Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지

TREATMENT OF IMPACTED MAXILLARY CENTRAL INCISORS USING ORTHODONTIC TRACTIONS

매복된 상악 중절치의 교정적 처치를 통한 치험례

  • Kim, Nam-Hyuk (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Oh (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Song, Je-Seon (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Son, Heung-Kyu (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Byung-Jai (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Lee, Jae-Ho (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Hyung-Jun (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University)
  • 김남혁 (연세대학교 치과대학 소아치과학교실) ;
  • 김성오 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 송제선 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 손흥규 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 최병재 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 최형준 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소)
  • Published : 2010.02.26
Download PDF
⟨ Previous Next ⟩

Abstract

Impaction is defined as a cessation of the eruption of a tooth caused by a clinically or radiographically detectable physical barrier in the eruption path or by an ectopic position of the tooth. The reasons for impaction of the maxillary central incisor are supernumerary tooth, odontoma, ectopic position of tooth germ, dilacerated tooth and so force. Impacted tooth cause space loss due to proximal movement of adjacent tooth, malocclusion, root resorption of adjacent tooth, cyst formation, so careful observation and early detection is important and exact treatment should be applied to prevent these results. The treatment options of impacted tooth include induction an eruption through extraction of deciduous tooth or surgical exposure, reposition of impacted tooth by surgical method or orthodontic treatment. Orthodontic traction is recommended when an eruption does not happen after removal of barrier or surgical exposure, when eruption path is too transpositioned to be corrected spontaneously so eruption does not expected. In these cases, traction of impacted maxillary central incisor was carried out using orthodontic method with closed eruption technique and it showed good clinical results so we report these cases.

매복은 임상 검사나 방사선 사진 검사 상에서 인식 가능한 맹출 경로 상에 장애물이나 이소 위치에 의한 치아 맹출의 정지를 의미한다. 상악 중절치의 치아 매복의 원인으로는 과잉치, 치아종, 치배의 이소위치, 외상 후 연조직 치유에 의한 폐쇄, 만곡치, 정지된 치근 발육 등이 있다. 매복된 치아는 인접치의 근심이동으로 인한 공간 상실, 부정교합, 인접치의 치근 흡수, 낭종의 형성 등을 유발할 수 있으므로 맹출장애에 대한 주의 깊은 관찰과 조기 진단이 중요하며 적절한 치료가 시행되어야 한다. 매복된 치아의 치료방법으로는 유치의 발거나 외과적 노출을 통한 맹출 유도, 경과관찰, 외과적 방법이나 교정력을 이용한 매복치의 재위치, 매복치의 외과적 발거 등이 있다. 이 중 교정적 견인은 매복된 치아가 원인을 제거한 후 또는 외과적으로 치관을 노출시킨 후에 일정기간의 관찰에도 맹출하지 않거나, 맹출경로가 정상에서 많이 벗어나 맹출이 기대되지 않을 경우 적용될 수 있다. 본 증례는 매복된 상악중절치를 교정적 견인을 통해 정상적인 맹출 방향으로 유도한 치험례들로 양호한 치료 결과를 보였기에 이를 보고하고자 하는 바이다.

Keywords

References

  1. Tanaka E, Watannabe M, Nagaoka K, et al. : Orthodontic traction of an impacted maxillary central incisor. J Clin Orthod, 35:375-878, 2001.
  2. Crawford LB : Impacted maxillary central incisor in mixed dentition treatment. Am J Orthod Dentofac Orthop, 112:1-7, 1997. https://doi.org/10.1016/S0889-5406(97)70266-X
  3. Andreasen JO : Textbook and color atlas of tooth impactions. Diagnosis, treatment and prevention. Copenhagen, Munksgaaed, 113-124, 1997.
  4. Becker A : The orthodontic treatment of impacted teeth. Martin dunitz, 53-61, 2001.
  5. McCormick J, Filostrat DJ : Injury to the teeth of succession by abscess of the temporary teeth. J Dent Child, 34:501-504, 1967.
  6. Groover PS, Lorton L : The incidence of unerupted perment teeth and related clinical cases. Oral Surg Oral Med Oral Pathol, 59:420-425, 1985. https://doi.org/10.1016/0030-4220(85)90070-2
  7. Ito M, Nozaka K, Moriguchi O, et al. : The clinical observation og exposure and traction cases of impacted teeth. Shoni Shikagaku Zassi-Japanese Journal of pedodontics, 24:643-652, 1986.
  8. Kapala JT : Interceptive orthodontics and management of space problems. Text book of pediatric dentistry, Williams & Williams, Baltimre, 372-328, 1980.
  9. Frank CA : Treatment options for impacted teeth. JADA, 131:623-632, 2000.
  10. Andreasen JO, Petersen JK, Laskin DM : Textbook and color atlas of tooth impaction. 1st ed., Mosby, St. Louis, 65-85, 1997.
  11. Andreasen JO, Andreasen FM : Textbook and color atlas of traumatic injuries to the teeth, Mosby, 3rd ed, 470-479, 1994.
  12. Howe GL : Minor oral surgery, Weight, Bristol, 2nd ed, 135-137, 1981.
  13. Stewart DJ : Dilacerate unerupted maxillary central incisors, Brit Dent J, 145:229-233, 1978. https://doi.org/10.1038/sj.bdj.4804154
  14. 지혁준, 최병재, 이제호 : 상악 유전치의 치근단 병소로 인한 만곡 영구전치 : 대한소아치과학회지, 28:12-15, 2001.
  15. McNamara T, Woolfe SN, McNamara CM : Orthodontic management of a dilacerated maxillary central incisor with an unusual sequela. J Clin Orthod, 76:293-297, 1979.
  16. 김해리, 오소희, 김영희 : 매복된 상악 전치의 교정적 치료 : 증례보고. 대한소아치과학회지, 34:709-717, 2007.
  17. 김영진, 박호원, 이주현 : 만곡된 치근을 가진 상악 중절치의 교정적 견인을 이용한 치험례. 대한소아치과학회지, 32:437-443, 2005.
  18. Becker A : The orthodontic treatment of impacted teeth. Martin dunitz, 71-78, 2001.
  19. 이기수, 박영국 : 상악 중절치에 만곡치근을 가진 환자의 교정치료에 대한 치험례 : 대한치과의사협회, 26:1131-1135, 1988.
  20. Hitchin AD, Mason DK : Four cases of compound composite odontomas, Brit Dent, 8:269-274, 1958.
  21. Neville BW, Damm DD, Allen CM, et al. : Oral and maxiiiofacial pathology, 2nd ed. Saunders Co., Philadelphia, 631-632, 2002.
  22. McKinney AL : The development of a compound odontoma. J Dent Child, 51:146-147, 1984.
  23. Shulman ER, Corio RL : Delayed eruption associated with an odontoma. J Dent Child, 54:205-207, 1987.
  24. Morning P : Impacted teeth in relation to odontomas. Int J Oral Surg, 9:81-91, 1980. https://doi.org/10.1016/S0300-9785(80)80043-3
  25. Shafer WG, Hine MK, Levy BM : A textbook of oral pathology 4th ed. SB Saunders, Philladelphia, 308- 311, 1983.
  26. Katz RW : An analysis of compound and complex odontomas. J Dent Child, 56:445-449, 1989.
  27. Lautenbach E : Zur pathologie der odontome. Zahnaerztl. Z, 20:589-594, 1965.
  28. Kupietzky A, Flatiz CM, Zeltser R : Eruption of a severely displaced second permanent molar following surgical removal of an odontoma. Pediatric Dent, 25:378-382. 2003.
  29. Hisatomi M, Asaumi JI, Konouchi H, et al. : A case of complex associated with an impacted lower deciduous second molar and analysis of the 107 odon-tomas. Oral Dis, 8:100-105, 2002. https://doi.org/10.1034/j.1601-0825.2002.1c778.x
  30. Hitchin AD : The radiology of the calcified composite odontomes. J Dent Pract Dent Rec, 12:223-240, 1962.
  31. Vermette ME, Kokich VG : Uncovering labially impacted teeth : apically positioned flap and closed eruption techniques, Angle orthod, 65: 23-24, 1995.
  32. Vincent GK, David PM : Surgical and orthodontic management of impacted teeth. Dental Clinics of North America, 37:181-204, 1993.
  33. Becker A : The orthodontic treatment of impacted teeth. Martin dunitz, 30-32, 2001.
  34. Kaley J, Philips C : Factors related to root resorption in edgewise palatally impacted canines. Am J Orthod, 85:72-77, 1984.
  35. 판정정언 : 상악전치의 매복. 교합유도의 임상, 127-137, 1992.
  36. Proffit WR : Contemporary orthodontics. 2nd ed., Mosby, St. Louis, 584-615, 1993.
  37. Reitan K : Some factors determining the evaluation of forces in orthodontics. Am J Orthod, 43:32-45, 1957. https://doi.org/10.1016/0002-9416(57)90114-8
  38. Proffit WR : Contemporary orthodontics 3rd ed., Mosby, Missouri, 483-484, 2000.
  39. Brand A, Akhavan M, Tong HS, et al. : Orthodontic, genetic, and periodontal considerations in the treatment of impacted maxillary central incisors : A study of twins. Am J Orthod Dentofacial Orthop, 117:68-74, 2000. https://doi.org/10.1016/S0889-5406(00)70250-2
  40. Kjaer I : Morphorogical characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur J Orthod, 17:25-34, 1995. https://doi.org/10.1093/ejo/17.1.25
  41. Wehrbein H, Fuhrmann RAW, Diedrich PR : Human histologic tissue response after long-term orthodontic tooth movement. Am J Orthod, 107:360-371, 1995.
  42. McFadden WM, Engstrom C, engstrom H, et al. : A study of the relationship between incisor intrusion and root shortening. Am J Orthod, 91:252-258, 1989.
  43. Shape W, Reed B, Subtelny D, et al. : Orthodontic relapse, apical root resorption, and crestal alveolar bone levels. Am J Orthod, 91:252-258, 1987.
  44. Mantzikos T, Shamus I : Forced eruption and implant site development : soft tissue responses. Am J Orthod Dentofacial Orthop, 112:596-606, 1997. https://doi.org/10.1016/S0889-5406(97)70224-5
  45. Mostafa YA, Iskander KG, el-Mangoury NH : Iatrogenic pulpal reactions to orthodontic extrusion. Am J Orthod Dentofacial Orthop, 99:30-34, 1991. https://doi.org/10.1016/S0889-5406(05)81677-4
  46. Mcdonald F, Pittford TR : Blood flow changes in permanent maxillary canines during retraction. Eur J Orthod, 16:1-9, 1994. https://doi.org/10.1093/ejo/16.1.1
  47. Becker A, Brin I, Ben-Bassat Y, et al. : Closederuption surgical technique for impacted maxillary incisors: A postorthodontic periodontal evaluation. Am J Orthod Dentofacial Orthop, 122:9-14, 2002.