• Title/Summary/Keyword: Spontaneous eruption

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MANAGEMENT OF DIASTEMA AFTER REMOVAL OF MESIODENS (정중 과잉치 발거 이후 정중 이개의 폐쇄)

  • Cho, Eun-Ju;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.348-353
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    • 2003
  • Early detection and prudent management of mesiodens or supernumerary tooth should be considered essential in reducing disturbance in the eruption and position of the adjacent permanent incisor. While it is true that the presence of diastema may be regarded as normal at the early mixed dentition stage, the early detection and removal of the mesiodens is a prerequisite to facilitate spontaneous alignment or subsequent approximation of the permanent central incisors. In many cases, diastema due to mesiodens can be physiologically corrected spontaneously after the extraction of mesiodens. The best choice of treatment of diastema may be observation. Orthodontic intervention is required only spontaneous closing of diastema does not occur within observation period. In orthodontic intervention, careful treatment plan should be established. Clinician gives considerations to angulation of central and lateral incisor, proximity of lateral incisor, developmental stage and position of canine, pattern and extent of anterior crowding. Orthodontic movement should be done slowly with light force. In addition, periodic radiographic observation are needed to monitor the root development and root resorption. Case 1, 2 and 3 showed physiologic closures after the extraction of mesiodens. In these cases, acceptable alignment of central and lateral incisors was obtained. In case 4, orthodontic correction for diastema was performed successfully after the extraction of mesiodens. After the orthodontic closure of the diastema, it was decided that a retainer was not needed, because the dentition was under a dynamic stage in exchanging teeth and also developing arches.

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Retrospective Study of Characteristics and Treatment of Dentigerous Cysts Involving the Maxillary Anterior Tooth (상악 전치부에 발생한 함치성 낭종의 임상적 특징과 치료에 대한 후향적 연구)

  • Seo, YeJin;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.280-288
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    • 2017
  • The aim of the present study was to identify the clinical characteristics and treatment outcomes associated with maxillary anterior dentigerous cysts in children. Among 55 patients who had been diagnosed with maxillary anterior dentigerous cysts, 33 patients had cysts located in the incisor region and 22 had cysts located in the canine region. Cysts in the incisor region were 7.2-fold more prevalent in male patients, while cysts in the canine region were 1.75-fold more prevalent in female patients. For cysts in the incisor region, marsupialization was performed in 21 cases and enucleation in 12 cases. In the canine region, marsupialization was performed in 20 cases and enucleation in 2 cases. Spontaneous eruptions of the displaced teeth in the incisor and canine region were 90% and 54.5%, respectively. Among patients which spontaneous eruption occurred, patients with cysts in the incisor region underwent orthodontic treatment more often due to malocclusion. This study is expected to be used as fundamental data for establishing future treatment plans by providing the analyzed results of distribution and characteristics of dentigerous cysts involving the maxillary anterior tooth.

Reaction to Popular Pressure or a Political Tool? Different Interpretations of China's Policy Regarding Koizumi's Visits to the Yasukuni Shrine

  • Zakowski, Karol
    • Journal of Contemporary Eastern Asia
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    • v.11 no.2
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    • pp.47-60
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    • 2012
  • Sino-Japanese relations suffered a great setback during the premiership of Koizumi $Jun'ichir{\bar{o}}$ (2001-2006). Although many factors, such as dispute over the resources of the East China Sea or Japan's anxiety about China's growing military expenditures, are accountable for this situation, it was Koizumi's visits to the Yasukuni Shrine that became a symbol of the controversies between the two countries. The Yasukuni issue triggered a real eruption of profound anti-Japanese feelings among the Chinese people. While commentators in China accused Koizumi of glorifying militarism and whitewashing the atrocities committed by Japanese soldiers during the Second World War, the Japanese public started perceiving China's "exaggerated" reaction as a convenient diplomatic tool used by China to apply pressure on Japan in other bilateral disputes. On the one hand, spontaneous protests against Koizumi's visits to the Yasukuni Shrine constituted a great constraint in China's diplomacy towards Japan, but on the other, they also became an ideal pretext for adopting a tougher stance in Chinese foreign policy. In this paper, I examine different points of view on the Yasukuni issue. After describing the Japanese background of the visits to the controversial shrine, I analyze various interpretations of China's reaction to the problem. Although emotions dominated discourse on the Yasukuni issue both in Japan and China, some pragmatic attempts to use this problem can still be seen. Besides being a side-effect of Koizumi's strong personality, the Yasukuni issue could be used either as a tool of factional struggle in the Chinese Communist Party (CCP) or as an instrument of Chinese foreign policy towards Japan.

HYPOPHOSPHATEMIC RICKETS : CASE REPORT (저인산혈증성 구루병 환아의 증례 보고)

  • Park, Yoon-Hee;Choi, Byung-Jai;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.108-112
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    • 2000
  • Hypophosphatemic rickets is lack of reponse to physiologic doses of vitamin D, different from the vitamin D-dependent rickets. It is inherited in an X-linked dominant fashion. The prime features of this disorder are lowered serum phosphate levels, elevated serum alkaline phosphatase and normal serum calcium levels. The dental manifestation often include apical radiolucencies, abscess and fistulas of clinically sound teeth. Dental radiographs show ricketic bone trabeculations, abscent or abnormal lamina dura and abnormal cementum. This case which was diagnosed to hypophosphatemic rickets, showed multiple spontaneous periapical abscess and gingival fistula enlarged pulp chambers, extension of the pulp horns into the cusp tips and delayed eruption.

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Preliminary study of Korean orthodontic residents' current concepts and knowledge of cleft lip and palate management

  • Cho, Il-Sik;Shin, Hyo-Keun;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.42 no.3
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    • pp.100-109
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    • 2012
  • Objective: A national survey was conducted to assess orthodontic residents' current concepts and knowledge of cleft lip and palate (CLP) management in Korea. Methods: A questionnaire consisting of 7 categories and 36 question items was distributed to 16 senior chief residents of orthodontic department at 11 dental university hospitals and 5 medical university hospitals in Korea. All respondents completed the questionnaires and returned them. Results: All of the respondents reported that they belonged to an interdisciplinary team. Nineteen percent indicated that they use presurgical infant orthopedic (PSIO) appliances. The percentage of respondents who reported they were 'unsure' about the methods about for cleft repair operation method was relatively high. Eighty-six percent reported that the orthodontic treatment was started at the deciduous or mixed dentition. Various answers were given regarding the amount of maxillary expansion for alveolar bone graft and the estimates of spontaneous or forced eruption of the upper canine. Sixty-seven percent reported use of a rapid maxillary expansion appliance as an anchorage device for maxillary protraction with a facemask. There was consensus among respondents regarding daily wearing time, duration of treatment, and amount of orthopedic force. Various estimates were given for the relapse percentage after maxillary advancement distraction osteogenesis (MADO). Most respondents did not have sufficient experience with MADO. Conclusions: These findings suggest that education about the concepts and methods of PSIO and surgical repair, consensus regarding orthodontic management protocols, and additional MADO experience are needed in order to improve the quality of CLP management in Korean orthodontic residents.

HYPOPHOSPHATEMIA RICKETS : A CASE REPORT (Hypophosphatemia rickets 환아의 증례보고)

  • Yang, Kyu-Ho;Choi, Nam-Ki;Kim, Seon-Mi;Jung, Hee-Kyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.152-157
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    • 2005
  • Hypophosphatemia rickets, also known as Vitamin D-resistant rickets(VDRR) and refractory rickets, is a form of rickets which is resistant to the usual doses of vitamin D. VDRR is characterized by decreased renal tubular reabsorption of inorganic phosphate and is easily diagnosed by a normal blood calcium, hypophosphatemia, and slightly elevated alkaline phosphatase. Clinical features of Hypophosphatemia rickets included lateral bowing deformities of the legs, short stature, scoliosis, and enlargement of wrist and ankles. Dental finding in patient with VDRR were spontaneous dental abscesses in caries free teeth and other dental findings included delayed eruption, delayed apical closure, thin and hypoplastic enamel, absent or poorly defined lamina dura, enlarged pulp chambers, and numerous accessory canals and pulp horns that extend up and into the dentinoenamel junction. we reported the clinical feature and treatment of VDRR child who was referred from the department of pediatrics for early loss of primary teeth and its treatment.

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Porcine juvenile pustular psoriasiform dermatitis in Korea (자돈 농포성 건선양 피부염 증례 보고)

  • Yoon, Soon-Seek;Lee, Kyeong-Hyun;Bae, You-Chan;Moon, Oun-Kyong;Kwon, Yong-Kuk;Han, Hong-Ryul
    • Korean Journal of Veterinary Research
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    • v.45 no.3
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    • pp.375-379
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    • 2005
  • Porcine juvenile pustular psoriasiform dermatitis (PJPPD) is a disease of young pigs and characterized by nonpruritic round eruption of skin. The cause of this disease is yet undetermined but is presumed to be genetic predisposition. There may be few opportunities for veterinarian to detect this disease compared with actual situation in field because these lesions resolve spontaneously in two months. The authors detected spontaneous PJPPD case and performed clinical and pathological studies on three pigs from one farm. The specific skin lesions were observed in the forty-day old pigs of mixed breed, which were produced by the sows received semen from the same boar, restrictively. However, there was no skin lesion of pigs in suckling or fattening periods. Grossly, lesions were commonly found on the ventral abdominal part as a papule and were spreaded to the skin of whole body. With the spreading of lesions centrifugally, skin was showed as a umbilicated plaques or mosaic pattern with a few pustules or crusts. Microscopically, the most prominent lesion was the psoriasiform hyperplasia with acanthosis, down growth of rete ridges, exocytosis of eosinophils and neutrophils, ballooning degeneration of superficial epidermis, and koilocytic degeneration of keratinocytes. Additionally, there were moderate dermal edema and severe mixed cellular infiltration, especially eosinophils. No infectious agent which can cause the skin lesion, was detected or cultured, and no lesion caused by infectious agents was also observed, pathologically. With pathological results of this study, it is supposed that pathogenesis or severity of PJPPD may be related to the infiltration of eosinophil or hypersensitivity.

ORTHODONTIC TRACTION AFTER THE TRAUMATIC INTRUSION OF UPPER CENTRAL INCISOR (외상에 의하여 함입된 상악 중절치의 교정적 견인)

  • Han, Yoon-Beum;Lee, Jae-Ho;Choi, Hyung-Jun;Sohn, Hyung-Kyu;Kim, Seong-Oh;Song, Je-Seon;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.2
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    • pp.293-297
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    • 2009
  • Traumatic intrusion is a type of injury that involves axial displacement of a tooth toward the alveolar bone. Its occurance is relatively rare compared to other types of luxation in permanent dentition. It is more common in boys than in girls, and most common etiology of intrusion is fallen down. Various complication may occur following traumatic intrusion, such as pulp necrosis, root resorption, pulp obliteration and marginal bone loss. In addition, traumatic intrusion is commonly combined with hard or soft tissue injuries. Therefore, it is difficult to establish proper treatment plan. Choice of treatment for an intruded tooth by trauma include waiting for spontaneous re-eruption, orthodontic repositioning, and surgical repositioning. In this case, we repositioned the intruded central incisor using orthodontic traction, in a six-year old girl, which failed to re-erupt spontaneously.

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X-LINKED HYPOPHOSPHATEMIC RICKETS : CASE REPORT (성염색체 연관 저인산혈증성 구루병 환자의 증례 보고)

  • Lee, Su-Jin;Kim, Young-Jae;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Kim, Jung-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.2
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    • pp.298-304
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    • 2009
  • XLH (X-linked hypophosphatemic rickets) is a form of rickets which is resistant to the usual dose of vitamin D and inherited in a X-linked dominant manner. It is also known as vitamin D-resistant rickets or familial hypophosphatemic rickets. Here we report a 6-year-and-6-month-old female patient of XLH who is diagnosed with in SNUB. She was referred from local clinic for impaction of maxillary left permanent incisor and its treatment. She presents bowing deformities of the legs, short stature, enlargement of wrist and ankles and spontaneous dental abscesses of clinically sound teeth delayed eruption, taurodontism, delayed apical closure, enlarged pulp chambers, and absent or poorly defined lamina dura. The purpose of this case is to review the literatures of XLH and report the dental and medical characteristics of this patient.

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TREATMENT OF IMPACTED MANDIBULAR FIRST MOLAR BY SURGICAL EXPOSURE : A CASE REPORT (매복된 하악 제1대구치의 외과적 노출술을 이용한 치험례)

  • Cho, Yun-Jung;Park, Young-Ok;Kim, Tae-Wan;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.322-328
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    • 2007
  • The first molar is important for mastication and also it plays roles to formation of vertical occlusion and growth of jaw bone after mixed dentition. Impaction of mandibular first molar can result in a short lower facial height, formation of a follicular cyst, pericoronal inflammation, resorption of the roots of neighboring teeth and malocclusion. The options of treatment plans are as follows; observation, surgical exposure, orthodontic traction, surgical relocation and extraction. Surgical exposure could be considered as a basic treatment plan. For surgical exposure it is important to maintain patent channel between the crown and the normal eruptive path into the oral cavity, many techniques including cementation of a celluloid crown, packing with zinc oxide-eugenol surgical pack are used. In these cases, we could observe spontaneous eruption of mandibular first molar using surgical exposure with or without removal of odontoma. Also we could obtain the main patency effectively and conveniently by using surgical pack and translucent retainer.

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