• Journal of Dental Anesthesia and Pain Medicine
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• 제21권5호
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• pp.451-459
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• 2021

Background: Lignocaine with adrenaline is routinely used as a local anesthetic for dental procedures. Adrenaline was added to increase the duration of anesthesia. However, epinephrine containing a local anesthetic solution is not recommended in conditions such as advanced cardiovascular diseases and hyperthyroidism. Recently, ropivacaine has gained popularity as a long-acting anesthetic with superior outcomes. The goal of this study was to assess and compare the effectiveness of 0.75% ropivacaine alone and 2% lignocaine with adrenaline (1:80,000) in the removal of bilateral maxillary wisdom teeth using the posterior superior alveolar nerve block technique. Methods: This was a single-blind, randomized, split-mouth, prospective study assessing 15 systemically sound outpatients who needed bilateral removal of maxillary third molars. We randomly allocated the sides and sequences of ropivacaine and lignocaine with adrenaline administration. We evaluated the efficacy of both anesthetics with regard to the onset of anesthesia, intensity of pain, variation in heart rate, and blood pressure. Results: The onset of anesthesia was faster with lignocaine (138 s) than with ropivacaine (168 s), with insignificant differences (p = 0.001). There was no need for additional local anesthetics in the ropivacaine group, while in the lignocaine with adrenaline group, 2 (13.3%) patients required additional anesthesia. Adequate intraoperative anesthesia was provided by ropivacaine and lignocaine solutions. No significant difference was observed in the perioperative variation in blood pressure and heart rate. Conclusion: Ropivacaine (0.75%) is a safe and an adrenaline-free local anesthetic option for posterior superior alveolar nerve block, which provides adequate intraoperative anesthesia and a stable hemodynamic profile for the removal of the maxillary third molar.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제34권3호
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• pp.365-369
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• 2008

This study analyzed the incidence of wound infection after the operation of mandibular third molar extraction in relation with antibiotic prophylaxis with the object of young and healthy patients. The study object was 1,177 mandibular third molars of 850 men of 20 to 25 years old without any specific systemic disease. Three methods of preventive antibiotic medication were selected according to the preventive antibiotic medication previously reported; three experimental groups were selected based on them, and the antibiotic used was amoxicillin($^{(R)}Kymoxin$, Yuhanyanghaeng, Seoul). The group 1 includes the patients that took the antibiotic orally before the operation(one hour earlier, 500mg) and for three days after the operation(250mg per time, three times/day), the group 2 is the ones that took the same antibiotic orally only once about one hour before the operation(500mg), and the group 3 did not take any antibiotics before and after the operation. And to compare the difficulties and the degrees of extraction during operations which can be possibly related to the wound infection after the operations, the mandibular third molars' impacted depths and extraction methods were investigated as well. To check if the wound was infected, observations with an internal of one week were performed twice after the operation, and the meaningfulness of the infection incidence was verified through Chi-square test using SPSS program(SPSS Inc., IL, USA). There was no statistically significant difference between the antibiotic medication methods and the wound infection incidence after the operation among the experimental groups. As examining the relations between the mandibular third molar operation methods and the wound infection incidence after the operation, there existed a statistically meaningful difference in the infection incidence according to the operation methods(p=0.020). And there was no statistically significant difference in the wound infection incidence according to the impacted depth of the mandibular third molar. Therefore, it is thought that there exists little necessity of prophylatic antibiotics medication when extracting the mandibular third molar of young and healthy men without any systemic disease in general; however, in case when it is expected that the possibility of infection will be high or the wound on the tissue will be severe, it is sure that the prophylactic antibiotics medication will be necessary.

• Journal of Dental Anesthesia and Pain Medicine
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• 제20권4호
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• pp.203-212
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• 2020

Background: This research evaluated the numbness produced by lignocaine at an equal or higher concentration than that of 4% articaine through a single point of injection for maxillary third molar surgery. This randomized double-blind study was conducted to compare the anesthetic efficiency of 4% lignocaine with that of 4% articaine in impacted maxillary third molar surgery using a single buccal infiltration alone. Methods: The study participants were 30 healthy patients requiring the bilateral surgical removal of symmetrically-positioned maxillary third molars. Using a split-mouth design, each patient randomly received buccal infiltration of 1.7 ml of 4% lignocaine and 1.7 ml of 4% articaine during two separate appointments. After 15 minutes of anesthetic injection, surgery was performed by the same surgeon using a consistent technique on both sides. Pinprick test pain scores of the buccal and palatal gingiva of the maxillary third molar after 10 minutes and 15 minutes latencies, pain scores during the surgery, the need for supplemental anesthesia, and patients' satisfaction with anesthetic efficiency were recorded. Surgery performed without supplemental anesthesia was categorized as successful. Results: The success rates of 4% lignocaine and 4% articaine (83.34% vs. 86.67%, P = 1.00) were not significantly different. Only 5 cases (4 cases in the articaine group and 1 case in the lignocaine group) reported mild pain and pressure sensation (NRS ≤ 1) on probing at the palatal side after 15 minutes of latency (P = 0.25). The pain scores of maxillary third molar surgery in the two groups were not significantly different (P > 0.05). Moreover, the statistical analysis confirmed the comparable patient satisfaction of two study groups (P = 0.284). Conclusion: This study provides evidence that single buccal infiltrations of 4% lignocaine and 4% articaine have comparable anesthetic efficacy and success rates for impacted maxillary third molar surgery. Both 4% lignocaine and 4% articaine can produce effective palatal anesthesia and pain control using buccal infiltration alone after 15 minutes of latency.

• 치위생과학회지
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• 제8권1호
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• pp.1-6
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• 2008

부산 시내에 소재하는 1곳의 치과의원에 영구치 발치를 위해 내원한 1,119명의 환자의 1,878개 치아를 대상으로, 발거원인 비중 및 발거연령을 조사한 본 연구에서 얻은 결론은 다음과 같다. 1. 발거된 영구치아의 발거원인으로는 치아우식증 25.9%, 치주병 56.5%로 나타났다. 2. 30대 전에는 치아우식증에 의한 발거가 치주병에 의한 발거보다 많았으며, 30대 이후부터는 치주질환에 의한 발거가 치아우식증에 의한 발거보다 많았다. 3. 영구치의 발거빈도를 비교하면, 남자가 여자보다, 상악이 하악보다 발거빈도가 높게 나타났다. 4. 가장 많이 발거하는 치아는 제3대구치로 주로 지치주위염 및 맹출 장애로 발거되었다. 5. 치아 중에서 하악 견치가 가장 오래 생존하였으며, 제3대구치를 제외하고 하악 제1대구치가 가장 먼저 발거하였다. 이런 결과는 구강건강의 최대 파괴현상인 치아의 발거원인과 발거연령을 분석하여 구강보건 문제를 해결하는 데 기초자료로 도움이 되리라 사료된다.

• 대한구순구개열학회지
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• 제16권1호
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• pp.25-35
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• 2013

We report the treatment of an adult Class II malocclusion with severe crowding and a hopeless lower second molar. According to the treatment plan, 4 premolars and 4 third molars were to be extracted for 2-jaw surgery. To replace the hopeless lower second molar, one upper third molar was successfully autotransplanted during the pre-surgical orthodontic treatment. Multiple teeth are frequently extracted for treatment purposes in adult surgical cases. Under precise diagnosis, the reuse of extracted teeth to replace missing teeth can be a successful alternative even in adult surgical patients.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제30권2호
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• pp.191-193
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• 2008

Impacted third molars of the mandible are generally found at or close to the second molar. If the third molar is impacted far distant from its original site, it may be affected by cysts or tumors. Ectopic impaction of third molar in the condyle area is very rare. Furthermore, impaction without cystic lesion is even less common. The etiology of migration of the mandibular third molar without cystic lesion is unknown. So periodical X-ray taking is essential.

• 대한소아치과학회지
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• 제49권1호
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• pp.35-44
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• 2022

이 연구의 목적은 하악 좌측 제3대구치의 치아 성숙도에 대한 한국인의 참고 자료를 제공하고, 하악 좌측 제3대구치의 석회화 단계와 연대기적 연령 사이의 상관관계를 분석 및 치아 발육 단계를 이용하여 연령을 예측할 수 있을지 알아보는 것이다. 연세대학교 치과대학병원에 내원한 만 7 - 23세 사이의 건강한 환자 1653명의 파노라마 방사선 사진을 이용하여 보완된 Demirjian의 방법으로 하악 좌측 제3대구치의 발육 단계를 평가했다. 제3대구치의 석회화는 평균 9세에 시작하였으며 치관과 치근의 형성은 각각 평균 14세, 21세에 완성되었다. 치관의 형성과 치근 길이가 완성되는 발육 단계에서 남성이 여성보다 다소 빨랐으며, 그 차이는 통계적인 유의성을 보였다. 그 외의 발육 단계에서는 남성과 여성 사이의 유의미한 차이는 없었다. 하악 좌측 제3대구치과 연령은 양의 상관관계를 나타냈으며, 제3대구치의 발육 단계를 이용하여 연령을 예측할 수 있었다. 파노라마 방사선 사진을 이용한 하악 좌측 제3대구치의 치아 성숙도 평가 방법을 통하여 제3대구치의 발육 시기를 분석할 수 있었고, 하악 좌측 제3대구치가 연령을 예측하는 수단으로 활용될 수 있음을 알 수 있었다.

• Journal of Periodontal and Implant Science
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• 제34권3호
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• pp.523-533
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• 2004

The purpose of this study was to evaluate the alveolar bone surface following root separation angle in the mandibular second molars. The fifty mandibular second molars(which were extracted) were selected, and the alveolar bone surface following root separation angle of the selected teeth were evaluated. The results were obtained as follows; 1. The root separation angle of fifty mandibular second molars were divided into three groups. The first $group(10-20^{\circ})$ was made up of ten teeth, the second $group(20-30^{\circ})$ was made up of fifteen teeth, and the third group(30-40$^{\circ}$) was made up of twenty-five teeth. 2. The mean root separation angle was $28.1^{\circ}$. The mean alveolar bone rate on the mesial surface of the mesial root was 44.27%, on the distal surface of the mesial root was 36.52%, on the mesial surface of the distal root was 33.45%, and on the distal surface of the distal root was 25.28%. 3. The mean alveolar bone rate on the distal surface of the mesial root, which composed the root separation area, was 32.95% in the first group, 36.06% in the second group, and 38.22% in the third group. The mean alveolar bone rate in the mesial surface of the distal root was 31.40% in the first group, 31.93% in the second group, and 35.18% in the third group. 4. The positive correlation was found between the root separation angle and the alveolar bone rate in the root separation area.(P<0.05) Although the mandibular second molar is a very important tooth in the oral cavity, its treatment and diagnosis is very difficult due to the variation of its root form. When periodontal disease involves the mandibular second molar, the result of this study assists in its treatment and diagnosis.

• Applied Microscopy
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• 제40권1호
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• pp.37-45
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• 2010

포획된 야생의 우수리땃쥐 Crocidura lasiura는 구치의 마모와 높이를 이용하여 3개의 연령군으로 분류하였고 번식과 생식기관의 계절적 변이를 조사하였다. 유수들은 구치에서 마모를 가지지 않았고 세 번째 구치 높이가 첫 번째와 두 번째 구치보다 낮았고 비번식상태만을 가졌다. 아성수들은 약간의 마모를 가졌고 세 번째 구치가 첫 번째와 두 번째 구치 높이에 도달했고 성수들은 구치에 깊은 마모를 가졌으며 아성수와 성수는 계절에 따라 번식 혹은 비번식상태를 가졌다. 조직학적 관찰을 근거로 아성수와 성수 수컷의 번식상태는 2월 초에서 10월 초까지 유지되었고 4월에 가장 높은 번식활동을 보였으며 암컷의 번식 상태는 3월 말에서 10월까지 유지되어, 수컷이 암컷보다 빨리 성적 성숙에 이르는 것으로 밝혀졌다. 반면 번식상태는 비번식기 동안 중단되며 이것은 식량자원인 토양 무척추동물의 부족때문이라 생각된다. 번식기의 아성수와 성수들은 많은 생식세포들로 채워진 확장된 세정관을 가지는 큰 정소와 많은 정자들을 가진 팽창된 부정소 미부를 가졌고 10.0 g 이상의 몸무게와 0.03 g 이상의 정소와 부정소 무게를 가졌다. 번식기의 암컷들은 4~6개의 새끼를 가진 임신상태이거나 난소에 성숙난포들과 황체를 가졌고 9.6 g 이상의 몸무게를 가졌다.

• Restorative Dentistry and Endodontics
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• 제17권2호
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• pp.399-412
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• 1992

The purpose of this study was to evaluate the root canal transportation and remaining dentin / cementum thickness after using hand and ultrasonic instrumentation in the curved mesial root canals of extracted human mandibular molars. Fourty - six clear polyether blocks were made and randomly divided into two groups: hand instrumentation group with K - Flex files and ultrasonic instrumentation group with Suprasson SP unit. All root canals were instrumented to a size corresponding to a # 30 K - Flex file 1mm short from the radiographic apex. The roots were then sectioned perpendicular to the long axis so the apical and middle third could be evaluated with the Zoom stereomicroscope. The results were as follows : 1. In the total amount of removed dentin at middle third level, there was not significant difference between the hand instrumentation and ultrasonic instrumentation (P>0.05). 2. In the total amount of removed dentin at apical third level, there was more removed by the ultrasonic instrumentation than hand instrumentation(P<0.005). 3. In the transportation width, there was not significant difference between the two groups at both sectioned levels(P>0.05). 4. It was suggested that the canal was transported distally at middle third level and mesially at apical third level by booth techniques.