• 제목/요약/키워드: Premolar Extraction

검색결과 156건 처리시간 0.024초

Angle 씨 III급 부정교합의 치험일례 (A CASE REPORT OF ANGLE'S CLASS III MALOCCLUSION)

  • 성재현;권오원
    • 대한치과교정학회지
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    • 제11권1호
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    • pp.41-45
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    • 1981
  • A girl aged 18 years and 1 month, had a Angle's Class III malocclusion, characterized by .anterior crossbite, anterior crowding, and constriction from right lower 2nd premolar to right lower 2nd molar. This patient underwent sealing and (equation omitted) extraction, and multibanded system was placed. After 14 months, anterior crossbite and crowding was corrected, an bothdental arches were improved. After 6 months from debanding, band space disappeared and any relapse was not detected.

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양악치성전돌증의 교정치험예 (A CASE REPORT OF ORTHODONTIC TREATMENT OF BIMAXILLARY DENTAL PROGNATHISM)

  • 성재현
    • 대한치과의사협회지
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    • 제16권5호통권108호
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    • pp.395-399
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    • 1978
  • The patient, 21 years and 3 months female, complained of protrusion of lower face. There was severe procumbency of upper & lower anterior teeth. Cephalometric analysis revealed that the anteroposterior jaw relationship was normal, but the teeth was foreward on their respective basal bones, so diagnosed as bimaxillary dental prognathism. The patient underwent extraction of four Ist premolar and was treated with multibanded & direct bonding system. After 14 months, She gained good interdigitation of buccal segment and attractive facial profile.

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Changes in buccal facial depth of female patients after extraction and nonextraction orthodontic treatments: A preliminary study

  • Dai, Fanfan;Yu, Jie;Chen, Gui;Xu, Tianmin;Jiang, Ruoping
    • 대한치과교정학회지
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    • 제48권3호
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    • pp.172-181
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    • 2018
  • Objective: This study was performed to investigate buccal facial depth (BFD) changes after extraction and nonextraction orthodontic treatments in post-adolescent and adult female patients, and to explore possible influencing factors. Methods: Twelve and nine female patients were enrolled in the extraction and nonextraction groups, respectively. Changes in BFD in the defined buccal region and six transverse and two coronal measuring planes were measured after registering pretreatment and posttreatment three-dimensional facial scans. Changes in posterior dentoalveolar arch widths were also measured. Treatment duration, changes in body mass index (BMI), and cephalometric variables were compared between the groups. Results: BFD in the buccal region decreased by approximately 1.45 mm in the extraction group, but no significant change was observed in the nonextraction group. In the extraction group, the decrease in BFD was identical between the two coronal measuring planes, whereas this differed among the six transverse measuring planes. Posterior dentoalveolar arch widths decreased in the extraction group, whereas these increased at the second premolar level in the nonextraction group. The treatment duration of the extraction group was twice that of the nonextraction group. No differences were found in BMI and Frankfort horizontal-mandibular plane angle changes between the groups. BFD changes in the buccal region moderately correlated with treatment duration and dental arch width change. Conclusions: BFD decreased in adult female patients undergoing extraction, and this may be influenced by the long treatment duration and constriction of dentoalveolar arch width. However, nonextraction treatment did not significantly alter BFD.

Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction

  • Lim, Hyun-Chang;Kim, Sangyup;Kim, Do-Hyup;Herr, Yeek;Chung, Jong-Hyuk;Shin, Seung-Il
    • Journal of Periodontal and Implant Science
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    • 제51권4호
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    • pp.285-295
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    • 2021
  • Purpose: The aims of the present study were 1) to quantitatively evaluate the extent of sinus pneumatization and 2) to determine the factors affecting sinus pneumatization. Methods: Based on implant treatment records, a list of patients who underwent implant placement on the posterior maxilla was obtained. Among them, patients with pre-extraction and post-extraction (before implant placement) panoramic radiographs were selected. After excluding radiographs with low resolution and image distortion, the radiographs before and after extraction were superimposed using computer software. Subsequently, the extent of sinus pneumatization (the vertical change of the sinus floor) was measured. Simple and multiple mixed models were used to determine the factors affecting sinus pneumatization. Results: A total of 145 patients were eligible for the present investigation. The average extent of sinus pneumatization was 1.56±3.93 mm at 176 tooth sites. Male sex, single tooth extraction, extraction of an endodontically compromised tooth, a class I root-sinus relationship, and sinus membrane thickening >10 mm favored pneumatization, but without statistical significance. The maxillary second molar presented the greatest pneumatization (2.25±4.39 mm) compared with other tooth types. This finding was confirmed in the multiple mixed model, which demonstrated a statistically significant impact of the extraction of a second molar compared with the extraction of a first premolar. Conclusions: Maxillary sinus pneumatization was 1.56±3.93 mm on average. The extraction of a second molar led to the greatest extent of pneumatization, which should be considered in the treatment plan for this tooth site.

교정치료에 따른 미맹출 하악 제3대구치의 위치 변화에 관한 연구 (A STUDY ON THE PRE-ERUPTIVE POSITIONAL CHANCE OF THE LOWER THIRD MOLAR FOLLOWING ORTHODONTIC TREATMENT)

  • 이경원;배성렬;김상철
    • 대한치과교정학회지
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    • 제26권1호
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    • pp.105-111
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    • 1996
  • 임상교정에서의 원활한 치아배열을 도모하기 위하여 진단과 치료계획의 수립 방향에 따라 제1소구치 혹은 제2소구치 발치 또는 제2대구치 발치 또는 비발치로 치료가 진행된다. 이때 나타나는 하악제3대구치의 위치적 변화 특히 근원심, 협설측 경사도의 변화도를 알아보고자 163명의 교정환자 (비발치군 77례, 제1소구치 발거군 78례, 제2대구치 발거군 8례)의 치료전후 Pantomogram상을 분석하였다. 결과적으로 하악 제2대구치 발거군에서 치료전후 근원심 경사도의 변화가 컸으며, 하악 제3대구치의 초기 근심 경사도는 치료 전후의 근심경사도와 높은 상관성을 보였으며, 치료전 후의 근심경사도 변화량과도 높은 상관성을 보였다. 비발치군과 제1소구치 발거군에서 치료전후의 협설경사도 변화의 차이가 인정되었다. 치료전후의 협설경사도 변화는 치료전의 협설 경사도, 치료후의 협설경사도, 치료후의 근심경사도, 치료전후의 근심경사도 변화량과 높은 상관성을 보였다.

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2두의 소형견에서 안와부위종창을 병발한 치근단 농양의 외과적 치료 (Surgical Treatment of a Periapical Abscess with Suborbital Swelling in Two Dogs)

  • 한현정;김중현;김준영;정순욱
    • 한국임상수의학회지
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    • 제23권4권
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    • pp.476-479
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    • 2006
  • A 9-year-old, female Yorkshire terrier and a 10-year-old, female Maltese were referred to the Veterinary Medical Teaching Hospital of Konkuk University. The dogs were presented with severe swelling and cutaneous sinus tract on the left suborbital lesion. Under general anesthesia, we performed physical, intraoral examinations and survey radiography, and diagnosed as periapical abscess in a left fourth premolar tooth. They were treated with tooth extraction, and the sinus tracts were drained with 0.05% chlorhexidine solution. After teeth extractions, medication applied by the result of antibiotic sensitivity test. During follow-up 10 months later, the left suborbital swelling had completely resolved.

하악골에 발생한 Ameloblastoma의 증례 (A CASE REPORT OF AMELOBLASTOMA OF THE MANDIBLE)

  • 김석환
    • 대한치과의사협회지
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    • 제16권4호통권107호
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    • pp.279-282
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    • 1978
  • A girl aged 16 years and I month, had a severe Angle's class III malocclusion, characterized by a retarded and constricted maxilla, anterior and posterior crossbite. This patient underwent extraction of two lower Ist premolar. After extraction, author placed multibanded system in lower dental arch to change the long axis of anterior teeth and delivered removable appliance with Coffin spring in the upper dental arch to expand dental arch. After 13 months, anterior & posterior crossbite was corrected and this patient's profile was improved. Superimposition of pretreatment and posttreatment cephalograms upon the SN line registered at S showed backward downward rotation of the mandible and retrusion of lower lip.

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심한 Angle씨 III급 부정교합의 치험예 (A CASE REPORT OF SEVERE ANGLE'S CLASS III MALOCCLUSION)

  • 성재현
    • 대한치과의사협회지
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    • 제16권4호통권107호
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    • pp.273-278
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    • 1978
  • A girl aged 16 years and I month, had a severe Angle's class III malocclusion, characterized by a retarded and constricted maxilla, anterior and posterior crossbite. This patient underwent extraction of two lower Ist premolar. After extraction, author placed multibanded system in lower dental arch to change the long axis of anterior teeth and delivered removable appliance with Coffin spring in the upper dental arch to expand dental arch. After 13 months, anterior & posterior crossbite was corrected and this patient's profile was improved. Superimposition of pretreatment and posttreatment cephalograms upon the SN line registered at S showed backward downward rotation of the mandible and retrusion of lower lip.

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전치부 및 치은의 노출량과 교합평면의 캔팅을 고려한 미니스크류를 이용한 전치열의 원심이동 (TAD driven whole dentition distalization with special considerations for incisal/gingival display and occlusal canting)

  • 백철호
    • 대한치과의사협회지
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    • 제57권6호
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    • pp.333-343
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    • 2019
  • Many orthodontists face difficulties in aligning incisors in an esthetically critical position, because the individual perception of beauty fluctuates with time and trend. Temporary anchorage device (TAD) can aid in attaining this critical incisor position, which determines an attractive smile, the amount of incisor display, and lip contour. Borderline cases can be treated without extraction and the capricious minds of patients can be satisfied with regard to the incisor position through whole dentition distalization using TAD. Mild to moderate bimaxillary protrusion cases can be treated with TAD-driven en masse retraction without premolar extraction. Patients with Angle's Class III malocclusion can be the biggest beneficiaries because both sufficient maxillary incisal display, through intrusion of mandibular incisors, and distalization of the mandibular dentition are successfully achieved. In addition, TAD can be used to correct various other malocclusions, such as canting of the occlusal plane and dental/alveolus asymmetry.

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치조성 양악 전돌 환자에서 컴퓨터를 이용한 치료 결과 예측의 정확성 (Comparison of computer-based treatment prediction with true results in bimaxillary protrusion cases)

  • 이리나;임용규;이동렬
    • 대한치과교정학회지
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    • 제32권3호
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    • pp.155-163
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    • 2002
  • 치조성 양악 전돌 증례에서 컴퓨터 시뮬레이션을 이용한 연조직 측모의 치료 결과 예측의 객관적 정확성을 상, 하악 제 1소구치 발거를 통해 교정치료를 받은 21명의 성인 여성을 대상으로 $Quick\;Ceph\;Image\;Pro^{TM}\;&\;Quick Eeph\;2000^{TM}$ 을 이용하여 조사, 평가하였다. 치료 전 측모 두부방사선 규격사진 투사도에서 경조직 이동량을 계측하고 Quick Ceph system 상에서 경조직을 동일한 양 이동시켜 컴퓨터시뮬레이 션을 위한 기준으로 삼았다. 이후 프로그램을 통해 연조직 변화를 시뮬레이션하고, 이 자료와 실제 치료 결과로 얻어진 연조직 계측 값을 측정하여 비교해 봄으로써 치료 결과 예측에 대한 정확도를 확인하고 임상에의 적용시 고려할 사항을 알아보았다. 시뮬레이션 결과 계측 항목의 수평 성분은 실제 치료 결과보다 작게, 수직 성분은 치료 결과보다 크게 예측하는 것으로 나타났으며 치료시 의 후방 견인은 실제보다 확대되어 나타나는 경 향을 보였다. 상악에서는 항목간 예측 오차의 방향이 일정하여 예측치가 실제보다 더 후방 이동되어 나타났으나, 하악에서는 증례간 차이가 컸다 Upper Lip Length는 짧게, Upper Vermilion Length는 길게 예측하여 시뮬레이션시 상순이 말려 보이는(rolling)효과를 확인할 수 있었으며 하순에서도 유사한 성향이 나타났으나 상순에 비해서 약하게 나타났다.