• Journal of the korean academy of Pediatric Dentistry
• /
• v.27 no.2
• /
• pp.256-261
• /
• 2000

Trauma to the tooth is the most common accidents in pediatric dentistry and tooth fracture occurs frequently. Fracture is classified into crown fracture, root fracture, and crown-root fracture which involves both. Also, it is classified into simple or complicated fracture depending on whether the pulp is exposed or not. When the fracture is extended down to the subgingival level following the long axis of the root, or when more than 1/3 of the root is involved, extraction is the primary treatment. But alternative treatment such as extruding the root fragment with orthodontic force and restoring it, or intentionally extracting the tooth and replanting it to a position which it can be restored. This is a case report on intentional replantation of a traumatized maxillary central incisor with crown-root fracture of a patient with mixed dentition. The teeth was extracted and immediate endodontic treatment, retrograde filling and resin restoration were carried out.

• The korean journal of orthodontics
• /
• v.29 no.3 s.74
• /
• pp.327-337
• /
• 1999

Patients with skeletal class III can be succesfully treated by either orthognathic surgery or orthodontic treatment owing to unavoidable circumstances. Systers were treated , elder syster by orthognathic surgery and younger one by compromised treatment. For the ideal treatment goal, orthognathic surgery will be inevitable in skeletal problem case, but by the patient's private situations orthodontist cannot help doing compromised treatment. It could be another option if correct biomechanical approach is used.

• The korean journal of orthodontics
• /
• v.28 no.6 s.71
• /
• pp.981-989
• /
• 1998

Positions, angulation and mesiodistal dimension of lower incisors are important in esthetics, occlusion and post-treatment stability of tower arch. When lower incisor is congenitally missing, problems such as increased overjet and overbite, closing in of adjacent teeth and size/space discrepancies may occur. When creating treatment plans, incisor position and angulation, lip support, anteroposterior skeletal relationship canine-molar relationship, overjet overbite, remaining growth potential, crowding and anterior tooth ratio have to be considered. For an accurate analysis of incisal size discrepancy, diagnostic model set-up may be helpful. The two patients in this presentation both had two lower incisor missing, but the degree of crowding, skeletal relationship, lip support, molar relationship are different and therefore treatment plan was different as well. Long term follow-up may be necessary for stability and retention.

• The Journal of Korean Academy of Prosthodontics
• /
• v.55 no.3
• /
• pp.331-335
• /
• 2017

An immediate complete denture is considered as restoration for lost natural teeth, which is fabricated following the extraction of the remaining teeth. Current esthetics and function can be retained by using immediate denture without edentulous period. However, the major disadvantages of immediate denture relate to the difficulties associated with taking accurate definitive impression and predicting the results of immediate denture. In this case report, the Campagna tray technique was used to take the final impression in a 49-year-old male patient presented with all remaining teeth diagnosed as hopeless teeth. Surgical templates were used for alveoloplasty after extraction. The immediate complete dentures were then delivered. The clinical assessments of immediate dentures showed good esthetic and functional outcomes. The patient showed high level of satisfaction.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.35 no.2
• /
• pp.205-215
• /
• 2008

The purpose of this study is to evaluate at which stage of tooth germ would develop into normal calcification and hence to increase the success rate of transplantation. Therefore, tooth germs on the 15th, 17th embryonic day and the 3rd day of birth were separated for allotransplantation into maxilla of adult rat of 11 weeks. Calcification processes were analyzed radiographically and histopathologically at 4 weeks and 8 weeks after allotransplantation. The results are as follows: 1. Allotransplanted tooth germ at 4 weeks and 8 weeks showed delayed calcification compared to that of normal odontogenesis. 2. At 4 weeks, abnormal calcified tissue, such as odontoma and ankylosis of osteodentin with surrounding alveolar bone were observed. 3. At 8 weeks, allotransplanted tooth germs of the 15th and 17th embryonic day showed calcification and osteodentin surrounded by periodontal ligament. 4. At 8 weeks, allotransplanted tooth germs of the 3rd day of birth showed calcification composed of cementum and osteodentin. In this study, we observed small sized and amorphous calcified tissue from allotropic allotransplantation of tooth germs. Since these calcified tissue were underdeveloped and shaped irregularly, for calcification into normal tooth form, further study needs consideration about the reduction of surgical trauma, developmental stage of transplanted tooth germ, blood supply from recipient site, fixation method in transplanted site and period of transplantation.

• The korean journal of orthodontics
• /
• v.38 no.3
• /
• pp.175-186
• /
• 2008

Objective: To evaluate the discrepancies between initial STO and final STO in Class III malocclusions and to find which factors are related to the discrepancies. Methods: Twenty patients were selected for the extraction group and 20 patients for the non-extraction group. They were diagnosed as skeletal Class III and received presurgical orthodontic treatment and mandibular set-back surgery at Pusan National University Hospital. The lateral cephalograms were analyzed for initial STO (T1s) at pretreatment and final STO (T2s) after presurgical orthodontic treatment, and specified the landmarks 3s coordinates of the X and V axes. Results: Differences in hard tissue points (T1s-T2s) in the X coordinates of upper central incisor edge, upper first molar mesial end surface, lower central incisor apex, lower first molar mesial end surface and mesio-buccal cusp and Y coordinates of upper central incisor edge, upper central incisor apex, upper first molar mesio-buccal cusp were statistically significant in the extraction group. Differences in hard tissue points (T1s-T2s) in the X coordinates of upper central incisor edge, lower central incisor apex, lower first molar mesial end surface and Y coordinates of lower central incisor apex were statistically significant in the non-extraction group. In the extraction group, the upper arch length discrepancy (UALD) had a statistically significant effect on maxillary incisor and first molar estimation. Lower arch length discrepancy and IMPA had statistically significant effects on mandibular incisor estimation in both groups. Conclusions: Discrepancies between initial STO and final STO and factors contributing to the accuracy of initial STO must be considered in treatment planning of Class III surgical patients to increase the accuracy of prediction.

• The korean journal of orthodontics
• /
• v.36 no.4
• /
• pp.308-320
• /
• 2006

Rapid canine retraction, first introduced by Liou, is a distraction osteogenesis applied to the periodontal ligament tissue. Rapid tooth movement was facilitated by establishing minimal bony resistance on the distal surface of the canine by socket preparation and by osteogenesis on the mesial side in response to the periodontal distraction. Since undesired buccal tipping or extrusion of the canine during retraction tends to occur, it is crucial to maintain the firm path of movement and the axis of the canine during retraction. In order to improve the predictability of the canine movement, lingually extended distraction screws with heavy labial guiding wires were designed. Prefabricated plastic canine models for the estimation of socket depth and miniscrew implants for anchorage reinforcement were also devised. Applying these devices to a female patient with Class II anterior protrusion, the whole treatment was effectively finished in 13 months. Loss of vitality or periodontal problems did not occur throughout treatment, and stable occlusion was maintained during 10 months of retention. This case report demonstrates that a predictable rapid canine retraction can be achieved through the use of this modified technique.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.39 no.1
• /
• pp.1-8
• /
• 2023

Purpose: The purpose of this study is to analyze the prognostic factors related to tooth loss after 5 years of periodontal surgery in periodontal disease patients. Materials and Methods: From January to December 2017, 22 patients and 124 teeth who underwent periodontal treatment through periodontal surgery were targeted. At the time of treatment, the measured values were evaluated after recording the maximum probing depth, average periodontal probing depth, number of root, furcation involvement, pulp vitality, and prosthesis state on the day of periodontal surgery. Based on the initial records at the time of visit, patient-related factors were gender, age, smoking, tooth loss due to periodontal disease at the time of first visit, diabetes, and maintenance period. The influence of each factor on tooth loss was evaluated. Results: As a result of examining the influence of tooth-related factors on tooth loss, the maximum probing depth depth (P: 0.000), bone loss (P: 0.021) was found to have a significant effect on tooth loss. Conclusion: As a result of examining the influence of patient-related factors on tooth loss, any variables had no significant effect. Bone loss, maximum probing depth acted as statistically significant prognostic factors for tooth loss in patients who underwent periodontal surgery.

• The korean journal of orthodontics
• /
• v.39 no.1
• /
• pp.36-42
• /
• 2009

Objective: The purposes of this study were to provide an epidemiologic data base related to the orthodontic treatment need and to know the changing trends about treatment modality of private orthodontic clinics. Methods: Distribution, trends and orthodontic treatment plan of malocclusion patients were investigated in 1,620 consecutive patients who had been visited and examined in 4 private orthodontic clinics located in Seoul from 2003-2006. Results: Percentage of male and female patients was 26.9% and 73.1% respectively Age distribution had shown that percentage of the patients above 13 years was 78.9%, and above 19 years was 59.0%. Average age of whole patients was 20.5 years. With regard to Angle classification, each percentage of Class I, Class II division 1, Class II division 2 and Class III malocclusion was 38.9%, 34.8%, 2.3% and 24.0%. The percentage of extraction cases(00.9%) outnumbered nonextraction cases(39.1%) and 46% of extraction cases were upper and lower 1st premolar extraction cases. Patients who had chose treatment with fixed appliance and orthognathic surgery was 10.2%. Conclusions: Because the high percentage of adult, Class II malocclusion and orthognathic surgery cases in patients of private orthodontic clinics were shown in this study, orthodontic education program and national health policy in Korea need reformation.

• Journal of Korean Medical classics
• /
• v.19 no.4
• /
• pp.226-240
• /
• 2006

1899년재상대후기적왕궁유지안양소둔발현료갑골문(年在商代後期的王宮유址安陽小屯發現了甲骨文). 갑골문시목전능근거적최가고적고대자료(甲骨文是目前能根據的最可고的古代資料). 십오만다편적갑골문중유흔다유관질병적내용(十五萬多片的甲骨文中有흔多有關疾病的內容). 근거갑골문가고찰질병적원인(根據甲骨文可考察疾病的原因), 질병적치료(疾病的治療), 질병적종류(疾病的種類). 갑골문적질병복사중가이관찰도수(甲骨文的疾病卜辭中可以觀察到首),목(目),이(耳),설(舌),치(齒),골등삼십다종질병(骨等三十多種疾病). 근현대인적질병종류상차불다(근現代人的疾病種類相差不多). 질병적치료자시의관(疾病的治療者是醫官), 궁명규소질신(宮名叫小疾臣). 재래무야시실제상적의관료(再來巫也是實際上的醫官了), 인병료무통과무술래치병(人病了巫通過巫術來治病). 상대시중국오천년역사상최미신적시대(商代是中國五千年歷史上最迷信的時代), 일체사정도향상제혹시조선점복(一切事情都向上帝或是祖先占卜), 안점복적결과래행동(按占卜的結果來行動). 생병적시후야시일양(生病的時候也是一樣), 단시만만지도(但是慢慢知道), 점복불시치병적호판법(占卜不是治病的好辦法), 소이도상대후기질병복사점점소료(所以到商代後期疾病卜辭漸漸小了). 재갑골문질병복사중적병인유상왕(在甲骨文疾病卜辭中的病人有商王), 왕비(王妃), 왕자(往者), 왕신(王臣), 기중대다수시유관상왕적질병적정황(基中大多數是有關商王的疾病的精況). 치료방법수선유약래치병(治療方法首先有藥來治病); 제이침래치료(第二鍼來治療); 제삼애구래치료(第三艾灸來治療);제사안마래치료(第四按摩來治療), 제오아과중유발치치료(第五牙科中有拔齒治療); 제육유접골적치료(第六有接骨的治療). 유갑골문중적질병복사가간출상대적질병종류(由甲骨文中的疾病卜사可看出商代的疾病種類), 치료방법(治療方法), 가이설상대적의학수평상당고(可以設商代的醫學水平相唐高), 저양적능력능구공고전국시대적의술(這樣的能力能구鞏固戰國時代的醫術), 작료한대능사출(作了漢代能寫出)"신농본초경(神農本草經)", "황제내경(黃帝內徑)"등명저적기초(燈明抵敵基礎), 동시장중국적중의학적시원추도상대적학절적근거(同時將中國的中醫學的始源推到商代的학切的根据).