• Title/Summary/Keyword: Space-regaining

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Adjunctive orthodontic therapy for prosthodontic treatment (보철치료를 위한 치아 이동)

  • Kook, Yoon-Ah
    • The Journal of the Korean dental association
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    • v.48 no.12
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    • pp.868-879
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    • 2010
  • Adjunctive orthodontic therapy may be required to create appropriate space, to address misalignment and tooth size discrepancy for better function and esthetics. The desired interproximal alveolar contour and gingival embrasure form can be developed during treatment. Various applications of temporary anchorage devices for pre-prosthetic tooth movement allowed clinicians to achieve high efficiency, shorter treatment time, and less discomfort of patient. Biomechanical considerations for the periodontal status of the affected teeth are required to successfully control the vertical and horizontal space. Hence, the interdisciplinary approaches have an essential role in maximizing the favorable treatment outcome. In particular, pivotal Clinical decisions such as whether to open or close the space should be made by consensus of the involved dentists. This article presents the orthodontic treatment approaches for prosthodontic works including mesiodistal and vertical space regaining specially for cases of unrestored teeth over an extended period of time.

A CASE REPORT ON THE SPACE MAINTAINER USING PRIMARY MOLAR HEMISECTION (유구치의 편측치아절제술을 이용한 공간유지장치)

  • Kim, Jun-Hyun;Lee, Jae-Ho;Kim, Seang-Oh;Shon, Heung-Ky
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.776-780
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    • 1997
  • Patient with alveolar abscess due to dental caries with severe alveolar bone loss, severe tooth mobility, root resorption need extraction of tooth because it is impossible to carry out pulp treatment and restoration by using conventional method. Early loss of primary molar might cause masticatory interference, extrusion of opposing tooth, problem in maintaining space and interference on eruption of permanent tooth. Especially, early loss of primary second molar before the eruption of permanent first molar might cause space closure by mesially erupted permanent first molar and impaction of second premolar. In such a case, distal shoe space maintainer and removable space regaining appliance was the first choice of treatment. But, distal shoe space maintainer need precise adaptation and might cause chronic inflammation if the oral hygiene is poor. In a case using removable space regaining appliance, patient's cooperation is most important. If the distal root of primary second molar is comparably sound and alveolar abscess with alveolar bone loss is localized at mesial root, hemisection should be carried out for precise guide to eruption of the permanent first molar, restoration of masticatory fuction and solution to the discomfort of the patient

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SURGICAL APPROACH TO THE INFRAOCCLUDED TEETH BY USING SPACE REGAINING TREATMENT (저위교합 유구치에서의 공간확장술을 이용한 외과적 접근)

  • Bang, Seok-Yun;Kim, Eun-Jung;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.3
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    • pp.531-536
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    • 2005
  • Infraclusion may be defined as teeth that stop their relative occlusal movement in the dental arches during or after the period of active eruption and then remain under the occlusal plane. Delayed exfoliation, malocclusion, increased susceptibility to dental caries and periodontal disease of both the neighboring teeth and retained molar, and dislocation of the successor are the consequencces of infraclusion of primary molars. Therefore, early diagnosis and appropriate treatments are necessary. The therapeutic approach of the infracluded teeth varied from preservation to extraction. The teeth with simple infraclusion without any signs of interference with occlusal and jaw development may be examined periodically with follow-up check and radiographically. However, if the infracluded tooth interferes with normal eruption of successor or shows any sign of delayed resorption, or the tipping of adjacent teeth or supraeruption of opposing teeth is expected, the teeth inflicted should be extracted and appropriate measures should be provided in order to maintain the normal development of occlusion and dentition. The adjacent teeth which have been collapsed over a infracluded deciduous teeth can disturb the arch length perimeter. In such cases, surgical approach might be necessary, although it would be difficult when teeth are severly leaned. However, an easier surgical access have been obtained by space regaining procedures, in young patients whose arch length has been shortened due to the infracluded teeth.

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TREATMENT OF MISSING CENTRAL INCISORS USING SPACE REGAINING AND MARYLAND BRIDGE : CASE REPORT (상실된 영구 중절치의 교정적 치료와 심미적 수복 치험례)

  • Jun, Sang-Eun;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.611-616
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    • 1994
  • A major cause of missing permanent incisors is congenital abscence and extraction because of trauma and pathologic condition. The request for restoration of missing or spaced anterior teeth is common in dental practice. Problems, such as the tilting, drifting, and rotation of teeth adjacent to the space, complicate the restoration of apperance, and a normally simple restorative dental procedure may become difficult. There are two primary treatment alternatives to improving a dentition's irregular and spaced apperance-closing the space by orthodontic means or providing a prosthesis to disguise the space. The treatment choice depends on many variables, but, as a general rule, patients with a normal overbite, overjet, and buccal relationship are better treated by maintaining the sapce and providing a prosthesis, either fixed or removable. This case report presents two cases : Traumatic loss of maxillary right and left central incisors, Extraction of malformed mandibular right central inciosr. The loss of central incisor space was regained by the fixed-removable and fixed orthodontic appliance, and then Maryland bridge was cemented.

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Distalization of the lower first molar using Jones Jig (Jones Jig를 이용한 하악 제 1 대구치 원심이동의 치험례)

  • Lee, Sang-Min;Kim, Jong-Bum;Hahn, Se-Hyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.543-548
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    • 1997
  • The first permanent molar takes important place in the occlusion. Malposition of the lower first molar is frequently due to mesial migration, which is occurred by early exfoliation of the second deciduous molar or proximal caries of deciduous teeth. Above things happen without any consideration of space maintainer, prompt measures for space regaining have to be started. Especially in the case with early loss of the second deciduous molar, it has been said that there is no suitable appliance for maintaining the space before the eruption of the permanent first molar. In distalizing the upper first molar, headgears have been routinely used, which its result was definitely depended on cooperation of the patients. Nowadays, appliances such as pendulum appliances, K-loop, magnets, which can be used without cooperation of the patients, are introduced. Jones Jig, one of the molar distalizing appliances, was used on the patients who visited department of pediatric dentistry in Seoul National University Dental Hospital complaining of no eruption space for the lower second bicuspid. Either removable splint or lingal arch was used as the anchorage. Jones Jig was favorably used in the lower molar, where vestibule is shallow, and this is a case report on the satisfactory result thereof.

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Clinical Implications of the Premature Loss of the Mandibular Primary Canine (하악 유견치 조기탈락은 무엇을 의미할까?)

  • Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.1
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    • pp.87-101
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    • 2015
  • The premature loss of the mandibular primary canine is relatively frequent and a sign of the upcoming space problems in the transitional period. This situation is caused by the permanent lateral incisor resorbing the root of the primary canine during its eruption. Bilateral loss of primary canines in a crowded arch leads to the lingual tipping of the permanent incisors, with the consequent reduction in the arch perimeter and increase in overbite. When the loss of a primary canine is unilateral, tipping of the adjacent incisors occurs toward the space, resulting in midline deviation. In these situations, treatment possibilities, such as extraction of the antimeric tooth or placement of a passive lingual arch, can be applied; although there are some controversies concerning this. Most space problems with less than 4 mm can be resolved through preservation of the leeway space using sequential disking of the primary teeth and a passive lingual arch, regaining space or limited arch expansion in the late mixed dentition. In cases with 4~6 mm of space problems, arch expansion (A-P or transverse) can be applied. Space problems with more than 6 mm should be treated through diagnosis and treatment planning. Most of these cases will require extraction of permanent teeth including serial extraction (guidance of eruption).

Metaverse Core-value Structure and Consumer Expectations Survey (메타버스 핵심가치에 대한 소비자 기대 수준 조사)

  • W.H. Seok;J.Y. Ahn;Y.H. Shin
    • Electronics and Telecommunications Trends
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    • v.39 no.3
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    • pp.13-24
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    • 2024
  • The capabilities of the metaverse have been demonstrated by representative examples such as Roblox, Fortnite, and Zepeto, and it can enable gaming, social networking services, and other applications. Nevertheless, research on the metaverse has been fragmented owing to conflicting definitions, core values, and characteristics. This ambiguity in metaverse conventions has hindered related research, analysis, and policy establishment. As the confusion seems to aggravate, consistent concepts should be established. Although the coronavirus disease pandemic led to a collapse in metaverse usage, it is regaining public interest since 2022. To promote the metaverse development, we structure core values based on existing research and surveys of consumer expectations. We found that consumers perceive the metaverse as a realistic virtual space and a potential economic opportunity. Hence, it seems necessary to track the extent to which the metaverse core values satisfy consumer demands. Such core values should be consistently reflected in policies and technology development.

ERUPTION GUIDANCE FOR TOOTH GERM OF PREMOLAR DISPLACED BY INFRAOCCLUDED UPPER DECIDUOUS MOLAR (저위교합된 상악 유구치에 의해 변위된 소구치 치배의 맹출유도)

  • Jung, Jung-Hwa;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.4
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    • pp.390-396
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    • 2012
  • Infraocclusion is defined as tooth whose relative occlusal movement was blocked during the period of active eruption due to ankylosis and so on. Then infraoccluded tooth remains under the occlusal plane composed by adjacent structures showing normal eruption patterns. Untreated infraocclusion may cause: prolonged retention of infraoccluded teeth; extrusion of apposed teeth; destruction of periodontal tissues by occlusal force and food packing; increased sensitivity for dental caries; and disturbances on eruption pathway of succedaneous teeth. Therefore, periodic check-ups and proper treatments are required. There are many treatment options on infraoccluded deciduous molars such as periodic observation, conservative method, restoration and space regaining with extraction of the teeth. The choice of treatment may depend on the presence of succedaneous teeth, time of diagnosis and degree of infraocclusion. In this case report, three patients showing displacement of the second premolars due to infraocclusion of upper second primary molars, were treated by means of space regaining with removable orthodontic appliances and extraction of ankylosed primary molars. All malpositioned permanent premolars in the 3 cases showed ordinary eruption pathways after treatment.

C-activator treatment for distalization of maxillary molars in Class II anterior deep bite malocclusion (C-activator를 이용한 성장기 II급 부정교합환자의 구치부 원심이동 치험례)

  • Kim, Seong-Hun;Chung, Kyu-Rhim;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.34 no.3 s.104
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    • pp.269-277
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    • 2004
  • A modified removable appliance for molar distalization called C-activator was used in a 10-year old male patient with a Class II anterior deep bite malocclusion with upper arch discrepancy. The treatment plan involved correcting the Class ll relationship, distalizing both upper first molars, and regaining space for the erupting canines. The C-activator, which was used for 6 months, consisted of a labial framework formed from .036-in stainless steel wire and an acrylic monobloc. Both the closed helices of the labial framework were compressed for reactivation during the C-activator treatment period. C-activator mechanics simultaneously achieved distalization of the upper first molars into their proper positions and repositioning of the mandible. After 21 months of treatment, the correct oberbite and overjet was obtained and contributed to an Improvement in facial balance. The treatment results were stable 6 months after debonding. Fabrication and placement of the new appliance and clinical procedures are detailed, and the treatment sequence and results of this case are presented as follows.

Clinical Usefulness of the Jones Jig Appliance for Alignment of Premolars and Molars: Case Reports

  • Wonkyu Shin;Hyuntae Kim;Ji-Soo Song;Teo Jeon Shin;Young-Jae Kim;Jung-Wook Kim;Ki-Taeg Jang;Hong-Keun Hyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.51 no.1
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    • pp.99-108
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    • 2024
  • Early loss of the primary maxillary second molar can lead to complications in which mesial drift of the adjacent first molar (M1) can disturb eruption of the succedaneous second premolar (P2). This study reports two cases of space loss for P2 caused by early exfoliation of its predecessor. After the eruption of the first premolar, the Jones jig appliance was used to distalize M1 and regain space for the eruption of P2. The appliance was further utilized to align the palatally erupted P2 into the dental arch. In both cases, the space and corrected position of P2 were well maintained. Early exfoliation of the primary second molar caused by mesial encroachment of M1 is a common phenomenon, and pediatric dentists should attend to this during routine examinations. An appropriate intervention should be initiated when the primary second molar is lost during the mixed dentition period. If used with careful anchorage control, the Jones jig appliance can effectively resolve this problem.