• 제목/요약/키워드: Upper Third Molar

검색결과 37건 처리시간 0.027초

형제에서의 상하악 제 2대구치 발치 (Two Brothers with Extraction of 4 Second Molars)

  • 이원유;유영규
    • 대한치과의사협회지
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    • 제25권11호통권222호
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    • pp.1069-1077
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    • 1987
  • Two brothers aged 15 1/6 and 12 2/3 years were diagnosed as Class I malocclusion with ectopic eruption of the upper left central incisor in the elder brother and etopic eruption in the upper right second premolar in the younger. All 4 second molars were extracted at the same time in both brothers. The treatment results were as follows. 1. In the elder brother, the third molars were fully erupted and their angulations were excellent at 3 years post-treatment. 2. In the younger brother, the lower right third molar was mesially erupted and upper third molars were still undergoing eruption at 3 years post-treatment. 3. Assessment of panex films of both brothers at aged 15 showed an earlier eruption of the third molars in the younger brother. 4. A longer post-treatment supervision of the third molars was required in the younger brother. 5. The facial probiles were enhanced and the ectopic eruptions were corrected in both brothers.

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한국청년의 구강상태에 대한 방사선학적 연구 (THE STUDY OF ORAL CONDITIONS BY THE FULL MOUTH ROENTGENOGRAMS IN YOUNG ADULTS.)

  • 최대호
    • 치과방사선
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    • 제11권1호
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    • pp.51-58
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    • 1981
  • The author examined 515 full mouth roentgenograms stored in the Dept. of Oral Radiology, College of Dentistry, Seoul National University. For evaluating the efficiency of the routine full mouth roentgenogram, each of abnormal conditions such as impacted teeth, missing, caries, crown, filling and apical lesions was observed. The results obtained were as follows; 1. Among 14.420 teeth examined, missing teeth were 174, impacted 16, caries 161 and treated 1,162. 2. The incidence of impacted third molar was close to 18.7 percent and the incidence of missing third molar was about 33.4 percent. 3. Among carious and treated teeth, 178 teeth (1.2%) were needed observation of root apex. And of these teeth, 119 teeth 0.8% were observed with apical lesion. 4. There is a considerable relation between the incidence or size of apical lesion and the accuracy of endodontical treat. 5. Among the teeth with apical lesion, upper and lower first molars were most frequent (about 41%), upper and lower canine were rare (about 1.7%).

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조화된 치열의 황금분할에 관한 연구 (A STUDY OF GOLDEN PROPORTION APPLICATION IN KOREAN NORMAL DENTITION)

  • 유성희;정규림
    • 대한치과교정학회지
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    • 제17권1호
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    • pp.93-106
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    • 1987
  • The purpose of this study was to investigate the fittness of Golden relation items was advocated by Ricketts whether or not it is applicable to the young adult Korean dentitions and also to evaluate the several new Golden relation items conducted by the author. The material was consisted of 81 dental casts (34 male, 47 female) with ideal occlusion, which never undergone orthodontic, prosthodontic procedures. Measurements were made on the arch dimensions using sliding caliper (Mitutoyo. Co) and data were computerized and analyzed. The findings of this study were as follows, 1. The Golden proportion advocated by Ricketts dose not seem to directly applicable to the Korean normal dentition, however, the modification from the Ricketts' original shows the Golden proportion as follow: A first series of progressive Golden relations was found on the Golden ratio among the lower central incisors width, the inter mesioincisal width of the upper lateral incisors, and the upper first premolars width. A second series was found on the Golden ratio among the lower lateral incisors width, lower inter canine tips width and theupper first molar distal cusp tips width. A third series was found on the Golden ratio between the inter distal aspect width of e lower canine and the mesial cusp tips width of the lower second molars or inter cusp tips width of upper second premolars. 2. In addition to Ricketts' original, 4 new Golden proportions were found in young adult Korean dentition, these are as follows; The tips of lower canine width had Golden relation with the width of the upper first premolar buccal cusp tips or the width of the lower first molar central fossae. The distal aspect of the lower first premolars had Golden relation with the buccal surface widths of the lower or upper second molars. The width of upper lateral incisors had Golden relation with the upper second molar height. The width of the lower canine tips had Golden relation with the lower second molar height.

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한국형 유치악용 기성트레이의 개발에 관한 연구 (DEVELOPMENT OF DENTULOUS STOCK TRAYS FOR KOREANS)

  • 송대성;강석구;조혜원;동진근
    • 대한치과보철학회지
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    • 제34권4호
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    • pp.755-779
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    • 1996
  • This study was designed to development of stock tray for Korean. The subjects for this study were 374 persons(male : 204, female : 170) with age $19{\sim}28$. The study models were made with irreversible hydrocolloid impression material and conventional stock tray, Individual trays were made on the study model and the master models were made after impression with polysulfide rubber impression material. Each of the master models measured 12 measuring points on the maxillary model and 13 measuring points on the mandibular model with digital sliding caliper. The values were analyzed statistically by SAS analysis. The measuring points were analysed and were consulted for the development of new stock tray for Korean. Maxillary models were divided into four groups acceding to the width between buccal alveolar ridges below the contact point of first molar and second molar. The size of new tray of the upper first group was 82mm (width), 60mm(length). That of the upper second group was 77mm (width), 59mm (length). That of the upper third group was 72mm (width), 58mm (length). And that of the upper fourth group was 67mm (width), 57mm (length). Mandibular models were devided into three group according to the width between lingual alveolar ridges below the second molar. The size of new tray on lower first group was 40mm (width), 55mm (length). That of the lower second group was 36mm (width), 55mm (length). And that of the third group was 32mm (width), 55mm (length). The author tested the fitness of newly designed stock tray in 52 subjects with normal occlusion and obtained good results that the problems of conventional stock tray were worked out.

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구역반사가 심한 환자의 임플란트 치료에서 프로포폴과 미다졸람을 이용한 정주진정법 -증례 보고- (Intravenous Sedation using Propofol and Midazolam in The Exaggerated Gag Reflex Patient's Dental Implant Treatment -A Case Report-)

  • 오세리;이준
    • 대한치과마취과학회지
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    • 제10권1호
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    • pp.27-33
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    • 2010
  • The gag reflex is a physiologic reaction which safeguards the airway from foreign bodies. But, an exaggerated gag reflex can be a severe limitation to a patient's ability to accept dental care and for a clinician's ability to provide it. The overactive gag reflex can be due to psychological factors or physiological factors, or both. Psychological factors can include fear of loss of control and past traumatic experiences. A 58-year-old man, scheduled for extraction of left upper second molar, left lower second and third molar and implantation of left upper second molar, and left lower second molar had no specific underlying medical problems. He had exaggerated gag reflex. Dental treatment was successfully performed using intravenous sedation. Intravenous sedation with midazolam and propofol was a useful management technique for reflex control during dental treatment extended to the posterior regions in the oral cavity.

치근절제술을 이용한 구치부의 치료 (Root resection of compromised molars)

  • 이선경;지숙;방은경
    • Journal of Periodontal and Implant Science
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    • 제38권1호
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    • pp.103-108
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    • 2008
  • Purpose: Studies reported controversial results about prognosis of root resection with 0%-38% failure rate. The purpose of this study is to consider clinical efficacy of root resection. Materials and Methods: This study reported three cases of root resection which were performed on different sites. In first case, lower right first molar showed pus discharge and 7 mm of probing pocket depth. It was diagnosed as fracture of mesial root. Hemisection of mesial root was performed. In second case, upper right first molar showed severe bone loss on disto-buccal root and 7 mm of probing pocket. Resection of disto-buccal root was performed In third case, lower left second molar showed severe bone loss on distal root including apex and 15mm of probing pocket depth. Hemisection of distal root was performed. Result: In these three cases of root resection, compromised molars were treated successfully and conserved. Conclusion: Root resection is a successful procedure treating compromised multi-rooted teeth and conserving teeth when proper case selection is performed.

Pathologic conditions associated with impacted third molars: A retrospective study of panoramic radiographs in a Southern Brazilian population

  • Gabriela Brum Cardoso;Gleica Dal' Ongaro Savegnago;Waneza Dias Borges Hirsch;Mariana Boessio Vizzotto;Gabriela Salatino Liedke
    • Imaging Science in Dentistry
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    • 제53권4호
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    • pp.303-312
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    • 2023
  • Purpose: This study investigated the prevalence of developmental and acquired pathologic conditions associated with impacted third molars (3Ms) in a Southern Brazilian population and evaluated whether demographic and tooth characteristics were correlated with the presence of bone or tooth lesions. Materials and Methods: Panoramic radiographs were assessed for developmental (bone-related) or acquired (tooth-related) pathoses associated with impacted upper or lower 3Ms. Data on tooth positioning, tooth development, and patient demographics were collected. A trained, calibrated postgraduate student evaluated all images. Binary and multivariate logistic regression models were used to assess associations between outcomes and the demographic and radiographic variables. The threshold for statistical significance was set at 5% (P<0.05). Results: The sample comprised panoramic radiographs from 2054 patients, predominantly female (59.2%), with a mean age of 27.2±11.5 years. Overall, 4066 impacted 3Ms were evaluated, revealing 471 (11.6%) developmental and 710 (17.5%) acquired pathoses. Among the developmental pathoses, 460 (95.2%) were indicative of dentigerous cysts. Male sex, lower 3M location, vertical or distoangular positioning, and incomplete root formation were associated with an elevated likelihood of developmental pathology. Lower tooth position, complete root formation, and partial eruption were linked to an increased probability of an acquired pathology in the third or second molar. Conclusion: The prevalence of pathologic conditions associated with impacted 3Ms was low. Male sex, lower 3M placement, horizontal or distoangular positioning, and incomplete root formation were associated with developmental pathoses, while lower tooth position, complete root formation, and partial eruption were related to acquired pathoses.

제 1 대구치 상실을 동반한 Angle씨 제 I 급 부정교합의 치험예 (A CASE REPORT OF ANGLE'S CLASS I MALOCCLUSION WITH LOSS OF THE FIRST MOLARS)

  • 박영철;오성산
    • 대한치과교정학회지
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    • 제14권1호
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    • pp.47-52
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    • 1984
  • A girl aged 13 years 1 month, had a Angle's Class 1 malocclusion, characterized by severe aterior crowding, high canine, and loss of the upper and lower left first molars on account of dental caries. This patient underwent ${\frac{4}{4}}$extraction and multibonded system was used. After 20 Months, anterior crowding and high canine was corrected, and the extraction space as closed on both arch. The upper and lower left 2nd molars occupied the first molar spaces instead of the first polars. After 6 Months from debanding, band spaces were disappeared and the third molars were upting normally.

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재생 불량성 빈혈(Aplastic anemias) 환자의 치주 치료 증례 (Periodontal treatment of a patient with aplastic anemia)

  • 배규현;한수부;김우성;이혜아;김동균
    • Journal of Periodontal and Implant Science
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    • 제28권1호
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    • pp.187-191
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    • 1998
  • Aplastic anemia is a disease characterized by general lack of bone marrow activity; It may affect not only the red blood cells but also the white blood cells and platelets, resulting in pancytopenia. Spontaneous gingival hemorrhage is present in some cases and it is related to the blood platelet deficiency. This case report presents the periodontal treatment of a patient with aplastic anemia. A 43-year-old female was referred for continuous gingival bleeding after periodontal treatment. Periodontal findings revealed generalized gingival imflammation, oozing of blood from gingival crevice, and it was diagnosed as adult periodontitis. Root planing and extraction of the upper left third molar with poor prognosis were put into operation after elevation of the platelet count with platelet transfusion. The extraction socket was sutured with 3-0 silk. Bleeding continued even after digital compression at the upper right second premolar, second molar, and left canine areas, which presented severe inflammation. Although platelets were transfused repeatedly, platelet count did not stay elevated since survival rate of the transfused platelets were low due to alloimmunization. Thrombin gauze packing was not effective. Bleeding ceased 3 days after treatment with transfusion of donor platelets. 20 days after the treatment, the gingiva was generally healthy except upper right second premolar and lateral incisor areas. The result of periodontal treatment was good, but bleeding control after treatment was troublesome. In the periodontal treatment of patient with aplastic anemia, elevation of the platelet count with platelet transfusion seems to be the best method for hemorrhage control.

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