• Journal of the korean academy of Pediatric Dentistry
• /
• v.42 no.3
• /
• pp.257-263
• /
• 2015

Impacted teeth occur at higher frequencies in permanent than primary dentition. The most frequently affected teeth are the maxillary and mandibular third molars, whereas it is quite uncommon for the mandibular first molar to be impacted. Treatment methods for impacted teeth include continuous examination for independent eruption, surgical exposure, subluxation after surgical exposure, orthodontic traction, and surgical repositioning. If all of these treatments fail, tooth extraction may be considered. In the first case study, an 8-year-old boy was treated with surgical exposure, after which he was fitted with an obturator. His mandibular first molar then erupted successfully. In the second case, we treated a 12 year-old boy using orthodontic traction. This study describes children with tooth eruption disorders of the mandibular first molar in mixed dentition, and reports acceptable results regarding treatment of the impacted teeth.

• Journal of Technologic Dentistry
• /
• v.11 no.1
• /
• pp.65-70
• /
• 1989

The development of the lobe pattern in the human dentition plays a part in the form and function of each individual teeth. In order to determin the morphological categories used to describe the occlusal surfaces of the maxillary and mandibular molars, the variation of the developmental grooves which separate each lobe in the molars was examined and analysed. The obtained conclusions were as follow. 1. Most of the maxillary first molars with more distinct and more developmental grooves than the other molars but in most cases of the third molar, a heart-shaped outline due to poorly developed or abscent distolingual cusp was most frequent and in this case the third molar had the 3 cusps separated by the central developmental groove and the buccal developmental groove. 2. In most cases, the mandibular first molar had the 5-cusp type that the groove patter resembles a Y, the second molar the 4-cusp type arranged in such a way that the buccal and lingual developmental grooves meet the central developmental groove at right angle on the occlusal surface and many instances of the mandibular third molars had the 5-cusp thpe with a+groove pattern which separatess the mesiolingual cusp from the distobuccal cusp and the 4-cusp type with a+groove pattern. 3. The maxillary and mandibular third molar were most variable in the developmental groove.

• Restorative Dentistry and Endodontics
• /
• v.22 no.2
• /
• pp.731-738
• /
• 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 %.

• Restorative Dentistry and Endodontics
• /
• v.39 no.1
• /
• pp.45-50
• /
• 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.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.23 no.4
• /
• pp.859-866
• /
• 1996

It is a relatively rare clinical experience to see the impacted first molar. The first permanent molar is the key in normal occlusion. Abnormal eruption of the first permanent molars would inflict normal development of dental arches and give rise to abnormal root resorption of the adjacent teeth. Therefore, the abnormally erupted first permanent molars should be detected and treated early in order to obtain proper occlusal guidance in mixed dentition period. This report presents two cases on distally tilted and impacted mandibular first molars which were treated by surgical exposure and orthodontic traction using facial mask.

• The Journal of the Korean dental association
• /
• v.11 no.12
• /
• pp.787-799
• /
• 1973

Surveying the calcification degree of permanent tooth crown in 719 Korean children (Male 387, female 332) from 2 to 10 years old by orthopantomograph, the author got the following results. 1. Female was earlier than male in calcification of permanent teeth. 2. The results of the complete calcification of the permanent tooth crown were as follows. 3. The completion of calcification in the mandibular crown was seen earlier than that of the maxilla. 4. The order of calcification in permanent tooth crowns was as follows : 1 st molar, central incisor, lateral incisor, canine, 1st premolar, 2nd premolar, and 2nd molar. 5. The completion of calcification of the permanent crowns in Korean children was slightly retarded comparing with the Japanese and the American children.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.43 no.2
• /
• pp.187-191
• /
• 2016

Early loss of a primary second molar can cause mesial drift or tilting of the permanent first molar. We present a case of the early loss of the mandibular primary molars in a 5-year-old girl. The patient required extraction of the mandibular left primary first and second molars due to folliculitis on the successors. A flexible denture was used for eruption guidance of the permanent first molar and the recovery of masticatory function simultaneously.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.6 no.1
• /
• pp.43-52
• /
• 1979

The purpose of this study was to finding out the relationship between the tooth calcification and eruption of the mandibular permanent teeth in Korean. This study was undertaken in 592 children at ages from 3 to 13 years who had good oral condition by means of panoramic roentgenographic analysis. The following results were obtained. 1. The mean ages of crown completion were as follows; Canine 1st. Premolar 2nd. Premolar 1st. Molar Male 6yrs. 4mos. 6yrs. 8mos. 7yrs. 6mos. 7yrs. 6mos. Female 5yrs. 11mos. 6yrs. 5mos. 7yrs. 2mos. 3yrs. 3mos. 2. Each tooth started to move toward occlusion at approximately stage 6 or after crown completion. 3. The highest increment in eruption rate was at about 1/3~1/2 completion of root and ages at 10-11 years in male, 9-10 years in female. 4. Eruption period of both sexes were as follows; Canine: 6-12years 1st. Premolar: 7-12 years 2nd. Premolar: 7-13 years 1st. Molar: 3-7 years 5. The eruption was completed before the root completion. 6. The sequence of eruption and calcification was 1st. Molar-Canine-1st. Premolar-2nd. Premolar in both sexes.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.35 no.2
• /
• pp.297-304
• /
• 2008

The purpose of this study was to evaluate a 3-Dimensional laser scanner for the space analysis after loss of a primary first molar. Six children with premature loss of a primary first molar were examined using study models taken before and after the extraction. The results were as follows: 1. There was no change in primary molar space after the extraction of a maxillary primary first molar However, 2 out of 3 children experienced primary molar space loss in extraction side of a mandibular primary first molar. 2. Arch width and arch perimeter showed no difference between initial and final model. 3. All primary canines did not show any changes in inclination. Maxillary primary second molars had similar changes in both extraction and control side. However, 2 out of 3 mandibular primary second molars in extraction side showed more lingual tipping compared to control side. Mandibular permanent first molars tipped more lingually in extraction side. 4. In angulation, primary canines showed nothing of significance. Mandibular primary second molars tipped more mesially in extraction side than in control side. Maxillary permanent first molars have increased distal angulation after extraction of primary first molars in both side.

• Journal of Korean Dental Science
• /
• v.9 no.2
• /
• pp.63-68
• /
• 2016

Pressure root resorption can be observed during the eruption of permanent dentition, especially of the maxillary canines (affecting lateral incisors) and mandibular third molars (affecting mandibular second molars). Since the cause of root resorption of the adjacent affected teeth is evident, treatment simply involves extraction of the impacted tooth. However, there have been few reports on the prognosis of the remaining resorbed tooth, as dentists often choose to extract them when damage due to root resorption is observed. We report a case involving a tooth that was severely resorbed due to pressure from an adjacent impacted tooth. After extraction of the impacted tooth, the remaining tooth retained vital pulp and survived as a functional tooth.