• Title/Summary/Keyword: Primary dentition

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A STUDY ON OCCLUSAL PATTERNS OF HANDICAPPED PERSONS (심신장애자의 교합양상에 관한 연구)

  • Kim, Nam Soo;Lee, Dong Joo
    • The korean journal of orthodontics
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    • v.13 no.1
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    • pp.31-43
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    • 1983
  • The following results were abtained based on the research of the occlusal patterns among 1074 handicapped persons (cerebral palsy: 46, mental subnormality: 619, deafmute: 285, blind: 111, childish autism:8, cleft lip and cleft palate:3, polimyelitis:2) of the age between 6 and 23 in Chollanamdo, Korea, in comparison with a normal group of 1048 children of the age between 6 and 15 selected at random in J primary school in Gwang-ju City. 1. According to Angle's malocclusion classification, all the handicapped groups, except the cerebral palsy and the blind, showed a higher prevalence of malocclusion than that of the normal. Especially the prevalence of Class II, devision 1 malocclusion in the cerebral palsy was the highest, and the prevalence of Class III malocclusion in all the handicapped groups was higher than that of the normal group. Among these groups the highest prevalence of Class III malocclusion was in the Down's syndrome group. 2. On the the abnormal pattern of the anterior region, there was no significant difference $(P\leqq0.05)$ between the normal and the cerebral palsy, the deafmute, and e blind. The open bite $(7.27{\pm}1.04\%)$ and the cross-bite $(32.7{\pm}6.33\%)$ of the Down's syndrome wire higher than that of the normal, and the forward position of the mandible could be recognized in the Down's syndrome group. 3. On the midline position of the dentition, all the handicapped showed the same percentage of deviation, but the degree of mandibular shift to the right $(20.00{\pm}5.39\%)$ or left $(10.91{\pm}4.20\%)$ was higher than that of the normal only in the Down's syndrome group. 4. On the abnormal pattern of the posterior region, the cross-bite of the Down's syndrome was higher than that of the normal by $20.00{\pm}5.39\%$, the cross-bite of the cerebral palsy and the cross-bite and the open bite of the mental subnormality were slightly higher than that of the normal. The other handicapped groups showed no significant difference $(P\leq0.05)$ to the normal.

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Molar-Incisor Malformation: Three Cases of a Newly Identified Dental Anomaly (Molar-Incisor Malformation: 최근 확인된 치아 이상의 증례 보고)

  • Choi, Suji;Lee, Jewoo;Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.370-377
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    • 2017
  • Molar-incisor malformation (MIM) is a recently described dental anomaly characterized by root malformation in permanent first molars accompanied sometimes by abnormal root forms in primary second molars or enamel defects in maxillary central incisors. This report presents three cases of MIM along with a review of previous studies. Three patients exhibited abnormal root forms in the permanent first molars, with varying degrees of deformation. Two of the patients experienced medical events at birth. One of the patients was a monozygotic twin, whose twin sister exhibited normal dentition without any significant abnormalities. The present report also reviews recently reported cases of MIM in literature. In the management of MIM-associated clinical issues, consideration of microscopic features and accompanying characteristics might facilitate early diagnosis and comprehensive treatment planning.

Evaluation of Virtual Reality Simulation of Dental Caries through Student Questionnaire (학생 설문을 통한 가상현실 치아우식 시뮬레이션의 평가)

  • Kim, Byunggee;Ryu, Jeeheon;Kim, Jaehwan;Kim, Seonmi;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.293-302
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    • 2020
  • The purpose of this study was to evaluate the applicability of virtual reality simulation after experience of dental caries diagnosis for dental students before exposing to clinical pediatric practice. A pediatric patient model of a five-year-old child with primary dentition was developed and a caries model that is amenable to VR(virtual reality) diagnosis was organized and set-up. The dental student's were allowed to use the simulated model for fifteen minutes and their experiences were evaluated using a self-reported questionnaire to evaluate presence and usability of this application. Overall, virtual presence and appearance area of the simulation were highly scored. The result indicates that the VR model has no significant difference from the actual clinical caries regardless of grade of students, gender and VR experience. If the prototype is continuously advanced, its applicability in dental education will increase.

TREATMENT OF ANTERIOR CROSSBITE IN MIXED DENTITION USING MAXILLARY PROTRACTION APPLIANCE : A CASE REPORT (혼합치열기 반대교합자에서 상악골 전방견인장치를 이용한 치료증례)

  • Kim, Eun-Young;Choi, Hyung-Jun;Lee, Jae-Ho;Choi, Byung-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.667-673
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    • 1996
  • The prevalence of class III malocclusion is approximately 5$\sim$9%, and about one fourth of this malocclusion is due to underdeveloped maxilla. Maxillary protraction appliance is an orthopedic device which promote the growth of a deficient maxilla by applying extraoral force to actively growing patients. The object of using maxillary protraction appliance is to guide a normal growth of maxilla and mandible and improve the occlusal relationship and also improve the facial profile. The author treated three patients whom were diagnosed as a class III malocclusion due to deficient maxilla using maxillary protraction appliance and the followings are the conclusions : 1. In these cases, anterior crossbite was corrected by anterior movement of maxilla and downward backward rotation of mandible and simultaneously, anterior facial height was increased. 2. The amount of dental change compare to skeletal change was greater as the patients got older. 3. When 500gm of force to each side was applied, the treatment period has been decreased. 4. As a result of applying the force between maxillary first primary molar and canine, there was a small degree of changes in palatal plane. So, it can be concluded that the maxillary protraction appliance is effective in treating growing patients with a deficient maxilla.

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TREATMENT OF CROWN-ROOT FRACTURE BY INTENTIONAL REPLANTATION : CASE REPORT (의도적 재식술을 이용한 치관-치근 파절의 치험례)

  • Son, Ju-Hyo;Choi, Hyung-Jun;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.256-261
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    • 2000
  • Trauma to the tooth is the most common accidents in pediatric dentistry and tooth fracture occurs frequently. Fracture is classified into crown fracture, root fracture, and crown-root fracture which involves both. Also, it is classified into simple or complicated fracture depending on whether the pulp is exposed or not. When the fracture is extended down to the subgingival level following the long axis of the root, or when more than 1/3 of the root is involved, extraction is the primary treatment. But alternative treatment such as extruding the root fragment with orthodontic force and restoring it, or intentionally extracting the tooth and replanting it to a position which it can be restored. This is a case report on intentional replantation of a traumatized maxillary central incisor with crown-root fracture of a patient with mixed dentition. The teeth was extracted and immediate endodontic treatment, retrograde filling and resin restoration were carried out.

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AMELOGENESIS IMPERFECTA : REPORT OF CASE (법랑질 형성 부전증에 관한 증례 보고)

  • Kim, Jae-Gon;Lee, Young-Su;Her, Sun;Park, Jong-Ha;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.598-603
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    • 1998
  • Amelogenesis imperfecta is a group of hereditary defects of enamel unassociated with any other generalized defects. The prevalence of this condition has been estimated to range from 1 in 14,000 to 1 in 16,000, depending on the population studied. It may be differentiated into three general types : hypoplastic, hypocalcified, and hypomaturation, depending on the clinical presentation of the defects and the likely stage of enamel formation that is primarily affected. The dentin and root form are usually normal, but the enamel may lack the normal prismatic structure, being laminated throughout its thickness or at the periphery, with the result that these teeth are more resistant to decay. This case is that of an six-year-old girl brought to the pediatric dentistry department by her parents for esthetic reasons and also because of slight dental sensitivity. Clinical and radiographic examinations confirmed amelogenesis imperfecta. The author has treated with the crowning of the primary molars, using prefomed NiCr crowns and periodic fluoride application on whole dentition.

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TREATMENT OF THE SCISSORS BITE IN PRIMARY DENTITION : CASE REPORT (유치열에서 scissors bite의 치료에 대한 증례보고)

  • Moon, Sung-Kwon;Kim, Jung-Wook;Lee, Sang-Hoon;Hahn, Se-Hyun;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.2
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    • pp.311-316
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    • 2006
  • A scissors bite in the posterior teeth occurs when the upper teeth are positioned totally or unilaterally buccal to the lower teeth in centric occlusion. This malocclusion can result from either excessive width of maxilla, deficient width mandible, or combination of both. The malocclusion can lead to hindered growth of jaws or to asymmetry between the jaws, Besides, the severe lingual inclination of the mandibular posterior teeth prevents adequate mastication. Thus, the scissors bite is in need of immediate interceptive orthodontic intervention. The common treatments of the scissors bite is to expand the mandibular arch: fixed or removable appliances. In our clinic, we made a success in treatment of the scissors bite using the Schwarz appliance. We treated the scissors bite using the lower Schwarz appliance for a mean observation period of 21 months. The subjects were 2 boys, aged 4 years.

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IMPACTED MANDIBULAR CANINES; CASE REPORT (하악 매복 견치의 치과적 접근)

  • Baik, Byeong-Ju;Seo, Jeong-Ah;Park, Jong-Ha;Yang, Yeon-Mi;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.611-617
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    • 2003
  • Impacted mandibular canines are less common than impacted maxillary canines. The proceeding studies show that impacted mandibular canines occur in approximately 0.1% of patients examined. The causes of impacted mandibular canines are inadequate space, premature loss of the primary dentition, excessive crown length, hereditary factors, functional disturbances of endocrine glands, tumors, and traumas. The basic choices for treatment of those cases are orthodontic migration or surgical removal. This is a case report about those two different treatment methods. One patient was 11 years old female who had treated with surgical approach and the other was 14 years old male who had received orthodontic treatment.

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Comparison of Long-term Prognosis in Siblings with Dentinogenesis Imperfecta depending on the Timing of the Treatment Intervention : Case Reports (상아질형성부전증 남매의 치료개입 시기에 따른 상이한 장기 예후 : 증례 보고)

  • Kim, Gimin;Lee, Jaesik
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.2
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    • pp.237-244
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    • 2021
  • Dentinogenesis imperfecta (DI) is a hereditary disorder of dentinal defect. It is generally inherited as a single autosomal dominant trait. DI usually affects both the primary and permanent dentition. Affected teeth have various types of discolorations, rapid destruction of the dentin, and severe attrition. In radiologic view, the affected teeth have bulbous crowns, short roots and narrow or closed pulp chambers. The treatment objective is to prevent additional attrition and recover the vertical dimension of occlusion. The aim of this report was to present the long-term prognosis in 15 years in a pair of siblings. Both the patients had DI with tooth attrition and discoloration. Different treatment procedures were used, depending on the difference in the timing of intervention. The first patient saved most of his teeth. The second patient had all of her teeth extracted. This report could be helpful for early diagnosis and overall treatment of DI.

A Study on Position of the Mental Foramen in Children Using Panorama (파노라마를 이용한 어린이의 이공 위치에 관한 연구)

  • Jo, Eunjeong;Lee, Jewoo;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.183-189
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    • 2019
  • The purpose of this study was to investigate the changes of the position of the mental foramen according to age by using panorama of children with mixed and early permanent dentition. 180 panorama of 6 to 13-year-old boys and girls were analyzed and PiView(Infinitt, Korea) program was used. The horizontal position of the mental foramen was evaluated by the relative position of the teeth. The vertical position of the mental foramen was evaluated by the ratios between the distance from the center of the mental foramen to the inferior border of the mandible and the distance from to the alveolar crest to the inferior border of the mandible. The mental foramen was horizontally located in the anterior aspect of the second primary molar(premolar), and vertically slight below the half of mandibular body. As the age increased, it moved to the posterior and the downward and showed a significant correlation with age.