth is aim to pulpal healing, not endodontic treatment. The case which were treated with autotransplantation is reported, and induced normal physiologic eruption and good dental alignment.

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Three dimensional evaluation of impacted mesiodens using dental cone beam CT (치과용 콘빔 CT를 이용한 상악 정중과잉치의 3차원 분석)

  • Lee, Dong-Ho;Lee, Jea-Seo;Yoon, Suk-Ja;Kang, Byung-Cheol
    • Imaging Science in Dentistry
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    • v.40 no.3
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    • pp.109-114
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    • 2010
  • Purpose : This study was performed to analyze the position, pattern of impacted mesiodens, and their relationship to the adjacent teeth using Dental cone-beam CT. Materials and Methods : Sixty-two dental cone-beam CT images with 81 impacted mesiodenses were selected from about 2,298 cone-beam CT images at Chonnam National University Dental Hospital from June 2006 to March 2009. The position, pattern, shape of impacted mesiodenses and their complications were analyzed in cone-beam CT including 3D images. Results : The sex ratio (M : F) was 2.9 : 1. Most of the mesiodenses (87.7%) were located at palatal side to the incisors. 79% of the mesiodenses were conical in shape. 60.5% of the mesiodenses were inverted, 21% normal erupting direction, and 18.5% transverse direction. The complications due to the presence of mesiodenses were none in 43.5%, diastema in 19.4%, tooth displacement in 17.7%, delayed eruption or impaction in 12.9%, tooth rotation in 4.8%, and dentigerous cyst in 1.7%. Conclusions : Dental cone-beam CT images with 3D provided 3-dimensional perception of mesiodens to the neighboring teeth. This results would be helpful for management of the impacted mesiodens.

Modified difficult index adding extremely difficult for fully impacted mandibular third molar extraction

  • Kim, Jae-Young;Yong, Hae-Sung;Park, Kwang-Ho;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.6
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    • pp.309-315
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    • 2019
  • Objectives: The aim of this study was to evaluate the validity of the existing classification and difficulty index of impacted mandibular third molars in clinical situations and propose a more practical classification system. Materials and Methods: This study included 204 impacted mandibular third molars in 154 patients; panoramic x-ray images were obtained before tooth extraction. Factors including age, sex, and pattern of impaction were investigated. All impacted third molars were classified and scored for spatial relationship (1-5 points), depth (1-4 points), and ramus relationship (1-3 points). All variables were measured twice by the same observer at a minimum interval of one month. Finally, the difficulty index was defined based on the total points scored as slightly difficult (3-4 points), moderately difficult (5-7 points), very difficult (8-10 points), and extremely difficult (11-12 points). Results: The strength of agreement of the total points scored and difficulty index were 0.855 and 0.746, respectively. Most cases were classified as moderately difficult (73.0%). Although only 13 out of 204 cases (6.4%) were classified as extremely difficult, patients classified as extremely difficult were the oldest (P<0.05). Conclusion: For difficulty classification, the authors propose one more difficult category beyond the existing three-step difficulty index: the clinician should consider the patient's age in the difficulty index evaluation.

Dentifying and Clustering the Flood Impacted Areas for Strategic Information Provision (전략적 정보제공을 위한 침수영향구역 클러스터링)

  • Park, Eun Mi;Bilal, Muhammad
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.20 no.6
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    • pp.100-109
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    • 2021
  • Flooding usually brings in disruptions and aggravated congestions to the roadway network. Hence, right information should be provided to road users to avoid the flood-impacted areas and for city officials to recover the network. However, the information about individual link congestion may not be conveyed to roadway users and city officials because too many links are congested at the same time. Therefore, more significant information may be desired, especially in a disastrous situation. This information may include 1) which places to avoid during flooding 2) which places are feasible to drive avoiding flooding. Hence, this paper aims to develop a framework to identify the flood-impacted areas in a roadway network and their criticality. Various impacted clusters and their spatiotemporal properties were identified with field data. From this data, roadway users can reroute their trips, and city officials can take the right actions to recover the affected areas. The information resulting from the developed framework would be significant enough for roadway users and city officials to cope with flooding.