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INFLUENCE OF POST TYPES AND SIZES ON FRACTURE RESISTANCE IN THE IMMATURE TOOTH MODEL (미성숙 치아 모델에서 포스트의 종류와 크기가 치아의 파절 저항성에 미치는 영향에 관한 연구)

  • Kim, Jong-Hyun;Park, Sung-Ho;Park, Jeong-Won;Jung, Il-Young
    • Restorative Dentistry and Endodontics
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    • v.35 no.4
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    • pp.257-266
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    • 2010
  • The purpose of this study was to determine the effect of post types and sizes on fracture resistance in immature tooth model with various restorative techniques. Bovine incisors were sectioned 8 mm above and 12 mm below the cementoenamel junction to simulate immature tooth model. To compare various post-and-core restorations, canals were restored with gutta-percha and resin core, or reinforced dentin wall with dual-cured resin composite, followed by placement of D.T. LIGHT-POST, ParaPost XT, and various sizes of EverStick Post individually. All of specimens were stored in the distilled water for 72 hours and underwent 6,000 thermal cycles. After simulation of periodontal ligament structure with polyether impression material, compressive load was applied at 45 degrees to the long axis of the specimen until fracture was occurred. Experimental groups reinforced with post and composite resin were shown significantly higher fracture strength than gutta-percha group without post placement (p < 0.05). Most specimens fractured limited to cervical third of roots. Post types did not influence on fracture resistance and fracture level significantly when cement space was filled with dual-cured resin composite. In addition, no statistically significant differences were seen between customized and standardized glass fiber posts, which cement spaces were filled with resin cement or composite resin individually. Therefore, root reinforcement procedures as above in immature teeth improved fracture resistance regardless of post types and sizes.

Optimized Implant treatment strategy based on a classification of extraction socket defect at anterior area (전치부에서 발치와 골결손부에 따른 최적의 심미를 얻을 수 있는 수술법)

  • Ban, Jae-Hyuk
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.1
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    • pp.15-24
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    • 2016
  • It is considered an implant failure when there is esthetic problems in the anterior area although the prosthesis function normally. In 2003, Dr. Kan et al stated that implant bone level is determined by the adjacent teeth. After that many scholars have studied how can achieve the esthetics result on adjacent teeth bone loss cases. In 2012, Dr. Takino published an article in Quintessence. He summarized previous articles and reclassified the defects from class 1 through 4. Class 1 and 2 depicts a situation where there is no bone loss on adjacent teeth. In Class 3 and 4, interproximal bone loss extends to the adjacent tooth. If one side is involved, it is Class 3. If both sides are involved, it is Class 4. The clue for esthetic implant restoration is whether bone loss extends to adjacent tooth or not. If the bone level of adjacent tooth is sound, we can easily achieve the esthetic but the bone level is not sound, the surgery will be complicated and the esthetic result will be unpredictable. So regenerative surgery for adjacent tooth is necessary for long-term maintenance. But the options and process were so complicated, the purpose of this article is to report the method simplify the surgery and gain a similar outcome.

The Occlusal Evaluation and Treatment Planning for Prosthodontic Full Mouth Rehabilitation (보철학적 교합 재구성을 위한 교합진단과 치료계획)

  • Lee, Seung-Kyu;Lee, Sung-Bok;Choi, Dae-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.2
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    • pp.149-159
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    • 2000
  • Occlusal disease is comparable to periodontitis in that it is generally not reversible. Occlusal disease, however, like periodontitis, often maintainable. It does itself to treatment and when restorative dentistry is utilized it becomes, in that sense, reversible. Moreover, a systematized and integrated approach will lead to a prognosis that is favorable and predictable. This approach facilitates development of optimum oral function, comfort, and esthetics, resulting in a satisfied patient. Such a systematized approach consists of four logical phase : (1) patient evaluation, (2) comprehensive analysis and treatment planning, (3) integrated and systematic reconstruction, and (4) postoperative maintenance. An integrated treatment plan is first developed on one set of diagnostic casts, properly mounted on a semiadjustable articulator using jaw relationship records. This is accomplished by using wax to make reconstructive modifications to the casts. These modified casts become the blueprint for planned occlusal changes and the fabrication of provisional restorations. The treatment goals are : (1) comfortably functioning temporomandibular joints and stomatognathic musculature, (2) adherence to the basic principle of occlusion advocated by Schuyler, (3) anterior guidance that is in harmony with the envelope of function, (4) restorations that will not violate the patient's neutral zone. This report shows the treatment procedures for a patient whose mandibular position has been altered due to posterior bite collapse. Migration of the maxillary anterior teeth had occurred, and the posterior occlusal contacts showed pathologic interference. Precise diagnosis using mounted casts was executed and prosthodontic reconstruction by the aid of an unconventional orthodontic correction on maxillary flaring was planned. An unconventional orthodontic correction can be accomplished by using preexisting natural teeth, which can be modified for use in active tooth movement or splinted together for orthodontic anchorage. This technique has an advantage over conventional fixed appliance orthodontic therapy because it can accomplish tooth movement concurrently with restorative and periodontal therapy. On occasion, minor tooth movement can be necessary to achieve the optimum occlusal scheme, crown form, and tooth position for the forces of occlusion to be displaced down the long axis of the periodontally compromised teeth. Once the occlusion, periodontal health, and crown contours for the provisional splinted restoration are acceptable, the final splinted restoration can be similarly fabricated, and it becomes an excellent orthodontic retainer.

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Factors Influencing Prognosis of Traumatized Tooth in Primary Tooth Intrusion (유치 함입 시 외상 치아의 예후에 영향을 미치는 요인)

  • Chae, Yongkwon;Han, Yoonkyung;Nam, Okhyung;Kim, Misun;Lee, Hyoseol;Kim, Kwangchul;Choi, Sungchul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.29-37
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    • 2019
  • The purpose of this study was to investigate the characteristics of intrusion in primary dentition and to evaluate factors influencing complications of primary and permanent dentition during long-term follow-up period. 61 patients (84 teeth) were selected in this study. Medical records of 61 patients were reviewed and age, gender, cause of injury, site of injury, severity of traumatic injury, other injuries associated with trauma, treatment method, and complications of primary and permanent dentition were examined. Collected data were statistically evaluated using Chi-square test and Fisher's exact test. Intrusion in primary anterior teeth was predominant in boys over girls and fall was the most common cause of trauma. It was most common at home and occurred most in the primary maxillary central incisors. Severity had an effect on the incidence of sequelae in permanent successors (p = 0.014). The incidence of complications was significantly lower in patients with soft tissue injuries than in patients with other periodontal injuries (p = 0.000).

Relevance of Dental Health Capacity and Pulmonary Function Status in Adults

  • Song, Kwui-Sook;Ryu, Da-Young;Kim, In-Ja
    • Journal of dental hygiene science
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    • v.17 no.5
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    • pp.454-461
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    • 2017
  • The purpose of this study was to confirm the relevance of dental health capacity and pulmonary function status. The subjects of this study were adults aged 40 years and older, who participated in pulmonary function and oral examinations. The data used for this study were raw data from the sixth Korea National Health and Nutrition Examination Survey (2013~2015). Statistical analysis was performed by analysis of complex sample survey data. The results were as follows: First, restrictive and obstructive patterns were more prevalent among males than females. They were even worse in older subjects. Approximately 67% of smokers had obstructive pattern. Second, there was a relevance between dental health capacity and pulmonary function status. The functioning teeth index, number of present teeth, and number of sound teeth (ST), which are indicators of dental health, declined with decreased pulmonary function. The number of missing teeth (MT) increased as the pulmonary function deteriorated (p<0.05). Third, the relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience was statistically significant in the tissue health (T-health) index and ST among non-smokers. The relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience was statistically significant (p<0.05) for the T-health index, ST, and MT among smokers. However, there was no relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience and adjusting confounding variables. In conclusion, there was a relevance between dental health capacity and pulmonary function status after confounding variables were adjusted. However, there was no relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience and adjusting confounding variables.

Outcomes of dental implant treatment in patients with generalized aggressive periodontitis: a systematic review

  • Kim, Kyoung-Kyu;Sung, Hun-Mo
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.210-217
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    • 2012
  • PURPOSE. The purpose of this study was to analyze the current literatures and to assess outcomes of implant treatment in patients with generalized aggressive periodontitis. MATERIALS AND METHODS. Studies considered for inclusion were searched in Pub-Med. The literature search for studies published in English between 2000 and 2012 was performed. Our findings included literature assessing implant treatment in patients with a history of generalized aggressive periodontitis (GAP). All studies were screened according to inclusion criteria. The outcome measures were survival rate of superstructures, marginal bone loss around implant and survival rate of implants. All studies were divided into two follow-up period: short term study (< 5 years) and long term study (${\geq}5$ years). RESULTS. Seven prospective studies were selected, including four short-term and three long-term studies. The survival rates of the superstructures were generally high in patients with GAP, i.e. 95.9-100%. Marginal bone loss around implant in patients with GAP as compared with implants in patients with chronic periodontitis or periodontally healthy patients was not significantly greater in short term studies but was significantly greater in long term studies. In short term studies, the survival rates of implants were between 97.4% and 100% in patients with GAP-associated tooth loss, except one study. The survival rates of implants were between 83.3% and 96% in patients with GAP in long term studies. CONCLUSION. Implant treatment in patients with GAP is not contraindicated provided that adequate infection control and an individualized maintenance program are assured.

Case series of cleidocranial dysplasia: Radiographic follow-up study of delayed eruption of impacted permanent teeth

  • Yeom, Han-Gyeol;Park, Won-Jong;Choi, Eun Joo;Kang, Kyung-Hwa;Lee, Byung-Do
    • Imaging Science in Dentistry
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    • v.49 no.4
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    • pp.307-315
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    • 2019
  • This report describes 3 cases of cleidocranial dysplasia (CCD) and presents relevant findings on long-term follow-up radiographic images of impacted permanent teeth with delayed eruption. Radiographic images of 3 CCD patients were reviewed retrospectively. These images were mainly composed of panoramic and skull radiographs, and the follow-up periods were 3, 13, and 13 years, respectively. The distinct features revealed by the images were described, and the eruption state of impacted permanent teeth was evaluated. The features common to the 3 cases were multiple supernumerary teeth, the presence of Wormian bone, underdevelopment of the maxilla and the maxillary sinus, and clavicular hypoplasia. The eruption of impacted permanent teeth was not observed without proper dental treatment in adult CCD cases, even after long time periods had elapsed. When proper orthodontic force was applied, tooth movement was observed in a manner not significantly different from the general population.

Effects of the amount of smoking and the duration of smoking on bleeding and pain of gingival by drinking in adolescents (청소년의 음주에 따른 흡연기간과 흡연량이 치은출혈 및 통증에 미치는 영향)

  • Lee, Mi-Ra
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.6
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    • pp.951-961
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    • 2019
  • Objectives: This study aims to evaluate how the amount and duration of smoking effects the bleeding and pain of gingival among adolescents in Korea while also taking into consideration the impact of drinking. Methods: Data were utilized from a web-based survey of youth health behaviors conducted by the Korean Center for Disease Control and Prevention in 2016. The subjects of the study included 65,528 adolescents from middle and high schools. As dependent variables, bleeding and pain of gingival were used. Data were analyzed using the SPSS Version 20.0 program. Results: After adjusting for the general characteristics and oral health behaviors of the subjects, in the long-term, the ≥0.52 PY group (heavy smoker) experienced 1.28 times higher bleeding and pain of gingival than the <0.52 PY group (light smoker) among adolescents who smoke and drink at the same time. Adolescents who smoked without drinking did not show any difference on bleeding and pain of gingival according to the amount of smoking in the short- and long-term. However, the findings reveal that there was a difference on bleeding and pain of gingival according to tooth brushing frequency. Conclusions: In order to promote the periodontal health of adolescents, it is argued that programs and projects should be implemented to prevent, educate, and control simultaneous behaviors of smoking and drinking.

A Genetic Analysis of Human Remains from the Myeongam-ri Site, Asan City (아산 명암리 출토 인골의 유전자 분석)

  • Seo, Min-Seok;Lee, Kyu-Shik;Chung, Yong-Jae;Kim, Kyung-Kyu;Pak, Yang-Jin
    • 보존과학연구
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    • s.23
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    • pp.59-75
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    • 2002
  • In this study human bones and teeth, excavated from the Myeongam-risite in Asan, Chungcheongnam-do Province, have been analysed by nuclear DNA typing and mitochondrial DNA sequencing methods. Twenty-one samples of long bones and twenty-seven samples of teeth from twenty-one individuals were collected and analysed. Among these thirteenteeth were successfully subjected to nuclear DNA extraction, quantification, and PCR(Polymerase Chain Reaction) amplification. Silver STR III (D16S539, D7S820, D13S317) multiplex PCR method was used in this study for a short tandem repeat (STR) analysis. Mitochondrial DNAs of tooth samples were also amplified and sequenced by a DNA sequencer. These analyses show that a sample from Burial no. 29 and one from Burial no. 38(right) possessed the same maternal inheritance. This may suggest that the Myeongam-ri cemetery was used by a kin group for a relatively long period of time.

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A Case of 3rd Premolar in the Right Lower Jaw (희유한 하악 제 3 소구치 일례)

  • Lee, Sang-Chull;Im, Tack-Jai;Cho, Young-Pill
    • The Journal of the Korean dental association
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    • v.11 no.8
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    • pp.531-540
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    • 1973
  • 1) The authors has observed in a boy of 21 years old a supernumerary 3rd premolar tooth the crown of which emerged from the fight lingual side close to the both premolar, mandible. 2) They may have a conical form or be otherwise rudimentary or vestigial, but they do not present ancestal characters. 3) According to the reports of formaers and our experiences about it, the large number of the eruption area was in lingual or palatal side. 4) A third premolar in man could only be accounted for as atavisms by a reversion covering so long a period of time.

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