• Title/Summary/Keyword: 치아 구조

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Conservative Surgical Treatment of Keratocystic Odontogenic Tumor : A Case Report (각화낭성 치성 종양의 보존적 외과적 치료 : 증례보고)

  • Shin, Seyoung;Yang, Yeonmi;Kim, Jaegon;Baik, Byeongju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.4
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    • pp.328-334
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    • 2013
  • The keratocystic odontogenic tumor (KCOT) is a unique cyst because of its locally aggressive behavior, high recurrence rate and characteristic histological appearance. Various options are available for treatment. While some clinicians advocate aggressive forms of dental treatment, others prefer more conservative therapy. In this study, two types of conservative surgical procedures were performed to treat the tumor; marsupialization and cyst enucleation. The patients showed healing process on conservative surgical treatment and teeth erupted without recurrence. Conservative surgical treatment can be an effective treatment option for young children because of their efforts to preserve teeth and other anatomical structures.

Analysis of the Dental Implants MRI Artifacts by Using the ACR Phantom (ACR 팬텀을 이용한 치아 임플란트 자기공명영상 인공물 분석)

  • Shin, Woon-Jae
    • Journal of the Korean Society of Radiology
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    • v.10 no.8
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    • pp.629-635
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    • 2016
  • ACR phantom for quality control of magnetic resonance imaging equipment can evaluate magnetic resonance imaging picture quality through various structures within the phantom. In this study, percent Signal Ghosting and Slice position accuracy of imaging could be analyzed by attaching implant and the wire for correction of tooth using ACR phantom in Head coil of 3.0T equipment. In the T1 weighted imaging of the first slice and the eleventh slice of implant, the slice position accuracy appeared to be good in ingress bandwidth 300, and it was good in ingress bandwidth 130 when wire for correction was attached. Percent Signal Ghosting in the seventh slice of SE T1 weighted imaging, implant and wire for correction added all appeared to be good when ingress bandwidth was 230. It is thought that in case of implant dental prosthesis patients in brain exam using magnetic resonance imaging, optimum image can be obtained by changing ingress bandwidth.

Full mouth rehabilitation with vertical dimension increase in patient with severly worn dentition (과도한 치아 마모를 보이는 환자에서 수직고경 증가를 동반한 전악 구강 회복 증례)

  • Jo, Wi-Sang;Kim, Seong-A;Kim, Sung-Yong;Bang, Joo-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.107-115
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    • 2021
  • Excessive pathological attrition over the entire dentition can cause decreased masticatory function, and pathological problems of the temporomandibular joint and the muscular nervous system. In this case, 71 year-old male patient with severe attrition and fracture across the entire tooth was treated by full mouth rehabilitation for regaining space of restoration. In order to determine the appropriate vertical dimension of the patient's occlusion, facial appearance, aesthetics, restoration space were evaluated, and provisional restoration of the raised vertical dimension was made. After 4 months of evaluation, the entire restoration of monolithic zirconia crown using CAD-CAM was completed. Through the above process, satisfactory aesthetic and functional results were obtained.

Management of Maxillary Impacted Canines (매복 상악 견치의 처치)

  • Ki-Taeg Jang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.2
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    • pp.142-154
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    • 2023
  • The canine tooth is important both functionally and aesthetically, being positioned between the anterior and posterior teeth. The upper canine has the longest eruption path, forming in the deepest part of the maxillary bone and often experiencing eruption disorders, leading to significant aesthetic and functional issues. Early detection and management of canine impaction are crucial in pediatric dentistry, which focuses on tooth growth and eruption. The prevalence of maxillary canine impaction ranges from 1.1% to 3.0%. In Western populations, palatal impaction is twice as common as labial impaction, while some Korean studies report more labial impaction. Maxillary canine impaction occurs more frequently in women and is associated with various factors such as structural obstacles, pathological conditions in surrounding tissues, developmental abnormalities, and genetic factors. Labial displaced canines are linked to narrow maxillary intercanine width, total dental crowding, and skeletal Class III malocclusion. Maxillary palatal displaced canine impaction is more prevalent in patients with familial agenesis of lateral incisors or conical supernumerary lateral incisors. Understanding these factors aids in early diagnosis and appropriate intervention for canine tooth impaction, ensuring optimal oral health and aesthetics.

Bone loss Detection in Dental Digital X-ray Image by Structure Analysis (구조적 분석을 이용한 치과용 디지털 X-ray 영상에서의 골조직 변화 검출에 관한 연구)

  • Ahn, Yong-Hak;Chae, Ok-Sam
    • The KIPS Transactions:PartB
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    • v.11B no.3
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    • pp.275-280
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    • 2004
  • In this paper, we propose automatic subtraction radiography algorithms to overcome conventional subtraction radiography's defects by applying image processing technique. In order to reach these goals, this paper suggests the image alignment method that is necessary for getting subtraction image and ROI(Region Of Interest) focused on a selection method using the structure characteristics in target images. Therefore, we use these methods because they give accurary, consistency and objective information or data to results. According to the results, easily and visually we can identify fine difference int the affected parts wether they have problems or not.

Success and failure of endodontic microsurgery (미세 치근단 수술의 성공과 실패)

  • Song, Min-Ju;Kim, Eui-Seong
    • Restorative Dentistry and Endodontics
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    • v.36 no.6
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    • pp.465-476
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    • 2011
  • In current endodontic practice, introduction of operating microscope, ultrasonic instruments, and microinstruments has induced a big change in the field of surgical retreatment. In this study, we aimed to offer key steps of endodontic microsurgery procedure compared with traditional root-end surgery, and to evaluate factors influencing success and failure based on published articles. Endodontic microsurgery is a surgical procedure performed with the aid of a microscope, ultrasonic instruments and modern microsurgical instruments. The microscope provides magnification and illumination - essential for identifying minute details of the apical anatomy. Ultrasonic instruments facilitate the precise root-end preparation that is within the anatomical space of the canal. Modern endodontics can therefore be performed with precision and predictability, thus eliminating the disadvantages inherent in traditional periapical surgery such as large osteotomy, beveled apicoectomy, inaccurate root-end preparation and the inability to observe isthmus. Factors influencing the outcomes of endodontic microsurgery may be diverse, but standardization of procedures can minimize its range. Among patient and tooth-related factors, periodontal status and tooth position are known to be prognostic, but there are only few articles concerning this matter. High-evidence randomized clinical trials or prospective cohort studies are needed to confirm these findings.

SPONTANEOUS ERUPTION OF PERMANENT TEETH AFTER MARSUPIALIZATION ASSOCIATED WITH DENTIGEROUS CYSTS (함치성낭종의 조대술 후 변위된 영구치의 자가맹출)

  • Song, Hee-Jeong;Kim, Jae-Gon;Yang, Yeon-Mi;Baik, Byeong-Ju;Kim, Mi-Ah;Jeong, Hae-Kyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.2
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    • pp.194-201
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    • 2011
  • A dentigerous cyst is the most common developmental odontogenic cyst. Patients with dentigerous cyst usually feel no pain or discomfort. If it is not treated, tooth eruption might not only be impeded, but also let the tooth translocate to the unusual area. So, early detection and appropriate treatment are important. Enucleation & marsupialization are the best options to treat a dentigerous cyst. Treatment plan depends on patient's age, health, preserve & protect of important structures, and sort of cyst. In these dentigerous cysts cases, by marsupialization and using obturator, affected tooth could be achieved spontaneous eruption into the dental arch even though they were badly dislocated.

A CASE REPORT OF A DENTIGEROUS CYST TREATED BY MARSUPIALIZATION (조대술을 이용한 함치성 낭종의 치험례)

  • Jun, Eun-Min;Kim, Tae-Wan;Kim, Hyun-Jung;Nam, Soon-Hyeun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.473-480
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    • 2007
  • The dentigerous cyst originates through alteration of stellate reticulum after amelogenesis has completed, with accumulation of fluid between the layers of the reduced enamel epithelium or between this epithelium and the tooth crown. Its incidence is relatively high on 10s or 20s of age and it is always related to the unerupted crown. Generally, it has no symptom, however, if the cyst is large or accompanied with pus formation, swelling and pain may occur. In radiographic findings, it shows impacted crown surrounded by well defined unilocular radiolucent lesion and occasionally displacement of adjacent teeth or root resorption. The goal of treatment is complete elimination of abnormal tissue preserving the tooth involved in the cyst. Enucleation and marsupialization are commonly used for the treatment. Marsupialization is the procedure which removes the partial portion of the cystic wall and connects with the oral mucosa. As the pressure in the cyst decreases, bone regeneration takes place in the defect area and cystic wall converts into normal mucosa. This procedure, however, is the most conservative procedure which allows the protection of adjacent important structures. If the eruption space is sufficient, then inducing the eruption of the permanent tooth in the cyst is also possible. In following cases, dentigerous cyst was diaganosed after clinical and radiographic examination. Marsupialazation was done to remove the cyst and induce the tooth, which was in the cyst, to erupt into the oral cavity.

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Estimation of Number of Synapses on a Neuron in the Brain Using Physical Bisector Method (Physical disector를 이용한 신경세포 및 신경연접 수의 측정)

  • Lee, Kea-Joo;Rhyu, Im-Joo
    • Applied Microscopy
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    • v.36 no.2
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    • pp.83-91
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    • 2006
  • The number and structure of synapses are dynamically changed in response to diverse physiological and pathological conditions. Since strength of synaptic transmission is closely related to the synaptic density on a neuron, both synaptogenesis and synapse loss may play important roles in controlling neuronal activity. Thus it is essential to estimate the number of synapses using an accurate quantitative method for better understanding of the numerical alteration of synapses under terrain experimental conditions. We applied physical disector principle to estimating the number of synapses per neuron in the dentate gyrus of adult mice. First, we measured the numerical density of granule cells using the physical disector principle. Second, the density of medial perforant path to granule cell synapses was estimated using the bidirectional physical disector. Then, the volume ratio of molecular layer to granule cell layer was measured. With these numerial values, we successfully calculated the number of synapses per neuron. Individual granule cells have approximately 6500 synapses in the dentate gyrus of adult mice $(6,545{\pm}330)$, which are comparable to those of other researchers. Our results showed that the estimation of synapse numbers per neuron using the physical disector principle would provide accurate and precise information on the numerical alteration of synapses in diverse physiological and pathological conditions. Following analyses of synapse numbers using this method will contribute to the better understanding of structural synaptic plasticity in a variety of experimental animal models.

CASE REPORTS OF FASCIAL SPACE ABSCESS CAUSED BY ODONTOGENIC INFECTION (치성 감염에 의한 근막간극 농양의 치험례)

  • Choi, Ji-Eun;Yang, Kyu-Ho;Choi, Nam-Ki;Kim, Sun-Mi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.136-143
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    • 2008
  • Infections involved with the oral and maxillofacial area are associated with various anatomical structures. If the proper treatment is not done in an immediate period, the infections will be quite fatal. The causes of the infections are numerous, but the most common cause of odontogenic infections in children is a dental caries. It is known to lead to some kinds of diseases such as periapical abscess, cellulitis, osteomyelitis, Ludwig's angina, toxic shock syndrome and so on. The common pathogenic sequence of fascial abscess is a necrotic pulpal inflammation in the form of dentoalvelor abscess which spreads over and gradually penetrates into the fascial membranes through the cortical bones and finally contracts the potential fascial spaces. If the infections of oral maxillofacial area were penetrated into the surrounding soft tissues, then they would diffuse into the directions of the least tissue resistance along with the connective tissues and the fascial spaces. These infections can be properly cured by tooth extraction, endodontic therapy, surgical treatment including Incision & drainage and antibiotics. The purpose of the cases is to report the satisfactory treatment results in the patients derived from the canine fascial space abscesss or buccal fascial space ones of the odontogenic origin.

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