• Imaging Science in Dentistry
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• 제35권4호
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• pp.225-229
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• 2005

Cleidocranial dysplasia is a rare, autosomal dominant congenital disorder. A 12-year old female visited with chief complaint of unerupted permanent teeth. Also her father showed severe class III malocclusion. The extraoral radiography and computed tomography showed delayed closure of the cranial sutures and underdevelopment of maxilla, maxillary sinuses, and frontal sinus. Both clavicles were underdeveloped and thoracic rib cage was bell­shaped. Both zygomatic process appeared as hypoplastic feature. There were many unerupted permanent and supernumerary teeth in the maxilla and mandible. We examined location and number of the unerupted teeth using 3D CT. Finally we could conclude this case was cleidocranial dysplasia based on the clinico-radiologic findings.

• 대한치과교정학회지
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• 제40권4호
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• pp.267-275
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• 2010

이번 연구의 목적은 맹출 또는 미맹출된 치아에 교정용 버튼을 부착 후 자가부식 접착제(self-etching adhesive)의 사용 유무에 대한 전단결합강도(shear bond strength)와 탈락모드를 비교하고자 함이다. 각각 84개의 맹출 또는 미맹출된 제3대구치를 사용하였다. 각각 치아의 협측면을 다음의 부착시스템 그룹으로 할당하였다. A, 기존방식: 1, Transbond XT (3M Unitek); 2, Prime & Bond NT (Dentsply/Caulk); 3, Single Bond (3M ESPE); B, 자가부식 접착제; 4, Clearfil SE Bond (Kuraray); 5, Transbond Plus (3M Unitek); 6, Clearfil S3 (Kuraray); 7, G Bond (GC). 부착물의 전단강도와 접착제 잔류지수를 측정하였으며 결과값은 ANOVA와 independent t-test 및 chi-square 검증을 통해 분석되었다. 맹출 또는 미맹출된 치아의 전단결합강도를 비교하였을 때 Clearfil SE와 G Bond에서 유의한 차이가 관찰되었다. Single Bond를 제외한 모든 접착시스템에서 맹출보다는 미맹출 치아면에서 높은 접착강도가 관찰되었다. 기존 접착제를 사용하는 경우 맹출 또는 미맹출 치아에 대한 접착강도에는 차이가 없을 수 있다. 그러나 임상의사는 사용 전에 self-etching system의 종류를 고려할 필요가 있다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제15권2호
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• pp.105-112
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• 1993

좌측 상악 구치부와 협부의 무통성 종창을 주소로 내원한 16세 여자의 좌측 상악동에서 다량의 석회화 침착과 미맹출지를 포항한 COC 1예를 구내 접근법을 통해 외과적으로 제거하였다. 적출물은 $50{\times}40{\times}35mm$의 크기였고 낭종벽으로 잘 피낭되어 있었다. 조직학적으로는 잘 발달된 상피 내벽과 ghost cell이 나타나 COC의 소견을 보였으며 석회화물은 complex odontoma의 양상을 보여 COC의 type IB로 분류되었다. 술후 1년이 지난 현재 안모의 개선을 나타내고 있으며 재발의 증상 없이 양호한 경과를 보여주고 있다.

• 치과방사선
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• 제29권1호
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• pp.275-282
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• 1999

Purpose: The objective of this study was to compare clinical examination of dental caries and secondary caries with panoramic examination. and to examine bone lesions and dental anomaly of unerupted state. Materials and Methods: In this study. clinical records and panoramic radiographs were available for 89 first grade students in elementary school. Dental caries of occlusal surfaces. proximal surfaces. and buccolingual surfaces were examined. Secondary caries was examined too. In addition. the central lesion and dental anomaly of unerupted state were examined in panoramic radiographs. Results: The obtained results were as followed: 1. Carious detectability of clinical examination in occlusal and buccolingual surface was higher than that of panoramic examination. but it is statistically insignificant(p>0.05). In proximal surface. carious detect ability of panoramic examination was higher than that of clinical examination. and it is statistically significant(p<0.01). 2. In contrast to clinical examination only. when the two examination methods were combined. there was additional detection of dental caries(26.7％ in occlusal surface. 48.2％ in proximal surface. 33.3％ in buccolingual surface. and 38.3％ totally). 3. In detection of secondary caries. panoramic examination had lower ability than clinical examination in all three surfaces. but in case that both methods were combined. totally 36.0％ extra carious lesions were detected. 4. In panoramic examination. detectability of secondary caries in upper teeth is lower than lower teeth. 5. In panoramic examination. it was possible to detect the central lesions and dental anomalies of unerupted state which cannot be detected in clinical examination. Conclusion: It is useful to combine the panoramic examination with clinical examination in order to increase carious detectability and to evaluate the central lesions and dental anomalies of unerupted state

• Imaging Science in Dentistry
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• 제33권4호
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• pp.217-221
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• 2003

Purpose : To evaluate the use of the vertical tube shift from a panoramic film and a periapical film to localize unerupted maxillary incisors and supernumeraries. Materials and Methods : The total of 103 displaced maxillary incisors or embedded supernumeraries were examined in this study. The vertical tube shift technique with panoramic and periapical radiography by normal projection taken and compared to localize the position of the embedded maxillary incisors or supernumeraries by a radiologist and 5 general dentists. The gold standard used for the radiographic comparisons was the true position of the embedded tooth as confirmed by horizontal tube shift technique using three periapical radiographs. The general dentist examiners were instructed on the use of the modified acronym 'SLDOBU' by the radiologist as it pertains to panoramic radiographs as the principle of vertical tube shift. Results: All of the embedded maxillary incisors and supernumeraries were successfully located using the vertical tube shift from a panoramic and a maxillary anterior periapical radiograph by the radiologist and 5 general dentists. Conclusion: The use of a panoramic film with a periapical film combination for a vertical tube shift can be useful to localize unerupted maxillary incisors and supernumeraries.

• 대한치과의사협회지
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• 제15권1호
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• pp.27-31
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• 1977

Dentigerous cysts are closed epithelium-lined sacs formed about the crowns of unerupted teeth. Most of them probably are the result of degenerative changes in the reduced enamel epithelium. The authors observed 1 3 year old girl with a swelling and buccal bony expansion of the left mandible. Roentgen examination showed a cystic area in the left side of mandible. Under general anesthesia by means of nasotracheal intubation, intraorally, the operation by enucleation consisted in surgical removal of dentigerous cyst and the left unerupted Ist molar of mandible. The cavity was partially sutured and packed with iodoform gauze. Healing was uneventful.

• 치과방사선
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• 제13권1호
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• pp.139-143
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• 1983

A 18-year-old man had a painless swelling in the right anterior portion of maxilla for 2 years. On radiographic examination, a radiolucent region that was not associated with an unerupted tooth was seen. Small scattered radiopaque foci were seen in the cystic lumen. At second case, a 16-year-old girl had a painless swelling in the anterior portion of maxilla for 3 years. On radiographic examination, a radiolucent region that associated with an unerupted tooth was seen. Multiple scattered radiopaque foci were seen in the radiolucent cystic lumen. With the patient under local anesthesia, well encapsulated tumors were enucleated. The diagnosis made in the pathologist's report was Adenomatoid Odontogenic Tumor, benign lesion often having distinct clinical and radiographic features.

• 대한소아치과학회지
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• 제25권3호
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• pp.613-618
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• 1998

A dentigerous cyst is an epithelium-lined sac that surrounds the crown of an impacted, embedded, or unerupted tooth. Many surgical procedures have been described for the elimination of dentigerous cyst, but they can be devided into two basic group: enucleation and marsupialization. Marsupialization is a conservative technique which allows the reduction or elimination of a cystic lesion by making it an accessory compartment to the oral cavity and it is the best way to conserve a tooth affected by dentigerous cyst and to permit its eruption, especially in young patient. After using marsupialization to treat dentigerous cyst associated with the crown of unerupted premolar in young patient, the results were as follows: 1. Reduction of bony expansion and rapid bone regeneration without infection and recurrence were observed. 2. Normally spontaneous eruption of involved teeth were permitted, as well as loss of affected tooth was avoided. 3. Follow-up examinations revealed no complication and recurrence.

• 대한치과교정학회지
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• 제15권1호
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• pp.67-74
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• 1985

The primary objective of this study is to make the prediction percentile tabulation of the sun of mesiodistal width of the unerupted permanent canines and premolars derived from the sum of mesiodistal width of the erupted permanent mandibular incisors in Korean population. The subjects were 316 individuals with normal occlusion aged 11 to 23 years. The sum of mesiodistal width of mandibular incisors, and the sum of mesiodistal width of maxillary canine, first and second premolars, and the sum of mandibular canine, first and second premolars were measured from the dental cast models using the sliding caliper (Mitutoyo Co.). From the study, the results are as follows: 1. The sum of M-D width of mandibular incisors and the sum of M-D width of maxillary canines, first and second premolars, and the sum of M-D width of mandibular canine, first and second premolars were smaller than those of American Caucasians and Negros. 2. The correlation coefficient between the sum of M-D width of mandibular incisors and that of maxillary or mandibular canines, first and second premolars was found to be 0.598 and 0.586, respectively. 3. The regression constants were determined to evaluate the sum of M-D width of the unerupted permanent canines and premolars derived from the sum of M-D width of the erupted permanent incisors. 4. The prediction percentile tabulation were made in an attempt to predict the total M-D width of the unerupted permanent canines and premolars derived from the total M-D width of the erupted permanent mandibular incisors.

• 대한소아치과학회지
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• 제34권3호
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• pp.430-437
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• 2007

현재 혼합치열 분석 방법으로 가장 널리 사용되고 있는 Moyers의 예측표나 Tanaka와 Johnston의 예측방정식은 북유럽 인종의 백인 자료를 바탕으로 만들어졌기 때문에 한국인에게 적용하기에는 무리가 있다. 또한 최근에는 이들이 제시한 하악 전치에 기초한 방법이 미맹출 견치와 소구치 폭경의 합을 예측하기 위한 최적의 예측인자인지에 대해서도 의문이 제기되고 있다. 본 연구의 목적은 한국인 집단을 대상으로 미맹출 견치와 소구치의 근원심 폭경을 예측하기 위한 최적의 예측인자가 어떤 치아의 조합인지 밝히고, 그 조합을 이용한 예측 방정식을 제시하며, 새로운 예측 방정식의 임상 적용을 위해 그 타당성을 검증하는 것이다. 완전한 영구치열을 가진 성인 178명(남자 108명, 여자 70명, 평균 나이 21.63세)의 자료를 기초로 예측방정식을 도출하였으며, 53명의 청소년(남자 25명, 여자 28명, 평균 나이 14.22세)으로 검증집단을 구성하여 그 타당성을 검증하였다. 그 결과 다음과 같은 결론을 얻었다. 1. 한국인 혼합치열기 청소년에서 미맹출 견치와 소구치 폭경의 합을 예측하기 위한 최적의 치아 조합은 상악 중절치, 하악 측절치, 상악 제1대구치 폭경의 합이었다($r=0.65{\sim}0.80$). 2. 상악 중절치, 하악 측절치, 상악 제1대구치 폭경의 합을 기초로 하고 부가적인 설명 변수로 성별과 악궁을 포함시켜 계산한 예측 방정식은 다음과 같이 계산되었다. 남자, 상악: $Y\;=\;0.332{\times}X_0\;+\;6.195$ 남자, 하악: $Y\;=\;0.332{\times}X_0\;+\;5.269$ 여자, 상악: $Y\;=\;0.332{\times}X_0\;+\;5.929$ 여자, 하악: $Y\;=\;0.332{\times}X_0\;+\;5.003$ 예측 방정식의 설명력은 64%였으며 표준오차(SEE)는 0.71mm였다. 3. 새로운 예측 방정식을 검증 집단에 적용하여 검증한 결과, 약 97%에서 실제 측정한 견치와 소구치 폭경의 합과 예측치와의 차이가 1mm 이하였다.