• Title/Summary/Keyword: Mandibular anterior teeth

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Three-dimensional finite element analysis of the bracket positioning plane in lingual orthodontics (설측 브라켓 부착을 위한 기준평면 설정에 관한 3차원 유한요소법적 연구)

  • Kim, Sun-Hwa;Park, Soo-Byung;Yang, Hoon-Chul
    • The korean journal of orthodontics
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    • v.36 no.1 s.114
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    • pp.30-44
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    • 2006
  • This study was performed to investigate the location of the ideal bracket positioning plane in lingual orthodontics using the three-dimensional finite element method. Displacement of the anterior teeth were evaluated according to the vertical and the angular movements of the bracket positioning plane. To achieve the ideal movement of anterior teeth in the lingual central plane, the location of the force application point and the amount of the moment applied to the four incisors were evaluated. As the bracket positioning plane was moved parallel toward the incisal edge, uncontrolled tipping and extrusion of the maxillary and the mandibular incisors were increased. But lingual tipping of the crown was decreased in the maxillary and the mandibular canines. As the bracket positioning plane was inclined toward the incisal edge, lingual tipping was increased in the 6 anterior teeth and extrusion of incisors and intrusion of the canine was also increased. As the retraction hook of the canine bracket was elongated, lingual tipping and extrusion of the central incisor and mesial movement and extrusion of the lateral incisor were increased. In the canine, mesial and labial movements of the crown were increased. When the moment was applied to the 4 incisors of the maxillary and the mandibular arch in the lingual central plane, 280 gf-mm in the maxillary central incisor, 500 gf-mm in the maxillary lateral incisor, 170 gf-mm in the mandibular central incisor and 370 gf-mm in the mandibular lateral incisor produced bodily movement of the individual tooth.

A case of oral rehabilitation in a patient with severe tooth wear and occlusal plane collapse, utilizing maxillary fixed prosthesis and mandibular implant-assisted removable partial denture (과도한 치아 마모와 교합평면 붕괴를 보이는 환자에서 상악 고정성 보철 및 하악 임플란트 보조 국소의치를 통한 구강회복 증례)

  • Jae-Hyung Ahn;Sung-Yong Kim;Seong-A Kim;Yong-Sang Lee;Keun-Woo Lee;Hee-Won Jang
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.174-182
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    • 2024
  • In patients with multiple missing molars, wear patterns or displacement of anterior teeth, collapsed occlusal plane, and reduction in vertical dimension may occur. Particularly, in case of a few remaining teeth on one side, a removable partial denture has biomechanical disadvantage. For this reason, an implant-assisted removable partial denture with a few implant surveyed crowns can be an alternative. In this case, due to the right mandibular posterior teeth loss, the anterior teeth were severely worn and the occlusal plane was collapsed. With minimal increasing vertical dimension, oral rehabilitation was performed using a maxillary fixed prosthesis and mandibular implant-assisted removable partial denture. As a result, functional and aesthetic clinical outcomes were obtained.

RADIOLOGIC STUDY OF PERIODONTAL AND PERIAPICAL CHANGES FOR THE RESTORATED TEETH (처치치아에 있어서 치주 및 치근단변화에 대한 X-선학적연구)

  • Ahn Hyung Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.8 no.1
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    • pp.5-9
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    • 1978
  • The purpose of this study is to investigate the effect of dental restorations on the periodontal and periapical tissues. The author examined 620 cases of amalgam, 390 cases of gold inlay, 422 cases of crown and 644 cases of bridge through the standard intraoral films being appended in the charts that had been kept at the Dept. of Oral Diagnosis in Seoul National University Hospital. This study obtained the following results; 1. The restorations of amalgam, gold inlay crown and bridge were found more frequently in female than in male. 2. The restorations of amalgam, gold inlay and crown were found more numerously in mandibular teeth than in maxillary teeth in both sexes. But in the case of crown, the fact is quite the reverse especially in anterior teeth. 3. On the contrary, in the case of bridge, the restorations of bridge were much more distributed in the maxillary teeth than in the mandibular teeth. 4. Roentgenographic changes of periodontal tissues whose teeth were treated with any type of four restorations were periodontal space widening, lamina dura discontinuity and periapical lesion in the order described in both sexes. 5. On the occasion of between amalgam and gold inlay or between crown and bridge, the differences of periodontal changes were of no consequence. On the other hand, the differences of periodontal changes were apparant between the group of amalgam & gold inlay and the group of crown & bridge.

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A LONGITUDINAL STUDY ON THE WIDTH CHANGE OF ANTERIOR KERATINIZED GINGIVA DURING TRANSITIONAL PERIOD (치아 교환시기중 전치부 각화치은의 폭경변화에 관한 연구)

  • Kim, Kee-Hong;Kim, Byung-Ok;Han, Kyung-Yoon
    • Journal of Periodontal and Implant Science
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    • v.24 no.1
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    • pp.15-25
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    • 1994
  • Keratinized ginigva has clinical singificance in periodontal health because it plays important roles in resistance to mechanical trauma, to penetration of bacteria, and to tensional stress by muscle attachment. In order to investigate the width change of anterior keratinized gingvial during transitional period, the width of kerainized gingiva on anterior teeth was measured annually in elementary school children with deciduous dentition until the successive anterior teeth were completely erupted. The distance from the gingival margin on mid-portion of crown to mucogingival junction was measured by Boley gauge(Hu-Friedy, U.S.A.) and was recorded as the width of keratinized gingiva. The difference of the width of keratinized gingiva according to sex and dentition was analyzed statistically by Student t-test. Following results were obtained : 1. In deciduous dentition, it was shown that the width of keratinized gingiva on maxillary central incisors($3.28{\pm}0.83mm$) was the widest(p<0.01), and that on maxillary lateral incisors, mandibular central and lateral incisors was $2.69{\pm}0.86mm$, $2.51{\pm}0.71mm$, $2.43{\pm}0.68mm$, respectively. 2. In mixed dentition, it was shown that the width of keratinized gingiva on maxillary central incisors ($5.10{\pm}0.86$) was the widest(p<0.01), and that on maxillary lateral incisors, mandibular central and lateral incisors was $4.35{\pm}0.83mm$, $3.51{\pm}0.60mm$, $3.57{\pm}0.66mm$, respectively. 3. The width of anterior keratinized gingiva was significantly increased after the successive anterior teeth were completely erupted(p<0.001). The width of keratinized gingiva on maxillary central and lateral incisors, and mandibular central and lateral incisors was increased by $1.82{\pm}0.83mm$, $1.65{\pm}0.69mm$, $0.99{\pm}0.39mm$, and $1.14{\pm}0.98mm$, respectively. 4. There was no statistical significance in the difference of the width of anterior keratinized gingiva between male and female(p>0.05).

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A STUDY ON MEASUREMENTS OF TOOTH LENGTH IN ORTHOPANTOMOGRAM (Orthopantomogram상에서의 치아 장경 측정에 관한 연구)

  • Jeong Chang Hoon;Kim Jae Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.129-135
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    • 1994
  • This study was performed to evaluate the accuracy of orthopantomogram by measuring the actual and radiographic tooth length and by analyzing the vertical magnification rate. For this study, total 90 teeth of the maxilla and mandible teeth and a dry skull were used. This experiment was attached with metal balls of 1±0.02㎜ at the root and the crown cusp tips of central, 2nd premolar, 1st molar of the maxilla and mandible and the teeth were embedded in dry skull, and then orthopantomogram was taken. The obtained results were as follows: 1. The average of tooth length in orthopantomogram was longer than that of actual tooth length. 2. The average of vertical magnification rate in the orthopantomogram to actual tooth length was 17-26%. 3. Vertical magnification rate of the maxilla teeth was 18-26% and that of mandibular teeth was 17-23%, and the magnification of maxillary teeth was larger than that of mandible teeth(P<0.0l). 4. Vertical magnification rate of posterior area was 22-26% and that of anterior area was 17-18%, and the magnification of anterior area was less than that of posterior area(P<0.01).

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A CEPHALOMETRIC STUDY ON MESIODISTAL AXIAL INCLINATION OF POSTERIOR TEETH IN OPEN BITE AND DEEP BITE (개방교합과 과개교합에서 구치의 근원심 치축경사도에 관한 두부방사선계측학적 연구)

  • Jeon, Sang-Beom;Kim, Jin-Beom;Shon, Woo-Sung
    • The korean journal of orthodontics
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    • v.23 no.3 s.42
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    • pp.391-403
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    • 1993
  • For the purpose of investigating mesiodistal axial inclination of posterior teeth in normal occlusion group, open bite and deep bite group and investigating the correlationship between the axial inclination of posterior teeth and overbite of anterior teeth, a cephalometric study was performed on the subjects consisted of normal occlusion group(40), open bite group(71 : Angle's Class I, Class II, division 1 25, Class III 25) and deep bite group(64 : Angle's Class I 23, Class II, division 1 21, Class III 20). Mesiodistal axial inclination of posterior teeth to occlusal, mandibular and palatal plane were measured. The findings of this study were as follows : 1. Upper and lower posterior teeth were more mesially inclined to occlusal plane in open bite group than in deep bite group. 2. Lower posterior teeth were more mesially inclined in deep bite group than in open bite group in Angle's Class II, division 1 malocclusion but there were no significant differences in Angle's Class I and Class III malocclusion. 3. There was no significant correlationship between the axial inclination of posterior teeth to each plane and overbite of anterior teeth in open bite group. 4. There was a significant correlationship between the axial inclination of upeer and lower second premolar to occlusal plane and overbite of anterior teeth in Angle's Class I, Class II, division 1 and Class III malocclusion.

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Periodontal attachment loss of extracted teeth for periodontal reasons (발거치에 나타난 부착상실의 양상에 대한 연구)

  • Kim, Jung-Hyun;Kim, Sung-Jo;Choi, Jeom-Il;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.61-68
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    • 2006
  • The factors influencing long-term prognosis of teeth must be carefully considered. Among these, attachment level is strongly associated with tooth loss. The purpose of the present study was to estimate pattern of attachment loss based on attachment area in extracted teeth. 197 satisfied the criteria for assessment after staining. The protocol described by Waerhaug(l975) was performed. An indir ect method, based on digital image abstracted from digital camera and digital imaging software program, was used to calculate the root surface area and the attachment loss area. The data were analysed using SPSS. Except maxillary central incisior and mandibular canine, no statistical significant differences between each root surfaces were observed in anterior teeth. In posterior teeth, statistical significant differences in palatal surface of maxillary molar and mandibular molar compared with others were observed. Statistical significant difference in buccal surface compared with others was lowly observed in single and multi rooted. This study did not reveal progressive loss pattern of attachment area in each root surface but clarified root surface that has relative high loss rate of attachment area at extraction. Thus understanding this pattern of attachment loss is helpful for dentist to treat the periodontitis.

Tooth hypersensitivity associated with paresthesia after inferior alveolar nerve injury: case report and related neurophysiology

  • You, Tae Min
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.2
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    • pp.173-178
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    • 2021
  • Inferior alveolar nerve (IAN) injury is usually caused by stretching or crushing of the neurovascular structures and postoperative intra-alveolar hematoma or edema after dental procedures. This results in paresthesia in the ipsilateral chin, lip (vermilion border, skin, and mucosa), and labial or buccal alveolar mucosa of the mandibular anterior teeth. However, there are no reports of sensory alterations in the teeth, especially tooth hypersensitivity, after IAN injury. I report a case in which paresthesia of the lower lip and hypersensitivity of the lower anterior teeth occurred simultaneously after the removal of the third molar that was located close to the IAN. In addition, I discuss the reasons for the different sensory changes between the tooth and chin (skin) after nerve injury from a neurophysiological point of view. Since the dental pulp and periodontal apparatus are highly innervated by the inferior alveolar sensory neurons, it seems necessary to pay attention to the changes in tooth sensitivity if IAN injury occurs during dental procedures.

TREATMENT OF CLASS II DIVISION 1 MALOCCLUSION WITH L-ARS(LIGATED ANTERIOR REPOSITIONING SPLINT) (L-ARS를 이용한 Cl II div. 1 부정교합의 치험례)

  • Kim, Jong-Chul;Williamson, Eugene H.
    • The korean journal of orthodontics
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    • v.23 no.4 s.43
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    • pp.447-454
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    • 1993
  • Patient with skeletal class II relationship was treated with L-ARS. L-ARS is fixed functional appliance that could be effective in children and adolescent patient who don't wear activator. The following results were obtained ; 1) Growth of Mandible was stimulated and overjet was decreased, therefore coupling of anterior teeth was established with L-ARS which is fixed functional appliance. 2) These changes were accomplished with Mandibular skeletal growth with no effect on the Maxilla. 3) L-ARS was especially effective on patient who deny to wear the removable functional appliance.

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Forced Eruption of Severe Angulated and Impacted Permanent Teeth after Marsupialization of Dentigerous Cyst: Case Report (함치성 낭종의 조대술 후 미맹출 변위 영구치의 교정적 정출: 증례보고)

  • Nam, Jeong-Hun;Noh, Kyung-Lok;Yoo, Woo-Geun;Lee, Byeong-Min;Jeon, Ji-Hyeon;Park, Su-Hyun;Ahn, Jang-Hoon;Kim, Jung-Hee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.83-88
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    • 2011
  • The goal of this treatment is the surgical-orthodontic eruption of impacted permanent teeth associated with a large dentigerous cyst in a preadolescent patient. Although enucleation of the entire cyst and the extraction of impacted teeth are common treatments, missing permanent teeth cause several problems in young patients. In this report, an 11-year-old female visited with the chief complaint of a large radiolucent lesion from the mandibular anterior area to the left mandibular posterior area. The permanent left canine and premolars were displaced toward the mandibular inferior border area. The extraction of infected deciduous teeth and marsupialization were performed. After 4 months, orthodontic buttons for forced eruption were applied to the impacted permanent teeth. The teeth emerged into the oral cavity 3 months after the orthodontic treatment. Although the root form was abnormal, there were no other pathogenic signs. The alveolar bone had a normal trabecular pattern and the teeth appeared to be well maintained at postoperative 24 months.