• Title/Summary/Keyword: 하악 측절치

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3-D FEA on the intrusion of mandibular anterior segment using orthodontic miniscrews (교정용 미니스크류를 이용한 하악 전치 함입 시 변위양상의 3차원 유한요소분석)

  • Park, Hyun-Kyung;Sung, Eui-Hyang;Cho, Young-Soo;Mo, Sung-Seo;Chun, Youn-Sic;Lee, Kee-Joon
    • The korean journal of orthodontics
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    • v.41 no.6
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    • pp.384-398
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    • 2011
  • Objective: The purpose of this study was to analyze the stress distribution and the displacement pattern of mandibular anterior teeth under various intrusive force vectors according to the position of orthodontic miniscrews and hooks, using three-dimensional finite element analysis. Methods: A three-dimensional finite element model was constructed to simulate mandibular teeth, periodontal ligament, and alveolar bone. The displacement of individual tooth on three-dimensional planes and the von Mises stress distribution were compared when various intrusion force vectors were applied. Results: Intrusive forces applied to 4 mandibular anterior teeth largely resulted in remarkable labial tipping of the segment according to the miniscrew position. All 6 mandibular anterior teeth were labially tipped and the stress concentrated on the labiogingival area by intrusive force from miniscrews placed mesial to the canine. The distointrusive force vector led to pure intrusion and the stress was evenly distributed in the whole periodontal ligament when the hook was placed between the central and lateral incisors and the miniscrew was placed distal to the canine. Conclusions: Within the limits of this study, it can be concluded that predictable pure intrusion of the 6 anterior teeth segment may be accomplished using miniscrews placed distal to the canine and hooks located between the central and lateral incisors.

BIOMETRICAL STUDT ON THE ZONE OF ATTACHED GINGIVA

  • Han, Su-Bu
    • The Journal of the Korean dental association
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    • v.14 no.6
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    • pp.539-542
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    • 1976
  • 저자는 한국인 부착치은의 폭경을 측정하기 위하여 건전한 치은 및 치주조직을 가진 10명의 남자를 대상으로, 기능적인 방법과 조직화학적인 방법을 이용하여 부착치은 경계부인 Mucogingival Junction에서부터 Marginal gingva의 Crrest까지를 측정하였다. 이때 측정된 부위로, 상, 하악 공히 우측 제일대구치 원심면 Papilla로부터 시작하여 좌측 제일대구치 원심면 Pailla까지 각각 25개 부위로 구분하여 모두 50개 부위를 측정 하였다. 따라서 상기한 방법에 의한 측정을 토대로 다음과 같은 결과를 얻었다. 1. 기능적인 방법을 이용하여 측정한 측정치는 조직화학적인 방법에 의한 측정치보다 약 0.30~0.80mm의 높은 수치로 나타났다. 2. 측정치중 가장 높은 폭경을 나타내는 부착치은의 부위는 상악측절치 근심면(9.03~8.84mm 기능적인 방법, 8.49~8.12mm 조직화학적인 방법)이며, 가장 적은 측정치를 나타낸 부위는 하악제일소구치 Cervical부위이다. (3.87~3.70기능적인 방법, 2.82~2.77mm 조직화학적 방법). 3. Frenum 부착부위 치은폭경은 상악 6.27~6.56mm, 하악 6.95~6.07mm 4. 부착치은 폭경 중 가장 측정키 어려운 하악 제 1대구치 cervical부위는 4.17~3.82mm기능적인 방법, 3.86~3.49mm조직화학적인 방법

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A STUDY ON THE SIZE OF THE PERMANENT TEETH (영구치의 치아크기에 관한 연구)

  • Baik, Byeong-Ju;Park, Jeong-Yeol;Kim, Jae-Gon;Lee, Doo-Cheol
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.502-509
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    • 2003
  • After 800 students of Chonbuk National University was examined, 86 people (male : 43, female : 43, mean age : 22.2 years old) was selected as a group of normal occlusion. From their gypsum cast, this conclusion was obtained. 1. Intra-observer measurement errors in buccolingual diameter, maxillary lateral incisors have somewhat bigger errors. In mesiodistal diameter, maxillary first molars and maxillary second molar have bigger numerical value. Mean errors of measurement are 0.051mm at buccolingual diameter of crown and 0.083mm at mesiodistal diameter. 2. Fluctuating asymmetry is 0.030 average in buccolingual diameter, and 0.037 average in mesiodistal diameter. Statistically there are no big differences. 3. Male has longer buccolingual diameter than female in every permanent teeth. Teeth which have statistical difference in buccolingual diameter are maxillary lateral incisor, maxillary canine, maxillary second molar, mandibular central incisor, mandibular canine, mandibular second premolar, and mandibular first molar. In mesiodistal diameter maxillary central incisor, maxillary canine, and mandibular first molar have statistically difference. 4. Tooth which has the biggest difference depending on gender is maxillary lateral incisor in buccolingual diameter and mandibular canine in mesiodistal diameter. 5. Both sexes have similar crown index. Male has bigger value of crown module measurement and crown area measurement in every tooth. Crown area considered as size of tooth from occlusal surface was bigger in male than in female statistically except some teeth, maxillary first premolar, mandibular lateral incisor, first premolar and second premolar.

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CASE REPORT: SUPERNUMERARY TEETH ON MAXILLARY PREMOLAR AND MANDIBULAR INCISAL AREA (상악 소구치 과잉치와 하악 절치 과잉치에 대한 치험례)

  • Oh, Min-Hyung;Kim, Dae-Eup;Ra, Ji-Young;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.529-533
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    • 2006
  • Supernumerary teeth are defined as an excess in the number of teeth when compared to the normal dental formula. They are more prevalent in the permanent dentition than the primary dentition. Supernumerary teeth can occur in the maxilla, mandible, or both. But the majority are found in the maxilla and most of it is found in the premaxilla region The present cases documents about the uncommon cases of supernumarary teeth on maxillarty premolar area and mandibular incisal area.

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THE POSITIONING ERRORS IN BONDING LINGUAL BRACKETS (설측브라켓 부착시 위치오차에 관한 연구)

  • Choi, Joon-Kyu;Hwang, Hyeon-Shik;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.28 no.1 s.66
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    • pp.99-111
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    • 1998
  • The purpose of this study was to evaluate the positioning errors according to the method of bonding lingual brackets. Dental models of twenty orthodontic patients with malocclusion were selected for this study. The positioning errors were measured on each model that brackets were bonded to. Three different bonding methods were used. For the first method the bracket was bonded intimately to the lingual surface of the model. For the second method, the bracket was bonded intimately to the lingual surface after setting up using articulator. The passive bracketing, bonding the bracket ligated first to ideal archwire, was used after setting up as the last method. The results were as follows: 1. The brackets bonded without setting up showed greater angulation errors in the upper 1st premolar and the lower canine than those in other bonding methods. The brackets bonded without passive bracketing showed greater positioning errors in upper central incisor, lower 1st and End premolars. 2. The brackets bonded without setting up showed greater torque error in lower 2nd premolar than those in other bonding methods. The brackets bonded without passive bracketing showed greater torque errors in all upper teeth, lower 1st and 2nd premolars. 3. The brackets bonded without passive bracketing showed greater rotation errors between upper central incisors, lower central incisors, lower lateral and central incisor, lower canine and lateral incisor. 4. The brackets bonded without setting up showed greater in-out errors between upper canine and lateral incisor than those in other bonding methods. The brackets bonded without passive bracketing showed greater in-out errors between upper central incisors, upper central and lateral incisors, upper 1st and 2nd premolars, lower lateral and central incisors, lower canine and lateral incisor. These results suggest that there is a large amount of positioning error in lingual brackets even by an indirect bonding technique, and it may be reduced by passive bracketing.

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TREATMENT OF DOUBLE TOOTH IN MANDIBULAR LATERAL INCISORS (하악 영구 측절치 Double tooth의 치험례)

  • Kim, Sang-Bae;Lee, Kwang-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.3
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    • pp.383-387
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    • 2000
  • Fusion is defined as union of two separate tooth buds at some stage in their development with confluence of dentin and characterized by separate root canal and large single crown, while gemination is defined as an attempt of the single tooth bud to incompletely divide and usually result in a single root with one root canal and two completely or incompletely separated crowns. It is sometimes difficult to decide whether an abnormally large tooth is the result of fusion of a normal and a supernumerary tooth, or of gemination; use of the term 'Double tooth' may make the clinicians avoid this difficulty(Brook & Winter). Commonly there are no symptoms, but the problems associated with these anomalies include esthetics, possible loss of arch length and delayed or ectopic eruption of the permanent teeth, caries along the line of demarcation, and periodontal disease. Commonly, it dose not need to be treated in primary dentition but in case of permanent dentition, it may be requested to be treated due to esthetics and other problems. In our case, a 8 years old girl showed a Double tooth, we attained the favorable results by performing hemisection with apexification.

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Study on the Dental Attrition of the Patients with Craniomandibular Disorders using Age Estimation (연령감정을 이용한 두개하악장애환자의 치아 교모도에 관한 연구)

  • Se-Yong Lee;Ki-Suk Kim
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.421-427
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    • 1995
  • 두개하악장애는 저작근, 측두하악관절 및 그와 관련된 구조물의 많은 임상적인 문제를 포함하는 포괄적인 용어이다. 두개하악장애의 원인은 다양하고 종종 다인성이며 위험을 증가시키는 여러가지 소인들이 존재한다. 이갈이나 이악물기 같은 이상기능습관은 흔하며 또한 임상적으로 많은 관련이 있는 것으로 사료된다. 그러나 이전의 연구에서는 연령증가에 따른 기능적 마모를 고려한 치아교모에 관한 연구가 시행되지 않고 단순한 교모도의 평가비교만이 시행되었다. 본 연구는 법치의학적 연령감정에서 널리 사용되고 있느 치아교모도를 이용한 연령감정법을 이용하여 두개하악장애환자의 치아교모도에 관한 연구를 시행하였다. 연령은 기능적마모에 따른 정도를 평가하기 위해서 고려되었다. 단국대학교 치과병원 구강내과에서 두개하악장애로 진단된 환자18명과 대조군으로 외래환자 14명을 대상으로 하였다. 연령차는 연령감정법의 추정연령과 환자의 실제나이의 차이를 구해서 비교분석하였다. 이상의 결과로 두개하악장애환자의 중절치, 측절치, 제1소구치, 제2소구치의 치아교모도가 정상군보다 유의성 있게 높았다.

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ORTHODONTIC TREATMENT THROUGH EXTRACT10N OF UPPER AND LOWER LATERAL TEETH (상하악 측절치 발거를 통한 전치부 총생의 치료)

  • Park, Sang-Hyun;Lee, Kwang-Hee;Kim, Dae-Eop;Lee, Jong-Seon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.547-552
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    • 2001
  • Extracting mandibular incisors for orthodontic treatment may adversely affect the occlusion. However, when properly used, extraction of mandibular inciors is a selection for the correction of the malocclusion. Generally, treatment for crowding needs to select between nonextraction and four premolar extraction. Approaches for crowded mandibular incisors include distal movement of posterior teeth, lateral movement of canines, labial movement of incisors, interproximal enamel reduction, removal of premolars, removal of one or two incisors, and various combinations of the above. Extraction of incisors is used in case of crowding, anterior tooth size discrepancy, absent of maxillary lateral incisors, and ectopic eruption. But severe overjet. overbite, and space are the contraindication of it. A patient had severe crowding on upper anterior teeth, impacted upper left lateral incisor, palatal ectopic eruption of upper right incisor and severe crowding on lower anterior teeth. Lower lateral incisors are extracted for space availability and facial esthetics. We report the case of orthodontic treatment of upper and lower anterior crowding through extraction of lateral incisor.

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Effects of Maxillary Lateral Incisor Agenesis on Skeletodental Characteristics in Mixed Dentition (상악 측절치 결손이 어린이 안면골격과 치열궁 형태에 미치는 영향)

  • Nam, Siyeon;Shin, Jonghyun;Kim, Jiyeon;Jeong, Taesung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.147-157
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    • 2019
  • This study aimed to evaluate skeletodental characteristics of patient with maxillary lateral incisor agenesis (MLIA) in mixed dentition. It involved the children in early mixed dentition who visited Pusan National University dental hospital for orthodontic purposed and had intact primary canines. 38 children with MLIA and 38 controls with the same chronological age satisfying the inclusion criteria were selected. The craniofacial structures and dental arch dimensions of the MLIA were evaluated using model & cephalometric analysis and compared to controls. The rate of unilateral MLIA was high in male and the rate of bilateral MLIA was high in female. In model analysis, the width / length ratio of maxillary anterior portion of the MLIA group were higher and arch perimeter of the maxilla of the MLIA group were smaller than those of the control group (p = 0.003, 0.04). Cephalometric analysis showed that there were no significant differences in terms of skeletal, dental analysis. In soft tissue profile, nasolabial angle was larger in MLIAs than in controls (p = 0.039). Considering these skeletodental characteristics of MLIA, early diagnosis and proper management is highly recommended to minimize the possibility of functional defect.