• Title/Summary/Keyword: Retained teeth

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A New Technique for Fabrication of Bonded Linqual Retainer (Bonded Linqual Retainer의 최신 제작기술)

  • Yu, Chin-Ho
    • Journal of Technologic Dentistry
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    • v.20 no.1
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    • pp.91-98
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    • 1998
  • Bonded lingual retained are divided into two common types; preformed retainers with attached mash pads, and those that are custom fabricated from standard round ir multi-standed wire. The clinician may encounter problems in the bonding process of both types of retainers because of an inability to accurtely place and temporarily stability the wire in the same position as it was adapted an a guide model. Because of these problems, a new fabrication technique of bonded lingual retainers which increase their accuracy and ease of placement and also increased their tretention was suggested by the author. Using a current model as a guide, this bonded lingual retainer was fabricated from $.028"{\sim}.032"$ standard round wire. The wire was formed with pliers for idel adapation to the lingual surfaces of the involved teeth. Right angle bends were placed in the retainer wire ends and custom "composite" bonding pads were added to the ends of the retainer wire. This bonded lingual retainer with custom "composite" bonding pads is easir to place because of the increased stability and the accuracy of placement is greatly increased. The increased insure that the retainer comforms ideally to the lingual surface of the teeth being retained.

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Screening panoramic radiographs in a group of patients visiting a Health Promotion Center

  • Lee Jae-Seo;Kang Byung-Cheol
    • Imaging Science in Dentistry
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    • v.35 no.4
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    • pp.199-202
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    • 2005
  • Purpose : To report the incidence of radiological findings from screening panoramic radiographs and verify the validity of the panoramic radiography for screening purposes. Materials and Methods : Six thousand one hundred and sixty panoramic radiographs taken from the patients visiting the Health Promotion Center of CNUH were selected for this retrospective study. Panoramic radiographs were examined into the following pathologic conditions : the presence of periodontal bone loss, dental caries, periapical radiolucencies, retained roots, impacted supernumerary teeth, impacted third molars, odontoma, cystic lesions other than radicular cyst, sialoliths, and mixed radiolucent-radiopaque lesions. Number of pathologic conditions and Prevalence values were recorded. Results: The prevalences of pathologic conditions were $72.9\%$ of periodontal bone loss, $32.2\%$ of dental caries, $11.9\%$ of periapical radiolucencies, $10.8\%$ of retained roots, $0.4\%$ of root fracture, $1.0\%$ of impacted supernumerary teeth, $1.0\%$ of impacted third molars, $0.06\%$ of odontoma, $0.08\%$ of cystic lesion other than radicular cyst, $0.2\%$ of prolonged retention of deciduous tooth, $0.1\%$ of sialolith, and $0.04\%$ of mixed radiopaque and radiolucent lesion. Conclusion : Although the panoramic radiograph should not be used to replace intraoral radiographic and clinical examinations, this study showed that many dental pathologic conditions could be detected on panoramic radiographs. The panoramic radiograph might serve as a diagnostic aid in dental health evaluation programs.

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Anaphylactic reaction after local lidocaine infiltration for retraction of retained teeth

  • Kim, Hyerim;Lee, Jung-Man;Seo, Kwang-Suk;Kwon, Seok Min;Row, Hyung Sang
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.3
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    • pp.175-180
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    • 2019
  • Although allergic reactions are not rare complications in drug use, anaphylaxis or anaphylactoid reactions to some widely used drugs can embarrass clinicians because anaphylaxis is not easily diagnosed at the time of the event and treatment is unfamiliar to many. Lidocaine is a very popular drug in dental procedures and anaphylactoid reaction to it has been rarely reported. Clinicians who use lidocaine daily should, however, be aware of the possibility of anaphylaxis after its use. Once it occurs, anaphylaxis can be fatal, but if it is quickly diagnosed or suspected, treatment is simpler than most clinicians believe. An 86-year-old woman experienced an anaphylactic reaction 30 min after local infiltration of lidocaine for retraction of retained teeth. The dentist called an anesthesiologist for assistance. Fortunately, an anaphylactic reaction was quickly suspected and after subsequent rapid treatment with the administration of fluid and drug therapy, the patient recovered completely.

The conservative care by early endodontic drainage of infected teeth in the line of a mandibular fracture: report of a case (조기 치근관 배농술을 이용한 하악 골절선상 감염치아들의 보존적 관리: 증례보고)

  • Mo, Dong-Yup;Yoo, Jae-Ha;Choi, Byung-Ho;Seol, Sung-Han;Kim, Ha-Rang;Lee, Chun-Ui
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.309-313
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    • 2010
  • The management of teeth in the line of a mandibular fracture is controversial despite the general agreement that most of these teeth can be preserved. Teeth should be retained if bony attachments are adequate for survival, the tooth is sound and important in maintaining fixation of the fractured segment of bone. Teeth should be removed if they are loose and interfere with the reduction of fragments, are devitalized and potentially a source of wound infection, are damaged beyond their usefulness or may become devital and interfere with healing by becoming infected. However, tooth removal will increase the level of trauma, extend the severity of the wound and require expensive prosthetic treatment. Therefore, it is very important to conserve infected teeth in the line of a mandibular fracture through early primary endodontic treatment (pulp extirpation, canal enlargement and canal opening drainage) and splinting. The basic principles underlying the treatment of pulpless teeth are those underlying general surgery. Therefore, debridement of the infected wound (pulp extirpation and canal enlargement), drainage (canal opening) and gentle treatment of the tissues (occlusal reduction and teeth splinting) are the principles of surgery. This is a representative case report of conservative care by the early endodontic drainage of infected teeth in the line of a mandibular fracture.

Splinted and non-splinted implant-supported restorations : prosthetic considerations for restoring multiple adjacent teeth (Splinted or Non-splinted: 다수의 인접한 치아 결손부 수복을 위한 임플란트 보철)

  • Yoon, Hyung-In
    • The Journal of the Korean dental association
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    • v.54 no.3
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    • pp.198-205
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    • 2016
  • The purpose of this paper was to investigate the significance of splinted and non-splinted implant-supported restorations with an internal connection for multiple consecutively missing teeth. Upon examination of the effects of fixture-abutment connection, the distribution of occlusal load was favorable in splinted implant-prosthesis with an external connection, but effect of strain distribution was not significant in splinted implant-prosthesis with an internal connection. In splinted implant-prostheses for short implants, strain distribution was not affected by the method of retention. For cement-retained prostheses, the effect of strain distribution due to splinting was not significant. In clinical studies, non-splinted prostheses with an internal connection for multiple consecutively missing teeth showed high survival rate, mild marginal bone loss, and stable periodontal condition. However, failure to achieve optimal proximal contact between single-unit prostheses may lead to food impaction, and veneer fracture may be inevitable when the framework provides inadequate support in the proximal region. In conclusion, splinted implant-prosthesis is not an indication in all cases, and clinical consideration of its use should be based on the patient's oral condition, such as location and number of implants, formation of proximal contact, canine guidance, existence of parafunctional habit, and oral hygiene, when multiple consecutively missing teeth are replaced by internal connection type implant.

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Retrospective Evaluation of Implant Retained Overdentures Using Two Implants and Locator Attachments in the Edentulous Mandibles (Locator attachment를 이용한 하악 임플란트 유지 피개의치의 후향적 평가)

  • Lee, Ju-Hyoung;Sohn, Dong-Seok;Lee, Cheong-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.2
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    • pp.153-162
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    • 2013
  • This study compared the marginal bone loss around dental implants that were placed in the canine areas of the mandibles and finded the survival rate of the implants, marginal bone loss around implants and prosthetic complications in 20 patients treated with overdentures retained with Locator attachments. Implants placed in this study showed a 95% survival rate and the average marginal bone loss was 1.21 mm($SD{\pm}0.60mm$) in 94.3 weeks of functional loading. Implant-retained overdentures had various prosthetic complications such as male change, metal cap loosening, Locator attachment loosening, denture teeth change, relining and denture fracture. Implant-retained overdentures using two implants and Locator attachments in the edentulous mandibles is considered as a stable way for long terms because of minimal invasive operation, simple prosthetic process and easy repair.

Screw and cement retained implant prosthesis rehabilitation of mandibular edentulous patients with severely absorbed ridge (치조제가 심하게 흡수된 하악 무치악환자의 나사-시멘트 유지형 임플란트 보철 수복증례)

  • Im, Joong-Jae
    • Journal of Technologic Dentistry
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    • v.41 no.2
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    • pp.149-156
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    • 2019
  • Purpose: Prosthodontics for edentulous patients is a treatment technique using implant, which has impactful results in retention and support effects. Methods: As a retention technique, SCRP (screw and cement retained implant prosthesis) has reported in many studies as a beneficial method for both patients and curers, which can reduce errors in process of making abutment and top implant. Results: Prosthesis manufacturing, as polymerization method of hardened resin teeth with thermoplastic resin, is helpful for patients with aesthetic and financial situations regarding residual ridge and interocclusal relationship, also indicates reliable results in both retention and care. Conclusion: Using SCRP technique, we notably obtained a clinical and aesthetic outcome from five implants in anterior tooth, which are half fixable and detachable implants on screw of implant abutment by the technicians at anytime.

A CLINICAL CONSIDERATION ON THE TEETH TRANSPOSITIONS (치아전위의 임상적 고찰)

  • Kim, Seung-Mee;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.38-43
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    • 1999
  • Tooth transposition is the phenomenon in which two teeth in the dental arch are exchanged. The tooth most frequently involved in transposition is the permanent maxillary canine, especially with the first premolar. The etiology of transposition is still an enigma. Interchange of tooth germs, migration during eruption, genetic factor, local pathologic factors may be suggested as possible etiologic factors. There are three main options for treatment, which are the extraction of one of the transposed teeth, the alignment in the transposed position, the orthodontic movement of the teeth to their correct positions. If complete transposition occurred especially in mandible, alignment of teeth in the transposed position followed by occlusal reduction and esthetic restoration is usually recommended. The presented two-case report will describe the maxillary canine to the first premolar and to lateral incisor transposition with associated peg lateralis and retained primary canines. Although alignment the transposed teeth in original position is ideal treatment, it companies many complication as root resorption, alveolar bone destruction, gingival deheisence, etc. Therefore the treatment procedures in these case was relative cost-benefit effective method to both clinician and patients.

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CASE REPORTS ON THE MAGNETIC RETAINED OVERDENTURES (자석 유지장치를 이용한 Overdenture 수복에 관한 임상적 연구)

  • Vang Mong-Sook;Choi Chang-Hwan;Kim Young-Yi
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.1
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    • pp.88-97
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    • 2002
  • The purpose of this study was to evaluate a cases which was treated with magnetic attachments on the patients in edentulous mandible and maxilla. Author made magnetic overdenture for two patients and then clinical examination were used for evaluation of the function and change in retention during 30months. Patients showed difficulty in oral hygiene care at the beginning but they go used to it soon. It was effective in promotion of denture retention and stability and also gave patient emotionally uplifting psychologic state. This study suggest that magnetic attachment was effective for the treatment of patients presenting a few remaining teeth or teeth under severe caries or mobility.

Treatment of Multiple Horizontal Root Fractures of the Maxillary Anterior: A case report (상악 전치부 다발성 수평 치근 파절의 치료: 증례보고)

  • Sung, Kun-Hwa;Min, Jeong-Bum;Park, Tae-Young
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.486-494
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    • 2020
  • Objectives: Management of a horizontal root fracture of an anterior teeth is challenging and often requires multiple approaches for improving the functional and esthetic outcomes. This case report describes the treatment and 2-yr follow up of 3 maxillary incisors with horizontal root fracture. Two maxillary central incisors were treated with Mineral Trioxide Aggregate (ProRoot MTA, Dentsply, Tulsa, OK, USA). Left maxillary lateral incisors were treated with endodontic treatment and submerged. During 2-yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing even after endodontic treatment.

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