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Considerations in the selection of method for clinical crown lengthening (임상치관연장 술식의 선택시 고려사항)

  • Jo, Eun-Hye;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.2
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    • pp.134-140
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    • 2018
  • Clinical crown lengthening procedure would be an effective method for overcoming adverse clinical condition such as short abutment length. There are three kinds of methods in clinical crown lengthening, those are, surgical crown lengthening, orthodontic extrusion and surgical extrusion. Clinicians have to try their best to choose a proper method among those for favorable results. This report aims to review the considerations in each method with various cases and to suggest a decision flow for appropriate selection.

A removable partial denture treatment with the Dahl concept applied to a patient with a deep bite (과개교합 환자에서 Dahl concept을 적용한 가철성 보철 치료)

  • Kim, Chang-Hwan;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.110-120
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    • 2020
  • Although not all kinds of deep bite occlusions are considered pathological states, they can cause persistent wear and eruption of the anterior mandibular teeth if the anterior occlusal contact is unstable or accompanied by an occlusal disharmony. The patient was a 72-year-old man with no occlusal contact of the remaining anterior teeth in the centric relation position because of a skeletal class II malocclusion and loss of occlusal support. If the vertical dimension needs to be increased for prosthetic restoration in a patient with a deep bite, the amount of vertical dimension increase must be determined through precise diagnosis. This is because the overjet may increase and cause an unstable occlusion. In this review, we report the case of a patient with a stable occlusion and good treatment results achieved by using a removable partial denture prosthesis and applying the Dahl concept.

MANAGEMENT OF INFRAOCCLUDED MANDIBULAR SECOND PRIMARY MOLARS: CASE REPORT (저위교합된 제 2유구치에 대한 치험례)

  • Kwak, So-Youn;Park, Ki-Tae;Kim, Ji-Yeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.3
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    • pp.475-480
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    • 2009
  • An infraoccluded tooth is a tooth that has failed to erupt to be in line with adjacent teeth in the vertical plane of occlusion. Multiple complications can occur as a result of an infraoccluded tooth. Tipping of neighboring teeth, loss of space opposing teeth elongation, increased susceptibility to dental caries and abnormal eruption path, impaction and rotation of permanent successor are the consequences of infraocclusion of primary molar. Therefore, early diagnosis and treatment is the key to prevent the complications. Treatment options can be periodic follow-up, temporary restoration or extraction of the infraoccluded tooth depending on the presence of the successor, the extent of infraocclusion and the extent of tilting of the neighboring teeth. The infraoccluded primary molars with permanent successors present tend to exfoliate normally. However, failure to do periodic check up of the infraoccluded teeth may lead to serious complications. In these cases, surgical extractions are often necessary after space regaining and space maintainers should be placed until the eruption of the permanent successors are completed.

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MAXILLARY MOLAR DISTALIZATION WITH A PENDULUM APPLIANCE (Pendulum 장치를 이용한 상악 대구치의 원심이동 증례)

  • Lee, H.J.;Kim, Y.J.;Kim, J.W.;Jang, K.T.;Lee, S.H.;Kim, C.C.;Hahn, S.H.
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.523-531
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    • 2008
  • Maxillary molar distalization is a treatment approach for patients with Class II malocclusions who do not require extractions and mesial movements of mandibular molars. The pendulum appliance is effective for distalization of the maxillary molars and independent of patient cooperation. This appliance can stabilize the maxillary premolars and use the palatal rugae area as an additional anchorage. However, caution is needed to control collateral effects, including increase of lower facial height, incisor protrusion and damage to the rugae area. This article reports the cases in which maxillary molar distalization achieved by pendulum appliance resolves the space problems and corrects the molar relationships.

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TREATMENT OF CLASS Ⅲ MALOCCLUSION WITH HORSESHOE APPLIANCE : CASE REPORT (Horseshoe Appliance를 이용한 Ⅲ급 부정교합의 치험례)

  • Hong, Han-Young;Park, Jae-Hong;Choi, Yeong-Chul;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.376-381
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    • 2008
  • In mixed dentition there exists many empty spaces in the arch due to eruption of permanent teeth and exfoliation of primary teeth. The empty spaces makes it difficult to apply fixed orthodontic appliances. Horseshoe Appliance can be used effectively at this stage, holding the whole dentition in one piece. It covers every surface of erupted teeth and prevents extrusion and rotation of single tooth. By using intermaxillary elastic force, remodeling of the alveolar bone is opposite in each arch. In patients who were treated with horseshoe appliance, forward growth of maxilla, labioversion of maxillary incisors and linguoversion of mandibular incisors were obtained. Minimum downward and clockwise rotation of mandible was shown, so increasing anterior facial height was minimized.

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The Mineralogical and Geochemical Study on Korean Scheelites and its Application to the Ore Prospecting (한국산 灰重石鑛의 광물학적, 지화학적 연구 및 그의 探査에의 이용)

  • So, Chil-Sup;Park, Maeng-Eon
    • Economic and Environmental Geology
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    • v.12 no.2
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    • pp.79-93
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    • 1979
  • Twenty five samples of the scheelite-powellite series from twelve Korean tungsten deposits of various geologic settings were studied mineralogically and geochemically. Variations in the trace-element contents of the scheelite minerals are considered in relation to geologic settings and mineralogic properties. Scheelites from ore deposits developed in similar geologic settings and under similar physicochemical conditions are characterized by specific combinations of trace elements.

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Geochemistry of the Daebo Granitic Batholith in the Central Ogcheon Belt, Korea : A Preliminary Report (중부 옥천대에 분포하는 대보 화강암질 저반의 화학조성 : 예비보고서)

  • Cheong, Chang-Sik;Chang, Ho-Wan
    • Economic and Environmental Geology
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    • v.29 no.4
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    • pp.483-493
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    • 1996
  • The tectonic environment and source characteristics of the Daebo granitic batholith in the central Ogcheon Belt were investigated based upon major and trace element geochemistry. The batholith is comprised of three granite types; a biotite granite (DBBG), K-feldspar megacryst-bearing biotite granite (DBKG), and a more mafic granodiorite (DBGD). The variations of Na and K in the granites can not be explained by simple fractional crystallization from the same primary magma. The irregular behavior of these alkali elements indicates a variety of source materials or incomplete mixing of different source materials. The large ion lithophile (LIL) element enrichment and low Ta/Hf ratios of the granites are typical characteristics of normal, calc-alkaline continental arc granitoids. Based upon REE patterns of the granites, it seems to be unreasonable to regard the felsic DBBG as a late stage differentiate formed by residual melts after the fractionation of major constituent minerals of the more mafic DBGD. Inconsistent variations in ${\varepsilon}_{Nd}(t)$ and LIL element concentrations of the granites preclude a mixing model between primitive melt and LIL element-enriched upper crustal materials. The irregular geochemical variation of the granites is taken to be largely inherited from an already heterogeneous source region.

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Geochemistry and Petrogenesis of the Badwater Greenstones from Crystal Falls Terrane in Northeastern Wisconsin, U.S.A. (위스콘신주 북동부 지역에 분포하는 Badwater녹암에 대한 지화학적 연구)

  • Wee, Soo-Meen
    • Economic and Environmental Geology
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    • v.29 no.3
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    • pp.281-291
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    • 1996
  • Samples of Badwater greenstones from the Crystal Falls terrane in northeastern Wisconsin have been analyzed for major, trace and rare earth elements. Geochemical characteristics of the rocks provide clues to the petrologic character and paleotectonic environment of basaltic magma generation. They have chemical composition typical of continental tholeiites. The low Mg values and abundances of Ni and Cr indicate that the lavas were extensively fractionated prior to extrusion. The variations of incompatible elements suggest that the rocks were affected by interaction with crustal rocks. The samples least affected by contamination have trace element compositions similar to those of T-type mid-ocean ridge basalts. The parent was modified by crustal contamination process and this process shifted the rock compositions to that of continental tholeiites as the rock evolved. Interpretations of the chemical characteristics of the rocks, based on modem analogs, favor their emplacement in an extensional tectonic regime.

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A STUDY OF SHEAR BOND STRENGTH OF ORTHODONTIC BRACKET UNDER BLOOD-CONTAMINATED CONDITIONS (혈액 오염 환경 하에서 접착된 교정용 브라켓의 전단 강도에 관한 연구)

  • Shin, Ji-Sun;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.191-199
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    • 2005
  • This study was experienced in order to obtain the shear bond strength of orthodontic bracket adhesives under the blood contamination that can be occurred during the procedure of bracket bonding under window opening surgery. As a result of this study, shear bond strength of all glass ionomer groups were lower than resin cement groups. However, the strength of uncontaminated and post-contaminated group of glass ionomer was strong enough to perform an orthodontic forced eruption. This study revealed that during a window opening surgery, glass ionomer without etching procedure is available in order to bond a bracket if surface of teeth is not pre-contaminated by blood before the adhesive application. Both simple procedure and less adhesives remnant after bonding failure could make light-cured glass ionomer cement the ultimate choice for racket bonding.

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Orthodontic Traction and Decompression Method in Treating Impacted Permanent Mandibular First Molars : Case Reports (교정적 견인과 감압술에 의한 매복된 하악 제1대구치의 치험례)

  • Jih, Myeongkwan;Lee, Sangho;Lee, Nanyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.257-263
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    • 2015
  • Impacted teeth occur at higher frequencies in permanent than primary dentition. The most frequently affected teeth are the maxillary and mandibular third molars, whereas it is quite uncommon for the mandibular first molar to be impacted. Treatment methods for impacted teeth include continuous examination for independent eruption, surgical exposure, subluxation after surgical exposure, orthodontic traction, and surgical repositioning. If all of these treatments fail, tooth extraction may be considered. In the first case study, an 8-year-old boy was treated with surgical exposure, after which he was fitted with an obturator. His mandibular first molar then erupted successfully. In the second case, we treated a 12 year-old boy using orthodontic traction. This study describes children with tooth eruption disorders of the mandibular first molar in mixed dentition, and reports acceptable results regarding treatment of the impacted teeth.