• Title/Summary/Keyword: Adjacent teeth

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Clinical Characteristics of Odontoma in Children : A Retrospective Analysis of 105 Cases (유년기 치아종의 임상적 특징 : 105증례의 후향적 분석)

  • Kim, Hyo-jin;Kim, So-hyun;Kim, Hyun-jung;Kim, Young-jin;Nam, Soon-hyeun
    • The Journal of the Korean dental association
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    • v.53 no.12
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    • pp.949-957
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    • 2015
  • We investigate the clinical characteristics of odontoma in childhood and adolescence. A retrospective analysis was performed in 105 patients under 15 years old who were diagnosed with odontoma in Kyungpook National University Dental Hospital, the department of pediatric dentistry between 1 January 2008 and 31 December 2013. The ratio of compound odontoma, immature odontoma and complex odontoma were 67.6%, 21.9% and 10.5%, respectively. Odontoma was more prevalent in males and the ratio of males to females was 1.5:1. The age of patients ranged from 3 to 14 years old with an average age of 9.3 years old. The odontoma was more frequently located in the maxilla (73.3%) than in the mandible(26.7%). In 98 cases, it was treated by surgical removal. Among adjacent teeth impacted by odontoma, 26 cases (34.7%) of successional permanent teeth were erupted when only odontoma were removed and 6 cases (8.0%) were erupted when surgical exposure was performed. Orthodontic tractions were performed in 43 cases (57.3%). In conclusion, odontoma could cause complications such as impaction of teeth. If they are found early and treated properly, high eruption success of successional permanent teeth can be obtained. The occurrence frequency of immature odontoma are higher than that of complex odontoma, and they are observed intensively in anterior maxillary teeth. Therefore, it is considered that they are important causes of dental impaction in anterior maxillary teeth.

Comparison of cone-beam computed tomography and panoramic radiography in the evaluation of maxillary sinus pathology related to maxillary posterior teeth: Do apical lesions increase the risk of maxillary sinus pathology?

  • Terlemez, Arslan;Tassoker, Melek;Kizilcakaya, Makbule;Gulec, Melike
    • Imaging Science in Dentistry
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    • v.49 no.2
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    • pp.115-122
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    • 2019
  • Purpose: The aims of this study were first, to compare panoramic radiography with cone-beam computed tomography (CBCT) for evaluating topographic relationships, such as the classification of maxillary posterior teeth and their distance to the maxillary sinus floor; and second, to determine the relationship between maxillary sinus pathology and the presence of apical lesions. Materials and Methods: In total, 285 paired CBCT and panoramic radiography records of patients (570 maxillary sinuses) were retrospectively analyzed. Both imaging modalities were used to determine the topographic relationship of the maxillary posterior teeth to the sinus floor. Mucosal thickening >2 mm was considered a pathological state. Data were analyzed using the chi-square, Wilcoxon, and Mann-Whitney U tests. Odds ratios (ORs) and confidence intervals(CIs) were calculated. Results: The closest vertical distance measurements made between posterior maxillary teeth roots and the maxillary sinus on panoramic radiography and CBCT scans showed statistically significant differences from each other(P<0.05). Compared to panoramic radiography, CBCT showed higher mean values for the distance between the maxillary sinus floor and maxillary posterior teeth roots. The CBCT images showed that at least 1 apical lesion adjacent to the right maxillary sinus increased the risk of maxillary sinus pathology by 2.37 times(OR, 2.37; 95% CI, 1.58-3.55, P<0.05). Conclusion: Panoramic radiography might lead to unreliable diagnoses when evaluating the distance between the sinus floor and posterior roots of the maxillary teeth. Periapical lesions anatomically associated with maxillary sinuses were a risk factor for sinus mucosal thickening.

Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds (영구치 보존을 고려한 함치성 낭종의 외과적 처치)

  • Park, Chanyoung;Park, Kitae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.85-92
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    • 2014
  • Dentigerous cyst is the most common developmental odontogenic cyst of the jaw which is associated with unerupted teeth. Treatment modalities range from enucleation to marsupialization. Enucleation is the process in which the cyst is completely removed, and this is usually indicated for smaller lesions. Larger cysts can be treated by marsupialization, which is a process that consists of making a surgical cavity on the wall of the cyst, emptying its content and maintaining the continuity between the cyst and the oral cavity. This procedure allows decompression of the cyst, regeneration of the bone-defected area, and also lets the wall of the cyst change into normal mucosa. This technique will protect adjacent structures and will promote spontaneous eruption of succedaneous teeth previously surrounded by the cyst. These are two case reports of a 5-year-old and an 11-year-old boy with dentigerous cysts found regarding supernumerary tooth and pulpotomized mandibular primary molars, respectively. Due to the large size of the cysts, both cases were treated with marsupialization. This case report shows that in cases regarding large-sized dentigerous cysts, marsupialization can be an effective surgical technique that promotes spontaneous eruption of cyst-involved succedaneous teeth and the preservation of adjacent teeth.

Effect of immediate provisional restoration on the preservation of gingival contour (발치 창에 삽입한 임시 수복물의 치은형태 보존 효과)

  • Lee, Jin-Gyu;Lee, Ju-Youn;Choi, Jeom-Il
    • Journal of Periodontal and Implant Science
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    • v.33 no.4
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    • pp.563-571
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    • 2003
  • One of the central components of periodontal therapy is the improvement of esthetics. The presence and appearance of interdental papillae plays an important role of periodontal esthetics. The aim of the present study was to investigate how immediate provisional restoration preserve the shape of interdental papilla around the extraction socket and the width of bucco-lingual of gingiva. Another aim was to investigate the change in the interdental papilla and the amount of vertical bone fill of a extraction socket in relation to the interdental alveolar bone levels adjacent the alveolar socket. A total of 19 patients (11 male, 8 female, mean age of 50.57${\pm}$8.16), who visited the Department of Periodontology, Pusan National University and had more than one anterior tooth scheduled to be extracted due to an advanced periodontal disease were included in the present study. After initial periodontal therapy, the extracted teeth were reshaped of the root and placed into the socket followed by splinting with adjacent teeth with self-curing resin. The width of hucco-lingual of gingiva and interdental papilla height were measured at baseline, 1, 3, 6, 9 and 12 month and the periapical radiographic examination were taken at baseline, 6 and 12month following the extraction. The amount of vertical bone fill in the extraction socket were calculated. At 12 months following the extraction, the changes in mesial and distal interdental papilla and the width of bucco-lingual showed -1.06${\pm}$0.48mm, -0.844${\pm}$0.50mm, -1.50${\pm}$0.96m, relatively. The positional change in the interproximal papillae was significantly associated with the interdental bone level adjacent to the extraction socket(p=0.028). The higher the interproximal bone level adjacent the extraction socket, the greater the amount of bone fill in the extraction socket(p<0.001). In conclusion, it was thought that immediate provisional restoration could minimize the loss of the width of bucco-lingual and interproximal papillae around the extraction socket. In addition, the higher the interproximal bone level adjacent the extraction socket, the greater the amount of bone fill and the smaller the reduction of papillary height around the extraction socket.

Full mouth rehabilitation with a few remaining teeth and implants for a patient with chronic periodontitis: a case report (만성 치주염 환자에서 소수 잔존치와 임플란트를 이용한 전악 수복: 증례 보고)

  • Shin, Eun-Jung;Vang, Mong-Sook;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.253-261
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    • 2015
  • Chronic periodontitis involves subsequent loss of teeth, and if left untreated, can lead to adjacent teeth drifting and supraeruption of the rest dentition. Careful consideration has to be given when deciding extraction of remaining teeth in treatment of periodontally compromised dentitions. For tooth-supported fixed partial dentures or removable partial dentures, periodontally compromised teeth are extracted due to possible early failure from functional overload, but for implant restoration, the teeth could be used as supports for fixed partial dentures because implants can reduce overload on teeth. The remaining natural teeth can help clinicians restoring vertical dimension and normal occlusal plane in full mouth rehabilitation because it conserves patients' proprioceptive response. This clinical report describes treatment of a patient who has a few remaining teeth and supraeruption of the rest dentition from severe chronic periodontitis. Satisfactory clinical result was achieved with full mouth rehabilitation using a few teeth and implants.

A STUDY ON THE METABOLIC ALTERATION OF PERIODONTAL TISSUE ON ORTHODONTIC TOOTH MOVEMENT IN RATS (교정력에 의한 치아이동시 백서 치주조직의 대사성 변형에 관한 연구)

  • Chang, Young-Il
    • The korean journal of orthodontics
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    • v.11 no.2
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    • pp.65-70
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    • 1981
  • In the present study orthodontic force was applied to the molars of control group and experimental group treated with the lathyrogen beta-aminopropionitrile (BAPN). Observation resulted in the following conclusions : 1) New alveolar bone formation in response to orthodontic force in BAPN-treated rats exceeded corresponding bone formation in control of cup when measured at two tension sites in the periodontal ligament. 2) BAPN administration produced disorganization of the collagenous fibers of the periodontium of experimental group. Multiple eosinophilic cell-free areas were found distributed throughout the radicular portions of affected periodontal ligaments. 3) The areas of periodontium surrounding orthodontically treated teeth exhibited relatively normal organization under these conditions, while the periodontium of adjacent nonorthodontically treated teeth was disorganized. 4) The present results suggest that the typical histologic response to orthodontic force application can occur in the presence of a chemically and physically altered periodontium.

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On the Design Parameters of Gerotor Hydraulic Motors (제로터 유압 모터의 설계 변수에 관한 연구)

  • 김충현;김두인;안효석;정태형;이성철
    • Tribology and Lubricants
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    • v.15 no.1
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    • pp.17-23
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    • 1999
  • A Gerotor hydraulic motor is a planar mechanism consisting of a pair of rotors one of which encloses another rotor. The motion of the inner-rotor relative to the outer-rotor is produced by the pressure difference between the adjacent chambers. A design method of inner-rotor tooth profile using unit tangential vectors is presented in this work. Based on the relationships derived, the influence of the eccentricity of inner-rotor and the radius of circular arc tooth on the flow rate, torque and curvatures were investigated. It was shown that the flow rate and mean torque is proportional to eccentricity, but inversely proportional to the radius of circular arc teeth. Also, the maximum value of the equivalent curvature is increased as the eccentricity and the radius of circular arc teeth increased.

THE ADAPTIBILITY OF LIGHT-CURED GLASS-IONOMER CEMENTS TO CAVITY WALLS. (와동벽에 대한 광중합형 글래스아이오노머 시멘트의 적합도)

  • Kang, Mi-Sun;Hur, Bock
    • Restorative Dentistry and Endodontics
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    • v.20 no.1
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    • pp.173-182
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    • 1995
  • The purpose of this study was to evaluate the adaptability of light-cured glass ionomer cement to cavity walls. Class V cavities were prepared on the labial surfaces of extracted bovine incisor teeth. The cavities were restored with Fuji II as self-cured glass ionomer cement and Fuji II LC, Vitremer as light-cured glass ionomer cement. Fluorescent markers (fluoreceine and rhodamin B) were incorperated into liquid and primer for a better image of microscopic observation. Restored teeth were sectioned by longitudinal and labiolingual direction. The adaptability at the tooth-restoration interface was assessed incisally, axially and cervically by confocal scanning laser microscope. Following results were obtained : 1. Chemical-cured glass iomomer cement restoration showed close adaptation on the all of the cavity walls, but, cracks formed within the cement. 2. Light-cured glass ionomer cement restoration was well adapted to the cavity walls, but showed crack in the cement adjacent to axial dentinal wall. 3. There' was no significant difference in adaptability between two light-cured glass ionomer cement restorations.

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Correction of a maxillary canine-first premolar transposition using mini-implant anchorage (미니 임플란트 고정원을 이용한 전위된 상악 견치-제1소구치의 교정치료)

  • Oztoprak, Mehmet Oguz;Demircan, Cigdem;Arun, Tulin
    • The korean journal of orthodontics
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    • v.41 no.5
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    • pp.371-378
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    • 2011
  • Transposition is defined as a dental anomaly manifested by a positional interchange of 2 adjacent teeth within the same quadrant of the dental arch. Maxillary canine-first premolar [Mx4-3] transposition is the most frequent tooth transposition reported in the literature. In this case report, an orthodontic correction of a transposition of the maxillary left canine and first premolar with the help of palatally located mini-implant anchorage is described. Esthetic and occlusal evaluations suggested alignment of the transposed teeth to their correct anatomic positions in the dental arch. The clinical result at the end of the treatment was satisfactory. Alignment was obtained, and intercuspation was adequate. Nevertheless, the maxillary canine showed facial recession, probably because it was initially positioned buccally. Supporting tissue was examined after treatment and no alveolar bone damage was observed.

Development of Design Theory on the Tooth Arrangement of the Combine Threshing Drum (콤바인 탈곡치(脫穀齒) 배열(配列)의 설계(設計) 이론(理論))

  • Chung, C.J.;Choi, J.S.;Lee, W.S.;Chung, S.I.
    • Journal of Biosystems Engineering
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    • v.17 no.2
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    • pp.171-176
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    • 1992
  • This study was intended to develop the design theory of the threshing unit of a head-feeding rice combine. It may be applied for various combining capacities with different cutting widths and forward speeds. Design factors in the theoretical development are : (1) dimensions of the threshing drum, (2) tooth approching angle, (3) distance between the adjacent teeth on their spiral setting line, (4) number of spirals, and (5) total number of teeth on the drum. A computer simulation program was developed to predict the proper dimensions for the threshing drum and tooth arrangement. A simulation for the prospective combine with varied capacities was also demonstrated. The parameters analyzed in the developed design theory were shown to be consistent with those of existing combines.

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