• Title/Summary/Keyword: Tooth attrition

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Comparison of Dental Ages Estimated according to Oral Habit for the Patients with Temporomandibular Disorders (측두하악장애환자의 구강습관에 따른 치아감정연령의 비교)

  • Lee, Won-Seop;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.431-439
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    • 2007
  • This study was performed to investigate the dental ages of the patients with temporomandibular disorders(TMD), using a method of age estimation by dental attrition, and to compare the differences of dental ages between control and experimental groups. In addition, they were compared according to oral habit. Clinical evaluations for the tooth attrition were to examine the study models of 65 TMD patients (mean age of 26.6 years, aged 18 to 40) had visited to the Department of Oral Medicine and Orofacial Pain Clinic, Dental Hospital, Dankook University as a experimental group and 22 volunteers (mean age of 25.4 years, aged 23 to 36) without TMD as a control group. Age differences were calculated subtracting real age from estimated age. Age differences between experimental and control groups were compared statistically between groups classified according to oral habit. As a results, dental age was increased significantly in TMD patients compared with normal subjects. Oral parafunctions which increased dental age were bruxism, clenching and heavy chewing in order. Conclusively, it should be consider that there can be much discrepancy between real age and age estimated by dental attrition in patients with TMD. In addition, it is suggested that dentists should try to protect the tooth from attrition by various parafunction on treating the patients with TMD.

Analysis of Age Estimation Cases of Living Body Based on Dental aspect in Jeollabuk-do (전라북도 지역의 치과적 생체 연령추정 사례의 분석)

  • Eom, Ae-Ja;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.33 no.2
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    • pp.167-176
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    • 2008
  • We analyzed 121 age estimation clients who had visited oral medicine clinic, Chonbuk National University Hospital, from January 2000 to December 2007 to evaluate its characters in Jeonllabuk-do. The obtained results were as follows : 1. There was distinct difference in sex distribution(Male : 58.7%, Female : 41.3%) and more than half percent(55.4%) was over 50's. 2. The difference between registered and alleged age was the most in more than 5 years, and most of them were over 50's. 3. There were more clients who wanted to increase their age than to decrease and was no prominent difference in sex. Age estimation clients who wanted to decrease their age were predominant under 10 years old and in 20's, and those wanted to increase were predominant in 10's and over 30's. 4. The most reasons to correct age were related to welfare benefit. The purpose of age estimation was different according to each age groups; welfare benefit was the most over 50's, occupation in 40's and 50's, friendship in 30's and 40's, sibling-related in 50's, employment in 10's and 20's. 5. Age was estimated by the attrition of permanent tooth and pulp/tooth ratio from 20 years, root apex closure for 10's and calcification of permanent tooth under 10 years old. In cases that were difficult to estimate by use of the attrition of permanent tooth and pulp/tooth ratio, age was estimated by missing time of permanent tooth and the change of mandibular angle with age. 6. The estimated ages were close to alleged age in 77.7% of clients but the rest(22.3%) was close to registered age.

OLIGODONTIA WITH FAMILIAL HISTORY -A case report- (가족력을 동반한 부분적 무치증에 대한 증례보고)

  • Jeong, Hye-Seon;Lee, Jae-Ho;Choi, Hyung-Jun;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.179-185
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    • 1997
  • The prevalence of congenital teeth missing is about 2-10% of population and it is more common in permanent dentition than primary dentition. In the patients with congenital missing teeth symptoms such as conical tooth, prolonged retention of primary tooth, tooth attrition. and deficient alveolar bone growth can be accompanied. In this paper the results of clinical observation of the congenital teeth missing brothers and their familial history are presented.

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Study on the Design Program for Non-standard Plastic Gear (플라스틱 기어용 비표준 기어 설계프로그램의 개발)

  • Heo, M.B.;Ham, S.H.;Nam, W.K.;Oh, S.H.
    • Journal of Power System Engineering
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    • v.15 no.4
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    • pp.54-59
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    • 2011
  • Currently, plastic gear is widely used as parts of office equipment and industrial machines, because plastic substance has an advantage of light weight and possible to operate in oil-fewer conditions. However, under cyclic loadings, their occurred repetitive deformation due to weak tensile strength and bending stress rather than metal gear. Furthermore, they have a problem of attrition and breakage owing to frictional heat. For solving these problems, when plastic gear's opponents are metal gear, we should design that plastic gear's tooth be thick and metal gear's tooth be thin. In this research, we developed the program which developing tooth profile of non-standard gears automatically and calculating over-pin diameter for inspection after making gear.

The interpretation of tooth wear - literature review (치아 마모의 해석-논문 고찰)

  • Hwang, Soo-Jeong;Seo, Min-Seock
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.137-146
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    • 2018
  • Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues. While for many years, tooth wear was a condition of little interest in daily clinical practice, nowadays this is changed. Tooth wear is becoming increasingly significant in maintaining the long-term health of the dentition. This becomes especially important when the dentition is kept relatively intact in the contemporary ageing population, and edentulism is decreasing. There is also evidence that the prevalence of tooth wear is growing. It is a natural consequence of the unidirectionality of tooth wear that it is frequently used as a means of individual age estimation. Tooth wear was very serious in ancient populations up to the medieval period. Tooth wear is thus studied in a wide variety of areas. The purpose of this paper is to summarize and analyze the many issues surrounding tooth wear through recent studies in various fields and to search for future research direction.

Stress Analysis of the Occlusal Force on the Mandibular First Premolar

  • Yoo, Oui-Sik;Chun, Keyoung-Jin;Yoo, Seung-Hyun
    • Journal of the Korean Society for Nondestructive Testing
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    • v.29 no.3
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    • pp.214-218
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    • 2009
  • The occlusal force of the tooth leads to loss of tooth tissue owing to attrition and abrasion, and may cause abfraction and pathological change of the dentin. Thus, we developed finite element models, examined them by applying ordinary occlusal force, and analyzed the stress distribution. Specimens used were mandibular first premolars from 15 Korean males and 13 females and were made into finite element models from medical images that were obtained using a Micro-CT. We have found that the irregular feature of the tooth is not only useful to masticating and pronouncing as well known, but it is also suitable for protecting inner tissue by dispersing stress and delivering proper pressure to periodontal tissue to continue a physiological action. Also, image analysis could let us know the factor that is the cause of a disorder due to stress concentration in the cervical line. These results are expected to support the field of dental treatment planning, operating procedure and clinical trial, and the advance of technical expertise to develop implants and dentures.

A STUDY ON THE FACTORS AFFECTING TO TOOTH WEAR (치아교모에 영향을 미치는 요인에 관한 연구)

  • Park, Hyun-Bae;Han, Kyung-Soo;Jin, Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.3
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    • pp.328-342
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    • 1999
  • This study was performed to investigate the factors related to tooth wear. For this study, 78 patients with temporomandibular disorders and 76 dental students without any signs and symptoms of temporomandibular disorders were selected as the patients group and as the normal group, respectively. Preferred chewing side, Angle's classification, lateral guidance pattern, head and shoulder posture were observed clinically. Electromyographic activity of anterior temporalis and masseter muscle were recorded with $BioEMG^{(R)}$ and occlusal status were recorded with $T-Scan^{(R)}$. Wear facet area of each tooth was measured from working model of upper arch corresponding to the occlusal status from T-Scan. Wear facet area were measured with planimeter in $mm^2$. Total area were divided into incisal, canine, posterior tooth area. Anterior wearfacet area was incisor area plus canine area, and unilateral area was anterior area plus posterior area. The data collected were analyzed by SAS statistical program and the results of this study were as follows: 1. There was no significant difference between the two groups in total werafacet area, and male subjects showed tendency to have larger area in the normal group but female subjects showed tendency vice versa. 2. There was no significant difference related to preferred chewing side and Angle's classification, however some difference was observed by lateral guidance pattern. Anterior wear facet area in subjects of canine guidance was the largest in the three subgroups. 3. Subjects with head tilting to right side had larger posterior and total area, and subjects with higher shoulder in right side had larger canine and anterior area than any other subgrous. 4. Electromyographic activity of masseter muscle was more correlated with wear facet area than anterior temporalis muscle, and tooth contact number and force were significantly correlated with wear facet area, but the most important factor affecting tooth attrition was age.

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Full mouth rehabilitation of the elderly patient on anticoagulant medication with loss of vertical dimension due to severely worn dentition (전반적인 치아 마모로 수직 고경이 상실된 항응고제 복용 고령 환자의 전악 수복 증례)

  • Kang, Cheol-Keun;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.56-63
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    • 2018
  • Severe dental attrition causes pathological changes of the tooth, collapsed occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension. Before increasing the vertical dimension with full-mouth rehabilitation, it is important to determine the amount of vertical dimension through accurate diagnosis. In this case, a 77 year old elderly male patient on anticoagulant medication with generalized attrition and fracture of teeth was treated with full-mouth rehabilitation in order to recover vertical dimension and aesthetics. Accurate clinical and radiographic examination, diagnostic, wax-up, and occlusal vertical dimension evaluation were step by step performed considering pre-medical history and old age. Patient adaptability was evaluated using an occlusal splint and interim restoration. After 3 months of stabilization with interim restoration, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes are observed after 6 months of follow up.

Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition (심한 치아 마모로 인해 수직 고경이 상실된 환자에서 국소 의치를 이용한 전악 수복 증례)

  • Shim, Eun-Young;Lee, Na-Young;Kang, Jeong-Kyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.347-353
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    • 2018
  • Gradual attrition is a normal process of aging, but severe attrition causes occlusal disharmony, functional disorder and esthetic problems. The collapse of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). And it induces the pathologic change of the TMJ, unaesthetic facial appearance and decreased masticatory function. In this case, 70 year-old male presented with decreased vertical dimension and esthetic problems due to worn dentition. Based on assessment of intraoral findings, diagnostic cast and radiographic examination, full-mouth rehabilitation with increase of OVD was planned. After 10 month follow-up, occlusal stability is maintained and through this procedure, satisfactory outcomes were achieved in esthetic and functional aspects.

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.