• Title/Summary/Keyword: Tooth displacement

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Eruption Guidance of Horizontally Impacted Permanent First Molar with Primary Retention of Primary Second Molars: Case Reports (제2유구치의 일차성 만기잔존이 동반된 제1대구치 수평매복의 맹출유도 : 증례보고)

  • Yoon, Garam;Lee, Nanyoung;Lee, Sangho;Jih, Myeongkwan
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.219-227
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    • 2020
  • Tooth eruption involves a complex developmental process of tooth migration from the dental follicular origin to the final occlusion position in the oral cavity via the alveolar process. Disturbance of tooth eruption can occur at any point in a series of eruption stages; however, horizontal impaction of the mandibular first molar and primary retention of the primary mandibular second molar are rarely observed simultaneously. This study describes the treatment for two cases of horizontally impacted first molar with primary retention of primary molar. The primary retention of the primary mandibular second molar was extracted, and orthodontic traction was applied to the horizontally impacted primary mandibular first molar. Subsequently, displacement of the premolar tooth bud was improved and space regaining for eruption was achieved, guiding to normal eruption of the first molar.

A Study on the Concave and Pressure Angle Error of Gear Finish Roll Forming (기어전조의 기어 형상 및 압력각오차에 관한 연구)

  • Jang, J.H.;Kim, J.S.;Bae, H.J.;Uematsu, S.;Cho, S.H.;Lyu, S.K.
    • Journal of the Korean Society of Safety
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    • v.23 no.4
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    • pp.13-18
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    • 2008
  • This study deals with finish roll forming by forced displacement can be conceived as a method of eliminating errors in conventional form rolling under constant loads. This method produces a high-precision tooth profile by low-speed form rolling when a high rigid screw or cam is used at the pressurized section. Tooth profile is decided in the beginning of roll forming and ${\delta}_{max}$ mainly increases if the number of roll forming process is increased. Gear class is improved by one or two class after roll forming if the gear has convex type error and pressure angle error in KS 4 class. If the gear have concave type error and pressure angle error and pressure angle error, gear class is not improved in theory, but improved a little in practice. In the finishing roll forming, it inevitably yields both the concaving of tooth profile and plastic deflection of addendum of teeth. Experiments show that the concaving and the plastic deflection are successfully reduced, the accuracy of tooth profile reaches to KS 0 class.

Outcome of Regenerative Endodontic Treatment for an Avulsed Immature Permanent Tooth: A Case Report (완전 탈구된 미성숙 영구치의 치수재생치료 증례 보고)

  • Park, Nakyoung;Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.2
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    • pp.250-256
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    • 2018
  • Dental avulsion, defined as the complete displacement of a tooth from the alveolar bone with consequent loss of the blood and nerve supply, was reported as one of the most severe dental injuries. Avulsion can cause tissue ischemia, which leads to pulp necrosis. Apexification is a conventional treatment method that induces an apical calcified barrier in immature roots with pulp necrosis. However, root development characterized by an increase in the root thickness and length cannot be achieved by apexification. The purpose of this case report was to describe the radiographic and clinical outcomes of regenerative endodontic treatment for the avulsed and necrosed permanent tooth with an immature root after replantation in a 5-year-old girl; the treatment was performed using a mixture of ciprofloxacin, metronidazole and cefaclor, CollaTape and Biodentine.

SPONTANEOUS NORMAL ERUPTION OF PERMANENT TOOTH WITH ABNORMAL ERUPTION PATH (비정상적인 맹출 경로를 보이는 소구치의 자발적 맹출 유도)

  • Kim, Sang-Min;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.82-87
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    • 2011
  • The pulp infection of primary tooth is often caused by dental caries or trauma. But, if it is not managed properly, it can be produce the periapical lesion. The periapical lesion can cause some complications such as enamel hypoplasia, displacement, root dilaceration and impaction. Treatment options of displaced permanent successor are clinical and radiological follow-up after extraction of primary teeth, surgical opening, orthodontic traction, transplantation and extraction. In these cases, the premolars with abnormal eruption path caused by periapical lesion of the primary tooth have shown successful spontaneous eruption just as a result of extraction of infected primary tooth and space maintenance.

Investigation of shear behavior of soil-concrete interface

  • Haeri, Hadi;Sarfarazi, Vahab;Zhu, Zheming;Marji, Mohammad Fatehi;Masoumi, Alireza
    • Smart Structures and Systems
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    • v.23 no.1
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    • pp.81-90
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    • 2019
  • The shear behavior of soil-concrete interface is mainly affected by the surface roughness of the two contact surfaces. The present research emphasizes on investigating the effect of roughness of soil-concrete interface on the interface shear behavior in two-layered laboratory testing samples. In these specially prepared samples, clay silt layer with density of $2027kg/m^3$ was selected to be in contact a concrete layer for simplifying the laboratory testing. The particle size testing and direct shear tests are performed to determine the appropriate particles sizes and their shear strength properties such as cohesion and friction angle. Then, the surface undulations in form of teeth are provided on the surfaces of both concrete and soil layers in different testing carried out on these mixed specimens. The soil-concrete samples are prepared in form of cubes of 10*10*30 cm. in dimension. The undulations (inter-surface roughness) are provided in form of one tooth or two teeth having angles $15^{\circ}$ and $30^{\circ}$, respectively. Several direct shear tests were carried out under four different normal loads of 80, 150, 300 and 500 KPa with a constant displacement rate of 0.02 mm/min. These testing results show that the shear failure mechanism is affected by the tooth number, the roughness angle and the applied normal stress on the sample. The teeth are sheared from the base under low normal load while the oblique cracks may lead to a failure under a higher normal load. As the number of teeth increase the shear strength of the sample also increases. When the tooth roughness angle increases a wider portion of the tooth base will be failed which means the shear strength of the sample is increased.

Differences in dentoskeletal and soft tissue changes due to rapid maxillary expansion using a tooth-borne expander between adolescents and adults: A retrospective observational study

  • An, Jung-Sub;Seo, Bo-Yeon;Ahn, Sug-Joon
    • The korean journal of orthodontics
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    • v.52 no.2
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    • pp.131-141
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    • 2022
  • Objective: The purpose of this study was to compare the differences in dentoskeletal and soft tissue changes following conventional tooth-borne rapid maxillary expansion (RME) between adolescents and adults. Methods: Dentoskeletal and soft tissue variables of 17 adolescents and 17 adults were analyzed on posteroanterior and lateral cephalograms and frontal photographs at pretreatment (T1) and after conventional RME using tooth-borne expanders (T2). Changes in variables within each group between T1 and T2 were analyzed using Wilcoxon signed-rank test. Mann-Whitney U test was used to determine the differences in the pretreatment age, expansion and post-expansion durations, and dentoskeletal and soft tissue changes after RME between the groups. Spearman's correlation between pretreatment age and transverse dentoskeletal changes in the adolescent group was calculated. Results: Despite similar amounts of expansion at the crown level in both groups, the adult group underwent less skeletal expansion with less intermolar root expansion after RME than the adolescent group. The skeletal vertical dimension increased significantly in both groups without significant intergroup difference. The anteroposterior position of the maxilla was maintained in both groups, while a greater backward displacement of the mandible was evident in the adult group than that in the adolescent group after RME. The soft tissue alar width increased in both groups without a significant intergroup difference. In the adolescent group, pretreatment age was not significantly correlated with transverse dentoskeletal changes. Conclusions: Conventional RME may induce similar soft tissue changes but different dentoskeletal changes between adolescents and adults.

A STUDY ON STRESS DISTRIBUTION IN IMZ IMPLANT WITH A PLASTIC OR A TITANIUM IME USING FINITE ELEMENT ANALYSIS (유한요소법을 이용한 IMZ임플란트의 플라스틱 및 티타늄 IME의 응력분포에 관한 연구)

  • Ha Chi-Yang;Choi Boo-Byung;Woo Yi-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.4
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    • pp.625-642
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    • 1993
  • Whether stress-absorbing elements are functional in an implant system has been an issue of interest in oral implantology. The unique feature of the IMZ implant system is the planned imitation of the stress-distributing function of the structural unit of the tooth, periodontium, and alveolar bone through the use of an intramobile element(IME). The purpose of this study was to compare the difference in the displacement and the stress distibutions of IMZ implant with a polyoxymethylene(POM) or a titanium IME under static load. Two dimensional finite element analysis(FEA) was applied for this study and two finite element models were created. PATRAN program(DPA Co.,USA), a software for FEA, and SUN-SPARC2GX(SUN Co., USA), a workstation computer, were used. $1Kg/mm^2$ of static load was loaded individually on each three point of crown of implant prosthesis ; central fossa(load 1), mesial cusp tip(load 2), distal cusp tip(load 3), The displacements of X- and Y-axis and total displacement were measured at mesial and distal cusp tips, mesial and distal points between crown and IME, and implant apex. The von Mises stress was measured at mesial and distal points between crown and IME, mesial and distal points between IME and TIE, mesial and distal alveolar crest, the mesial and distal midpoints of implant, and implant apex. The difference in resultant values were compared and evaluated statistically using paired t-test. The results were as follows : 1. Under the load 1, all the displacement of implant with titanium IME at 5 measuring points was larger than that of with POM IME except total and Y-axis displacement at implant apex. And the differences in stress distributions with POM and titanium were varied. 2. Under the load 2, all the displacement of implant with titanium IME at 5 measuring points was larger than that of with POM IME except X-axis displacement at distal cusp tip. And the differences in stress distributions were varied. 3. Under the load 3, all the displacement of implant with titanium IME at 5 measuring points was larger than that of with POM IME except Y-axis displacement at mesial cusp tip. And the differences in stress distributions were varied. 4. For the displacement, there was significant difference statistically only in total displacement (P<0.1), but was no significant difference in X- and Y-axis displacement(P>0.1). For the stress, there was no significant difference among the compared values.

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A Statistical Study on Characteristics and Treatment of Child and Adolescent Patients with Tooth Impaction (소아·청소년 환자의 매복치 특성과 치료에 관한 연구)

  • Jo, Wansun;Lee, Nanyoung;Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.306-313
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    • 2014
  • Impacted teeth are teeth with a delayed eruption time or that are expected to erupt incompletely. Those teeth can cause a series of potential problems such as root displacement and resorption, periodontal problems in adjacent teeth, referred pain and the formation of cysts and odontogenic tumors. The purpose of this study was to investigate characteristics and treatment of child and adolescent patients younger than 15 years of age that were diagnosed with an impacted tooth who visited the Chosun University Dental Hospital. The impacted tooth, its etiology, treatment and traction period were surveyed through electric medical records, radiographs in 335 patients. We excluded the impacted third molar, supernumerary and deciduous teeth from this study. The most frequently impacted teeth are upper canine, followed by the upper incisor. The most common etiologies of impaction were an abnormal eruption pathway and localized pathologic lesions. The treatment of an impacted tooth was mostly orthodontic traction. The traction period was relatively short in cases with distinct obstacles, with an impacted upper incisor and if patients were younger. An orthodontic traction is considered to be more unfavorable if the patient gets older. Therefore, an early diagnosis and a precise treatment plan through a regular check-ups are mandatory.

EFFECT OF INTUBATION ON THE PRIMARY DENTITION PRIOR TO TOOTH ERUPTION: A CASE REPORT (치아 맹출전 시행한 기관 삽관이 유치열기에 미치는 영향에 대한 증례보고)

  • Shin, Yun-Kyung;Kim, Yeong-Jae;Kim, Jung-Wook;Jang, Ki-Taek;Lee, Sang-Hoon;Kim, Chong-Chul;Han, Se-Hyeon;Hyun, Hong-Keun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.504-508
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    • 2008
  • Delayed eruption and abnormal morphology of the primary incisors following intubation may be due to follicular displacement and localized trauma caused by the process of intubation. Result of such damage included palatal groove formation, defective incisors and acquired clefts. This clinical report presents effect of intubation on the primary dentition of premature low-birth-weight children prior to tooth eruption.

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Three-dimensional analysis of tooth movement in Class II malocclusion treatment using arch wire with continuous tip-back bends and intermaxillary elastics

  • Lee, Ji-Yea;Choi, Sung-Kwon;Kwon, Tae-Hoon;Kang, Kyung-Hwa;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.49 no.6
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    • pp.349-359
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    • 2019
  • Objective: The aim of this study was to analyze three-dimensional (3D) changes in maxillary dentition in Class II malocclusion treatment using arch wire with continuous tip-back bends or compensating curve, together with intermaxillary elastics by superimposing 3D virtual models. Methods: The subjects were 20 patients (2 men and 18 women; mean age 20 years 7 months ${\pm}$ 3 years 9 months) with Class II malocclusion treated using $0.016{\times}0.022-inch$ multiloop edgewise arch wire with continuous tip-back bends or titanium molybdenum alloy ideal arch wire with compensating curve, together with intermaxillary elastics. Linear and angular measurements were performed to investigate maxillary teeth displacement by superimposing pre- and post-treatment 3D virtual models using Rapidform 2006 and analyzing the results using paired t-tests. Results: There were posterior displacement of maxillary teeth (p < 0.01) with distal crown tipping of canine, second premolar and first molar (p < 0.05), expansion of maxillary arch (p < 0.05) with buccoversion of second premolar and first molar (p < 0.01), and distal-in rotation of first molar (p < 0.01). Reduced angular difference between anterior and posterior occlusal planes (p < 0.001), with extrusion of anterior teeth (p < 0.05) and intrusion of second premolar and first molar (p < 0.001) was observed. Conclusions: Class II treatment using an arch wire with continuous tip-back bends or a compensating curve, together with intermaxillary elastics, could retract and expand maxillary dentition, and reduce occlusal curvature. These results will help clinicians in understanding the mechanism of this Class II treatment.