• Title/Summary/Keyword: Lower Tooth

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Pathologic conditions associated with impacted third molars: A retrospective study of panoramic radiographs in a Southern Brazilian population

  • Gabriela Brum Cardoso;Gleica Dal' Ongaro Savegnago;Waneza Dias Borges Hirsch;Mariana Boessio Vizzotto;Gabriela Salatino Liedke
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.303-312
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    • 2023
  • Purpose: This study investigated the prevalence of developmental and acquired pathologic conditions associated with impacted third molars (3Ms) in a Southern Brazilian population and evaluated whether demographic and tooth characteristics were correlated with the presence of bone or tooth lesions. Materials and Methods: Panoramic radiographs were assessed for developmental (bone-related) or acquired (tooth-related) pathoses associated with impacted upper or lower 3Ms. Data on tooth positioning, tooth development, and patient demographics were collected. A trained, calibrated postgraduate student evaluated all images. Binary and multivariate logistic regression models were used to assess associations between outcomes and the demographic and radiographic variables. The threshold for statistical significance was set at 5% (P<0.05). Results: The sample comprised panoramic radiographs from 2054 patients, predominantly female (59.2%), with a mean age of 27.2±11.5 years. Overall, 4066 impacted 3Ms were evaluated, revealing 471 (11.6%) developmental and 710 (17.5%) acquired pathoses. Among the developmental pathoses, 460 (95.2%) were indicative of dentigerous cysts. Male sex, lower 3M location, vertical or distoangular positioning, and incomplete root formation were associated with an elevated likelihood of developmental pathology. Lower tooth position, complete root formation, and partial eruption were linked to an increased probability of an acquired pathology in the third or second molar. Conclusion: The prevalence of pathologic conditions associated with impacted 3Ms was low. Male sex, lower 3M placement, horizontal or distoangular positioning, and incomplete root formation were associated with developmental pathoses, while lower tooth position, complete root formation, and partial eruption were related to acquired pathoses.

Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults

  • Kim, Sang-Yul;Lee, Jae-Kwan;Chang, Beom-Seok;Um, Heung-Sik
    • Journal of Periodontal and Implant Science
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    • v.44 no.2
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    • pp.65-70
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    • 2014
  • Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

A STUDY OH THE MOVEMENT STATE OF THE ADJACENT TOOTH INTO THE EDENTULOUS AREA (치아결손부(齒牙缺損部)에 인접(隣接)된 치아(齒牙)의 이동상태(移動狀態)에 관(關)한 연구(硏究))

  • Kim, Jun-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.13 no.1
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    • pp.11-22
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    • 1975
  • This study is to determine the severity and direction of the movement of the adjacent tooth into the created space by tooth or teeth loss. The random samples 387 cases (upper; 121 cases, lower; 266 cases) were selected with surveying record under some criteria. Edentulous area is grouped into the free end type and the tooth borne type. The following results were obtained. In the tooth borne type, slight distal movement of the adjacent tooth into the edentulous space was obtained. And the tooth distal to the edentulous space moved into the space in proportion to the duration of the edentulous state. Elongation of the opposing tooth of the free end type was more severe than that of the tooth borne type. And no inter-relationship between the severity of the elongation and the duration of the edentulous state In general, adjacent teeth had normal and mesial inclination. Lower teeth migrated mesially and lingually (especially in the distal tooth to the edentulous space in the tooth borne type). Upper adjacent teeth usually moved into the normal direction.

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A RADIOGRAPHIC STUDY OF FUSED AND GERMINATED TOOTH (유합치와 쌍생치에 관한 방사선학적 연구)

  • Park Chull Jea;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.20 no.1
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    • pp.79-89
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    • 1990
  • The incidence and several characteristic features of fused and geminated teeth were studied radiographically, with full mouth periapical radiogram and pantomogram, in 4201 patients of mixed dentition and 5358 patients of permanent dentition. The obtained results were as follows: 1. The prevalence was revealed to 2.86%, 0.32%, 0.33%, and 0.06% in deciduous fused tooth, permanent fused tooth, deciduous geminated tooth and permanent geminated tooth respectively, and these anomalies were occured in female more than male. 2. Fused teeth were observed predominantly in lower anterior teeth area, especially in lateral incisor and canine region, and many cases of deciduous geminated tooth were observed in upper central incisor region. 3. Congenital missing rates of succedaneous tooth in deciduous fused teeth were 57.1 %, 85.7%, 71.0%, 69.0% in upper right and left central-lateral incisor regions, lower right and left lateral incisor-canine regions, respectively. 4. Prevalence of dental caries was 42.3%, 18.8% and 5.6% in deciduous fused, deciduous geminated and permanent fused tooth, respectively. 5. In classifying of fused and geminated teeth into 9 types, by following appearance such as number of crown, root, pulp chamber and pulp canal of those teeth, it was more favorable that Type Ⅰ(2 crown, 2 root, 2 pulp chamber, 2 pulp canal) in deciduous fused tooth and Type Ⅸ (I crown, 1 root, 1 pulp chamber, 1 pulp canal) in permanent fused tooth, deciduous and permanent geminated tooth.

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Impact of Periodontal Treatment and Demographic and Socioeconomic Factors on Tooth Loss in Persons with Disabilities: An Analysis of Korean National Health Insurance Claims Data

  • Bo-Ra Kim
    • Journal of dental hygiene science
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    • v.23 no.3
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    • pp.225-235
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    • 2023
  • Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

DISPLACEMENT OF A LOWER THIRD MOLAR INTO THE LATERAL PHARYNGEAL SPACE (외측 인두극으로 전위된 하악 제 3대구치의 치험례)

  • Choi, You-Sung;Jee, Yu-Jin;Song, Hyun-Chul
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.6
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    • pp.551-553
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    • 2004
  • The displacement of an entire tooth into the adjacent anatomical area is an uncommon complication of a tooth extraction. We encountered a 23-year-old woman who had previously undergone surgery under local anesthesia to remove the lower third molar about 12 weeks prior and the upper third molar was extracted 2 days prior to visiting this hospital. Upon admission, she complained of a swallowing discomfort and a mouth opening limitation. Panoramic radiograph and a CT scan revealed a displacement of the entire tooth into the lateral pharyngeal space. The tooth was retrieved via the transoral approach under general anesthesia. The removed tooth had an indentation formed by a dental bur. Therefore, it was concluded that the tooth displaced into the lateral pharyngeal space was the lower third molar. This report describes an unusual case of a third molar that was displaced into the lateral pharyngeal space with a review of the relevant literature.

IATROGENIC IMPACTION OF LOWER LEFT PERMANENT CANINE : CASE REPORT (하악 영구 견치의 의원성 매복에 대한 증례 보고)

  • Kim, Song-Yi;Choi, Sung-Chul;Choi, Yeong-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.339-344
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    • 2008
  • When a delayed eruption of tooth is diagnosed, the causative factor should be detected before an establishment of treatment plan, if possible. Although a panoramic radiograph is enough to evaluate the position of tooth and the stage of tooth development, a 3-D Dental CT would be a powerful tool to reveal a spatial relationships between objects. The reported case showed a delayed eruption of lower left permanent canine and a mini-plate with screws adjacent to the impacted canine. Although the screws adjacent to the root of impacted tooth showed a close proximity, it was not presumed that these screws would interfere the eruption of the tooth. The impacted canine did not show any spontaneous eruption during observation. After the mini-plate and screws were removed, an orthodontic traction using elastic power chain was performed. The position of mini-plates and screws should be carefully designed to avoid damaging the tooth follicles or tooth roots in the jaw. Also the screws should be removed before an orthodontic traction to prevent damaging the root surface of impacted tooth.

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A Study on the Design and Experiment for the Profile of Lower-Noise Gear Tooth (저소음 치형의 설계 및 실험에 관한 연구)

  • 김호룡;안승준
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.17 no.1
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    • pp.1-10
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    • 1993
  • A design method of gear tooth profile which can reduce the noise of gear is studied. The tooth profile is generated by combining involute and cycloid tooth curves in which the involute tooth profile is near the pitch point and cycloid tooth profile at the addendum and the dedendum. Considering parameters which have an influence on the reduction of gear noise and building up a design conditions for the noise reduction of gear, the lower-noise combined gear tooth profile is designed. For the check of noise reduction of the combined gear profile, two pairs of combined profile gear, two pairs of involute gear, and a pair of cycloid gear were manufactured by the NC Wire Cutting Machine, and the experiment for measuring of gear noise was carried out on each pair. The noise reduction of the combined profile gear was obtained.

Correlation between Concerns about the Infection of Economic Workers due to the COVID-19 Pandemic and the Practice of Tooth Brushing after Lunch

  • Kim, Min-Young
    • Journal of dental hygiene science
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    • v.22 no.3
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    • pp.180-190
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    • 2022
  • Background: Like direct infection from COVID-19, psychological concern about infection could affect health. Concern about COVID-19 infection was associated with individual habits to practice rules for preventing infection. Therefore, this study aimed to check occupational types and whether to practice tooth brushing after lunch depending on the occupation of economic workers and find correlations between concerns about infection due to COVID-19 pandemic and tooth brushing after lunch. Methods: The raw data was from the community health survey conducted in 2020. Among 229,269 adult participants aged 19 years and older, 138,970 economic workers were included in the final analysis. The chi-squared test was used to find differences in psychological concerns due to the COVID-19 pandemic. According to the participants, the rate of practicing tooth brushing after lunch was based on COVID-19-related psychological concerns. Multiple logistic regression analysis was conducted to check the influence of psychological concerns due to the COVID-19 pandemic on the rate of practicing tooth brushing after lunch. Results: According to occupational classifications, professionals and office workers and career soldiers had 1.551- and 1.581-times higher practicing rates than managers, respectively, whereas machine operators, agricultural and fishery sector workers, and daily laborers had lower practicing rates. Regarding COVID-19-related psychological concerns, the group with a lower concern about infection had a 1.076 times higher practicing rate than that with greater concern. The group with greater concern about blame from neighbors had 1.119 times higher practicing rate than that with lower concern. Conclusion: The correlations between higher economic workers' concerns about infection and blame from neighbors and higher recognition of the necessity to prevent COVID-19 and practice tooth brushing after lunch were confirmed. It is necessary to prepare measures for practicing tooth brushing after lunch suitable to the characteristics of occupational types and work environments of economic workers.

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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