• Title/Summary/Keyword: dental hard tissue

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A ROENTGENOCEPHALOMETRIC STUDY FOR THE ACCEPTABLE PROFILE IN KOREAN ADULTS (한국성인의 측모에 관한 두부방사선학적 연구)

  • Lee You Dong;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.20 no.1
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    • pp.19-27
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    • 1990
  • The primary objective of this study was to analyze the hard and soft tissue profile and comparison of the both sexes in Korean adults using roentgenocephalometry. The subjects were 122 males and 116 females from 18 to 22 years of age selected on the basis of their excellent occlusion and harmonious profile. It was an investigation about the interrelationships in the angles which consisted of Frankfort horizontal plane (FH plane), Sella Nasion plane (SN plane), Nasal floor plane (NF plane) and Mandibular plane (Md plane) as reference planes, and of the axial inclinations of the upper anterior tooth to Nasal floor plane (NF Plane) and of the lower anterior tooth to Mandibular plane (Md Plane). Among the 14 categories estabilishied on the soft tissue land marks, the 6 categories were studied for the relationship to Frankfort horizontal plane (FH Plane), and the 8 categories were studied for the soft tissue contour. The results were as follows: 1. Among 8 measured angles in the hard tissue, the angle of FH-Md, NF-Md and SN-Md were greater in females than in males. 2. The axial inclinations of the anterior teeth to NF Plane and Md plane were slightly greater in males than In females. 3. Among 14 measured angles in the soft tissue, the angles of G-Sn-P and E-Pog-Sn were greater in males, and FH-G-Sn, GㆍSn-Sn. Pog and Pog-Sn-P were greater in females. 4. In males, the variability of measured values in both lips region were high.

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The Development of New Biomaterial for Restoration of Hard Tissue Defects (경조직 결손 수복을 위한 새로운 생체재료의 개발)

  • Kim, Young-Kyun
    • The Journal of the Korean dental association
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    • v.36 no.4 s.347
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    • pp.289-295
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    • 1998
  • Toothash and Plaster of Paris(Calcium sulfate) mixture have been studied for development of new biomaterial since 1992. I have performed the experimental and clinical study for evaluation of biocompatibility and possibility of bony defect reconstruction and clinical application. These materials are biocompatible, osteoconductive and resorbable. Main component of toothash is hydroxylapatite. In the future, I will perform the systematic construction of material and additional research.

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Bone Graft in Immediate Implantation after Anterior Tooth Extraction (발치즉시 임플란트 식립시 골이식)

  • Kim, Young-Kyun
    • The Journal of the Korean dental association
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    • v.55 no.10
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    • pp.725-732
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    • 2017
  • Thin labial plate will be resorbed after extraction. Immediate implantation cannot prevent soft and hard tissue loss. Bone graft can be necessary in the immediate implantation after anterior tooth extraction. Slowly-resorbed or non-resorbable bone graft material have many advantages in esthetic area because of maintenance of volume. The clinicians should select the adequate cases of immediate implantation according to the indication and contraindication.

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Midfacial soft tissue changes after maxillary expansion using micro-implant-supported maxillary skeletal expanders in young adults: A retrospective study

  • Nguyen, Hieu;Shin, Jeong Won;Giap, Hai-Van;Kim, Ki Beom;Chae, Hwa Sung;Kim, Young Ho;Choi, Hae Won
    • The korean journal of orthodontics
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    • v.51 no.3
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    • pp.145-156
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    • 2021
  • Objective: The aim of this retrospective study was to assess the midfacial soft tissue changes following maxillary expansion using micro-implant-supported maxillary skeletal expanders (MSEs) in young adults by cone-beam computerized tomography (CBCT) and to evaluate the correlations between hard and soft tissue changes after MSE usage. Methods: Twenty patients (mean age, 22.4 years; range, 17.6-27.1) with maxillary transverse deficiency treated with MSEs were selected. Mean expansion amount was 6.5 mm. CBCT images taken before and after expansion were superimposed to measure the changes in soft and hard tissue landmarks. Statistical analyses were performed using paired t-test and Pearson's correlation analysis on the basis of the normality of data. Results: Average lateral movement of the cheek points was 1.35 mm (right) and 1.08 mm (left), and that of the alar curvature points was 1.03 mm (right) and 1.02 mm (left). Average forward displacement of the cheek points was 0.59 mm (right) and 0.44 mm (left), and that of the alar curvature points was 0.61 mm (right) and 0.77 mm (left) (p < 0.05). Anterior nasal spine (ANS), posterior nasal spine (PNS), and alveolar bone width showed significant increments (p < 0.05). Changes in the cheek and alar curvature points on both sides significantly correlated with hard tissue changes (p < 0.05). Conclusions: Maxillary expansion using MSEs resulted in significant lateral and forward movements of the soft tissues of cheek and alar curvature points on both sides in young adults and correlated with the maxillary suture opening at the ANS and PNS.

A STUDY OF THE EFFECT OF HEAT ON DENTAL HARD TISSUE (열에 의한 치아경조직의 변화에 관한 연구)

  • Cho, Sung-Sik;Kim, Yung-Hai
    • Restorative Dentistry and Endodontics
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    • v.10 no.1
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    • pp.161-168
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    • 1984
  • The purpose of this study was to examine the effect of heat generated by rotating bur on the dental hard tissue in vitro. Freshly extracted molar teeth with normal appearance from early 20's male were collected and experimental teeth were divided into 4 groups and the teeth in each group were prepared class I cavity with different clinical procedures as follows. The four methods were. I. 20,000rpm without coolant II. 20,000rpm with coolant III. 500,000rpm without coolant IV. 500,000rpm with coolant Five teeth were reserved intact as a control group. These teeth were longitudinally split into two parts by means of chisel after class I cavity preparation. In a control group 5 parts were boiled in water for 20 minutes and the other 5 specimens were not boiled. All specimens were immersed in 2% methylene blue dye solution and the image of dye penetration was examined and photographed under stereomicroscope. Followings were the results obtained through the study. 1. In control group, dye penetration of the unboiled specimens was increased than with the boiled group. 2. The specimens prepared cavity without coolant showed decreased dye penetration than with the coolant group. 3. 20,000rpm without coolant group showed the least dye penetration. 4. 500,000rpm with coolant group showed similar level of dye penetration to the unboiled specimens from the control group.

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Deep circumflex iliac artery free flap in the mandibular reconstruction (DCIA를 이용한 하악골 재건술)

  • Won, Ji-Hoon;Kim, Bong-Chul;Kim, Hyung-Jun
    • The Journal of the Korean dental association
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    • v.49 no.9
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    • pp.520-526
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    • 2011
  • Vascularized iliac crest flap include bone tissue of good quality and quantity for mandible segmental defect. Even if fibular flap can contain longer bone tissue, iliac crest has esthetic shape for mandible body reconstruction and large height for implant. Conventional vascularized iliac crest osteomyocutaneous flap is too bulky for reconstruction of intraoral soft tissue defect. But modified flap can reduce soft tissue volume, so is good for functional reconstruction of oral mucosa. It takes only one month for completely replace oral mucosa. The final mucosal texture is much better than other skin paddle flap, especially for implant prosthesis. Donor site morbidity of this method looks same level or less with other modalities functionally and socially. In case of oral mucosa-mandible combined defect, vascularized iliac crest with internal oblique muscle flap shows good outcomes for hard and soft tissue.

The effects of hard and soft tissue grafting and individualization of healing abutments at immediate implants: an experimental study in dogs

  • Thoma, Daniel S.;Jung, Ui-Won;Gil, Alfonso;Kim, Myong Ji;Paeng, Kyeong-Won;Jung, Ronald E.;Fickl, Stefan
    • Journal of Periodontal and Implant Science
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    • v.49 no.3
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    • pp.171-184
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    • 2019
  • Purpose: To evaluate the effects of intra-alveolar socket grafting, subepithelial connective tissue grafts, and individualized abutments on peri-implant hard and soft tissue outcomes following immediate implant placement. Methods: This randomized experimental study employed 5 mongrel dogs, with 4 sites per dog (total of 20 sites). The mesial roots of P3 and P4 were extracted in each hemimandible and immediate dental implants were placed. Each site was randomly assigned to 1 of 4 different treatment groups: standardized healing abutment (control group), alloplastic bone substitute material (BSS) + standardized healing abutment (SA group), BSS + individualized healing abutment (IA group), and BSS + individualized healing abutment + a subepithelial connective tissue graft (IAG group). Clinical, histological, and profilometric analyses were performed. The intergroup differences were calculated using the Bonferroni test, setting statistical significance at P<0.05. Results: Clinically, the control and SA groups demonstrated a coronal shift in the buccal height of the mucosa ($0.88{\pm}0.48mm$ and $0.37{\pm}1.1mm$, respectively). The IA and IAG groups exhibited an apical shift of the mucosa ($-0.7{\pm}1.15mm$ and $-1.1{\pm}0.96mm$, respectively). Histologically, the SA and control groups demonstrated marginal mucosa heights of $4.1{\pm}0.28mm$ and $4.0{\pm}0.53mm$ relative to the implant shoulder, respectively. The IA and IAG groups, in contrast, only showed a height of 2.6mm. In addition, the height of the mucosa in relation to the most coronal buccal bone crest or bone substitute particles was not significantly different among the groups. Volumetrically, the IA group ($-0.73{\pm}0.46mm$) lost less volume on the buccal side than the control ($-0.93{\pm}0.44mm$), SA ($-0.97{\pm}0.73mm$), and IAG ($-0.88{\pm}0.45mm$) groups. Conclusions: The control group demonstrated the most favorable change of height of the margo mucosae and the largest dimensions of the peri-implant soft tissues. However, the addition of a bone substitute material and an individualized healing abutment resulted in slightly better preservation of the peri-implant soft tissue contour.

TREATMENT OF DENTAL CARIES BY ER:YAG LASER IN CHILDREN (소아 환자에서 Er:YAG Laser를 이용한 우식 병소의 처치)

  • Jang, Eun-Young;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.558-563
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    • 2000
  • The lasers have been used in dentistry for more than 30 years and the application of lasers for drilling dental hard tissue has been investigated since the early developement of lasers. Recently, the Er:YAG laser was invented for hard tissue ablation. The Er:YAG laser, having a wavelength of 2.94um, is highly absorbed in both water and hydroxiapatite, leading to a very effective material for hard tissue removal by bursting off the solid tissue component that is, enamel and dentin are removed by the Er :YAG laser by water vaporization and microexplosion, without any melting of inorganic tissues. Therefore, the Er:YAG laser produced round craters with well defined margins and the surrounding tissues had no cracks and no charring. When used for cavity preparation, pulpal damage should not occur if hear buildup is minimized by careful selection of exposure parameters and by use of a water spray. The present study demonstrated that the Er:YAG laser cut the tooth substance adequately for composite resin restoration, without having undesirable side effects such as harmful effects on the pulp, discoloration or cracking etc. Also, the child patients were well cooperative during laser treatment mainly because of little noise, lesser vibration and minimal pain compared to conventional means of cavity preparation.

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Malignant fibrous histiocytoma of the oral and maxillofacial region: a report of three cases

  • Han Dong-Hun;Choi Jeong-Hee;Heo Min-Suk;Lee Sam-Sun;Lee Jin-Koo;Choi Soon-Chul
    • Imaging Science in Dentistry
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    • v.33 no.4
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    • pp.239-244
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    • 2003
  • Malignant fibrous histiocytoma (MFH) is a pleomorphic soft tissue sarcoma. Three cases of MFH were reported in our study. The first case involved in the right infratemporal fossa of a 32-year-old female was presented. MR imaging revealed a 5.0 × 3.3 cm soft tissue mass of inhomogeneous high signal intensity. The second case was found in the right hard palate of a 66-year-old male. CT demonstrated bone destruction and MR imaging showed a 4 × 4 cm sized soft tissue mass of heterogeneous high signal intensity. The final case was found in the left masticator space of a 37-year-old male. The CT image showed a large mass with massive bone destruction of the left mandibular ramus, while the MRI displayed a soft tissue mass, 8 cm diameter. Our cases exhibited the general features of MFH. MRI is essential in the imaging of MFH, namely to depict tumor borders and demonstrate relationships with adjacent structures.

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A review of the regenerative endodontic treatment procedure

  • Lee, Bin-Na;Moon, Jong-Wook;Chang, Hoon-Sang;Hwang, In-Nam;Oh, Won-Mann;Hwang, Yun-Chan
    • Restorative Dentistry and Endodontics
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    • v.40 no.3
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    • pp.179-187
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    • 2015
  • Traditionally, apexification has been used to treat immature permanent teeth that have lost pulp vitality. This technique promotes the formation of an apical barrier to close the open apex so that the filling materials can be confined to the root canal. Because tissue regeneration cannot be achieved with apexification, a new technique called regenerative endodontic treatment was presented recently to treat immature permanent teeth. Regenerative endodontic treatment is a treatment procedure designed to replace damaged pulp tissue with viable tissue which restores the normal function of the pulp-dentin structure. After regenerative endodontic treatment, continued root development and hard tissue deposition on the dentinal wall can occur under ideal circumstances. However, it is difficult to predict the result of regenerative endodontic treatment. Therefore, the purpose of this study was to summarize multiple factors effects on the result of regenerative endodontic treatment in order to achieve more predictable results. In this study, we investigated the features of regenerative endodontic treatment in comparison with those of other pulp treatment procedures and analyzed the factors that have an effect on regenerative endodontic treatment.