대한치과의사협회지 (The Journal of the Korean dental association)

  • 제49권4호
  • /
  • Pages.211-218
  • /
  • 2011
  • /
  • 0376-4672(pISSN)
  • /
  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

가천의대 길병원 교정과에 내원한 매복치 환자의 특성과 치료기간 및 방법에 관한 연구(2005년~2008년)

Research on characteristics and treatment duration and method of patients with tooth impaction who visited Gachon University Gil Hospital Orthodontic Department (year 2005-2008)

  • 문철현 (가천의대 길병원 치과교정과) ;
  • 강현욱 (가천의대 길병원 치과교정과) ;
  • 최진휴 (중앙대학교 의과대학 치과학교실)
  • 투고 : 2011.01.25
  • 심사 : 2011.04.05
  • 발행 : 2011.04.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: An impacted tooth is defined as a tooth that shows delayed eruption and is expected to erupt incompletely by clinical and radiograph examination despite it reaching its expected time of eruption. The aims of this study were to investigate the clinical and radiological characteristics and treatment duration and method of impacted teeth in Korean patients. Materials and Methods: For this study we used clinical records, study models, panoramic radiographs and intraoral photographs of patients who attended Gachon University Gil Hospital Orthodontic Department between 2005 and 2008. There were 164 patients with a total number of 202 impacted teeth. Results: Male patients shows a little more prevalence than female patients (1.13:1). The under 12 age group had the highest prevalence of tooth impaction, and the over 19 age group showed the least prevalence of tooth impaction. The ratio of tooth impaction between the left to right ratio was 1.73:1 and maxilla and mandible was 1.84:1. The impacted teeth were most commonly positioned buccally (76 cases, 41.5%). Full nap closure technique (108 cases, 81.2%)was most frequently used for attachment of surgical traction hooks. Maxillary canine impaction was most commonly encountered both in male and female patients. The mean treatment period was 12.2 months and the success rate of treatment was 90.3%. The canine tooth shows the longest treatment time and highest failure rate. The ankylosis was the major cause of failure. Conclusion: Impacted teeth most commonly show in left side maxilla in the under 12 age group. And it is most commonly positioned buccally. The mean treatment period was 12.2 months, and the success rate of treatment was 90.3%.

키워드

참고문헌

  1. Eliasson S, Heimdahl A, Nordenram A. Pathological changes related to long-term impaction of third molars. A radiographic study. Int J Oral Maxillofac Surg 1989;18:210-2. https://doi.org/10.1016/S0901-5027(89)80055-4
  2. Haidar Z, Shalhoub SY. The incidence of impacted wisdom teeth in a Saudi community. Int J Oral Maxillofac Surg 1986;15:569-71. https://doi.org/10.1016/S0300-9785(86)80060-6
  3. Johnston, W. Treatment of palatally impacted canine teeth. Am J Orthod 1969; 56:589-96. https://doi.org/10.1016/0002-9416(69)90194-8
  4. Nitzan D, Keren T, Marmary Y. Does an impacted tooth cause root resorption of the adjacent one? Oral Surg 1981;51:221-24. https://doi.org/10.1016/0030-4220(81)90047-5
  5. Hou R, Kong L, Ao J, Liu G, Zhou H, Qin R, Hu K. Investigation of Impacted Permanent Teeth Except the Third Molar in Chinese Patients Through an XRay Study. J Oral Maxillofac Surg 2010;68:762-67. https://doi.org/10.1016/j.joms.2009.04.137
  6. Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol 1985;59:420-25 https://doi.org/10.1016/0030-4220(85)90070-2
  7. Nagahara K, Yuasa S, Yamada A, Ito K, Watanabe O, Iizuka T, Sakai M, Utida H. Etiological study of relationship between impacted permanent teeth and malocclusion, Aichi-Gakuin J Dent Sci 1989;27:913-24.
  8. Chu FCS, Li TKL, Lui VKB, Newsome PRH, Chow RLK, Cheung LK. Prevalence of impacted teeth and associated pathologies - a radiographic study of the Hong Kong Chinese population. Hong Kong Med J 2003: 9:158-63.
  9. Shah RM, Boyd MA, Vakil TF. Studies of permanent tooth anomalies in 7,886 Canadian individuals. I: impacted teeth. J Canad Dent Assn 1978;44:262-4.
  10. Fardi A, Kondylidou-Sidira A, Bachour Z, Parisis N, Tsirlis A. Incidence of impacted and supernumerary teeth-a radiographic study in a North Greek population. Med Oral Patol Oral Cir Bucal 2010 Aug.
  11. Oliver RG, Mannion JE, Robinson JM. Morphology of the maxillary lateral incisor in cases of unilateral impaction of the maxillary canine. Br J Orthod 1989;16:9-16. https://doi.org/10.1179/bjo.16.1.9
  12. Burden DJ, Mullally BH, Robinson SN. Palatally ectopic canines: closed eruption versus open eruption. Am J Orthod Dentofacial Orthop 1999;115:640-4. https://doi.org/10.1016/S0889-5406(99)70289-1
  13. Becker A, Chaushu S. Success rate and duration of orthodontic treatment for adult patients with palatally impacted maxillary canines. Am J Orthod Dentofacial Orthop 2003;124:509-14. https://doi.org/10.1016/S0889-5406(03)00578-X
  14. 이용오, 문선혜, 사공억. 한국인의 매복치 빈도에 대한 연구. 계명의대논문집 1991;10:511-6.
  15. 김현진, 최유석, 판아이홍, 이상호. 교정적으로 견인된 매복치에 대한 통계적 연구. Oral Biology Research 2005;29:63-70.
  16. Alattar MM, Baughman RA, Collett WK. A survey of panoramic radiographs for evaluation of normal and pathologic findings. Oral Surg Oral Med Oral Pathol 1980 ;50:472?8. https://doi.org/10.1016/S0030-4220(80)80017-X
  17. Ericson S, Kurol J. Radiographic examination of ectopically erupting maxillary canines. Am J Orthod Dentofacial Orthop 1987;91:483-92. https://doi.org/10.1016/0889-5406(87)90005-9
  18. 문철현. 매복치 치료를 위한 교정술식. 신흥인터내셔날. 2007.
  19. 박영국, 정규림, 이영준(역). 매복치의 교정치료. 지성출판사. 2001.
  20. Vanarsdall RL, Corn H. Soft-tissue management of labially positioned unerupted teeth. Am J Orthod 1977;72:53-64. https://doi.org/10.1016/0002-9416(77)90124-5
  21. Wisth P, Norderval K, Boe O. Comparison of two surgical methods in combined surgical-orthodontic correction of impacted maxillary canines. Acta Odont Scand 1976;34:53-7. https://doi.org/10.3109/00016357609026558
  22. Becker A, Brin I, Ben-Bassat Y, Zilberman Y, Chaushu S. Closed-eruption surgical technique for impacted maxillary incisors: A postorthodontic periodontal evaluation. Am J Orthod Dentofacial Orthop 2002;122:9-14. https://doi.org/10.1067/mod.2002.124998
  23. Vermette ME, Kokich VG, Kennedy DB. Uncovering labially impacted teeth: apically positioned flap and closed-eruption technique. Angle orthod 1995;65:23-34.
  24. Bishara SE. Impacted maxillary canines: A review. Am J Orthod Dentofacial Orthop 1992;101:159-71. https://doi.org/10.1016/0889-5406(92)70008-X
  25. Boyd R. Clinical assessment of injuries in orthodontic movement of impacted teeth I: Methods of attachment. Am J Orthod 1982;82:478-86. https://doi.org/10.1016/0002-9416(82)90316-5
  26. Ericson S, Kurol J. Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod 1988;10:283-95. https://doi.org/10.1093/ejo/10.1.283
  27. Moon CH. Treatment of ankylosed posterior teeth: subluxation and extrusion method. JKDA 2000;38:962-8.
  28. Becker A, Chaushu G, Chaushu S. Analysis of failure in the treatment of impacted maxillary canines. Am J Orthod Dentofacial Orthop 2010;137:743-54. https://doi.org/10.1016/j.ajodo.2008.07.022
  29. Stewart JA, Heo G, Glover K, Williamson PC, Lam EWN, Major PW. Factors that relate to treatment duration for patients with palatally impacted maxillary canines. Am J Orthod Dentofacial Orthop 2001;119:216-25. https://doi.org/10.1067/mod.2001.110989