• Title/Summary/Keyword: Pediatric crown

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TREATMENT OF ANTERIOR TEETH FRACTURE BY FORCED ERUPTION (치아 정출술을 이용한 전치부 외상치의 치험례)

  • Kim, Ji-Young;Choi, Nam-Ki;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.575-582
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    • 2001
  • There have been many treatment methods for traumatic subgingival crown fracture and intrusion without spontaneous eruption. The orthodontic forced eruption generally results in favorable clinical findings than crown lengthening with osteotomy and intentional replantation. In first two cases with subgingival crown fracture due to trauma, authors applied orthodontic forced eruption with axed appliance after root canal therapy and then restored them with composite resin. In another case with traumatic intrusive luxation, we observed spontaneous eruption of the corresponding tooth for about 6 months and then returning it to normal position by forced eruption with removable appliance, but root canal filling was conducted after apexification due to devitalization during forced eruption, and so clinically favorable results were obtained.

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Micro-CT Evaluation of Stainless Steel Crowns on Extracted Primary Molars (Micro-CT를 이용한 발거된 유구치의 기성금속관 평가)

  • Jung, Boram;Shin, Jonghyun;Jeong, Taesung;Kim, Jiyeon;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.1
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    • pp.53-61
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    • 2015
  • This study was conducted for the purpose of evaluating the stainless steel crowns on extracted primary molars and thus identifying frequent errors and defects. Visual assessment and micro-computed tomography (micro-CT) image analysis were performed on 97 primary molars for evaluation of the state of marginal adaptation, cement loss, secondary caries, ledge formation, attritive perforation and marginal polishing defect. The results were as follows: In the examination of object teeth by evaluation criteria, cement loss was found most frequently (98%), followed by secondary caries (42.3%), marginal polishing defect (41.2%), ledge formation (29.9%) and attritive perforation (17.5%), in this order. The cement loss at the margins showed a significant relationship with marginal gap and secondary caries: the larger the marginal gap is, the more frequent is the cement loss (p < 0.05). The average marginal gap was $0.31{\pm}0.26mm$ and showed the highest value in the maxillary 2nd primary molars. The location of the crown margin above the cementoenamel junction was found most frequently and it was found that the higher the crown margin is located, the less the marginal gap becomes (p < 0.05). In conclusion, it is thought very desirable to pay closer attention to crown margins and shapes for stainless steel crown restoration in order to minimize the marginal gaps and consequent cement loss.

Colorimetric Analysis of Preformed Zirconia Anterior Crowns for Esthetic Restoration (심미수복용 기성 지르코니아 크라운의 색조 평가)

  • Lee, Changkeun;Park, Kibong;Yang, Yeonmi;Lee, Daewoo;Kim, Jaegon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.318-327
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    • 2019
  • The purpose of this study was to identify which combination of zirconia crowns and cements is most similar in color to the maxillary primary incisors by varying the color of zirconia crowns, crown thickness, and shade of cements. Prefabricated zirconia crowns in 3 shades and crowns fabricated using 6 types of zirconia blocks were used in this study. These were filled with A2-shade or translucent-shade resin cement and the $L^*$, $a^*$, and $b^*$ values were calculated using a spectrophotometer. The color differences between the natural teeth and the zirconia crowns were assessed. The shade of the final restoration was more similar to that of the natural teeth using A2-shade than translucent-shade resin cement. Application of A2-shade cement to a 0.5-mm-thick crown fabricated from a smile series 2 zirconia block resulted in the color most similar to that of the natural teeth. A2-shade resin cement is recommended for zirconia crown restoration in anterior primary teeth compared to TR-shade resin cement for more esthetic restoration. Since restorations with Nu-smile zirconia crowns were not esthetically favorable in terms of shade, improvement of the shade characteristics of the product or development of a new kind of zirconia crown is required.

A COMPARISON OF THE BOND STRENGTHS BETWEEN SOME CEMENTS AND STAINLESS STEEL MATERIAL (Stainless steel crown을 위한 수종 시멘트의 접착력 비교)

  • Kim, Hong-Ryoul;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.528-537
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    • 1999
  • The purpose of this study was to analyze and compare the bond strengths between stainless steel plate and zinc phosphate cement, polycarboxylate cement and glass ionomer cement, which are frequently used for cementation of stainless steel crowns. Three cementing materials were glued to the poles standing above stainless steel plate, bovine teeth, light cured glass ionomer restorative material and amalgam. And the tensile bond strengths between them were measured with universal testing machine and the results were statistically processed using ANOVA and Student t-test. The obtained results were as follows : 1. On stainless steel plate, glass ionomer cement and polycarboxylate cement showed higher tensile bond strengths compared to zinc phosphate cement, with no significant difference between the former two. 2. On the surface of bovine teeth and glass ionomer restorative material, glass ionomer cement showed highest bond strength, followed by polycarboxylate cement and zinc phosphate cement in order. 3. For amalgam restoration, polycarboxylate cement and glass ionomer cement showed higher tensile bond strengths than zinc phosphate cement, with no significant difference between the former two.

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Shear Bonding Strength of Three Cements Luted on Pediatric Zirconia Crowns and Dentin of Primary Teeth (3종 시멘트로 접착한 소아용 기성 지르코니아 전장관과 유치 상아질의 전단결합강도)

  • Lee, Jeongeun;Park, Howon;Lee, Juhyun;Seo, Hyunwoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.3
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    • pp.314-323
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    • 2018
  • The aim of this study was to evaluate the shear bond strength of three luting cements and to identify the effect of thermocycling. Zirconia discs were made similar to the inner surface of a preformed pediatric zirconia crown ($NuSmile^{(R)}$ ZR crown: ZRCr). The similarity between the zirconia discs and the inner surface of a ZRCr was confirmed by scanning electron microscope. Three luting cements were $Ketac^{TM}$ Cem Permanent Glass Ionomer Luting Cement (KGI), $RelyX^{TM}$ Luting Plus Cement (RLP), $RelyX^{TM}$ Unicem Self-Adhesive Universal Resin Cement (RUR). Three luting cements were bonded according to the manufacturer's instructions for 60 zirconia discs and 60 dentin of primary teeth. Total of 120 specimens were divided into two subgroups: One was not aged, and the other was tested with 5500 thermocycling. Shear bond strength was measured using a universal testing machine, and the fracture patterns were observed with SEM. On the zirconia discs and the dentin of primary teeth, shear bond strength of RUR was higher than that of KGI and RLP, and there were statistically significant differences by cement type. The shear bond strength differences for RUR were not statistically significant depending on thermocycling.

ALTERNATIVE TECHINQUE OF MATRIX BANDING FOR RESTORING OF PROXIMAL CARIOUS LESIONS IN PRIMARY ANTERIOR TEETH (유전치 인접면우식증의 복합레진 충전시 변형된 matrix band의 사용)

  • Ra, Ji-Young;Cho, Hyun;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.453-458
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    • 2003
  • Usually Mylar strip and wedge or celluloid strip crown were used in conventional method of restoring proximal carious lesions of primary anterior teeth. But, these methods have some difficulties to place the matrix and wedge due to short crown lenth and interdental spacing of primary teeth. And it is difficult to form proper cavosurface margin due to the rigidity of matrix and inconvenience to support matrix by practitioner's hand in narrow oral cavity of child. This article describes an alternative technique for restoring carious lesions of primary anterior teeth using available straw. This method is very convenient and reduce chair time and it also allows good marginal adaptation.

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Retrospective Study on the Survival Rate of Preformed Metal Crowns in Permanent First Molars (제1대구치 기성금속관 생존율에 관한 후향적 연구)

  • Oh, Nayoung;Nam, Soonhyeun;Lee, Jaesik;Kim, Hyunjung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.140-147
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    • 2020
  • This study analyzed the longevity of preformed metal crowns (PMCs) in first permanent molars and evaluated factors influencing their survival during a long-term follow-up period. In all, 115 first permanent molars treated with PMCs between June 2008 and June 2018 were retrospectively analyzed. The overall combined success rate for the study group was 84.3%. The 5-year survival rate was 82.8%. Multivariate Cox regression analyses identified distal cavities and mandibular PMC placement as risk factors for restoration failure. Careful placement of PMCs at the final try-in stage augments the longevity of the crown.

ROOT CANAL TREATMENT ON PRIMARY TEETH USING NICKEL-TITANIUM NOTARY FILES (회전식 nickel-titanium file을 이용한 유치의 근관치료)

  • Seo, Ju-Hee;Lee, Kwang-Hee;Kim, Dae-Eop;Yang, Kye-Sik
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.620-625
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    • 2001
  • The pulpectomy or root canal treatment on primary teeth is to be done when there is evidence of chronic in flammation or necrosis in the radicular pulp. Due to the tortuous and ribbon-shaped anatomy of the primary teeth, the instrumentation of endodontic hand files and barbed broaches is not an easy procedure. Recently, many automatic Ni-Ti rotary instruments have been developed and has made endodontic treatment easier and faster. This report describes two cases of root canal treatment on primary molars using Ni-Ti rotary files. The cervical constricture was eliminated by the crown-down method, as smaller file proceeded unhindered into the apical third of the canal. In addition, the crown-down technique enhanced the efficacy of the endodontic irrigant. The use of rotary instrumentation for primary teeth seemed to be a more effective way to debride the uneven walls of primary teeth.

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Bond Strength of Band on Zirconia Crown with Compomer and Resin Cement (지르코니아 기성관에 컴포머와 레진 시멘트로 접착한 교정 밴드의 결합력)

  • Park, Chanhee;Lee, Jonghyung;Lee, Hangil;Kim, Jihun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.127-134
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    • 2019
  • The aim of this study was to evaluate the compomer cement and resin cement as an orthodontic band cement on zirconia crown. A total of 30 specimens were prepared. Preformed stainless steel crowns and zirconia crowns of upper right second primary molar were used. Orthodontic bands were cemented on stainless steel crowns (Group I, n = 10) and zirconia crowns (Group II, n = 10) with compomer cement. The other bands were cemented on zirconia crowns with resin cement (Group III, n = 10). The tensile loads were applied to band to measure the bond strength. The mean of bond strengths of group I, II and III were 0.79 MPa, 1.09 MPa and 1.56 MPa respectively. Bond strength of group II is significantly higher than group I. There was no significant difference between group II and III. Compomer cement and resin cement containing functional monomers showed favorable bond strength of orthodontic bands.

TREATMENT OF DENTIGEROUS CYST USING MARSUPIALIZATION : A CASE REPORT (조대술을 이용한 함치성 낭종의 치료증례)

  • Kang, In-Sung;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.613-618
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    • 1998
  • A dentigerous cyst is an epithelium-lined sac that surrounds the crown of an impacted, embedded, or unerupted tooth. Many surgical procedures have been described for the elimination of dentigerous cyst, but they can be devided into two basic group: enucleation and marsupialization. Marsupialization is a conservative technique which allows the reduction or elimination of a cystic lesion by making it an accessory compartment to the oral cavity and it is the best way to conserve a tooth affected by dentigerous cyst and to permit its eruption, especially in young patient. After using marsupialization to treat dentigerous cyst associated with the crown of unerupted premolar in young patient, the results were as follows: 1. Reduction of bony expansion and rapid bone regeneration without infection and recurrence were observed. 2. Normally spontaneous eruption of involved teeth were permitted, as well as loss of affected tooth was avoided. 3. Follow-up examinations revealed no complication and recurrence.

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