• 대한치과의사협회지
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• 제57권11호
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• pp.654-663
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• 2019

This case report describes the management of a 30-year-old woman with hopeless mandibular first molars and right maxillary second premolar. The treatment plan included mandibular second and third molar protraction after extraction of mandibular first molars. Mini-implants were placed between roots of first and second premolar. Sliding mechanics with lever arm was used to prevent inclination of molars. A good functional occlusion was achieved in 38 months without clinically significant side effects. Most of the extraction space of mandibular first molar was closed by protraction of second and third molars. The skeletal Class II pattern was improved by counterclockwise rotation of mandible through reduction of wedge effect. Mandibular molar protraction with orthodontic mini-implants in adequate cases would be a great alternative to prosthetic implant and reduce the financial and surgical burden of patients.

• 대한치과교정학회지
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• 제50권2호
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• pp.145-154
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• 2020

Moving the mandibular posterior teeth into a severely atrophic edentulous space is a challenge. A carefully designed force-and-moment system that results in bodily protraction of the posterior teeth with balanced bone resorption and apposition is needed in such cases. This report describes the treatment of a 19-year-old woman with missing mandibular first molars due to juvenile periodontitis. Miniscrews were used as absolute anchorage during protraction of the mandibular second and third molars. Bodily mesial movement of the mandibular second and third molars was achieved over a distance of 11 to 17 mm after 39 months of orthodontic treatment.

• Journal of Oral Medicine and Pain
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• 제17권2호
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• pp.119-128
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• 1992

In order to evaluate the relationship of age with the developmental stage on mandibular second molars in female, the author examined the radiographs in standard films taken by intraoral paralleling technic and analysed the development of 620 roots of 310 females ranged from 10 to 18 years. The development was divided into 7 stages : Crown complete (Cr.C.), Root lengthed 1/4(R.1/4), Root length 1/2 (R.1/2), Rooth length 3/4 (R.3/4), Rooth length complete (R.C), Apex 1.2 closed (A. 1/2), Apical closure complete (A.C) The obtained results were as follows : 1. The formation of roots in fulllength of mandibular second molars was completed at 14.21-year-age in mesial root and at 14.96-year-age in distal root. 2. The formation of apical foramen of mandibular second molars was completed at 17.11-year-age in mesial root and at 17.53-year-age in distal root. 3. The mesial root of mandibular second molar was generally developed earlier than distal root (p<0.01) 4. Coefficients of correlation and regression equations between for age(Y) and the developmental stage of mandibular second molar(X) were "Y=1.53X+6.54, r=0.91 (p<0.01)" in mesial root and "Y=1.52X+7.11, r=0.92(p<0.01)" in distal root respectively.l root respectively.

• 대한치과교정학회지
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• 제51권3호
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• pp.179-188
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• 2021

Objective: To evaluate the overall treatment effects in terms of the amount of uprighting with changes in the sagittal and vertical positions of mandibular molars after applying an orthodontic miniplate with a nickel-titanium (NiTi) reverse curve arch wire (biocreative reverse curve [BRC] system). Methods: A total of 30 female patients (mean age, 25.99 ± 8.96 years) were treated with the BRC system (mean BRC time, 10.3 ± 4.07 months). An I-shaped C-tube miniplate (Jin Biomed) was placed at the labial aspect for the alveolar bone of the mandibular incisors. A 0.017 × 0.025-inch NiTi reverse curve arch wire was engaged at the C-tube mini-plate anteriorly and the first and second premolars and molars posteriorly in the mandibular arch. Pre- and post-BRC lateral cephalograms were analyzed. A paired t-test was used to analyze the treatment effects of BRC. Results: The mandibular second molars were intrusively uprighted successfully by the BRC system. Distal uprighting with a controlled vertical dimension was noted on the first molars when they remained engaged in the BRC and the distal ends of the arch wire were laid on the second molars. The mandibular first and second premolars showed a slight extrusion. The changes in the mandibular incisors were unremarkable, while the mandibular molar angulation improved significantly. The lower occlusal plane rotated counterclockwise (MP-LOP: 1.13° ± 2.60°). Conclusions: The BRC system can provide very effective molar uprighting without compromising the position of the mandibular anterior teeth.

• Restorative Dentistry and Endodontics
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• 제39권1호
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• pp.45-50
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• 2014

Ambiguity in the root morphology of the mandibular second molars is quite common. The most common root canal configuration is 2 roots and 3 canals, nonetheless other possibilities may still exist. The presence of accessory roots is an interesting example of anatomic root variation. While the presence of radix entomolaris or radix paramolaris is regarded as a typical clinical finding of a three-rooted mandibular second permanent molar, the occurrence of an additional mesial root is rather uncommon and represents a possibility of deviation from the regular norms. This case report describes successful endodontic management of a three-rooted mandibular second molar presenting with an unusual accessory mesial root, which was identified with the aid of multiangled radiographs and cone-beam computed tomography imaging. This article also discusses the prevalence, etiology, morphological variations, clinical approach to diagnosis, and significance of supernumerary roots in contemporary clinical dentistry.

• Imaging Science in Dentistry
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• 제43권4호
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• pp.219-225
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• 2013

Purpose: The purpose of this study was to determine the prevalence of missing and impacted third molars in people aged 25 years and above. Materials and Methods: The study sample of 3,799 patients was chosen randomly from patients who visited Pusan National University Dental Hospital and had panoramic radiographs taken. The data collected included presence and impaction state, angulation, and depth of impaction of third molars, and radiographically detected lesions of third molars and adjacent second molars. Results: A greater percentage of men than women retained at least one third molar. The incidence of third molars decreased with increasing age. The incidence of partially impacted third molars greatly declined after the age of 30. Vertically impacted maxillary third molars and horizontally impacted mandibular third molars were most frequent in all age groups. Among the maxillary third molars, those impacted below the cervical line of the second molar were most frequent in all age groups, and among the mandibular third molars, deeply impacted third molars were most frequent in those aged over 40. Dental caries was the most common radiographic lesion of the third molars. Mesioangularly impacted third molars showed radiographic lesions in 13 (9.5%) adjacent maxillary second molars and 117 (27.4%) mandibular second molars. Conclusion: The number of remaining third molars decreased and the percentage of Class C depth increased with age. Caries was the most frequent lesion in third molars. Partially impacted mesioangular third molars showed a high incidence of caries or periodontal bone loss of the adjacent second molar. Regular oral examination will be essential to keep asymptomatic third molars in good health.

• 해부∙생물인류학
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• 제27권3호
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• pp.155-163
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• 2014

본 연구 목적은 한국인 아래턱큰어금니 hypoconulid와 관련된 각 교두의 크기 및 형태적 특징 및 성별 차이와 아래턱큰어금니 사이의 크기 및 형태 차이를 알아보기 위함이다. 조사 대상은 전남대학교 치의학전문대학원 남학생 78명, 여학생 32명이었으며, 평균연령은 30세였다. 대상자의 치아모형을 제작하여 아래턱첫째 및 둘째큰어금니의 최대 안쪽-먼쪽너비, 볼쪽-혀쪽너비, 5개 교두(protoconid, metaconid, hypoconid, entoconid, hypoconulid)의 개별면적, 총교두면적, 교합상면적을 측정하였다. 성별 차이와 아래턱첫째 및 둘째큰어금니 간의 차이 및 상관성에 관해서는 paired t-test를 사용하여 분석하였다. 남녀 모두 아래턱큰어금니의 안쪽-먼쪽너비, 볼쪽-혀쪽너비, 총교두면적, 교합상면적 측정값은 첫째큰어금니가 둘째큰어금니보다 크게 나타났다. 아래턱첫째 및 둘째큰어금니 모두 protoconid 면적이 가장 크게 나타났고, hypoconulid 면적이 가장 작게 나타났다. 아래턱큰어금니 5개 교두 중 크기 및 형태 변이가 가장 큰 것은 hypoconulid였으며, hypoconulid 발현빈도는 아래턱첫째큰어금니가 둘째큰어금니보다 더 높았다. 모든 측정값은 남자가 여자보다 더 크게 나타났으며, 아래턱첫째큰어금니 entoconid (p=0.06)와 둘째큰어금니 hypoconulid (p=0.24) 면적을 제외한 나머지 측정값들은 모두 남녀간의 유의한 차이가 있는 것으로 나타났다. 한국인은 남녀 모두 다른 인종에 비해 전반적인 치아 크기(너비, 면적)가 작은 것으로 나타났으며, 남자 치아 크기가 여자보다 큰 것으로 나타났다. 또한 늦게 발생이 일어나는 치아일수록 치아크기는 작고 변이는 더 큰 경향을 나타내었으며, 제일 늦게 발생하는 hypoconulid 변이 정도가 제일 크게 나타났다. 이상의 결과는 한국인 아래턱큰어금니의 비교치아 형태학 자료를 제공한다.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.182-188
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• 2016

Objectives: The purpose of this study was to evaluate the proximity of the mandibular molar apex to the buccal bone surface in order to provide anatomic information for apical surgery. Materials and Methods: Cone-beam computed tomography (CBCT) images of 127 mandibular first molars and 153 mandibular second molars were analyzed from 160 patients' records. The distance was measured from the buccal bone surface to the root apex and the apical 3.0 mm on the cross-sectional view of CBCT. Results: The second molar apex and apical 3 mm were located significantly deeper relative to the buccal bone surface compared with the first molar (p < 0.01). For the mandibular second molars, the distance from the buccal bone surface to the root apex was significantly shorter in patients over 70 years of age (p < 0.05). Furthermore, this distance was significantly shorter when the first molar was missing compared to nonmissing cases (p < 0.05). For the mandibular first molars, the distance to the distal root apex of one distal-rooted tooth was significantly greater than the distance to the disto-buccal root apex (p < 0.01). In mandibular second molar, the distance to the apex of C-shaped roots was significantly greater than the distance to the mesial root apex of non-C-shaped roots (p < 0.01). Conclusions: For apical surgery in mandibular molars, the distance from the buccal bone surface to the apex and apical 3 mm is significantly affected by the location, patient age, an adjacent missing anterior tooth, and root configuration.

• Journal of Periodontal and Implant Science
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• 제31권3호
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• pp.573-579
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• 2001

The purpose of this study was to investigate the characteristiss of korean multi-rooted teeth extracted by periodontal disease. A total of 182 extracted multi-rooted teeth were examined. The distance from the cementoenamel junction(CEJ) to the root groove and from the CEJ to the root division was measured. The frequency of the root grooves were calculated. The results are as follows : 1. Distances from CEJ to the root groove were $1.53{\cdot}1.60mm$ for maxillary first premolars mesial${\cdot}$distal sides, $1.26{\cdot}1.38{\cdot}1.75mm$ for maxillary first molars buccal${\cdot}$mesial${\cdot}$distal sides, $1.38{\cdot}1.71{\cdot}1.41mm$ for maxillary second molars buccal${\cdot}$mesial${\cdot}$distal sides, $0.98{\cdot}0.99mm$ for mandibular first molars buccal${\cdot}$lingual sides and $1.28{\cdot}1.35mm$ for mandibular second molars buccal${\cdot}$lingual sides. 2. The frequency of the root grooves were $17.4{\cdot}30.4%$ for maxillary first premolars mesial${\cdot}$distal sides, $44.4{\cdot}84.1{\cdot}67.5%$ for maxillary first molars buccal${\cdot}$mesial${\cdot}$distal sides, $100{\cdot}90.3{\cdot}90.3%$ for maxillary second molars buccal${\cdot}$mesial${\cdot}$distal sides, $42.9{\cdot}77.8%$ for mandibular first molars buccal${\cdot}$lingual sides and 90.6% for mandibular second molars buccal${\cdot}$lingual sides. 3. Distances from CEJ to the root division were $6.8{\cdot}7.2mm$ for maxillary first premolars mesial${\cdot}$distal sides, $3.3{\cdot}4.38{\cdot}4.34mm$ for maxillary first molars buccal${\cdot}$mesial${\cdot}$distal sides, $3.67{\cdot}4.8{\cdot}4.07mm$ for maxillary second molars buccal${\cdot}$mesial${\cdot}$distal sides, $3.1{\cdot}3.89mm$ for mandibular first molars buccal${\cdot}$lingual sides and $3.2{\cdot}4.06mm$ for mandibular second molars buccal${\cdot}$lingual sides.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.731-738
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• 1997

A retrospective in vivo study of endodontically treated mandiblar molars was conducted. The radilographs and clinical records of mandibular molars that had been treated endodontically in the Dental hospital of Yonsei University from 1986 to July 1997 were reviewed and categorized. A total of 1751 cases were studied and following results were obtained. 1. The number of root canals in mandibular first permanent molar in a Korean population revealed three in 53.2 %, four in 23.0 %, two in 18.4 %, C-shaped canal in 5.0 %, and one in 0.4 %. 2. In mandibular second molar, three canals was observed in 53.2 %, four in 22.2 %, two in 14.9%, C-shaped canal in 9.1 %, and one in 0.6%. 3. In the results of the percentage of 4 canals of mandibular first molars at various age, before age 20, 37.7 % was obtained whereas 19.3 % after 30. 4. 7.94 % of mandibular first molars examined were found to have three roots. 5. The mandibular second molar had C-shaped canals in 9.1 %.