• Title/Summary/Keyword: 치관 형태 변화

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A MORPHOMETRIC STUDY OF THE MAXILLARY PRIMARY FIRST MOLARS USING THREE-DIMENSIONAL SCANNER (3차원 스캐너를 이용한 상악 제1유구치 치관의 크기와 형태에 관한 연구)

  • Lee, Jong-Beom;Kim, Chong-Chul;Hahn, Se-Hyun;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.643-652
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    • 2006
  • The purpose of this study was to elucidate the size and morphologic characteristics of maxillary primary first molars in Korean children using three-dimensional laser scanner and compare three-dimensional image with preformed stainless steel crown. Scanned three-dimensional images of dental cast taken from 132 children(male 62, female 70) by three-dimensional laser scanner(Breuckmann opto-Top HE100, INUS, Korea) were used. Mesiodistal diameter, buccolingual diameter, occlusogingival height and crown shape of each image were calculated by Rapidform 2004 program(INUS, Korea). The values were statistically compared by independent samples t-test with 95% of significant level. The results were as follows : 1. No significant difference in crown size was found between left and right maxillay primary first molar(p>0.05). 2, Significant difference in mesiodistal diameter, buccolingual diameter, buccal occlusogingival height was found between male and female (p<0.05), and crown size of male was bigger than that of female. 3. Average image of maxillay primary first molar was shaped three-dimensionally and measured. In comparison with 3M stainless steel crown, this image was similar with No.4 or No.5 SS crown in male, No.4 in female. In comparison with ILSUNG SS crown, this image was similar with No.5 in male, No.4 in female. 4 Mesiolingual line angle area, distolingual line angle area and buccogingival ridge were more obvious in average image than 3M stainless steel crown. ILSUNG SS crown was more square and had longer mesiodistal diameter than average 3D image.

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The changes of root length and form in immature teeth after orthodontic treatment (교정치료시 발생하는 미완성 치근의 길이와 형태변화)

  • Kim, Heyon-A;Park, Soo-Byung
    • The korean journal of orthodontics
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    • v.34 no.3 s.104
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    • pp.241-251
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    • 2004
  • Previous studies have focused on the causes of root resorption after orthodontic treatment and treatment methods to reduce this phenomenon, and have been mainly associated with developed, mature roots. As parents become increasingly interested in their children's' dentition, orthodontists are performing fixed orthodontic treatment on patients of less than 10 years and before the completion of the immature root. Thus, the author evaluated the changes of root length and root form of maxillary immature incisors after orthodontic treatment, compared with those of mature teeth, and investigated the correlation according to gender, treatment duration, and displacement of incisors. The sample consisted of an immature root group of twenty-eight persons (between 8 and 10 years old) and a mature root group of thirty-one persons (between 11 and 15 years old). The crown and root length of the maxillary four incisors were measured with a periapical radiograph, changes in root length and crown-root ratio were calculated, and root form was classified according to a scoring system. The results were as follows. 1. The development of immature roots was not affected by orthodontic treatment and mostly showed normal root length and apical form. 2. Root length of immature teeth was sustained or became shorter, partially in long treatment duration or with open bite patients. Even though the teeth reached their normal root length, they demonstrated a blunt form. 3. Most of the mature roots showed mild resorption, and the form of mature roots was more blunt than the developed form of the immature roots (p<0.05). 4. The developed form of the immature roots was statistically related to treatment duration, while the form of the mature roots was significantly related to the displacement of incisors (p<0.05). 5. In contrast, other variables such as gender, classification of malocclusion, changes in overbite, and changes of U1 to SN showed no correlation with the root resorption of both groups.

The effects of storytelling techniques in the sex education on sound sexual value of Middle school students - Focused on the contents of the unit of 'Understanding of Adolescents' in Technology.Home Economics Textbook in Middle School - (스토리텔링 기법을 적용한 성교육이 중학생의 건강한 성가치관 형성에 미치는 효과 - 기술.가정 교과 '청소년의 이해' 단원을 중심으로 -)

  • Kang, So-Jeong;Cho, Byung-Eun
    • Journal of Korean Home Economics Education Association
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    • v.25 no.1
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    • pp.15-36
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    • 2013
  • This study aimed to identify the effects of using storytelling techniques in sex education, in which students are encouraged to talk about their experiences with sex and love and helps them form their own sex values and decision-making skills related to sex. A five-period teaching-learning plan covering issues including safe, considerate and responsible sex was developed using the storytelling technique for 134 first-year students in 4 classes. 134 questionnaires were administrated through pre-and post-test and 38 worksheets applying a variety of storytelling activities were analyzed using content analysis. Students were found to have gained a more positive outlook on relationships and a considerate attitude towards others in sex. There was also a significant increase in items considering safe sex, including perceptions on contraception methods and selection of safe contraception methods. The students' sense of sexual responsibility was also enhanced. Results of content analysis found students to have shifted to sex focusing on love and responsibility, and to have grown a stronger sense of responsibility in their relationships. Furthermore, the respondents expressed interest in selecting proper contraception methods and held strongly negative perceptions about abortion.

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Stress distribution in bone surrounding maxillary molar implants under different crown-to-fixture ratio: A 3D FEM analysis (치관/고정체 비에 따른 상악 구치부 임플란트 주변골의 응력 분포에 대한 3차원 유한요소법적 분석)

  • Park, Jong-Chan;Shin, Sang-Wan;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.5
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    • pp.479-489
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    • 2008
  • Statement of the problem: Under anatomical limitations on maxillary posterior region, a poor crown-to root ratio acting on dental implants can result in undesirable stress in surrounding bone, which in turn can cause bone defects and eventual failure of implants. Purpose: The purpose is to compare stress distribution due to different crown-root ratio and effect of splinting between natural teeth and implants in maxillary molar area under different loads. Material and methods: Analysis of stress arising supporting bone of the natural teeth and the implant was made with 3-dimensional finite element method. The model simulated naturel teeth was made with 2nd premolar and 1st molar in the maxillary molar region (Model T). The model simulated implants placed on same positions with two parallel implants of Straumann Dental Implant cemented abutment (Model I). Each model was designed in different crown-root ratio (0.7:1, 1:1, 1.25:1) and set cement type gold crown to make it non-splinted or splinted. After that, 300 N force was loaded to each model in five ways (Load 1: middle of occlusal table, Load 2: middle of buccal cusp, Load 3: middle of lingual cusp, Load 4: horizontal load to buccal cusp of anterior abutment only, Load 5: horizontal load to middle of buccal cusp of each abutment), and stress distribution was analyzed. Results and conclusion: On all occasions, stress was concentrated at the cervical region of the implant. Under load 1, 2 and 3, stress was not increased even when crown-root ratio increases, but under load 4 and 5, when crown-root ratio increases, stress also increased. There was difference in stress values between natural teeth and implants when crown-root ratio gradually increases; In case of natural teeth, splinting decreased stress under vertical and horizontal loads. In case of implants, splinting decreased stress under vertical loads 1,2 and 3, but increased maximal stress under loads 2 and 3. Under horizontal loads, splinting decreased stress, however the effect of splinting decreased under load 5 than load 4. Furthermore, the stress was increased, when crown-root ratio is 1.25:1. Clinical implications: This limited finite element study suggests that the stress on supporting bone may be increased under non-axial loads and poor crown-root ratio. Under poor crown-root ratio, excessive stress was generated at the cervical region of the implant, and decreased splinting effect for stress distribution, which can be related to clinical failure.

MANDIBULAR PRIMARY MOLARS WITH 3 ROOTS : CASE REPORT (3개의 치근을 가진 하악 유구치 : 증례보고)

  • Song, Je-Seon;Choi, Byung-Jai;Choi, Hyung-Jun;Lee, Jae-Ho;Son, Heung-Kyu;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.167-174
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    • 2008
  • Mandibular first molar and primary molars usually have two roots, on the mesial and distal sides. Occasionally, these molars have an extra root located in the distolingual aspect. Prevalence of the 3-rooted first permanent molar shows ethnic variation, ranging from about 3% in Caucasian to about 20% in Mongoloid group, which includes Chinese, Japanese, Eskimo, American and Canadian Indians. The frequency of the mandibular molar with three roots decreases in the order of the first permanent molar, the second primary molar, and the first primary molar. If the mandibular first or second primary molar has an additional distolingual root, the adjacent molars, including the first permanent molar, posterior to it also may have it. Coronal morphologic change can occur in the mandibular first primary molars with three roots: the crown had more triangular-shape compared to the one with two roots, possibly affected by the presence of additional distolingual root. Clinically, exact diagnosis and treatment should be taken with those teeth for pulp canal treatment, extraction, and SS Cr.

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A MORPHOMETRIC STUDY ON THE PRIMARY MOLARS AND PREFORMED STAINLESS STEEL CROWN (유구치 치관 및 기성금속관의 크기에 관한 계측학적 연구)

  • Choi, Ji-Eun;Cheong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.355-362
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    • 2001
  • Data derived from odontometric studies are useful in many areas. Especially crown diameter of primary teeth is important in not only anthropology but also clinical dentistry. The purposes of this study were to compare diameters of primary molars of Korean children with those of preformed stainless steel crown, and examine racial characteristics of primary molars of Korean children. The mesiodistal and buccolingual diameters of primary molars were measured on dental casts taken from 235 children(male 105, female 131), with digital calipers. And the data were compared with those of preformed stainless steel crowns. The results were as follows; 1. No significant difference was observed between the right and left members of antimeric teeth and all primary molars of male were larger than those of female. 2. The diameters of primary molars of Korean are smaller than those of Austrailian aborigines and there was significant difference between diameters of primary molars of Korean and those of other populations. 3. There were size differences between diameters of maxillary, mandibular first molar and preformed stainless steel crown than other primary molars, relatively.

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A Comparison of Stainless Steel K-file, Profile .04, and Quantec LX Instruments to Shape Curved Root Canals in vitro (Stainless Steel K-file, Profile .04와 Quantec LX를 이용한 만곡 근관 형성후의 근관형태의 변화에 관한 비교연구)

  • Lim, Kyung-A;Yoon, Soo-Han
    • Restorative Dentistry and Endodontics
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    • v.25 no.1
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    • pp.133-143
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    • 2000
  • 목 적: 통상적인 근관성형 과정에서 근관형태의 직선화 경향을 발견할수 있으며 그 결과 만곡이 심한 근관에서 이상적인 근관 형태를 얻기가 어려움으로 인해 이를 극복하기 위한 많은 기구들과 근관 성형법들이 개선되었고 소개되었다. 본 연구에서는 수통형 Stainless Steel K-file, Niti 엔진 구동형 Profile .04와 Quantec LX file를 이용하여 만곡 근관의 성형 후 최종 근관 형태를 비교하고 평가하고자 한다. 방 법: 본 실험은 Bramante등의 방법을 변형하여 술 전의 근관 형태와 술 후의 근관 형태를 비교하였다. Schneider의 방법에 따라 $12^{\circ}$에서 $68^{\circ}$ 이내에 만독도를 가진 45개의 발거된 상하악 대구치의 근심근관들을 선택하여 15개씩 3개의 군으로 나누고 알루미늄으로 제작된 mold에 투명한 교정용 레진으로 매몰하였다. 근첨에서 2.5, 5, 8mm 지점에서 절단하고 각 mold에 재조립한 후 다음과 같이 근관 성형을 시행하였다. 제 1 군은 SS K-file를 이용하여 Step-back 방법; 제 2 군은 NiTi 엔진 구동형인 Profile .04 ; 제 3 군은 NiTi 엔진 구동형인 Quantec LX file로 근관 성형하였다. 술 전과 술 후에, 각 시편들을 입체 현미경으로 사진 촬영하여 근관 중심 위치 이동률, 근관성형 후 면적과 모양, 잔존 상아질의 최 소 두께를 Sigma scan / image software program으로 계산하고 One way ANOVA로 통계적 유의성을 검증하였다. 결 론: 1. Profile .04와 Quantec LX는 SS K-file보다 근관성형시 근관의 본 형태를 유지하는 경향이 있었으나 통계적으로 유의성이 없었다(p>0.05). 2. 근관 성형 후 면적은 Profile .04 엔진 구동형 NiTi file를 이용한 군이 다른 군과 비해 가장 적었으나 통계적으로 유의성이 없었다(p>0.05). 2. 모든 방법들은 같은 부위에서 같은 방향으로 전이되는 양상을 보였다. 즉, 근단부에서는 바깥쪽으로, 중앙부에서는 안쪽으로 전이하려는 경향이 있었다. 그러나, 치관부에는 그러한 법칙이 적용되지 않아 전이되는 양상이 안쪽이나 바깥쪽으로 구별되지 않게 일어났다. 3. 술 후에 근관의 모양은 원형, 타원형, 불균일한 형태들이 다양하게 나타났지만, Profile .04와 Quantec LX를 사용했을 때 주로 원형 형태의 근관을 보여주었으며 Stainless Steel K-file은 타원형이나 불균일한 근관 형태를 보였다.

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EXPRESSION OF DSPP AND BSP MRNAS DURING ODONTOBLAST DIFFERENTIATION IN THE NFI-C (-/-) MICE (NFI-C 결손 생쥐의 상아모세포 분화과정에서 DSPP와 BSP mRNA의 발현)

  • Jung, Hyun-Ku;Lee, Sang-Ho;Lee, Nan-Young;Kim, Heung-Joong;Park, Joo-Cheol;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.662-669
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    • 2005
  • Nuclear factor I (NFI) exists in the odontoblast and osteoblast. NFI-C null mice demonstrated aberrant odontoblast differentiation, abnormal dentin formation, and molar lacking roots. The purpose of this study was to examine phenotype of the aberrant odontoblast in NFI-C null mice and to evaluate the expression of DSPP and BSP mRNAs in NFI-C null mice with in-situ hybridization. The results were as follows: 1. In the NFI-C (-/-) mice, the crown dentin of molar showed normally formation, but there was no root dentin. 2. In the NFI-C (-/-) mice, the labial dentin of mandibular incisors showed relatively a lot of dentin formation, but the lingual dentin showed defect. 3. In the NFI-C (-/-) mice, the odontoblast of mandibular incisors revealed abnormal shape and trapped in osteodentin-like mineralized tissue. 4. In the NFI-C (-/-) mice, the odontoblast in the crown dentin of molars showed strong expression of DSPP, the odontoblast in the root dentin of molars was not expression of DSPP. In the NFI-C (-/-) mice the odontoblast in the mandibular incisors showed weekly expression of DSPP 5. In the wild mice, the odontoblasts of mandibular incisors were not expression of BSP, but in the NFI-C (-/ -) mice the odontoblast of mandibular incisors showed strong expression of BSP These results suggest that odontoblast in the NFI-C (-/-) mice changes the phenotype into osteoblast.

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THREE DIMENSIONAL FINITE ELEMENT ANALYSIS FOR REACTION TO MOLAR UPRIGHTING SPRING (대구치 직립 스프링 적용시 반작용에 관한 삼차원 유한요소법적 연구)

  • Choe, Yoo-Kyung;Kim, Tae-Woo;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.28 no.1 s.66
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    • pp.61-74
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    • 1998
  • The Purpose of this study was to investigate the stress distribution and tooth displacement at the initial phase produced by 5 types of molar uprighting springs using finite element method. The three dimensional finite element model of lower dentition, bone and springs was composed of 5083 elements and 2071 nodes. The results were as follows: 1. In case of helical spring and root spring, intrusion of lower canine and first premolar were observed md distal tipping, translation and extrusion of lower second molar were observed. 2. In case of T-loop, modified T-loop and box loop, intrusion and distal translation of lower second premolar were observed, and the largest crown distal tipping and translation of lower second molar were observed in T-loop and the smallest were observed in box loop. 3. In case of T-loop with cinch-bact crown distal tipping and translation of lower second molar were decreased, but extrusion was also decreased. 4. With increase of activation in T-loop, mesial translation and won distal tipping of lower second molar were increased and edentulous space was closing, but distal translation of second premolar was also increased. 5. With increase of tip-back bend in T--loop, distal tipping and translation of lower second molar were increased, but extrusion was also increased more largely.

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A study on the validity of reference points for edentulous patient (무치악 환자를 위한 참고점들의 효용성에 대한 연구)

  • Park, Jeong-Jae;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.4
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    • pp.310-317
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    • 2015
  • Purpose: The purpose of this study was to evaluate the validity of reference points for edentulous patient by examining the correlation of teeth and face, and intraoral anatomic landmarks. Materials and methods: We examined a facial outline, length, bizygomatic width, nasion - gnathion length, glabella - nasion distance in 270 men and 280 women satisfied with inclusion criteria from Seoul National School of Dentistry. The shape of maxillary central incisor, mesiodistal crown width and length of maxillary 6 incisors, distance from incisive papilla to labial surface of maxillary central incisor, and perpendicular distance from incisive papilla to intercanine line were measured in the stone model. We analyzed the ratio and relevant relation statistically. Results: The probability on having the same shape of face and the relative same shape maxillary incisor was 55.56% and 46.43% for men and women. The facial length proved to be a more valuable measurement in women in the tooth selection. The ratio of bizygomatic width to mesiodistal width of maxillary central incisor, and the ratio of bizygomatic width to width of maxillary 6 incisors were 16.8 : 1 and 3.0 : 1 and were positively correlated with each other. The distance of the canines from the maxillary incisal papilla was $1.33{\pm}1.28mm$. The distance between the center of the incisal papilla and the labial surface of their maxillary central incisor was $9.23{\pm}1.20mm$. Conclusion: It was showed that anatomical reference points in tooth selection and arrangement for edentulous patient are useful and have validity in our limited study.