• Title/Summary/Keyword: Intact tooth

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Early Diagnosis and Proper Treatment of Cracked tooth (Cracked tooth (금이 간 치아)의 조기 진단 및 적절한 치료)

  • Kim, Sin-Young
    • The Journal of the Korean dental association
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    • v.57 no.7
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    • pp.403-411
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    • 2019
  • A cracked tooth is defined as an incomplete fracture initiated from the crown and extending subgingivally and usually directed mesiodistally. Cracked teeth were most frequently involved in mandibular and maxillary molars at the age of 50s. Cracks occurred mainly in nonbonded restorations such as gold and amalgam, and majority of cracks were found in intact teeth. A pulpal and periapical diagnosis is dependent on the extent of the crack and duration of the symptom. The pulp of a cracked tooth might become inflamed because of microleakage, which induces thermal sensitivity. Once the crack has extended and exposed the pulp, severe pulp and periapical pathosis will likely be present. In addition, the extended crack can cause a bony dehiscence with a resulting narrow and deep periodontal pocket. Therefore, early diagnosis of the cracked tooth and proper treatment planning are important for clinician.

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Necrosis of intact premolar caused by an adjacent apical infection: a case report

  • Asgary, Saeed;Marvasti, Laleh Alim
    • Restorative Dentistry and Endodontics
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    • v.38 no.2
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    • pp.90-92
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    • 2013
  • Although periapical inflammatory lesions are usually resulted by infection in the root canal system, this rare case showed that a periapical lesion related to an infected tooth may cause pulpal necrosis in adjacent intact tooth, with no history or clinical signs of caries, disease, trauma or developmental anomaly. This case also suggests that the periapical lesion can be treated conservatively, without surgical intervention. Furthermore, this case highlights the importance of prompt treatment of apical periodontitis before the lesion becomes extensive as well as follows up of large lesions.

A RADIOGRAPHIC STUDY OF SOLITARY BONE CYSTS (고립골낭에 관한 X선학적 연구)

  • KIM Kyung Rak;Hwang Eui Hawn;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.95-105
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    • 1994
  • The aim of this study was to evaluate the clinical, radiographic and histopathologic features of 23 cases of solitary bone cyst by means of the analysis of radiographs and biopsy specimens in 23 persons visited the Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University and Chunbuk National University. The obtained results were as follows; 1. The incidence of solitary bone cyst was almost equal in males(52.2%) and in females(47.8%) and the prevalent age of the solitary bone cyst were the second decade(47.8%) and the third decade (21.7%). 2. In the signs and symptoms of solitary bone cyst, pain or tenderness revealed in 17.4%, swelling revealed in 13.0%, pain and swelling revealed in 21.7%, paresthesia revealed in 4.4% and 43.5% were asymptom and the tooth vitality involved in the solitary bone cyst, 76.5% were positive and 23.5% were either positive or negative. 3. In the location of the solitary bone cyst, 47.8% present posterior region, 21.7% present anterior region, 21.6% present anterior and posterior region, 4.4% present condylar process area. 4. In the hyperostotic border of the solitary bone cyst, 47.8% were seen entirely, 21.8% were seen partialy, and 30.4% were not seen. 5. In the change of tooth, 59.1% were intact, 18.2% were loss of the alveolar lamina dura, 13.6% were root resorption 4.55% were tooth displacement, 4.55% were root resorption and tooth displacement. 6. In the change of cortical bone of the solitary bone cyst, 39.1% were intact and 60.9% were thinning and expansion of cortical bone. 7. In the histopathologic findings of 9 cases, 33.3% were thin connective tissue wall, 11.1% were thickened myxofibromatous wall, 55.6% were thickened myxofibromatous wall with dysplastic bone formation.

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Endodontic Drainage in Delayed Replantation after Prolonged Extra-alveolar Period of the Avulsed Teeth: Report of a Case (외상 후 오랜 시간 지체된 탈락 치아 재식술 시행 시 근관 통한 배농: 증례보고)

  • Yoo, Jae-Ha;Kim, Jong-Bae;Son, Jeong-Seog
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.4
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    • pp.280-285
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    • 2012
  • From the standpoint of general guidelines of a dentist, the following conditions should be considered before replanting a permanent tooth. The avulsed tooth should be without advanced periodontal disease. The alveolar socket should be reasonably intact in order to provide a seat for the avulsed tooth. The extra-alveolar period should be considered, i.e. periods exceeding. 2 hours are usually associated with marked root resorption. But, the above mentioned regulations are often difficult to keep in the actual situation of the medical emergency room, owing it to the delay of primary medical care in multiple trauma patients. The successful cases have been reported with minimal root resorption in the long-term periods, in spite of extra-alveolar periods of several hours and combined alveolar bone fracture. This is a case report regarding the effect of endodontic drainage in delayed replantation after a prolonged extra-alveolar period of the avulsed teeth with alveolar bone fracture.

Application of Periodontal Splint for Severely Mobile Incisor Teeth in Two Dogs (개에서 periodontal splint를 이용한 치아유동성의 치료)

  • Shim, Kyung-Mi;Kim, Se-Eun;Yoo, Kyeong-Hoon;Bae, Chun-Sik;Choi, Seok-Hwa;Kang, Seong-Soo
    • Journal of Veterinary Clinics
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    • v.25 no.2
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    • pp.119-121
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    • 2008
  • A 2-year-old, intact and a 10-year-old, castrated male Maltese were referred for treatment of progressive tooth mobility and periodontal disease. The first case was presented with tooth mobility of mandibular incisors (Grade 2-3) and the second case was also presented with tooth mobility of maxillary incisors (Grade 2-3) by periodontal disease. The treatment plan included supragingival scaling, closed root planing, subgingival curettage and removable-fixed periodontal splinting of the mandibular (case 1) and maxillary (case 2) incisors to stabilize them. Three months after therapy, oral examinations were performed for evaluation of success of therapy. In both cases, oral malodor, periodontal disease and tooth mobility were resolved and periodontal splints were remained rigidly.

The interpretation of tooth wear - literature review (치아 마모의 해석-논문 고찰)

  • Hwang, Soo-Jeong;Seo, Min-Seock
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.137-146
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    • 2018
  • Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues. While for many years, tooth wear was a condition of little interest in daily clinical practice, nowadays this is changed. Tooth wear is becoming increasingly significant in maintaining the long-term health of the dentition. This becomes especially important when the dentition is kept relatively intact in the contemporary ageing population, and edentulism is decreasing. There is also evidence that the prevalence of tooth wear is growing. It is a natural consequence of the unidirectionality of tooth wear that it is frequently used as a means of individual age estimation. Tooth wear was very serious in ancient populations up to the medieval period. Tooth wear is thus studied in a wide variety of areas. The purpose of this paper is to summarize and analyze the many issues surrounding tooth wear through recent studies in various fields and to search for future research direction.

Surgical Repair of Rostral Hemimandibular Fractures with Canine Tooth Luxation in a Dog (개에서 견치 탈구를 동반한 앞쪽 하악골 골절의 수술적 정복 1례)

  • Yoon, Hun-Young;Kang, Myung-Gon;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.359-361
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    • 2009
  • A sexually intact female Alaskan Malamute, 5-year-old weighing 25.2 kg presented to the Hangang Animal Hospital, following hit-by-car. On initial presentation, the dog had severe salivation and the right canine tooth luxation. Radiographs revealed fractures of the right rostral hemimandible with the right canine tooth luxation and symphyseal separation. Surgical repair of fractures was performed by use of an interdental wiring technique and external fixation technique that included pins, an acrylic connecting bar, and polymethyl methacrylate bone cement. Post-operative radiographs revealed that bridging callus was well formed over cortices of the fracture area. Pins and an acrylic connecting bar were removed 7 weeks post-operatively. The dog exhibited evidence of normal mastication.

A STUDY ON THE FRACTURE MODES AND FAILURE LOADS OF THE VARIOUS TYPES OF RESTORATION FOR THE ENDODONTICALLY TREATED ANTERIOR TEETH (전치부 근관충전후 수복형태에 따른 파절형태 및 파단하중에 관한 연구)

  • Park, Young-Sook;Choi, Sung-Keun
    • Restorative Dentistry and Endodontics
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    • v.8 no.1
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    • pp.45-51
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    • 1982
  • An endodontically treated tooth is likely to be brittle than a vital tooth. Internal structure of the tooth has been weakened due to a significant removal of dentin by coronal access, canal preparation. There are many controversies concerning with various methods of reinforcing an intact anterior tooth that has endodontic treatment. In this experiment, 128 extracted maxillary anterior teeth were endodontically treated, and prepared with 4 methods of restorations; Composite resin filling with zinc phosphate cement, composite resin filling without zinc phosphate cement, composite resin filling with post, and metal crown with post. An Instron testing machine was used to measure the fracture loads of the specimens. The means of the failure loads for the 4 groups were compared by F-test statistically and the failure modes were observed. The results were as follows; 1. There were no statistically significant difference between the failure loads of the four methods of restoration. 2. Teeth without post were fractured in a horizontal or oblique plane through upper or middle third of the root. 3. In the posted teeth, fractures were occurred around the post. 4. In the metal crowned teeth with post, the fracture were occurred around the post or coronal area.

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자가 치아 이식술에 사용되는 Computer Aided Rapid Prototyping model(CARP model)의 실제 치아에 대한 오차

  • Lee, Seong-Jae;Kim, Ui-Seong;Kim, Gi-Deok;Lee, Seung-Jong
    • The Journal of the Korean dental association
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    • v.44 no.2 s.441
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    • pp.115-122
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    • 2006
  • Objective : The purpose of this study was to evaluate the dimensional errors between real tooth, 3D CT image and CARP model. Materials and Methods : Two maxilla and two mandible block bones with intact teeth were taken from two cadavers. Computed tomography was taken either in dry state and in wet state. After then, all teeth were extracted and the dimensions of the real teeth were measured using a digital caliper at mesio-distal and bucco-lingual width both in crown and cervical portion. 3D CT image was generated using the V-works $4.0^{TM}$ (Cybemed Inc., Seoul, Korea) software. Twelve teeth were randomly selected for CARP model fabrication. All the measurements of 3D Ct images and CARP models were made in the same manner of the real tooth group. Dimensional errors between real tooth, 3D CT image model and CARP model was calculated. Results : 1) Average of absolute error was 0.199 mm between real teeth and 3D CT image model, 0.169 mm between 3D CT image model and CARP model and 0.291 mm between real teeth and CARP model, respectively. 2) Average size of 3D CT image was smaller than real teeth by 0.149 mm and that of CARP model was smalier than 3D CT image model by 0.067mm. Conclusion : Within the scope of this study, CARP model with the 0.291 mm average of absolute eror can aid to enhance the success rate cf autogenous tooth transplantation due to the increased accuracy of recipient bone and donor tooth.

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STATISTICAL STUDY ON OPTIMAL PLACEMENT OF IMMEDIATE DENIAL IMPLANTATION USING DENTA $SCAN^R$ (Denta $Scan^R$을 이용한 즉시 임플랜트 시술시 최적의 식립 위치 대한 통계적 연구)

  • Shin, Kwang-Ho;Lee, Jai-Bong;Hwang, Byung-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.4
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    • pp.552-560
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    • 2000
  • Purpose : The purpose of this study was to determine proper position and angulation of an implant for immediate implantation. Materials and Method : From the years 1997 to 2000. 52 Denta $scan^R$ views, 22 upper and 32 lower jaw with an average age of 43 and 40 respectively, were investigated, which comprise intact upper and lower 6 anterior teeth and premolars. On the Denta $scan^R$, the optimal placement for the immediated implantation was simulated. The measuring methods included 1) Angulation difference between tooth long axis and alveolar bone process. 2) Angulation difference of long axis between tooth and installing fixture 3) Distance between center of tooth at cervical area and center of fixture. 4) Distance from root apex to the bone limit of vital structure. One sample t-test was used for statistical analysis. Result : The results were as follows. 1) At the maxillary central incisor and lateral incisor, angulation difference of long axis between tooth and installing fixture was respectively 0.5 and 3.2 degrees with the fixture center's palatally positioned 2mm apart from tooth center. 2) At the lower anterior 6 teeth, that was about $-2.8^{\circ}\;to\;-4.6^{\circ}$ with the fixture center's lingually positioned 1mm apart from tooth center. 3) At the maxillary canine and premolar, that was respectively $11.8^{\circ}\;and \;7.2^{\circ}$ with the fixture center palatally positioned $2\sim2.4mm$ apart from tooth center. 4) At the lower premolar area, that was about $0^{\circ}\;to\;2^{\circ}$ with the fixture center's lingually positioned $0.5{\sim}1mm$ apart from tooth center. 5) Distance from root apex to the bone limit of vital structure, at the maxillary anterior and premolars. was the range of 10 to 12mm, and at the mandibular anterior teeth and the 1st premolar, that was the range of 18 to 20mm. Conclusion : The proper implant position of maxillary anterior and premolar teeth is as paralleled as or more buccally angulated than long axis of tooth with the fixture center's palatally positioned. In mandiblular anterior region, long axis of implants is lingully angulated compared with long axis of tooth and in premolar, almost parelleled with long axis of tooth and alveolar process.

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