• Title/Summary/Keyword: 치과교정학회

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TREATMENT OF CROWN-ROOT FRACTURE BY INTENTIONAL REPLANTATION : CASE REPORT (의도적 재식술을 이용한 치관-치근 파절의 치험례)

  • Son, Ju-Hyo;Choi, Hyung-Jun;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.256-261
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    • 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.

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SPONTANEOUS NORMAL ERUPTION OF PERMANENT TOOTH WITH ABNORMAL ERUPTION PATH (비정상적인 맹출 경로를 보이는 소구치의 자발적 맹출 유도)

  • Kim, Sang-Min;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.82-87
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    • 2011
  • The pulp infection of primary tooth is often caused by dental caries or trauma. But, if it is not managed properly, it can be produce the periapical lesion. The periapical lesion can cause some complications such as enamel hypoplasia, displacement, root dilaceration and impaction. Treatment options of displaced permanent successor are clinical and radiological follow-up after extraction of primary teeth, surgical opening, orthodontic traction, transplantation and extraction. In these cases, the premolars with abnormal eruption path caused by periapical lesion of the primary tooth have shown successful spontaneous eruption just as a result of extraction of infected primary tooth and space maintenance.

ADENOMATOID ODONTOGENIC TUMOR ASSOCIATED WITH AN IMPACTED MANDIBULAR RIGHT LATERAL INCISOR (하악 우측 측절치에 발생한 선양 치성 종양)

  • Park, Mi-Seon;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.407-412
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    • 2011
  • Adenomatoid odontogenic tumor(AOT) is an infrequent odontogenic tumor which arise in the jaw. It was considered as a variant of ameloblastoma. The adenomatoid odontogenic tumor is clearly benign and, in contrast to the ameloblastoma, present a very low recurrence. It most often appears in the canine region of the maxilla. The adenomatoid odontogenic tumor is frequently asymptomatic, however it may cause painless swelling. The radiological findings of adenomatoid odontogenic tumor frequently share characteristics of dentigerous cyst and unicystic ameloblastoma. Conservative surgical enucleation and curettage are the treatment of choice. In this case a 10-year-old child was presented with mandibular right lateral incisor in unerupted. Radiographically, the tooth was impacted and a radiolucency was seen in the area. The lesion was enuclated without extraction of the tooth. Bracket was attached on the tooth for orthodontic extrusion installed. Histopathologically adenomatoid odontogenic tumor was revealed.

A STUDY OF SHEAR BOND STRENGTH AND FAILURE PATTERNS IN LIGHT-AND SELF-CURED ORTHODONTIC RESIN (교정용 광중합형 및 화학중합형 레진접착제의 전단결합강도와 파절양상에 대한 연구)

  • Lee, Min-Ha;Yang, Kyu-Ho;Park, Yeong-Joon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.2
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    • pp.549-558
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    • 1996
  • Light-cured orthodontic composite resin has been widely advertised recently for use in bonding brackets. However, the curability of light-cured resin when light waves are diffused through metal brackets in questionable. The purposes of this study were to evaluate shear bond strength and failure patterns of visible light-cured resin(Lightbond) and chemically cured-resin(Mono-Lok 2), and to determine the relative value of light-cured resin as an alternative to conventional chemically cured resin. Each of the two resins was tested on twenty extracted human first premolars. Standard edgewise metal brackets were bonded to the teeth in accordance with the manufacturers' recommendation. After bonding, the teeth were stored for 24 hours at $37^{\circ}C$, 100% humidity. The shear bond strength was tested with a universal testing machine(Instron 4302), at 0.5mm/min crosshead speed. After debonding, brackets and enamel surfaces were examined with a scanning electron microscope and a stereoscopic microscope. The results were as follows : 1. Metal brackets bonded with Lightbond showed statistically higher shear bond strength than metal brackets bonded with Mono-Lok2. 2. The predominant failure site in Lightbond was the enamel-resin interface, and in Mono-Lok 2 it was the resin itself. 3. Enamel cracks were not found in any specimen. The above results suggest that direct bonding of metal brackets to enamel with light-cured resin bonding agent can be used effectively in clinics.

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A Comparative Evaluation of Mechanical Properties of Orthodontic Wire Joints according to Soldering Methods (납착 방법에 따른 교정용 와이어의 기계적 특성 비교)

  • Lee, Hye-Jin;Hong, Min-Ho
    • Journal of Technologic Dentistry
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    • v.36 no.4
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    • pp.239-246
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    • 2014
  • Purpose: The purpose of this study was to compare the tensile strength and mechanical properties of orthodontic wire joints made by gas soldering and laser welding, with and without filling material, to identify the effectiveness and potential clinical application of laser welded orthodontic wires. Methods: Three joint configurations of orthodontic wire were used: diameter 0.9 to 0.9 mm wire, diameter 0.9 to 0.5 wire and diameter 0.9 mm wire to band. The joints were made using three different methods: gas soldering, laser welding with and without filling material. For each kind of joint configuration or connecting method 7 specimens were carefully produced. The tensile strengths were measured with a universal testing machine (Zwick/Roell, Instron, USA). The hardness measurements were carried out with a hardness tester(Future-Tech Co. Tokyo, Japan). Data were analyzed by AVOVA(p= .05) and Turkey HD test(p= .05). Results: In all cases, gas soldering joints were ruptured on a low level on tensile bonding strength. Significant differences between laser welding and gas soldering(p< .05) were found in each joint configuration. The highest tensile strength means were observed for laser welding, with filling material, of 0.9 to 0.9 mm wire joint. Conclusion: In conclusion, the elastic modulus and tensile strength means of laser soldering with filling material were the highest, and the tensile strength means of laser soldering were higher than those of gas soldering.

TREATMENT OF THE SCISSORS BITE IN PRIMARY DENTITION : CASE REPORT (유치열에서 scissors bite의 치료에 대한 증례보고)

  • Moon, Sung-Kwon;Kim, Jung-Wook;Lee, Sang-Hoon;Hahn, Se-Hyun;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.2
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    • pp.311-316
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    • 2006
  • A scissors bite in the posterior teeth occurs when the upper teeth are positioned totally or unilaterally buccal to the lower teeth in centric occlusion. This malocclusion can result from either excessive width of maxilla, deficient width mandible, or combination of both. The malocclusion can lead to hindered growth of jaws or to asymmetry between the jaws, Besides, the severe lingual inclination of the mandibular posterior teeth prevents adequate mastication. Thus, the scissors bite is in need of immediate interceptive orthodontic intervention. The common treatments of the scissors bite is to expand the mandibular arch: fixed or removable appliances. In our clinic, we made a success in treatment of the scissors bite using the Schwarz appliance. We treated the scissors bite using the lower Schwarz appliance for a mean observation period of 21 months. The subjects were 2 boys, aged 4 years.

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PATHOLOGIC ROOT RESORPTION OF PRIMARY CENTRAL INCISORS (상악 유중절치의 병적 치근 흡수)

  • Choi, Byung-Jai;Chung, Chu-Hyun;Choi, Hyung-Joon;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.605-610
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    • 2003
  • Physiologic root resorption occur from the apex of the primary teeth close to the permanent teeth towards the apex. Pathologic root resorption occur on surfaces of root due to causes such as trauma, replantation, orthodontic treatment, delayed or irregular eruption of teeth, or growing cysts or tumors. In children, the most frequently affected teeth from trauma are the maxillary primary central incisors. After such an event, root resorption initiate from the traumatized pulp or periodontium. In this case report, periapical radiographs were used to evaluate the features of pathologic root resorption by studying patients with history of trauma. The following results were noted. 1. Pathologic root resorption was observed in various patterns in all of the 10 traumatized maxillary primary central incisors. 2. Though teeth with pathologic root resorption were treated with pulpectomy, the resorption process continued to progress.

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PHYSIOLOGIC ERUPTION INDUCTION OF TRANSPOSED IMPACTED UPPER INCISORS THROUGH AUTOTRANSPLANTATION (변위매복된 상악전치의 자가이식을 통한 자발적 맹출 유도)

  • Kim, Jae-Gon;Lee, Doo-Cheol;Oh, Kyong-Seon;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.281-286
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    • 2001
  • The treatment method of impacted tooth is various from simple observation to surgical exposure and orthodontic methods, autotransplantation is concerned to severe malposed impacted tooth. Autotransplantation is the transplantation of embedded, impacted, of unerupted tooth, into extraction socket of surgically prepared in the same individual. Autotransplantation of tooth with $\frac{1}{2}{\sim}\frac{3}{4}$ root development provides a good chance of easily extracted, a little complication, pulp survival, and complete root formation. Transplantation of uncompleted root apex tooth is aim to pulpal healing, not endodontic treatment. The case which were treated with autotransplantation is reported, and induced normal physiologic eruption and good dental alignment.

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TREATMENT OF AN IMPACTED DILACERATED INCISOR BY SURGICAL REPOITION (외과적 재위치술에 의한 매복된 만곡절치의 치험례)

  • Seo, Yun-Jin;Lee, Kwang-Hee;La, Ji-Young;An, So-Youn;Kim, Yun-Hee;Keum, Ki-Seok;Lee, Sang-Bong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.2
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    • pp.166-173
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    • 2012
  • Dilaceration is a developmental disturbance in shape of teeth. It refers to an angulation, or a sharp bend or curve, in the root or crown of a formed tooth. Dilacerations are estimated to occur in 3% of all permanent dentitions. However, the etiology of dilaceration is not yet fully understood. Traumatic injury to the deciduous predecessors and ectopic development of the tooth germ are the two commonly cited causes of this anomaly. The involved tooth is usually the maxillary central incisor and it also shows high prevalence of impaction. At first, We tried to do surgical exposure with orthodontic traction but to no avail. After then surgical repositioning of the dilacerated tooth was performed. Finally, Satisfactory results were obtained at the end of treatment, with improvement in dental esthetics and functional aspects.

Multidisciplinary approaches to recreate a beautiful smile of a patient with bulimia nervosa: a case report

  • Ding, Meng;Lee, Sang-Yoon;Ryu, Jae-Jun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.1
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    • pp.27-33
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    • 2014
  • The patient was a 26-year old female who was not satisfied with the aesthetic approach of her maxillary incisors. The treatment goal throughout the process was to manage the risk and recreate the original and youthful appearance of the smile. The biomechanical risk was managed by providing coverage of the exposed dentin and rebuilding the eroded structures with minimal tooth reduction throughout the treatment. Functional risk and prognosis for this patient were both improved by achieving acceptable function. The patient was satisfied with the full-ceramic restorations and the symmetry, harmony gingival architecture.