• 제목/요약/키워드: Mandibular incisor

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측방 두부규격방사선사진을 이용한 이공의 위치 (Location of mental foramen by lateral cepalometric radiography)

  • 이승훈;김동열;정소윤
    • 한국치위생학회지
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    • 제10권4호
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    • pp.655-661
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    • 2010
  • Objectives : This study is aimed to prevent the damage to the inferior alveolar nerve during the orthognathic surgery. Methods : The control group consist of 50 patients with class I occlusion. The experimental group consist of 50 patients with class III malocclusion. The cepalometric radiography was used to evaluate the position of the mental foramina. Results : In the first, mental foramen position of class III was more inferior 0.85 mm in the distance between base of mandible and mental foramen. But the distance between occlusal plan and mental foramen had not statistically significant. Secondly, mental foramen location of Mandibular Prognathism was more anterior 0.91 mm in the distance between coronal plane of mandible included pogonion point and mental foramen. Also, the distance of occlusal-coronal plane of mandible included central incisor and mental foramen had statistically significant. The mental foramen location of class III was more anterior 4.81 mm than class I patients. Conclusions : The result of this study could help the clinicians to apprehend fundamental data with various facial skeletal types for any related researches about the location of the mental foramina for other purposes.

Segmental osteotomy for mobilization of dental implant

  • Olate, Sergio;Weber, Benjamin;Marin, Alvaro
    • Journal of Periodontal and Implant Science
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    • 제43권5호
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    • pp.243-247
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    • 2013
  • Purpose: The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area. Methods: A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment. Results: After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present. Conclusions: It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.

유치열(乳齒列)의 치간공극(齒間空隙)에 관(關)한 통계학적(統計學的) 연구(硏究) (THE STATISTICAL STUDY OF INTERDENTAL SPACE IN THE PRIMARY DENTITION)

  • 고천석
    • 대한소아치과학회지
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    • 제7권1호
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    • pp.53-61
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    • 1980
  • The purpose of this study was to statistically evaluate the spacing of primary dentition according to whether or not a space existed and measurement of amount of space in 205 children (male 114, female 91) from 2 to 6 years of age. The results were as follows; 1. In the incidence of interdental space on each region, spacing between the primary lateral incisors and primary canine in maxilla and between the primary canine and 1st primary molar in mandible showed the highest percentage, on the other hand, spacing between the 1st and 2nd primary molars in both jaw showed the lowest percentage. 2. In the kinds of interdental space, the state of primate space and other space together showed the highest percentage, and in the degree of spacing, $S_2$ showed the highest percentage in both jaw. 3. In the incidence of primate space, maxillary primate space showed higher percentage than mandibular primate space in bilateral case. 4. In the type of arch form, spaced arch showed higher percentage than closed arch and about the half of closed arch showed crowding. 5. In both Jaw, available space showed incisor segments, canine segments, and premolar segments in order of amount, and there were not statistically significant differences of sex or jaws in the amount of available space.

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상실된 영구 중절치의 교정적 치료와 심미적 수복 치험례 (TREATMENT OF MISSING CENTRAL INCISORS USING SPACE REGAINING AND MARYLAND BRIDGE : CASE REPORT)

  • 전상언;김용기
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.611-616
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    • 1994
  • A major cause of missing permanent incisors is congenital abscence and extraction because of trauma and pathologic condition. The request for restoration of missing or spaced anterior teeth is common in dental practice. Problems, such as the tilting, drifting, and rotation of teeth adjacent to the space, complicate the restoration of apperance, and a normally simple restorative dental procedure may become difficult. There are two primary treatment alternatives to improving a dentition's irregular and spaced apperance-closing the space by orthodontic means or providing a prosthesis to disguise the space. The treatment choice depends on many variables, but, as a general rule, patients with a normal overbite, overjet, and buccal relationship are better treated by maintaining the sapce and providing a prosthesis, either fixed or removable. This case report presents two cases : Traumatic loss of maxillary right and left central incisors, Extraction of malformed mandibular right central inciosr. The loss of central incisor space was regained by the fixed-removable and fixed orthodontic appliance, and then Maryland bridge was cemented.

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하구순 편평세포암의 광범위 절제 후 Bernard씨 술식의 Webster씨 변법을 이용한 재건 (Reconstructive Considerations in Webster's Modification of Bernard Operation after Wide Excision of Squamous Cell Carcinoma on Lower Lip)

  • 남수봉;배용찬;최치원
    • Archives of Plastic Surgery
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    • 제32권2호
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    • pp.168-174
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    • 2005
  • Reconstruction of the lower lip requires consideration of several factors. There should be retained sensation, maintenance of oral sphincter function, and a large enough opening for the mouth. In addition, it is important to achieve an aesthetically acceptable appearance. Webster's modification of Bernard operation is one of good methods which satisfy above mentioned goals. The purpose of this article is to present the results and review the perioperative problems after reconstruction of the lower lip by this operation. We reviewed seven patients after surgical reconstruction by the same method between January of 1996 and December of 2003. Five patients were male and two were female. The mean follow-up period was 15 months. We obtained functionally and cosmetically acceptable appearance after reconstruction. Most of the reconstructed lower lips were large enough for full mouth opening, but one patient required additional commissuroplasty, and one other patient was treated with wound revision for dehiscence resulting from protrusion of mandibular lateral incisor tooth. All other patients accepted their facial appearance. In conclusion, careful planning and consideration for dental problems and proper closure tension may ensure satisfactory outcome & lower lip competence, when using this modified operative method for lower lip reconstruction.

치아종 제거후 시행한 자가치아이식술 (TOOTH TRANSPLANTATION AFTER SURGICAL REMOVAL OF ODONTOMA: A CASE REPORT)

  • 김종운;김수관;김수흥;정태영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권3호
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    • pp.244-247
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    • 2001
  • 본 증례는 치아종제거후 병소하방에 존재하던 매복된 하악 좌측측절치를 원래 맹출되어야 할 부위로 자가치아이식 하였다. 수술후 12주에 치근흡수 소견이 관찰되어 근관치료가 시행되었다. 근관치료후 염증성흡수 소견은 중단되었으며 임상적으로 양호한 결과가 관찰되었다.

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연속발치에 의한 치험일례 (제1보) (A CLASS I DISCREPANCY CASE TREATED BY SERIAL EXTRACTION)

  • 김광현;최목균
    • 대한치과교정학회지
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    • 제2권1호
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    • pp.47-52
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    • 1971
  • 저자들은 9세 10개월된 Class I discrepancy 증례를 다각적으로 검사한 후 그의 가족력과 Grater. Nance, Mills, Lloyd, Dewe, 등의 생각대로 Clinical arch lenth의 증가를 더 기대할수 없다고 판단하고 연속발치를 시술하여 전치부의 교우교합과 총생이 거의 해소되어 좋은결과를 보이고 있으나, 두부X-선 규격 사진분석에서 보는바와 같이 Interincisal angle이 약간 크므로 향후 예견되는 Deep Overbite와 Incisal Inclination Control에 치료의 역점를 두고자한다.

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Orthodontic treatment of a transposed maxillary canine and first premolar in a young patient with Class III malocclusion

  • Gracco, Antonio;Siviero, Laura;Perri, Alessandro;Favero, Lorenzo;Stellini, Edoardo
    • 대한치과교정학회지
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    • 제45권6호
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    • pp.322-332
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    • 2015
  • A 12-year-old girl was referred to our clinic for evaluation of an unaesthetic dental appearance. All permanent teeth were erupted, while the deciduous maxillary right canine was retained. Cone-beam computed tomography revealed a complete transposition of the maxillary left canine and first premolar involving both the crowns and the roots. Initial cephalometric analysis showed a skeletal Class III pattern, with a slight maxillary retrusion and a compensated proclination of the upper incisors. The patient's teeth were considered to be in the correct position; therefore, we decided to attempt treatment by correcting the transposition and using only orthodontic compensation of the skeletal Class III malocclusion. After 25 months of active orthodontic treatment, the patient had a Class I molar and canine relationship on both sides, with ideal overbite and overjet values. Her profile was improved, her lips were competent, and cephalometric evaluation showed acceptable maxillary and mandibular incisor inclinations. The final panoramic radiograph showed that good root parallelism was achieved. Two-year follow-up intraoral photography showed stable results.

자연 치아와 골유착성 임플랜트의 동요도에 관한 연구 (MOBILITY OF NATURAL TEETH AND OSSEOINTEGRATED IMPLANTS)

  • 장경수;김용호;김영수
    • 대한치과보철학회지
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    • 제33권1호
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    • pp.144-155
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    • 1995
  • It is well known that implants showing no clinical mobility are successfully osseointegrated and have good prognosis. When implants are under load, their mobility begins to increase. It is of necessity to substantiate whether excessive load is on or premature occlusal force is acting prior to desirable osseointegration. Using Periotest unit, we could measure the pattern of mobility change. Consequently, osseointegrated treatment has come to success by intercepting progressive mobility and doing perceptive treatment according to the result of Periotest Value(PTV). In this study, we took records of intangible mobility of 70 osseointegrated implants. And we also measured the mobility of periodontally sound natural teeth as a standard from 30 dental personnel. Conclusions were summarized as followings ; 1. Lower lateral incisor has the highest PTV, whereas lower canine, upper canine, lower premolars and lower 1st molar have the lowest PTV in natural dentition. 2. There are little significant statistical difference of PTV between men and women in both(natural and implant) dentition. 3. In general, lower natural teeth show lower PTV than upper counterpart. 4. Mandibular implants have lower PTV than those of maxillary implants. 5. All of the successfully osseointegrated implants have lower PTV than those of periodontally healthy teeth.

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Transitional implant를 이용한 임시수복과 최종 수복 (CLINICAL APPLICATION OF TRANSITIONAL IMPLANTS)

  • 김유리;민승기
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권6호
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    • pp.575-580
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    • 2005
  • Transitional implants were developed to support provisional restorations and to allow for load-free osseointegration of conventional implants while a patient was provided with immediate esthetics and function and are usually placed simultaneously at the time of definitive implant placement. Transitional implants are placed in a non-submerged fashion in a single-stage surgery and are designed to be immediately loaded. They generally are made of commercially pure titanium or titanium alloy and are designed as 1-piece implants composed of root and crown replacement segments. Transitional implants can be used in a wide range of indications, such as basic use as temporary implant, to support and protect the primary implants during the healing phase, single crown in the edentulous anterior region of mandibular, anchorage for orthodontic treatment, support a surgical and radiographic template, and primary implant to extremely atrophied alveolar crests of the mandible and maxilla. This article describes the clinical use of transitional implants to support the provisional complete denture and single crown in the restricted edenturous central incisor region of mandible.