• Title/Summary/Keyword: Lower molar

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Root resection of compromised molars (치근절제술을 이용한 구치부의 치료)

  • Lee, Sun-Kyoung;Ji, Suk;Pang, Eun-Kyoung
    • Journal of Periodontal and Implant Science
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    • v.38 no.1
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    • pp.103-108
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    • 2008
  • Purpose: Studies reported controversial results about prognosis of root resection with 0%-38% failure rate. The purpose of this study is to consider clinical efficacy of root resection. Materials and Methods: This study reported three cases of root resection which were performed on different sites. In first case, lower right first molar showed pus discharge and 7 mm of probing pocket depth. It was diagnosed as fracture of mesial root. Hemisection of mesial root was performed. In second case, upper right first molar showed severe bone loss on disto-buccal root and 7 mm of probing pocket. Resection of disto-buccal root was performed In third case, lower left second molar showed severe bone loss on distal root including apex and 15mm of probing pocket depth. Hemisection of distal root was performed. Result: In these three cases of root resection, compromised molars were treated successfully and conserved. Conclusion: Root resection is a successful procedure treating compromised multi-rooted teeth and conserving teeth when proper case selection is performed.

A STUDY OF THE ETIOLOGY OF UNILATERAL CLASS II, DIVISION 1 MALOCCLUSION (편측성 II급 1류 부정교합의 교합특성에 관한 연구)

  • Lee, Byung-Kook;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.209-216
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    • 1988
  • The purpose of this study was to verify the class I molar relationship in skeletal class II and class II molar relationship in skeletal clan I malocclusion with unilateral class II, division 1 malocclusion. The sample consisted of lateral cephalometric radiographs and upper and lower dental casts of 30 unilateral class II, division 1 malocclusion. The results of this study were as follows: 1. Skeletal class I malocclusion was $43\%$, and skeletal class II malocclusion was $57\%$ in 30 cases of unilateral class II, division 1 malocclusion. 2. In the skeletal class II with unilateral class II, division 1 malocclusion, mandibular first molar on the class I side showed more mesial migration than the opposite side. 3. In the skeletal class I with unilateral class II, division 1 malocclusion, maxillary first molar on the class II side showed more mesial migration than the opposite side. 4. Midline deviation of upper or lower dental arch was $90\%$ in 30 cases of unilateral class II, division 1 malocclusion.

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Assessment of the relationship between the mandibular third molar and the mandibular canal using panoramic radiograph and cone beam computed tomography (파노라마 방사선사진과 cone beam CT에서 제3대구치와 하악관의 관계 평가)

  • Jung, Yun-Hoa;Nah, Kyung-Soo;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.38 no.3
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    • pp.163-167
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    • 2008
  • Purpose : The purpose of this study is to evaluate the position of the mandibular canal in relation to the mandibular third molar by cone beam CT in cases showing a close relationship between the third molar and the mandibular canal on the panoramic radiograph. Materials and Methods : The panoramic images and cone beam CT scans of 87 impacted mandibular third molars in 60 patients were evaluated to assess the tooth relationship to the mandibular canal. The clearness of the canal wall and the vertical depth of the lower third molar were evaluated on panoramic radiographs. The lower third molars were assessed using cone beam CT to determine the proximity and position of the canal relative to the roots. Results : In the 66 cases where the canal wall was unclear on the panoramic radiographs, 58 (87.9%) of the third molars had contact between the canal and root; 34 (51.5%) canals were showed an inferior position and 22 (33.3%) showed a linguoinferior position on cone beam CT. Conclusion : Interruption of the canal wall on panoramic radiographs was highly predictive of contact between the mandibular canal and the third molar. Cross sectional CT may be indicated for localization of the mandibular canal in such cases.

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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 RADIOGRAPHIC STUDY OF MANDIBULAR CANAL (하악관에 관한 방사선학적 연구)

  • Kim Won Chull;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.17 no.1
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    • pp.209-222
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    • 1987
  • The author invested the gonial angle, the angle of mandibular and mental canal to the lower border of the mandible, and a relationship of the position of the mandibular canal to the root apex of the posterior teeth and the cortical plate of the lower of the mandible. The materials consisted of 458 pantomograms in male and female aged 11-40 and divided into 5 groups at 5 year intervals and subdivided into 3 groups by gonial angle. The results were as follows; 1. The gonial angle decreased with age, but slight increase occurred over 26-30 years. 2. The average angle of the mandibular canal to the lower border of the mandible was 151.6° and did not correlate with age. 3. The average angle of the mental canal to the lower border of the mandible was 36.9° and didn't correlate with age. 4. The angles of mandibular and mental canal to the lower border of the mandible correlated with gonial angle. 5. The distance from the root apex of the posterior teeth to the upper wall of the mandibular canal was most short at the region of the distal root of the mandibular second molar and increased with age at the region of the mandibular second molar. 6. The distance from the lower wall of the mandibular canal to the cortical plate of the lower border of the mandible was most short at the region of the mesial root of the mandibular first molar and didn't correlate with age.

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ORBITAL SUBPERIOSTEAL ABSCESS SECONDARY TO ODONTOGENIC INFECTION OF LOWER MOLAR : A CASE REPORT (하악대구치의 치성감염으로 유발된 안와골막하농양의 치험례)

  • Kim, Dong-Ryul;Hong, Kwang-Jin;Choi, Dong-Ju;Lee, Jeong-Gu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.1
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    • pp.110-116
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    • 2000
  • A 61-years old man with diabetes mellitus(DM) was admitted to our hospital, complaining of progressive right periorbital swelling, headache and toothache on the right lower second molar. On the first visit, moderate swelling was noticed from the right periorbital region with exophthalmos and subconjunctival effusion. Intraorally, right lower second molar had a severe periodontal disease and fistular formation on its distal area. From 3 days after hospitalization, the visual acuity of his right eye was gradually worsen and we performed CT scan. CT scan demonstrated an inflammatory change at the right orbit with subperiosteal abscess at the inferior orbital wall, which was extended from the right infratemporal, parapharyngeal and internal pterygoid space. Patient was treated by mean of intraoral(right upper vestibular and retromolar) and extraoral(infraorbital) incision and drainage, massive anti-therapy and DM control. The patient improved gradually and finally was discharged from the hospital, but his visual loss of right side was not recovered.

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AMELOBLASTIC ODONTOMA OCCURRED IN THE MANDIBLE (하악골에 발생된 법랑모치아종)

  • Ha Ssang-Yong;Song Nam-Kyu;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.26 no.2
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    • pp.181-189
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    • 1996
  • Ameloblastic odontoma is a mixed odontogenic tumor, which is characterized as being extremely rare, displaying aggressive clinical behavior, resembling a mixed radiopaque and radiolucent radiographic appearance and containing both ameloblastoma and a composite odontoma. Seven-year-old boy complaining of delayed eruption of the left lower permanent 1st molar came to the department of Oral & Maxillofacial Radiology at Chonbuk National University Hospital. The list of our radiographic differential diagnosis included the dental follicle, compound odontoma, complex odontoma and cystic odontoma. The microscopic analysis showed the lesion with the characteristics of an ameloblastic odontoma. The obtained results were as follows; 1. The area was asymptomatic, but the delayed eruption of the left lower permanent 1st molar was observed. Radiographically, well-defined widened pericoronal radiolucency containing several tooth-like radiopacities involving the impacted left lower permanent 1st molar and well-defined round radiolucency containing irregular radiopaque mass were observed. 3. Histopathologically, several tooth-like structures, odontoma components with the area of typical enamel, dentin and pulp, and ameloblastic components with typical follicular ameloblastoma were observed.

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Critical Ratios of Ca/Al and Mg/Al in Nutrent Solution Limiting Growth of Pinus thunbergii (해송의 생육을 저해하는 Ca/Al 및 Mg/Al의 한계 비율)

  • Lee, Wi-Young;Yang, Jae E.;Park, Chang-Jin;Zhang, Yong-Seon;Ok, Yong-Sik
    • Korean Journal of Soil Science and Fertilizer
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    • v.37 no.5
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    • pp.329-335
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    • 2004
  • Acid deposition in forest adjacent to the industrial complexes causes soil acidification resulting in the leaching of cations, decreases of buffering capacity and increases of toxic metal concentrations such as Al, Fe, Mn and Cu in soil solution. Changes of nutrient availability equilibria by acid deposition have been known to retard the growth of pine trees. Objective of this research was to assess the critical ratios of Ca/Al and Mg/Al limiting the growth of Pinus thunbergii in the hydroponic culture. The Ca concentration and Ca/Al ratio in stalks of pine tree were increased as increasing Ca/Al molar ratio in the nutrient solution, but were not changed when the Ca/Al molar ratio was adjusted to greater than 1. Growth of Pinus thunbergii was inhibited at the Ca/Al molar ratio lower than l due to the Ca deficiency. The molar ratios of Ca/Al in the needles of Pinus thunbergii showed the similar tendency with the stalks. This indicated that Ca/Al molar ratio of 1 in the growth media was the critical level limiting the growth of Pinus thunbergii. Concentration of Mg and Mg/Al molar ratios in the stalks of pine tree were increased as increasing Mg/Al molar ratio in nutrient solution. Molar ratios of Mg/Al in the needles were increased as increasing Mg/Al ratios in nutrient solution up to 0.83, which was the critical level limiting the growth of Pinus thunbergii.

A PHOTOELASTIC STUDY OF THE STRESS DISTRIBUTION IN THE ALVEOLAR BONE BY VARIOUS MOLAR UPRIGHTING SPRINGS (Molar Uprighting Spring에 의해 발생되는 치조골내의 응력분포에 관한 광탄성학적 연구)

  • Choi, Jin-Hugh;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.21 no.2 s.34
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    • pp.353-366
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    • 1991
  • This study was performed to analyze the effects of forces to the alveolar bone by various molar uprighting spring such as helical uprighting spring. T-loop spring, Modified T-loop spring and open coil spring. The simplified two-dimensional photoelastic model was constructed with a lower left posterior quadrant containing the second molar, the first and second premolars and the canine, with the first molar missing. Several molar uprighting springs were fabricated from 0.017 by 0.022 inch blue Elgiloy and applied to the photoelastic model. Two-dimensional photoelastic stress analysis was performed, and the stress distribution was recorded by photography The results obtained were as follows; 1. In all the kinds of the springs, the center of rotation of the mandibular second molar was oserved at the apical 1/5-1/6 between the alveolar crest and the root apex. 2. In all the kinds of the spring, the stress induced in the mesial root surface of the mandibular second molar was relatively homogeneous but there was some difference in the magnitude of the stress. 3. In the kinds of the springs, the distal crown tipping moment of the second molar was increased in turn as open coil spring, helical uprighting spring, T-loop spring, and modified T-loop spring. 4. The largest extrusive force was occured in the T-loop spring, intrusive force was occured in Modified T-loop spring only, and the largest distal tipping force was occured in open coil spring. 5. In the T-loop spring with activation, the stress induced in the mesial root surface of the second molar was increased gradually from the root apex to the alveolar crest and highly concentrated in the alveolar crest.

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A Clinical Study on CSP Attachment Partial Denture (CSP 를 이용한 정밀부착형 국부의치에 관한 임상적 연구)

  • Kim, Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.19 no.1
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    • pp.7-16
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    • 1981
  • The technology of precision attachments has developed at such a pace that from a very few T-shaped attachments and bar attachments from the years 1915 to 1935 since removable bridge utilizing a T-shaped intracoronal attachment was constructed by Dr. Herman E.S. Chayes in 1906. There are now more than 120 models of the most diversified designs, ready made or laboratory fashioned. In 1971, 126 attachments were listed and classified by Mensor in his E M Attachment Selector. This selector consists of five charts giving specifications as to type, vertical dimensions, application, type of resilience, size of movement, type of retention and type of material and alloy. Thus the E M Attachment Selector is a useful guide for dentists to choose the attachment for his patients. But dentists should apply the attachment in each patient's case according to an accurate diagnosis and treatment plan. This paper is a case report of removable partial dentures utilizing CSP, PD and Bar attachment on a patient who needed full mouth reconstruction. Patient has right first, second molar and left first molar on the upper arch and also left first molar, first premolar and right canine on the lower arch. (Fig. 5)All remaining teeth are relatively healthy in their supporting tissues. On upper arch, ring shape CSP attachment was designed on left first molar and modified ring shape CSP attachment was designed on right first and second molar as the direct retainer of the removable partial denture. Full palatal coverage was used as the major connector in this case. (Fig. 23) On lower arch, author first splinted with a fixed bridge between left first molar and second premolar and a splint bar between left second premolar and right canine. (Fig. 11) A lower removable partial denture in which was designed with an Aker clasp on the left first molar and a PD attachment on .the right canine was constructed. (Fig. 17) This denture could get additional support from anterior splint bar. After both removable partial dentures were delivered to the patient (Fig. 26), author evaluated function of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of this case was excellent.

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