• Journal of Periodontal and Implant Science
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• 제37권2호
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• pp.165-180
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• 2007

Dental Implants have been proved to be successful prosthetic modality in edentulous patients for 10 years. However, there are few reports on the survival of implant according to location in molar regions. The purpose of this study was to evaluate the $4{\sim}5$ years' cumulative survival rate and the cause of failure of dental implants in different locations for maxillary and mandibular molars. Among the implants placed in molar regions in Gwangju Mir Dental Hospital from Jan. 2001 to Jun. 2002, 473 implants from 166 patients(age range; $26{\sim}75$) were followed and evaluated retrospectively for the causes of failure. We included 417 implants in 126 periodontally compromised patients, 56 implants in 40 periodontal healthy patients, and 205 maxillary and 268 mandibular molar implants. Implant survival rates by various subject factors, surgical factors, fixture factors, and prosthetic factors at each location were compared using Chi-square test and Kaplan-Meier cumulative survival analysis was done for follow-up(FU) periods. The overall failure rate at 5 years was 1O.2%(subject level) and 5.5%(implant level). The overall survival rates of implants during the FU periods were 94.5% with 91.3% in maxillary first molar, 91.1% in maxillary second molar, 99.2% in mandibular first molar and 94,8% in mandibular second molar regions. The survival rates differed significantly between both jaws and among different implant locations(p<0.05), whereas the survival rates of functionally loaded implants were similar in different locations. The survival rates were not different according to gender, age, previous periodontal status, surgery stage, bone graft type, or the prosthetic type. The overall survival rate was low in dental implant of too wide diameter(${\geq}5.75$ mm) and the survival rate was significantly lower for wider implant diameter(p

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권1호
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• pp.63-67
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• 2022

Controversies exist regarding the need for prophylactic extraction of mandibular third molars in patients who plan to undergo orthognathic surgery. An 18-year-old male patient was diagnosed with mandibular prognathism and maxillary retrognathism with mild facial asymmetry. He had a severely damaged mandibular first molar and a horizontally impacted third molar. After extraction of the first molar, the second molar was protracted into the first molar space, and the third molar erupted into the posterior line of occlusion. The orthognathic surgery involved clockwise rotation of the maxillomandibular complex as well as angle shaving and chin border trimming. Patients who are missing or have damaged mandibular molars should be monitored for eruption of third molars to replace the missing posterior tooth regardless of the timing of orthognathic surgery.

• 대한소아치과학회지
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• 제25권2호
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• pp.383-399
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• 1998

Tooth development is usually described in four stages such as bud stage, cap stage, bell stage and crown stage. Exact time of appearance of tooth primordia is different among reports, and up to now there is no timetable regarding initial tooth development. To understand the congenital malformations and other disorders of the orofacial region, there is a need to establish a standard timetable on early tooth development. Till now, studies on the tooth development were mainly on later fetuses, and only few reports on early stage. Also, there were no reports on the time when bud stage turns to cap stage, and cap stage to bell stage. In this study, external morphology of face and the early development of the tooth, and transition of bud stage to cap stage, cap stage to bell stage were studied using 27 staged human embryos and 9 serially sectioned human fetuses. The results are as follows: 1. Mandibular region was formed by union of both mandibular arch at stage 15, and maxillary region by union of maxillary arch, medial nasal prominence, and intermaxillary segment at stage 19. 2. Ectodermal thickening which represents the primordia of tooth appeared in mandibular region at stage 13, and maxillary region at stage 15. 3. Bud stage began from mandibular primary central incisor at stage 17, and maxillary primary central incisor at stage 18. And the sequence of appearance was in the mandibular primary lateral incisor at stage 19, maxillary primary lateral incisor at stage 20, mandibular primary canine at stage 22, maxillary primary canine and primary first molar at stage 23, madibular primary first molar and maxillary primary second molar at 9th week, and mandibular primary second molar at 10th week of development. 4. Cap stage began from the primary anterior teeth at 9th week, and primary second molar still had the characteristics of cap stage at 12th week of development. 5. Transition to bell stage started from the primary anterior teeth at 12th week, and primary second molar started at 16th week of development. 6. Trnasition to crown stage started from primary anterior teeth at 16th week, and primary second molar at 26th week of development.

• 대한치과교정학회지
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• 제31권6호
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• pp.559-566
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• 2001

본 연구는 설측 이소맹출된 하악 제2대구치의 협측 반대교합을 개선하기 위해 사용되는 mandibular posterior crossbite appliance에 의해 하악 제2대구치의 치근단과 그 주위의 치조골에 발생되는 응력분포를 알아보기 위해 광탄성법을 이용하여 분석하였다. 하악의 치조골을 재현하기 위해 PL-3 형의 epoxy resin과 PL-3 보다 경질인 레진치아를 사용하여 설측 이소맹출된 하악 제2대구치를 광탄성모형으로 재현하였다. 광탄성 모현상에 mandibular posterior crossbite appliance를 적용하고 힘을 가하기 전과후의 응력 분포를 알아보기 위해 원형편광기 를 사용하여 모형의 전후방에서 관찰하였다. 이상의 연구를 통해 얻어진 결과는 다음과 같다. 1. 하악 제2대구치의 협측면에 힘을 가한 경우, 설측 치조정과 치근첨 부위에 응력이 집중되어 나타났고 회전중심이 치근 협측면의 중간 1/3부위와 치근첨 부위에 발생하였으며 이로 인해 제 2대구치에 협측으로의 비조절성 경사이동 및 회전력이 발생하였다. 2. 하악 제2대구치의 설측면에 힘을 가한 경우에는 협측면에 힘을 가한 경우 보다 치근첨에 더 많은 응력이 발생하였다. 또한 치근하방의 치조골 부위에 응력이 증가하였으며 치근의 협측면과 치근첨 부위의 회전중심도 없어져 이로 인한 협측으로의 조절성 경사 이동 및 함입력이 관찰되었다. 3. 하악 제2대구치의 협측이나 설측에 힘을 가한 경우, 고정원인 제1대구치의 치근첨 부위는 힘을 가하기 전의 초기 응력상태와 비교할 때 응력의 증가는 보이지 않아 구치부 협측 반대 교합의 개선시 하악의 설측 호선은 효과적인 고정원으로 사용될 수 있다. 이상의 연구 결과는 설측 이소맹출된 하악 제2대구치의 구치부 협측 반대교합을 개선하기 위해 사용되는 mandibular posterior crossbite appliance를 적용할 때, 제2대구치의 협측면보다는 설측면에서 힘을 부여하는 것이 교합장애를 야기시킬 수 있는 비조절성 경사이동과 구치의 회전을 피하면서 협측으로의 조절성 경사이동 및 함입력을 적용시킬 수 있음을 의미한다.

• Journal of Oral Medicine and Pain
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• 제17권2호
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• pp.119-128
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• 1992

In order to evaluate the relationship of age with the developmental stage on mandibular second molars in female, the author examined the radiographs in standard films taken by intraoral paralleling technic and analysed the development of 620 roots of 310 females ranged from 10 to 18 years. The development was divided into 7 stages : Crown complete (Cr.C.), Root lengthed 1/4(R.1/4), Root length 1/2 (R.1/2), Rooth length 3/4 (R.3/4), Rooth length complete (R.C), Apex 1.2 closed (A. 1/2), Apical closure complete (A.C) The obtained results were as follows : 1. The formation of roots in fulllength of mandibular second molars was completed at 14.21-year-age in mesial root and at 14.96-year-age in distal root. 2. The formation of apical foramen of mandibular second molars was completed at 17.11-year-age in mesial root and at 17.53-year-age in distal root. 3. The mesial root of mandibular second molar was generally developed earlier than distal root (p<0.01) 4. Coefficients of correlation and regression equations between for age(Y) and the developmental stage of mandibular second molar(X) were "Y=1.53X+6.54, r=0.91 (p<0.01)" in mesial root and "Y=1.52X+7.11, r=0.92(p<0.01)" in distal root respectively.l root respectively.

• 대한치과교정학회지
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• 제51권3호
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• pp.179-188
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• 2021

Objective: To evaluate the overall treatment effects in terms of the amount of uprighting with changes in the sagittal and vertical positions of mandibular molars after applying an orthodontic miniplate with a nickel-titanium (NiTi) reverse curve arch wire (biocreative reverse curve [BRC] system). Methods: A total of 30 female patients (mean age, 25.99 ± 8.96 years) were treated with the BRC system (mean BRC time, 10.3 ± 4.07 months). An I-shaped C-tube miniplate (Jin Biomed) was placed at the labial aspect for the alveolar bone of the mandibular incisors. A 0.017 × 0.025-inch NiTi reverse curve arch wire was engaged at the C-tube mini-plate anteriorly and the first and second premolars and molars posteriorly in the mandibular arch. Pre- and post-BRC lateral cephalograms were analyzed. A paired t-test was used to analyze the treatment effects of BRC. Results: The mandibular second molars were intrusively uprighted successfully by the BRC system. Distal uprighting with a controlled vertical dimension was noted on the first molars when they remained engaged in the BRC and the distal ends of the arch wire were laid on the second molars. The mandibular first and second premolars showed a slight extrusion. The changes in the mandibular incisors were unremarkable, while the mandibular molar angulation improved significantly. The lower occlusal plane rotated counterclockwise (MP-LOP: 1.13° ± 2.60°). Conclusions: The BRC system can provide very effective molar uprighting without compromising the position of the mandibular anterior teeth.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.731-738
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• 1997

A retrospective in vivo study of endodontically treated mandiblar molars was conducted. The radilographs and clinical records of mandibular molars that had been treated endodontically in the Dental hospital of Yonsei University from 1986 to July 1997 were reviewed and categorized. A total of 1751 cases were studied and following results were obtained. 1. The number of root canals in mandibular first permanent molar in a Korean population revealed three in 53.2 %, four in 23.0 %, two in 18.4 %, C-shaped canal in 5.0 %, and one in 0.4 %. 2. In mandibular second molar, three canals was observed in 53.2 %, four in 22.2 %, two in 14.9%, C-shaped canal in 9.1 %, and one in 0.6%. 3. In the results of the percentage of 4 canals of mandibular first molars at various age, before age 20, 37.7 % was obtained whereas 19.3 % after 30. 4. 7.94 % of mandibular first molars examined were found to have three roots. 5. The mandibular second molar had C-shaped canals in 9.1 %.

• Restorative Dentistry and Endodontics
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• 제34권4호
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• pp.346-349
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• 2009

하악 제2대구치는 근관형태의 다양한 변이를 가지고 있어 근관치료시 여러가지 어려움을 야기한다. 본 연구에서는 하악 제2대구치의 여러가지 근관형태를 비율별로 분석해보고자 2005년에서 2008년까지 보라매병원에서 하악 제2대구치 근관치료를 받은 86개의 치아에서 치수강 개방 후 육안으로 근관입구의 형태를 확인하고 근관장 측정용 파일 삽입 후 방사선 사진을 촬영하여 근관형태를 기록, 분석하였다. 그 결과 C형 근관은 31.4%(27개)의 발현빈도를 보였으며 3근관 50%(43개), 4근관 12.7%(11개), 2근관 5.8%(5개)로 나타났다. C형 근관의 성별에 따른 발현빈도는 남성에서 31.7%, 여성에서 31.1%였다. 좌측 하악 제2대구치는 30.9%, 우측 하악 제2대구치는 31.8%의 C형 근관 발현빈도를 보였다.

• 대한치과의사협회지
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• 제10권2호
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• pp.129-130
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• 1972

The author have observed a case of supernumerary molar occurred in the buccally between second and third molar of the mandibular in 38 years old. The macroscopical findings were resembled to small second lower premalar.

• 대한소아치과학회지
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• 제37권1호
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• pp.130-135
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• 2010

이소맹출은 치아가 비정상적인 위치로 맹출하는 경우를 말하며, 주로 상악 제1대구치, 하악 측절치, 상악 견치에서 발생하며 하악 제1대구치에서는 드물게 발생한다. 제1대구치의 이소맹출은 흔히 제2유구치의 비정상적인 치근흡수를 야기하며, 이를 방치하게 되면 제2유구치의 조기상실, 제1대구치의 근심경사 및 회전, 제2소구치의 맹출 공간 부족 및 교합문제 등을 야기하게 되므로 이소맹출로 진단될 경우 조기 치료가 추천된다. 이소맹출은 대개 통상적인 방사선검사를 통해 발견되나, 간혹 제2유구치의 치근흡수가 심할 경우 치수가 감염되어 동통을 야기하는 경우도 있다. 이소맹출의 치료는 제2유구치를 보존하면서 제1대구치의 맹출 방향을 바로 잡아 주는 것으로 크게 치간이개(interproximal wedging)와 원심경사이동(distal tipping)을 이용한 방법을 사용한다. 본 증례들은 하악 제1대구치의 이소맹출을 보이는 환아들로, Humphrey appliance와 Halterman appliance를 이용하여 양호한 치료 결과를 얻었기에 보고하는 바이다.