• Title/Summary/Keyword: tooth loss

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MANAGEMENT OF ANKYLOSED PRIMARY MOLARS ; CASE REPORT (유착 유구치의 처치에 관한 증례보고)

  • Jang, Mi-Ra;Choi, Byung-Jai;Lee, Jong-Gap;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.590-596
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    • 1997
  • Ankylosis is defined as a fusion of alveolar bone with dentin and/or cementum and may occur at any time during or following active eruption. Ankylosed teeth maintain existing occlusal levels while adjacent teeth continue to erupt via deposition of alveolar bone. This may result in the clinical appearance of depression or submergence of ankylosed teeth below the occlusal plane. It is found more frequently in children of late mixed dentition and in mandibular primary molars. The problems arising from ankylosed teeth, due to their submerged positions, are elongation of the antagonist, tipping of the adjacent teeth, loss of arch length, food impaction and subsequent destruction of periodontal tissue, disturbance of succedaneous tooth eruption. The author observed several cases of ankylosed primary molars and properly managed. Following results were obtained. 1. Severe infraoccluded ankylosis results in loss of arch length and undesirable effect on eruption path of succedaneous tooth, therefore early diagnosis and management are important. 2. The teeth without problems may be examined periodically and restored in order to maintain the normal occlusal function.

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Influencing factors on anxiety and depression before and after dental prosthetic treatment in the patients (치아상실 환자들의 보철치료 전과 후의 불안 및 우울에 영향을 미치는 요인)

  • Kwon, Sun-Hwa;Kim, Han-Gon
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.5
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    • pp.777-786
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    • 2015
  • Objectives: The purpose of the study was to investigate the influencing factors on anxiety and depression before and after prosthetic treatment in the patients. Methods: A self-reported questionnaire was completed by 248 patients with tooth loss and over 20 years old. The questionnaire was carried out before and after oral examination and dental prosthetic treatment from July to December, 2013. The study instruments included Beck's anxiety inventory and self-rating depression scale by Zung. The questionnaire was adapted and modified from Kwon's anxiety inventory and Lee's depression scale. Results: While the anxiety level increased from 69.4% to 78.2% in the normal people, the depression level changed from 53.2% to 64.1% in the normal people. The gender variable had a positive effect on anxiety and depression while educational level had a negative effect on them. The dental fear was closely related to anxiety and depression before and after the prosthetic treatment. The entire body health perception showed a negative effect on anxiety and depression. The distrust towards the dentist had an influence on the anxiety and depression in the prosthetic patients. Conclusions: The influencing factors on anxiety and depression in the prosthetic patients included gender, dental fear, entire body perception, and distrust towards the dentist.

Effects of the Leakage Tangential Velocity on the Leakage Flow Path in Shrouded Axial Compressor Cascades (축류압축기 슈라우드 캐비티내의 누수유동 경로에 대한 연구)

  • Sohn, Dae-Woong;Kim, Tong-Beum;Song, Seung-Jin
    • 유체기계공업학회:학술대회논문집
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    • 2005.12a
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    • pp.311-317
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    • 2005
  • Measurements of the leakage flow in the shrouded cavity were performed in axial compressor cascades at $Re=2.6{\times}10^5$. This paper describes the effects of the leakage flow tangential velocity on kinematics of the leakage flow in the shrouded cavity and consequent overall loss and exit flow turning at stator blade row downstream. Flow data and flow visualization images consistently indicate that leakage flow circumferentially migrates 2, 4 and 5 blade passages in the direction of rotation for ${\upsilon}_y/c=0.09$, 0.35 and 0.45, respectively where ${\upsilon}_y$ is the leakage tangential velocity and c is the mainstream velocity. The leakage flow contracts to a jet across the seal-tooth resulting in an increase in the leakage axial velocity-doubling the leakage axial velocity in upstream cavity compared to that in the downstream cavity. Consequently, two flow regions are distinguished before and after the seal-tooth. As increasing the leakage tangential velocity, the overall loss downstream of stator blade row decreases and the exit flow turning in the range of span. from the hub endwall to 15% increases while the decreases in the flow turning from 15% to 30% span is observed.

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A CLINICAL STUDY ON REPLANTATION OF AVULSED PERMANENT TEETH (결출치아의 재식술후 효과에 관한 임상적 연구)

  • Lee, Eui-Wung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.1
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    • pp.73-79
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    • 2000
  • A material of 48 patients with 60 avulsed and replanted permanent teeth were followed retrospectively in the period of 1996. 1 to 1998. 12 (mean observation period=1year 7months). The age of the patients at the time of replantation ranged from 9 to 63 years (mean=24 years). Clinical records of patients were reviewed to obtain valid data concerning the extent of injury and treatment provided. Pulpal and periodontal healing states were examined with periapical x-rays and clinical examination procedures (i.e. percussion test and mobility test) at their recall visit. Root ankylosis was found in fifty-two teeth(87%) and root resorption in twenty-four(40%). Only two of the replanted teeth(3%) showed partial regeneration of the periodontal ligament. Six teeth(10%) resulted in tooth loss, but the remaining fifty-four were clinically well functioning. Most of teeth have mild marginal bone loss accompanied by gingival retraction without pathological periodontal pockets. The incidence of root resorption was much higher in younger age group. However, it was not affected by the interval between avulsion and replantation, the condition of supporting tissues, the degree of root formation and the type of splinting, indicating that multiple factors involved in determining the prognosis of replanted teeth. Based on these findings, avulsed teeth in unfavorable conditions (i.e. long extra-alveolar periods, etc.) should be preserved if possible.

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Short-term evaluation of dental implants in a diabetic population: an in vivo study

  • Inbarajan, Athiban;Veeravalli, Padmanabhan Thallam;Vaidyanathan, Anand Kumar;Grover, Manita
    • The Journal of Advanced Prosthodontics
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    • v.4 no.3
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    • pp.134-138
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    • 2012
  • PURPOSE. The study was conducted to evaluate the efficacy of implant supported tooth replacement in diabetic patients. MATERIALS AND METHODS. The study involved placement of implants (UNITI implants, Equinox Medical Technologies, Zeist, Holland, diameter of 3.7 mm and length 13 mm) in five diabetic patients (three females and two males) of age ranging from 35-65 years with acceptable metabolic control of plasma glucose. All patients included in the study were indicated for single tooth maxillary central incisor replacement, with the adjacent teeth intact. The survival of the restored implants was assessed for a period of three months by measurement of crestal bone heights, bleeding on probing and micro flora predominance. Paired t-test was done to find out the difference in the microbial colonization, bleeding on probing and crestal bone loss. P values of less than 0.05 were taken to indicate statistical significance. RESULTS. Results indicated that there was a significant reduction in bleeding on probing and colonization at the end of three months and the bone loss was not statistically significant. CONCLUSION. The study explores the hypothesis that patients with diabetes are appropriate candidates for implants and justifies the continued evaluation of the impact of diabetes on implant success and complications.

Space maintainer using CAD/CAM system without a band: a case report (CAD/CAM 시스템을 이용하여 band 없이 공간유지 장치를 제작한 증례)

  • Eun-Sook Kang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.100-106
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    • 2024
  • Early interceptive orthodontic interventions are often started in the developing dentition to guide normal occlusion. The simplest way to prevent eruption failure from deciduous tooth loss is to fix a space maintainer such as a band and loop. Band and loop space maintainer has several problems like cement loss, demineralization, locking of the adjacent tooth, and needs to take a pickup impression of the band. Computer-assisted design/computer-assisted manufacturing (CAD/CAM) space maintainer without band was developed to solve these problems. This case report describes successful eruption of the mandibular second premolar using CAD/CAM without a band.

The Relationship between Health Behaviors and Oral Health Status of Male Workers in small and medium industry (중소기업 남성근로자의 건강행태와 구강건강상태의 관련성)

  • An, In-Sul;Bahk, Seung-Wee;Lee, Kyeong-Soo;Jang, Eun-Jin
    • Journal of Technologic Dentistry
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    • v.34 no.1
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    • pp.25-36
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    • 2012
  • Purpose: The purpose of this study is to investigate the status of oral health behaviors and oral health status, and to analysis the association between health behavior and chronic disease and oral health status of male workers. Methods: The survey used structured self administered questionnaires from September to October in 2009 in Daegu and Gyeongsangbuk-do province, randomize thirty workplace which work more than 50 workers and carry out a survey targeting 30 to 50 age male laborers who work selected workplace. Total of 1,532 replies were analysed. Results: Age, education, monthly income, job was significantly associated with number of toothbrushing, scaling experience, number of missing teeth. Smoking, amount of smoking, frequency of drinking, number of tooth brushing, unmet need and subjective oral health condition, HBP and DM was significantly associated with the number of missing teeth. In logistic regression, age(above 40), monthly income and DM were significant factors on loss of teeth. Conclusion: In conclusion, it is important to provide education on the teeth-brushing and DM management to workers engaged in a small or medium sized workplace with many tooth loss and low educational status, and to recommend a regular scaling as well as to establish policy for creating conditions upon an oral health check-up and a tooth scaling and allow the maintenance of an oral health.

A CASE REPORT OF COMPLICATIONS DURING MANDIBULAR TRANSVERSE SYMPHYSIS WIDENING (하악 이부 확장술 시 나타나는 합병증의 치험례)

  • Suh, Chung-Whan;Kang, Kyung-Hwa;Choi, Moon-Gi
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.480-488
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    • 2008
  • Orthodontists often treat cases which are difficult to treat with conventional orthodontics. In such cases, it could be treated with surgical procedures with the help of an oral surgeon. Especially, transverse deficiency of the mandible can be corrected by widening the transverse width of mandibular symphysis, using distraction osteogenesis. Transverse widening of mandibular sympysis is known as a safe treatment but still complications could occur during the treatment. We are reporting some complications of cases that mandibular symphysis transverse widening were applied. Some cases showed complications because of the inappropriate osteotomy line. Since straight vertical osteotomy line was inclined to the left, only the left bony segment was likely to expand. According to bio-mechanical considerations, it will be better to perform a step osteotomy, cutting the eccentric area of the alveolar crest and the centric area of the basal symphyseal area. Complications could also occur by the failure of the distraction device. The tooth borne distraction device was attached on the lingual side of the tooth with composite resin. During the distraction period, it was impossible to obtain appropriate distraction speed and rhythm because of frequent fall off of the distraction device. Therefore, distraction device should be attached firmly with orthodontic band or bone screw, etc. Tooth mobility increasement could also occur as a complication. 'Walking teeth phenomenon' was observed during the distraction period, showing severe teeth mobility and pain during mastication. These symptoms fade out during the consolidation period. Since the patient could feel insecure and uncomfortable, it should be notified to the patient before the procedure. Finally, alveolar crestal bone loss could occur. Alveolar crestal bone loss occurred because of lack of distraction device firmness and teeth trauma caused by lower lip biting habit. Therefore, adequate firmness of the distraction device and habit control will be needed.

Cases of screw-retained implant prosthesis in the anterior maxilla through multidisciplinary approach, including orthodontic teeth alignment (교정적 치아 재배열을 포함한 다학제적 접근(multidisciplinary approach)을 통한 상악 전치부의 나사 유지형 임플란트 보철 수복 증례)

  • Kim, Hyo-Seon;Lee, Won-Sup;Lee, Su-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.244-250
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    • 2020
  • The labio-palatal location of the implant in the maxillary anterior region is one of the important factors affecting the aesthetics of the implant prosthesis. However, the thin labial bone of maxilla could be absorbed in significant amounts after extraction of the teeth, which makes the implant be placed on the palatal side rather than the ideal location. In fact, in the cases of maxillary central incisor loss, UCLA was used for prosthetic restoration of palatally placed implant. In addition, with multidisciplinary treatment, GBR (Guided Bone Regeneration) was performed for compensating the absorbed alveolar bone and adjacent anterior tooth were aligned. Definitive restoration was performed after confirming aesthetic recovery of the gingiva with sufficient provisional restoration period. There were satisfactory results of functional and esthetic recovery of tooth loss through implant prosthesis.

Full mouth rehabilitation of a patient with tooth wear and insufficient restorative space due to loss of posterior teeth support: a case report (구치부 지지 상실로 인해 치아 마모와 부족한 수복 공간을 보이는 환자에서의 완전구강회복 증례)

  • Hyunsub Kim;Young-Jun Lim;Ho-Beom Kwon;Myung-Joo Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.72-81
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    • 2024
  • To rehabilitate a patient with inappropriate occlusion due to posterior support loss, it is necessary to achieve an appropriate occlusal vertical dimension and create prostheses that demonstrate stable occlusion at the centric relation for full mouth restoration. This case shows full mouth rehabilitation in a patient with missing posterior teeth and tooth wear, achieved through implant-supported prostheses and zirconia full-veneer crowns. To assess adaptation to the increased occlusal vertical dimension, an occlusal splint and temporary restorations were secured. By fabricating the definitive restorations based on the anterior guidance of the temporary restorations, stable occlusal rehabilitation was successfully achieved.