• 대한치과보철학회지
• /
• 제8권1호
• /
• pp.95-100
• /
• 1968

The author measured the vertical and horizontal change in molars and incisors of mandible arch by means of lateral roentgeno-cephalometric tracing. The subjects measured here were 244 healthy Korean male and female at the range of 5. 7. 10. 15 and 20 years old, respectively. Following results were obtained; 1. The horizontal measurements of lower first molar to mandible arch were as follows; 5 years of male; $43.14{\pm}0.84mm$ 5 years of female; $40.66{\pm}0.91mm$ 20 years of male; $43.08{\pm}1.59mm$ 20 years of female; $39.88{\pm}1.35mm$ None of the significant changes with age showed. 2. The horizontal measurements of lower incisors to mandible arch were as follows; 5 years of male; $8.14{\pm}0.68mm$ 5 years of female; $7.90{\pm}0.64mm$ 20 years of male; $10.02{\pm}1.68mm$ 20 years of female; $7.38{\pm}1.27mm$ None of the significant changes with age showed. 3. The vertical measurements of lower first molar to mandible arch were as follows; 5 years of male; $24.92{\pm}1.17mm$ 5 years of female; $25.02{\pm}1.64mm$ 20 years of male; $39.04{\pm}1.66mm$ 20 years of female; $35.25{\pm}1.03mm$ The vertical height of lower first molar showed statistically significant increments. 4. The vertical measurements of lower incisors to mandible arch were as follows; 5 years of male; $27.54{\pm}1.52mm$ 5 years of female; $27.62{\pm}1.78mm$ 20 years of male; $48.73{\pm}1.51mm$ 20 years of female; $45.52{\pm}0.82mm$ The vertical height of incisors showed statistically significant increments. 5. The growth and development of lower first molars and incisors revealed significant increment rates vertically with age. 6. It semed that the vertical and horizontal changes in male were greater than those in female.

• Imaging Science in Dentistry
• /
• 제44권4호
• /
• pp.273-278
• /
• 2014

Purpose: This study was performed to investigate the course of the mandibular canal on panoramic radiography and the visibility of this canal on both panoramic radiography and cone-beam computed tomography (CBCT). Materials and Methods: The study consisted of panoramic radiographs and CBCT images from 262 patients. The course of the mandibular canal, as seen in panoramic radiographs, was classified into four types: linear, elliptical, spoon-shaped, and turning curves. The visibility of this canal from the first to the third molar region was evaluated by visually determining whether the mandibular canal was clearly visible, probably visible, or invisible. The visibihlity of the canal on panoramic radiographs was compared with that on CBCT images. Results: Elliptical curves were most frequently observed along the course of the mandibular canal. The percentage of clearly visible mandibular canals was the highest among the spoon-shaped curves and the lowest among the linear curves. On panoramic radiographs, invisible mandibular canals were found in 22.7% of the examined sites in the first molar region, 11.8% in the second molar region, and 1.3% in the third molar region. On CBCT cross-sectional images, the mandibular canal was invisible in 8.2% of the examined sites in the first molar region, 5.7% in the second molar region, and 0.2% in the third molar region. Conclusion: The visibility of this canal was lower in the first molar region than in the third molar region. The mandibular canal presented better visibility on CBCT images than on panoramic radiographs.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제41권1호
• /
• pp.3-10
• /
• 2015

Objectives: We retrospectively evaluated the impact of mandibular third molars on the occurrence of angle and condyle fractures. Materials and Methods: This was a retrospective investigation using patient records and radiographs. The sample set consisted of 440 patients with mandibular fractures. Eruption space, depth and angulation of the third molar were measured. Results: Of the 144 angle fracture patients, 130 patients had third molars and 14 patients did not. The ratio of angle fractures when a third molar was present (1.26 : 1) was greater than when no third molar was present (0.19 : 1; odds ratio, 6.58; P<0.001). Of the 141 condyle fractures patients, the third molar was present in 84 patients and absent in 57 patients. The ratio of condyle fractures when a third molar was present (0.56 : 1) was lower than when no third molar was present (1.90 : 1; odds ratio, 0.30; P<0.001). Conclusion: The increased ratio of angle fractures with third molars and the ratio of condyle fractures without a third molar were statistically significant. The occurrence of angle and condyle fractures was more affected by the continuity of the cortical bone at the angle than by the depth of a third molar. These results demonstrate that a third molar can be a determining factor in angle and condyle fractures.

• 대한소아치과학회지
• /
• 제51권1호
• /
• pp.11-21
• /
• 2024

This study aimed to analyze the prevalence and severity of infraoccluded primary molars (IPM) and their correlation with the agenesis of permanent successors (APS). A total of 4,011 panoramic radiographs from children aged 4 to 11 years who had all 8 primary molars were examined. The prevalence of APS was analyzed based on the severity and tooth type of IPM. The prevalence of IPM was 13.0%, and there was no difference between genders. The majority of the children had two IPMs each. In all tooth types, mild infraocclusion was the most prevalent, whereas severe infraocclusion was the least frequent. Among the types of primary molars, the lower primary first molar (62.3%) was the most affected, followed by the lower primary second molar (27.7%), the upper primary second molar (5.8%), and the upper primary first molar (4.2%). Infraocclusion was 11.2 times more prevalent in the mandible than in the maxilla, with no significant difference between the left and right sides. The correlation between IPM and APS was also investigated. Among the subjects, 177 had one or more agenesis of premolars, of whom 54 (30.5%) had IPM. Additionally, among the 521 individuals with IPM, 54 individuals exhibited APS (10.4%). This study identified a noteworthy prevalence of infraocclusion, with notable variations among molar types. The LPFM was particularly affected. The majority of cases were classified as mild in severity. Furthermore, a compelling association between IPM and APS was established. Understanding this connection may enhance treatment strategies for infraoccluded teeth and tooth agenesis.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제15권3호
• /
• pp.121-128
• /
• 2015

Background: The authors studied the hemodynamic effect influent by using the novel high concentration of lidocaine HCl for surgical removal impacted lower third molar. The objective of this study was to evaluate the hemodynamic change when using different concentrations of lidocaine in impacted lower third molar surgery. Methods: Split mouth single blind study comprising 31 healthy patients with a mean age of 23 years (range 19-33 years). Subjects had symmetrically impacted lower third molars as observed on panoramic radiograph. Each participant required 2 surgical interventions by the same surgeon with a 3-week washout period washout period. The participants were alternately assigned one of two types of local anesthetic (left or right) for the first surgery, then the other type of anesthetic for the second surgery. One solution was 4% lidocaine with 1:100,000 epinephrine and the other was 2% lidocaine with 1:100,000 epinephrine. A standard IANB with 1.8 ml volume was used. Any requirement for additional anesthetic and patient pain intra-operation was recorded. Post-operatively, patient was instructed to fill in the patient report form for any adverse effect and local anesthetic preference in terms of intra-operative pain. This form was collected at the seven day follow up appointment. Results: In the 4% lidocaine group, the heart rate increased during the first minute post-injection (P < 0.05). However, there was no significant change in arterial blood pressure during the operation. In the 2% lidocaine group, there was a significant increase in arterial blood pressure and heart rate in the first minute following injection for every procedure. When the hemodynamic changes in each group were compared, the 4% lidocaine group had significantly lower arterial blood pressure compared to the 2% lidocaine group following injection. Post-operatively, no adverse effects were observed by the operator and patient in either local anesthetic group. Patients reported less pain intra-operation in the 4% lidocaine group compared with the 2% lidocaine group (P < .05). Conclusions: Our results suggest that a 4% concentration of lidocaine HCl with 1:100,000 epinephrine has better clinical efficacy than 2% lidocaine HCl with 1:100,000 epinephrine when used for surgical extraction of lower third molars. Neither drug had any clinical adverse effects.

• 구강회복응용과학지
• /
• 제24권4호
• /
• pp.371-379
• /
• 2008

본 연구의 목적은 안정 시, 임프란트 보철물과 자연치 사이의 인접치간 접촉강도를 평가하는 것이다. 좌측 상악 또는 하악 제2대구치에 단독으로 임프란트가 식립되어 보철물이 장착되어 있는 20명의 피험자를 임프란트 군으로, 좌측 상하악 제1대구치와 제2대구치 사이의 인접부위에 수복물이 없는 10명의 피험자를 대조군으로 나누어 교합력이 작용하지 않는 안정상태에서 인접치간 접촉강도를 평가하였다. 자연치 사이의 인접치간 접촉강도가 전반적으로 높게 나타났고, 특히 하악에서는 통계적으로 유의한 차이를 보였다. 임프란트 보철물에 있어서 인접치간 접촉을 좀 더 강하게 부여할 필요가 있음이 시사되었고 또한 자연치아와 임프란트 보철물사이의 경시적 변화에 따른 인접접촉강도의 변화를 평가할 필요가 있음이 시사되었다.

• 대한치과의사협회지
• /
• 제38권6호통권373호
• /
• pp.520-526
• /
• 2000

• 대한치과교정학회지
• /
• 제17권2호
• /
• pp.311-320
• /
• 1987

The purpose of this study was to investigate the growth changes of maxilla and mandible and position changes of first permanent molars of growing children The author analyzed the data using cephalometric roentgenogram of 43 boys and 39 girls age of 6 to 11 with normal occlusion The obtained results were as follows 1 The eruption path of maxillary and mandibular first permanent molar superimposed on TM-ANS and mandibular plane shows individual variation 2 There was no correlation between horizontal and vertical changes of maxillary first permanent molar, but positive correlation in mandibular first permanent molar 3 As the eruption, the forward changes of mandibular first permanent molar was significantly greater than that of maxillary first permanent molar 4 As the ages were increased, there were irregular growth changes of maxilla and mandible 5 Growth changes of lower anterior facial height was relatively stable 6 N-S-${\bar{6}}$ was stable after age 7.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제44권3호
• /
• pp.103-106
• /
• 2018

Objectives: The goal of the study was to investigate the clinical effects of amoxicillin-clavulanic acid (500+125 mg) with metronidazole 400 mg administered three times daily (Group I) versus azithromycin 500 mg administered once daily and with metronidazole 400 mg three times daily (Group II) for the prevention of postoperative infection following mandibular third molar surgical removal. Materials and Methods: The study design was a single-center prospective study. Patients who reported to the Department of Oral and Maxillofacial Surgery between February 2015 and January 2017 for removal of mandibular third molar were screened, and 108 patients were chosen. One surgeon carried out all procedures. Patients were prescribed antibiotics until the two groups contained a similar number of cases. Results: Our data showed that Group II had fewer incidences of surgical site infection, but with no statistical significance. Conclusion: Although both treatments are used routinely after removal of the mandibular third molar, neither is significantly better than the other.

• 한국세라믹학회지
• /
• 제11권1호
• /
• pp.10-18
• /
• 1974

The hydration at $23^{\circ}C$ between $Ca(OH)_2$ and siliceous materials with various compositions of silica gel and quartz were studied in paste state, and also diatomite was empolyed as another form of silica. The effect of the structural state of silica on the pozzolanic reactivity was investigated by X-ray, DTA, electron microscopy, and chemical analysis. The results obtained were as follows. (1) The molar ratio of $Ca(OH)_2$ to silica gel(C/Sg) being changed in 0.49, 0.81 and 1.22, the free $Ca(OH)_2$ was disappeared within six hours, three days and two weeks respectively and ill-crystallized CSH(I) was formed. However, in the case fo molar ratio of C/Sg=2.45, almost lime was remained uncombinedly after twenty four weeks yet. (2) Though the molar ratio C/Sg of diatomite was 0.71, the hydration was stabilized at three weeks and the result exhibited very peculiar characteristics from silica gel. (3) Pozzolanic reactivity of quartz was negligible, but $\alpha$-cristobalite in diatomite showed appreciable reactivity. (4) The thermal curves showed the exothermic peaks in the range 830 to $930^{\circ}C$ and lower broad peaks at high temperature in the initial steps of hydration, transfered to lower temperature with sharp peaks by proceeding of hydration. (5) The samples containing more silica gel exhibited higher pozzolanic reactivity and martar strength, but the diatomite gave remarkable result for them and they were matched to the strength development rate.