• Title/Summary/Keyword: Tooth development

검색결과 601건 처리시간 0.028초

양측에서 발생된 함치성 낭종의 치험례 (CASE OF BILATERAL DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION)

  • 유정은;최영철;이긍호
    • 대한소아치과학회지
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    • 제29권2호
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    • pp.196-203
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    • 2002
  • 함치성 낭종은 흔한 발육성 낭종이지만 양측성 함치성 낭종은 극히 드물다. 양측성 또는 다발성 함치성 낭종은 일반적으로 다양한 syndrome과 연관된다. 본 증례는 특별한 전신질환이나 syndrome이 없이 5세 3개월에 하악 우측 제 1소구치에서, 이후 7세 6개월에 하악 좌측 제 1소구치에서 함치성 낭종이 발생하였으며, 조대술을 시행한 후, 환아의 임상적, 방사선학적 관찰 및 치료에서 다음과 같은 지견을 얻었기에 보고하는 바이다. 1. 낭종의 크기가 큰 경우의 치료 방법으로 적출술보다 조대술이 선택될 수 있다. 2. 조대술은 치아의 맹출력이 있는 연령에 발생된 함치성 낭종에서 dentoalveolar structure를 가능한 보존하고, 낭종에 이환된 치아의 맹출을 기대하는 목적으로 이용된다. 3. 양측성 또는 다발성 함치성 낭종은 다양한 syndrome과 함께 발견되는 것이 일반적이나, 본 증례는 syndrome과의 연관성 없이 하악 우측과 좌측 소구치부에서 함치성 낭종이 발생되었으며, 향후 또 발생할 가능성에 대하여 환자 및 보호자에게 사전에 알리는 것이 필요하다고 생각된다.

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괴사유치(壞死乳齒)의 보존적 처치에 관한 연구 (A CLINICAL AND RADIOGRAPHIC STUDY OF THE CONSERVATIVE TREATMENT OF THE NECROTIC AND INFECTED PRIMARY MOLARS)

  • 허노정;양정강
    • 대한소아치과학회지
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    • 제2권1호
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    • pp.67-75
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    • 1975
  • The conserative treatment of the necrotic and infected primary molars is often necessary in order to avoid extractions which may lead to inability to masticate or loss of space and subsequent problems concerning the development of the occlusion in the permanent dentition. The purpose of this study was to evaluate the clinical significance of the conservative treatment of the infected primary molars with necrotic pulps employing the formocresol pulpotomy technique same as in vital teeth and surgical intervention in the cases with a parulis, fistula or cellulitis. The materials consisted of 25 primary molars of 9 boys and 4 girls ranging in age from 4 to 7 years. This study included clinical and radiographic observation at 3-month intervals postoperatively. The following results were obtained. 1. Clinically, 20 cases of 25 were successful, exhibiting no clinical problems such as fistula, mobility, toothache and tenderness to percussion, etc. 5 cases were regarded as failures. 2. Radiographiclly, 14 cases revealed normal features, in 6 cases slight rarefaction was observed in the periapical and interradicular region, and marked periapical and interradicular rarefaction was observed in 5 cases. 3. Marked bony deposition was observed in the periapical and interradicular regions in all the remainder except for 5 failurese. 4. Pathologic root resorption was observed in 2 cases. 5. No alveolodental ankylosis was observed. 6. Regeneration of the dental sac of the permanent tooth was observed in 1 case of 2 cases which had revealed loss of the dental sac.

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치아종에 의한 유치의 매복: 증례 보고 (IMPACTION OF PRIMARY TEETH ASSOCIATED WITH ODONTOMA: CASE REPORTS)

  • 김정우;현홍근;김영재;김정욱;장기택;김종철;한세현;이상훈
    • 대한소아치과학회지
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    • 제39권1호
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    • pp.36-42
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    • 2012
  • 치아종은 유치나 영구치배의 지속적인 치배 형성이나 법랑기 세포들의 비정상적인 증식의 결과로 발생하는 방사선 불투과성 병소로, 비교적 흔한 치원성 종양이며 인접한 치아의 맹출을 방해 할 수 있다. 치아종은 영구치열기에서 주로 관찰되고, 유치열기에서는 매우 드문 것으로 보고되고 있다. 본 증례 보고에서는 치아종에 의해 매복된 유치가 치아종의 외과적 발거 후 자연 맹출된 증례들을 보고하고자 한다. 매복유치는 계승 영구치의 발육과 맹출 문제를 야기할 수 있기 때문에 치아종이 제거된 후에도 계승 영구치가 맹출할 때까지 장기적인 검사 및 관찰이 필요하다.

부산시에 거주하는 9~10세 어린이의 치아침식증 유병률과 관련된 위험요소 (PREVALENCE AND ASSOCIATED RISK FACTORS OF DENTAL EROSION IN 9- AND 10-YEAR-OLD CHILDREN IN BUSAN)

  • 유성구;이창한;정태성;김신
    • 대한소아치과학회지
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    • 제40권1호
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    • pp.11-20
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    • 2013
  • 치아침식증의 유병률은 어린이에서 증가추세에 있고 전 세계적인 관심 또한 증가하고 있으나, 우리나라에서는 이에 대한 연구적, 임상적 관심이 아직 미미한 수준이다. 본 연구는 탈락에 근접한 최종 단계의 유구치 침식의 유병률과 심도, 그리고 이와 관련된 위험인자를 조사할 목적으로 수행되었다. 788명의 어린이를 대상으로 구강 검진을 시행하였다. Modified Linkosalo & Markkanen system을 이용하여 침식성 병소를 분류하였고, 보호자를 대상으로 침식성 음식과 음료 섭취의 빈도와 소비 방법에 관련된 정보를 포함한 설문 조사를 시행하였다. 그 결과 231명(27%)의 어린이에서 치아침식증이 관찰되었고, 하악좌측제1유구치에서 가장 호발하였다. 위험인자 분석에 따르면 잦은 탄산음료와 과일주스에서 섭취 빈도는 침식의 발생과 유의한 관련성이 있었고(p < 0.05), 빨대를 이용해서 과일주스를 섭취할 때 유의하게 침식 발생이 감소하였다(p < 0.05).

다발성 외골증을 가진 치주염 환자의 삭제형 골수술에 대한 증례 보고 (Resective osseous surgery for multiple bony exostoses of the periodontal patient: A case report)

  • 이인경;임현창;이중석;최성호;채중규;정의원
    • 대한치과의사협회지
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    • 제52권12호
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    • pp.762-770
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    • 2014
  • Bony exostosis, one of the osseous deformities, could act as a contributing factor of periodontal disease since it makes proper tooth brushing difficult and causes traumatic ulcer. The purpose of this case report is to show improvement of periodontal health by removal of bony exostoses and creation of physiologic osseous form. A 58 year-old female patient with recurrent ulcer and pain on bony exostoses located on left maxillary palatal area and both mandibular buccal areas was treated. Exostoses were removed and physiologically positive osseous form was created following vertical grooving, radicular blending, flattening interproximal bone and gradualizing marginal bone. The patient showed no further recurring traumatic ulcer and bone exposure. Moreover, periodontal pocket was eliminated and food impaction was decreased. In conclusion, periodontal health could be achieved through removal of multiple bony exostoses and development of ideal osseous form.

치과용 레이저 조사가 배양 치수 섬유모세포에 미치는 영향에 관한 연구 (The EFFECTS OF DENTAL LASER ON PULP FIBROBLAST IN VITRO)

  • 정혜전;민병순
    • Restorative Dentistry and Endodontics
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    • 제22권2호
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    • pp.519-535
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    • 1997
  • The responses of human pulp fibroblastic cells to Ga-As Semi-Conductor-Dens-Bio Laser (Frequency: 5 Hz~10,000 Hz Model: SD-101A RCA, U.SA)) were examined in vitro using pulp fibroblastic cells obtained from the pulp tissue of human tooth. The mitogenic effect of soft laser was assessed by measuring the MTT assay. The morphologic effect for soft laser showed under the scanning and transmission electron microscopy. The results as follows; 1. The mitogenic response of the soft laser was not observed until 4th time of radiation, while the mitogenic response at 4th time increased mitogenic effect by as much as 1.7 fold compared to the control value. 2. The mitogenic response of the soft laser on pulp fibroblast differ from the mitogenic response on other fibroblasts. 3. In scanning electron microscopic study, The microvilli of cell surface increased gradually with width and length after laser radiation, it demonstrate that development of microvilli have close connection with differentiation of cells. 4. Under the transmission electron microscope, The laser-treated cells maintained their elongated shape and a high degree of cellular polarization. The large cell body containing a well developed Golgi complex, a large number of profiles of rough endoplasmic reticulum, and great numbers of mitochondria. 5. The laser-treated cells maintained the long straight bundles of closely apposed microfilaments or individual filaments forming a cross-linked network. These findings suggest that the laser may have important roles in promotion of pulp healing and consequently may be useful for clinical application in pulp regenerative procedures.

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유기산 완충용액의 포화도가 법랑질 및 상아질의 재광화에 미치는 영향과 수산화인회석의 AFM 관찰 (THE EFFECTS OF THE DEGREE OF SATURATION OF ACIDULATED BUFFER SOLUTIONS IN ENAMEL AND DENTIN REMINERALIZATION AND AFM OBSERVATION OF HYDROXYAPATITE CRYSTALS)

  • 박정원;허복;이찬영
    • Restorative Dentistry and Endodontics
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    • 제25권3호
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    • pp.459-473
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    • 2000
  • Dental caries is the most common disease in the maxillofacial area. There are many factors contributing to its development, but complete understanding and prevention is not fully known. Since the structure of the coronal and root portion of the tooth is different, the remineralization and demineralization process is also known to be different. In this study, by using a partially saturated buffer solution, we created artificial enamel and dentin caries and evaluated mineral loss. A remineralization solution with four different degrees of saturation (degree of saturation ; group 1, 0.268, group 2, 0.309, group 3, 0.339, group 4, 0.390, PH 4.3, F-2ppm) was used on a demineralized specimen. The mineral precipitating quantity and depth was evaluated by using microradiography. Using an atomic force microscope (AFM), hydroxyapatite crystals of normal, demineralized, and remineralized enamel and dentin were evaluated. The results were as follows: 1. As the degree of saturation of the remineralizing solution increased, the mineral precipitation in the enamel was increased. In group 4, mineral precipitation was limited near the surface. 2. As the degree of saturation of the remineralizing solution increased, the mineral precipitation in the dentin was decreased and it occurred in a deeper portion. In group 4, however, mineral precipitation occurred on the surface and its quantity increased. 3. There was a statistically significant interaction between enamel and dentin mineral content changes on specimens treated with remineralization and demineralization solution (demineralization r=0.44, remineralization r=0.44, p<0.05). 4. Demineralized hydroxyapatite crystals showed central and peripheral dissolving and widening of intercrystal spaces under the AFM. 5. In dentin remineralization small crystal precipitation occurred between the large crystals. We conclude that by adjusting acidulated buffer solution's degree of saturation, we can control enamel and dentin remineralization. In addition, the AFM is highly useful in evaluating changes in remineralized and demineralized hydroxyapatite crystals.

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니트 자카드 조직의 특성에 관한 연구 (A Study on the Properties of Knit Jacquard Structure)

  • 기희숙
    • 한국의상디자인학회지
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    • 제17권4호
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    • pp.77-90
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    • 2015
  • This study is to designed to provide foundation for knit design which can apply the thickness and flexibility of jacquard knit by analyzing and comparing mechanical properties of 7 types of jacquard (normal jacquard, bird's eye jacquard, floating jacquard, tubular jacquard, ladder's back jacquard, blister jacquard, transfer jacquard) widely used in knit design to achieve the results. The sample was projected by using 7 gauge and SES-122S type computer knitting machine house tooth pattern with two colors were applied to 7 types of jacquard using Acrylic/Wool(30%/70%) $2/50.5^{\prime}s{\times}4ply\;yarn$ by Shimaseiki MFG., Ltd computer knitting machine. The mechanical properties of 7 types of jacquard samples were measured using KES-FB (Kawabata Evaluation System for Fabric, Kata Tech Co. Ltd). HV(Hand Value) and THV (Total Hand Value) were calculated by using the formula of KN-402-KT and KN-301-WINTER respectively. The measurements were evaluated by 0-to-5 rating scale. As result, the floating jacquard was found to have excellent drape, making it suitable for express feminine silhouette with its most flexible and smooth touch. On the other hand, bird's eye jacquard is adequate for a suit jacket and coat regarding its excellent volume and flexibility. Blister jacquard and tubular jacquard are thick, heavy and stiff knit and both are suitable for simple box-style design. Ladder's back jacquard, however, is more appropriate for expressing the design of feminine charm and voluminous design. Based on the result of this study, it is supposed to provide basic information for development of knit industry regarding jacquard knit by designing the creative knit wear with high production efficiency.

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$SCANORA^{(R)}$를 이용한 Mesiodens의 진단 (DIAGNOSIS OF MESIODENS BY $SCANORA^{(R)}$)

  • 전형준;김종수;권순원
    • 대한소아치과학회지
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    • 제27권4호
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    • pp.490-493
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    • 2000
  • 정중과잉치는 과잉치중 가장 흔한 양상이며, 여러 가지 합병증이 생길 수가 있다. 이러한 합병증이 있음에도 불구하고 항상 발견 즉시 외과적 발거를 하는 것이 최선의 방법은 아니다. 여러 가지 상황을 고려하여 외과적 발거를 연기해야할 경우가 있으며 이때 정확한 진단이 필수적이다. 진단은 주로 방사선학적 검사에 의존하게 되며 정중과잉치의 수, 위치, 방향의 판단에 중요하다. 그간 정중과잉치의 진단에 이용되었던 방사선 사진은 각각의 장단점이 있다. $SCANORA^{(R)}$(Soredex, Finland)는 narrow beam radiology와 spiral tomograph의 원리를 이용한 다기능 두부촬영장치이다. 정중과잉치의 정확한 위치를 결정하기 위해 tube shift technique을 이용한 방법이 주로 사용되고 있으나 $SCANORA^{(R)}$를 이용해 비교적 간단하고 정확히 진단할 수 있었기에 보고하는 바이다.

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외과적 재위치와 교정적 정출술을 이용한 함입된 외상치의 치험례 (TREATMENT OF THE INTRUDED PERMANENT INCISORS : SURGICAL REPOSITION AND ORTHODONTIC TRACTION)

  • 신지선;김종수
    • 대한소아치과학회지
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    • 제30권4호
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    • pp.654-659
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    • 2003
  • 영구 치열에서 3% 가량 발생하는 함입 탈구는 전치부에 호발하고 치수 괴사, 치근 흡수, 변연 치조골 상실 등의 합병증을 동반할 수 있으며 이는 함입의 정도와 치근 발육 상태 등에 의해 달라질 수 있다. 함입 탈구된 치아의 이상적인 치료 방법은 아직 제시된 것이 없으며 현재 가능한 치료 방법으로 소개 된 것은 자발적 맹출을 기다리거나, 외과적으로 재위치하는 방법, 교정적 정출술 등이 있다. 본 증례는 자발적 맹출을 기다렸으나 맹출 소견이 보여지지 않아 교정적으로 원래 위치까지 정출시킨 경우와 파절을 동반해 질이 함입된 영구 전치를 외과적으로 한번에 재위치시킨 후 치근첨 형성술을 시행하여 치료한 두 환아의 함입치가 비교적 양호한 임상적 결과를 얻었기에 보고하는 바이다.

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