• Title/Summary/Keyword: Incisor extraction

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A STUDY OF THE VARIANCES IN PRE- AND POST-TREATMENT DENTAL ARCH SHAPES IN EXTRACTION AND NON-EXTRACTION CASES (발치 및 비발치 치료증례에서의 치료전후 치열궁형태의 변화에 관한 연구)

  • Han, Hong;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.21 no.1 s.33
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    • pp.223-238
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    • 1991
  • This study was carried out in order to findout the amount of tooth movement, the changes arch size and the changes in arch morphology following orthodontic treatment and to provide a guideline for to predict post-treatment arch morphology. The sample group for this study consists of 15 males and 22 females, totalling in 37 persons, who received orthodontic treatment at Orthodontic Department of Dankook Univ. Dental Hospital. They are classified into Extraction Class I treatment group (E I), Non-extraction Class I treatment group (N I), and Non-extraction Class III treatment group (N III), according to their pre-treatment malocclusion state and methods of treatment. Following conclusions and averaged dental arch form for each group were obtained by cephalometric linear measurements and dental arch measurements using pre- and post-treatment lateral cephalograms and plaster study models. 1. Intercanine width were reduced in max. of both EI and NI during the period of treatment, 2. Intermolar width were reduced in max. of EI and increased in max. of NI. Therefore although there was no difference between these two groups before the treatment, intermolar width of the max, of NI was wider than that of E1 after the treatment. 3. PMV-incisor distance and PMV-canine distance were decreased in both max. and mand. of EI and that of NI, during the period of treatment. PMV-molar distance was decreased in both max. and mand. of NI and in mand. of NIII. 4. Items that showed stability during the treatment were: max. & mand. PMV-molar distance, mand. intercanine and intermolar width in EI; mand. intercanine and intermolar width in NI; mand. & max. PMV-incisor distance, PMV-canine distance, max. PMV-molar distance and max. & mand. intercanine and intermolar width in NIII. 5. The differences in averaged canine and molar variances to post-treatment dental arch form were present only in EI and in NI. There was no variance between maxilla and mandible in each group.

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A COMPARATIVE STUDY OF PRE- AND POST-TREATMENT CEPHALOMETRIC MEASUREMENTS: EXTRACTION VS. NON-EXTRACTION GROUPS OF CLASS I MALOCCLUSION (제 I 급 부정교합 환자의 발치와 비발치 교정치료 전.후의 두부방사선 계측학적 비교 연구)

  • Yu, Hyung-Seog;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.27 no.5 s.64
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    • pp.761-770
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    • 1997
  • 71 Class I malocclusion samples were selected and they were divided into premolar-extraction and non-extraction groups. Vertical and horizontal cephalometric evaluations on dental and soft tissue measurements were done before and after treatment. Also, treatment results in adolescent patients and adult patients were compared. The following conclusions were obtained: 1. In comparison of extraction and non-extraction groups, all the dental and soft tissue measurements, with exception of SN-MP angle, upper lip to E-line, vertical movement of upper first molar, md horizontal movement of lower first molar, showed statistically significant differences. 2. In comparison of extraction and non-extraction groups of adolescent samples, there were statistically significant differences in upper and lower incisor inclinations, horizontal dental movements from vertical reference line, positional changes in upper and lower lips, and mesial movements of upper first molar. 3. In comparison of extraction and non-extraction groups of adult samples, there were statistically significant differences in upper and lower incisor inclinations, horizontal dental movements from vertical reference line, positional changes in upper and lower lips from I-line and vertical reference line, vertical height of upper first molar, and mesial movement of lower first molar. 4. There was no statistically significant difference in SN-MP angle between extraction and non-extraction groups of both adolescent and adult samples.

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A comparative study of pre- and post-treatment cephalometric measurements: Upper premolar extraction only vs. upper/lower premolar extraction groups (상악 편악 소구치발치와 양악 소구치발치에 의한 교정치료 전후의 측모 두부방사선계측법적 비교 연구)

  • Kim, Young-Seok;Kim, Su-Jung;Kang, Seung-Goo;Lee, Young-Jun
    • The korean journal of orthodontics
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    • v.37 no.6
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    • pp.421-431
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    • 2007
  • The objective of this study was to provide guidelines for the diagnosis and successful treatment of orthodontic treatment with upper premolar extraction only Methods: The sample group consisted of 40 patients (20 with upper premolar extraction only, 20 with both upper and lower premolar extractions) who showed an overjet of more than 7 mm and were finished successfully. Lateral cephalographs were taken before and after orthodontic treatment. Landmarks showing the position of the upper and lower incisors and the position of the upper and lower lip were determined and angular measurement of these values were obtained for statistical analysis (Mann-Whitney test). Results: At pre-treatment, the position of the lower incisor was less labially inclined and the convexity of the lower lip was smaller in the upper premolar extraction only group than in the upper/lower premolar extraction group. At post-treatment, there was no difference in all measurements except for the position of the lower incisor. A comparison of changes between pre- and post-treatment showed that the retraction of upper & lower incisors and the decrease in convexity of the lower lip were greater in the upper/lower premolar extraction group. Conclusions: Treatment by upper premolar extraction can be of benefit for patients whose lower incisor proclination and lower lip protrusion are not excessive.

INTENTIONAL REPLANTATION OF CROWN-ROOT FRACTURED TOOTH WITH OPEN APEX (의도적 재식술을 이용한 치관-치근 파절된 미성숙영구치의 치험례)

  • Ryu, Jung-A;Lee, Jae-Ho;Choi, Byung-Jai;Son, Heung-Kyu;Choi, Hyung-Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.267-272
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    • 2004
  • This case report describes an uncommon treatment method for crown-root fractured incisor with immature root. A 7-year-old girl was referred for treatment of crown-root fractured maxillary central incisor. The fracture line extended to 1/2 of the total tooth length with incomplete root formation. The prognosis of crown-root fracture is usually poor and extraction is usually undertaken. But, in the mixed dentition, extraction of maxillary permanent incisor results in many complications, such as resorption of alveolar bone, poor esthetics, pronunciation and mastication. Conservative therapy in the permanent dentition comprises of few treatment modalities; supragingival restoration, gingivectomy, orthodontic extraction of apical fragment, surgical extrusion of apical fragment with or without rotational replantation. However, in this case, these indications are not applicable, so intentional replantation with adhesive resin system is the treatment of choice. The tooth was followed-up for 12 months. Currently, there are no symptoms. Since this modality adopts the respective advantages of both intentional replantation and adhesive treatment, it might be the treatment of choice in cases of vertical crown-root fracture.

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The effect of lip thickness on lip profile change after orthodontically treated patients with 4 first bicuspid extraction (Basic upper lip thickness에 따른 교정치료 후 입술 이동량의 차이)

  • Park, Sun-Hyung;Park, Sung-Hun;Cho, Young-Moon;Kim, Jung-Hoon
    • The korean journal of orthodontics
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    • v.32 no.5 s.94
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    • pp.355-360
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    • 2002
  • After orthodontic treatment, there are several changes in soft tissue profile. Changes appear at lower anterior facial profile area, especially upper and lower lip. But there are many individual variations in the pattern of changes. So, this study was conducted to find out that the basic upper lip thickness could be one of the factors that could influence the treatment results. The samples were composed of 43 adult patients who had their 4 first premolars extracted. Groups were classified by their basic lip thickness. In group 1(thin upper lip group), there was negative relationship between mentolabial angle and lower lip change. In group 2(average lip thickness group), upper lip change was related to upper incisor change, lower incisor change, lower lip change and nasolabial angle change. And lower lip change was related to upper lip change, upper incisor change, lower incisor change. In group 3(thick upper lip group), there was no relation between both lip change and other variables.

A CASE OF BILATERAL SUPERNUMERARY TEETH IN THE MANDIBULAR INCISOR REGION : A CASE REPORT (하악 전치부에 양측성으로 발생한 과잉치의 치험례)

  • Jeong, Nae-Jeong;Kim, Jung-Wook;Kim, Chong-Chul;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.142-145
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    • 2001
  • Supernumerary tooth is one of the abnormalities in tooth number. Supernumerary tooth result from excessive proliferation of dental lamina and incidence reports identify a range of $0.3\sim0.8%$ in primary dentition, $1.0\sim3.5%$ in permanent dentition with males being affected twice as frequently as females, maxilla nine times as frequently as mandible The incidence is more in anterior tooth region than in posterior region. The most common supernumerary tooth is the mesiodens, which located between maxillary central incisors. The occurrence is very rare in the incisor region of mandible and the reports on incidence is 2%. In this case, there were two supernumerary teeth in the mandibular region and we could acquire normal alignment of mandibular incisors by extraction and orthodontic treatment.

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A STUDY ON THE FREQUENCY OF TOOTH EXTRACT10N FOR ORTHODONTIC TREATMENT (교정치료를 위한 발치빈도에 관한 연구)

  • Cho, Kju-Young;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.227-234
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    • 1988
  • To study diagnosis and treatment plan of malocclusion, comparison of race and nation and consideration of treatment technique, 885 orthodontic patients of the department of orthodontics, Infirmary of dental college, Chosun University were evaluated. The frequency and pattern of tooth extraction were studied according to malocclusion types and developmental stages of occlusion and sex. Thefollowingresultswereobtained. 1. Average frequency of tooth extraction for orthodontic treatment was $38.3\%$. 2. The frequency of tooth extraction was $43.7\%$ in class I malocclusion, $34.2\%$ in class II malocclusion and $32.1\%$ in class III malocclusion. 3. The drequency of tooth extraction was the highest in permanent dentition $(49.2\%)$. 4. The frequency of tooth extraction was not different between male and female. 5. The frequency of 3-4 premolars extraction was the highest $(57.5\%)$ and that of lower incisor extraction was the lowest $(2.9\%)$ in patterns of tooth extraction. 6. Both frequency of unilateral and single arch extraction were the highest in class III malocclusion.

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LIP PROFILE CHANGES AFTER ORTHODONTIC TOOTH MOVEMENT IN FEMALE ADULT WITH BIMAXILLARY PROTRUSION (양악 전돌증 환자에서 소구치 발치를 통한 교정치료시 입술 주위 연조직변화에 관한 연구)

  • Kim, Tae-Kyung;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.135-147
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    • 1994
  • Facial esthetics is one of the most important goal of the orthodontic treatment and main concern of many patients. Facial esthetics should be considered in orthodontic diagnosis and treatment planning. Prediction of soft tissue profile changes after orthodontic tooth movement should be considered as well. The purpose of this study was to find out the effect of orthodontic treatment on lip profile in adult patient. The pre and post treatment cephalometric roentgenograms of 87 female adult with bimaxillary protrusion were used to analyze lip profile change. All subjects were treated with four bicuspids extraction. Obtained results were as follows . 1. Lip thickness changes after incisor retraction showed different patterns according to areas of the lip. The thickness of the red lip area showed 2.78 mm increase in average. In contrast the thickness of the cutaneous area showed 0.65 - 0.7 mm decrease according to the different cutaneous areas. 2. The length of the red lip area decreased(1.3mm) after incisor retraction. 3. The length of the cutaneous lip area increased(2.9mm) after incisor retraction.

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Interdisciplinary rehabilitation of a root-fractured maxillary central incisor: A 12-year follow-up case report

  • Bonetti, Giulio Alessandri;Parenti, Serena Incerti;Ciocci, Maurizio;Checchi, Luigi
    • The korean journal of orthodontics
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    • v.44 no.4
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    • pp.217-225
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    • 2014
  • Single-tooth implantation has become a common treatment solution for replacement of a root-fractured maxillary incisor in adults, but the long-term esthetic results can be unfavorable due to progressive marginal bone loss, resulting in gingival recession. In this case report, a maxillary central incisor with a root fracture in its apical one-third was orthodontically extruded and extracted in a 21-year-old female. Implant surgery was performed after a 3-month healing period, and the final crown was placed about 12 months after extraction. After 12 years, favorable osseous and gingival architectures were visible with adequate bone height and thickness at the buccal cortical plate, and no gingival recession was seen around the implant-supported crown. Although modern dentistry has been shifting toward simplified, clinical procedures and shorter treatment times, both general dentists and orthodontists should be aware of the possible long-term esthetic advantages of orthodontic extrusion of hopelessly fractured teeth for highly esthetically demanding areas and should educate and motivate patients regarding the choice of this treatment solution, if necessary.