• 대한치과교정학회지
• /
• 제52권6호
• /
• pp.387-398
• /
• 2022

Objective: Controlling the incisal inclination is fundamental in orthodontics. However, the relationship between the inclination prescription and its clinical outcome is not obvious, and the incisal inclination changes generated by different bracket prescriptions were investigated. Methods: Twenty-eight non-extraction dental Class II patients (15 females, 13 males; mean age = 12.9) were retrospectively analyzed. Patients were treated using passive self-ligating fixed appliances with three inclination prescriptions for maxillary incisors (high, standard, low), and two for mandibular incisors (standard, low). Clinical outcomes were compared among different prescriptions, and regression analysis was used to explain the effects of bracket prescriptions and to understand the prescription selection criteria (α = 0.05). Results: For maxillary central incisors, low and high prescriptions were related to linguoversion (p = 0.046) and labioversion (p = 0.005), respectively, while standard prescription maintained the initial dental inclination. Maxillary lateral incisors did not show significant changes. For mandibular incisors, low prescription led to linguoversion (p = 0.005 for central incisors, p = 0.010 for lateral incisors), while standard prescription led to labioversion (p = 0.045 for central incisors, p = 0.005 for lateral incisors). The factors affecting inclination changes were the imposed change and selected prescription, while prescription selection was influenced by the initial dental inclination and initial intercanine distance. Conclusions: The direction of correction of incisal inclination can be controlled by choosing a certain prescription, but the final inclination may show limited consistency with it. The amount of imposed inclination change was the most relevant predictor of the clinical outcome.

• 대한치과의사협회지
• /
• 제58권8호
• /
• pp.476-485
• /
• 2020

The purpose of this study was to analyze the color distribution of the maxillary primary central and lateral incisors using a dental spectrophotometer. Color measurements of maxillary primary central and lateral incisors of 32 pediatric patients aged 2 to 6 years were performed using SpectroShade Handy Dental Type 713000 (Serial No. HDL2678, MHT, Verona, Italy) by one researcher in the same clinic. CIE L*, a*, b* values of total surfaces and cervical, middle, incisal region were recorded. L* values were higher and a* values were lower in the primary central incisors than those in primary lateral incisors, but b* values didn't show statistical difference. L* values of the middle region were the highest, and a* and b* values decreased from the cervical region to the incisal region. There were significant color differences between each region, and ΔE*_ab between each region were greater than ΔE*_ab between the primary central and lateral incisors. For esthetic restorations of primary incisors, it is necessary to consider the color differences between each region rather than those between the primary central and lateral incisors.

• Imaging Science in Dentistry
• /
• 제47권3호
• /
• pp.181-187
• /
• 2017

Purpose: The purpose of this study was to measure the buccal bone thickness and angulation of the maxillary incisors and to analyze the correlation between these parameters and the root position in the alveolar bone using cone-beam computed tomography (CBCT). Materials and Methods: CBCT images of 398 maxillary central and lateral incisors from 199 patients were retrospectively reviewed. The root position in the alveolar bone was classified as buccal, middle, or palatal, and the buccal type was further classified into subtypes I, II, and III. In addition, the buccolingual inclination of the tooth and buccal bone thickness were evaluated. Results: A majority of the maxillary incisors were positioned more buccally within the alveolar bone, and only 2 lateral incisors(0.5%) were positioned more palatally. The angulation of buccal subtype III was the greatest and that of the middle type was the lowest. Most of the maxillary incisors exhibited a thin facial bone wall, and the lateral incisors had a significantly thinner buccal bone than the central incisors. The buccal bone of buccal subtypes II and III was significantly thinner than that of buccal subtype I. Conclusion: A majority of the maxillary incisor roots were positioned close to the buccal cortical plate and had a thin buccal bone wall. Significant relationships were observed between the root position in the alveolar bone, the angulation of the tooth in the alveolar bone, and buccal bone thickness. CBCT analyses of the buccal bone and sagittal root position are recommended for the selection of the appropriate treatment approach.

• Journal of Periodontal and Implant Science
• /
• 제34권1호
• /
• pp.19-28
• /
• 2004

Tooth is the most important element in esthetic consideration on facial area. Tooth alignment which is in harmony with gingiva, lips, and face is also key element. The purpose of this study was to give a clinical discipline for restoration of gingival contour, which contains a ratio of maxillary 6 anterior teeth, research for gingival contour etc., in case of rehabilitation of maxillary anterior teeth. 300 Dankook university dental school students ,who is their twenties and free from periodontitis, participate in this study. The result was from each 70 males and females who had normal occlusion and tooth alignment. Length, width and length/width ratio of maxillary 6 anterior teeth were 0.74-0.81 in male, 0.81-0.84 in female. There was significant difference between male and female. The most deepest position of gingiva in maxillary central incisor and canine was located in distal part of teeth and maxillary lateral incisor was middle portion. In maxillary central incisors, gingival line of the most deepest point appeared significant difference between male and female (p<0.01) whereas there was no difference in lateral incisors and canines. Distance between interdental papilla apex and the most deepest portion appeared significant difference between male and female. Distance of the deepest position of gingiva is statistically significant except maxillary central incisors and lateral incisors. Standard deviation and mean of the width of labio-lingual were measured in cervical area and there was a significant difference both male and female.(p<0.01) From this result, we could get the mean of maxillary anterior gingival line and these results have great value in clinical guidance in studying maxillary anterior teeth.

• Journal of Periodontal and Implant Science
• /
• 제24권1호
• /
• pp.15-25
• /
• 1994

Keratinized ginigva has clinical singificance in periodontal health because it plays important roles in resistance to mechanical trauma, to penetration of bacteria, and to tensional stress by muscle attachment. In order to investigate the width change of anterior keratinized gingvial during transitional period, the width of kerainized gingiva on anterior teeth was measured annually in elementary school children with deciduous dentition until the successive anterior teeth were completely erupted. The distance from the gingival margin on mid-portion of crown to mucogingival junction was measured by Boley gauge(Hu-Friedy, U.S.A.) and was recorded as the width of keratinized gingiva. The difference of the width of keratinized gingiva according to sex and dentition was analyzed statistically by Student t-test. Following results were obtained : 1. In deciduous dentition, it was shown that the width of keratinized gingiva on maxillary central incisors($3.28{\pm}0.83mm$) was the widest(p<0.01), and that on maxillary lateral incisors, mandibular central and lateral incisors was $2.69{\pm}0.86mm$, $2.51{\pm}0.71mm$, $2.43{\pm}0.68mm$, respectively. 2. In mixed dentition, it was shown that the width of keratinized gingiva on maxillary central incisors ($5.10{\pm}0.86$) was the widest(p<0.01), and that on maxillary lateral incisors, mandibular central and lateral incisors was $4.35{\pm}0.83mm$, $3.51{\pm}0.60mm$, $3.57{\pm}0.66mm$, respectively. 3. The width of anterior keratinized gingiva was significantly increased after the successive anterior teeth were completely erupted(p<0.001). The width of keratinized gingiva on maxillary central and lateral incisors, and mandibular central and lateral incisors was increased by $1.82{\pm}0.83mm$, $1.65{\pm}0.69mm$, $0.99{\pm}0.39mm$, and $1.14{\pm}0.98mm$, respectively. 4. There was no statistical significance in the difference of the width of anterior keratinized gingiva between male and female(p>0.05).

• 대한치과의사협회지
• /
• 제12권6호
• /
• pp.377-379
• /
• 1974

A rare case of two supernumerary teeth on the lingual side of the upper central incisors was observed in a 17 year old korean male. The characteristics were as follow : 1) The site of the occurrence was on the lingual side of upper central incisors. 2) The sizes of both supernumerary teeth were smaller than the normal incisor teeth and quite different from the normal incisors in the tooth shape. 3) A diastema was seen between the maxillary central incisors, and the right incisor exhibited labioversion and left incisor exhibited some mesial inclination.

• 대한소아치과학회지
• /
• 제49권1호
• /
• pp.1-13
• /
• 2022

이 연구의 목적은 분광광도계인 VITA Easyshade^®V를 이용하여 상악 유중절치, 유측절치, 유견치의 색조와 다양한 복합레진들의 색조를 비교하는 것이다. 한 명의 연구자가 1세에서 6세 어린이 100명의 건전한 상악 유전치부와 총 10개의 종류, 31개의 shade를 가진 복합레진들로 만든 시편의 색조들을 측정하였고, CIE L^*, a^*, b^* 값이 얻어졌다. 상악 유중절치와 유측절치는 임상적으로 인식 가능한 색조 차이를 보이지 않았다. 그러나 상악 유견치는 상악 유중절치 및 유측절치와 임상적인 인식도 역치 이상의 색조 차이를 보였다. 남녀 간의 유의한 색조 차이는 없었고, 연령에 따른 유의한 색조 변화도 없었다. A1 shade가 모든 상악 유전치부에서 가장 많이 나타났다. 상악 유전치부의 색조와 유사하다고 판단되는 복합레진으로 상악 유중절치에서 9종, 유측절치에서 6종, 유견치에서 6종이 선정되었다.

• Imaging Science in Dentistry
• /
• 제52권2호
• /
• pp.197-207
• /
• 2022

Purpose: This study evaluated the associations of the dental arch form, age-sex groups, and sagittal root position (SRP) with alveolar bone thickness of the maxillary central incisors using cone-beam computed tomography (CBCT) images. Materials and Methods: CBCT images of 280 patients were categorized based on the dental arch form and age-sex groups. From these patients, 560 sagittal CBCT images of the maxillary central incisors were examined to measure the labial and palatal bone thickness at the apex level and the palatal bone at the mid-root level, according to the SRP classification. The chi-square test, Kruskal-Wallis test, and multiple linear regression were used for statistical analyses. Results: Significant differences were found in alveolar bone thickness depending on the arch form and SRP at the apex level. The square dental arch form and class I SRP showed the highest bone thickness at both levels of the palatal aspect. The taper dental arch form and class II SRP presented the highest bone thickness at the apex level of the labial aspect. No association was found between the dental arch form and SRP. Elderly women showed a significant association with thinner alveolar bone. Age-sex group, the dental arch form, and SRP had significant associations with alveolar bone thickness at the apex level. Conclusion: The patient's age-sex group, dental arch form, and SRP were associated with alveolar bone thickness around the maxillary central incisors with varying magnitudes. Therefore, clinicians should take these factors into account when planning immediate implant placement.

• 대한소아치과학회지
• /
• 제21권2호
• /
• pp.510-517
• /
• 1994

It is a relatively common clinical experience to see a impacted maxillary central incisor. This is apparent at the dental age of about eight years and over, when the patient is in the early mixed dentition stage. The adjacent teeth may tilt toward the site of the missing tooth with resulting space closure and midline deviation. Most often, the central incisor is impacted labially. The labial impaction has been indicated as the most difficult to manage. Each of the current articles describing labial impactions shows at least one case with mucogingival recession or a minimal zone of attached gingiva. This report described the surgical uncovering and orthodontic-physiologic positioning methods with labially impacted maxillary central incisors. Through surgical exposure and direct bonding of lingual botton, the central incisors were brought into proper eruption path with elastic traction. The case 1 and 2 were treated with the physiologic erupting forces. The case 3 was applied with continuous orthodontic force. The case 1 and 2 resulted in good positioning, good esthetics and adequate width of keratinised gingiva. The case 3 resulted in local inflammation and inadequate width of keratinised gingiva.

• 대한치과의사협회지
• /
• 제20권12호통권163호
• /
• pp.1049-1052
• /
• 1982

This study was performed to investigate the changes of dento-alveolar relationship in relation to the eruption of in cisors using roentgenocephalometry. The Subjects consisted of 76 females from 4 to 8 years with normal occlusion. The following conclusions were obtained: 1. When maxillary and mandibular permanent central incisors were erupted, maxillary alveolar prognathism was increased, while mandibular alveolar prognathism was not changed. 2. Axial inclination of permanent incisors was greater than that of primary incisors.