• Title/Summary/Keyword: impacted

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Factors and Treatments Influencing the Unilaterally Unerupted Maxillary Central Incisor (상악 중절치의 편측성 맹출 장애 원인 및 치료)

  • Choi, Hyojung;Nam, Soonhyeun;Kim, Hyunjung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.3
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    • pp.334-343
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    • 2018
  • The purpose of this study was to investigate the cause of eruption disturbance in the maxillary central incisor and establish the effective treatment plan by analyzing the vertical distance, angulation of long axis and root development of the tooth with eruption disturbance using the cone-beam CT. The average age of 134 patients diagnosed with unilaterally impacted maxillary central incisor was 7.9 years old and the male was 2.1 times higher than the female. The most common cause of eruption disorder was physical obstruction, especially mesiodens and odontoma. Of the teeth with unilateral eruption disorder, 78 cases erupted spontaneously and 56 cases erupted non-spontaneously after removal of physical obstruction. The possibility of spontaneous or non-spontaneous eruption in the unilaterally impacted maxillary central incisor depended on several factors, such as vertical distance, angulation of long axis and root development of unerupted tooth. The spontaneous eruption of the impacted maxillary cental incisor was most frequent at the angulation of long axis of 50 to 90 degrees, which is similar to the angulation of long axis of the normally erupted maxillary central incisor. In addition, the spontaneous eruption period of impacted maxillary central incisor was more influenced by the vertical distance than the angulation of long axis and the root development. Most of the teeth that showed non-spontaneous eruption had orthodontic traction, and these teeth were usually erupted within about 12 months. The period treated with orthodontic traction was no statistical significance with the vertical distance, the angulation of long axis, and the root development. This study will provide information on the cause of unilaterally impacted maxillary cental incisor and help to establish the future treatment plan.

Analysis of Willingness to Own Passenger Car Using Structural Equation Model (구조방정식을 활용한 승용차 보유의향 분석)

  • Lee, Jeong Hun;Jung, Hun Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.5
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    • pp.857-865
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    • 2016
  • This study analyzes 'willingness to have passenger cars' through perception survey about car use and possession. Social problems caused by increasing car use are serious. Because of the fact that 78.9% of registered vehicles are passenger cars and 75.3% of passenger cars are private cars, passenger cars are main reason of Social problems caused by using a car. So, we need to analyze the reason why people possess cars and need additional cars. Also we need to study about 'willingness to possess additional cars' through analysis of perception about car use and ownership. According to survey results, most households possess cars as means of commute, and most households need additional cars as means of commute to office, leisure, kids' commute to school and academy. Also we used Structural Equation Model to analyze car use and 'willingness to possess additional cars' according to ownership. Analysis results showed that car use is positively impacted by driving and usage perception, and negatively impacted by social problems such as parking, traffic congestion, traffic environment, and etc. Also, results showed that the number of car is positively impacted by usage perception, and negatively impacted by expenses. In case of 'willingness to have additional cars', is positively impacted by intention to use cars and negatively impacted by car ownerships. We think research results can be used as basic data to manage traffic demand.

Factors that influence treatment duration for patients with palatally impacted maxillary canines (구개측으로 매복된 상악견치의 교정치료기간에 영향을 미치는 요소)

  • Jeong, Song-Hwa;Jo, Bong-Hye;Kim, Seong-Sik
    • The korean journal of orthodontics
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    • v.37 no.2 s.121
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    • pp.150-158
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    • 2007
  • Objective: The aim of this study was to determine the relationship between the status of a unilateral palatally impacted maxillary canine (as seen on the panoramic radiograph) and the orthodontic treatment duration. Methods: A total of 36 subjects were chosen (8 males and 28 females, $13.7{\pm}2.5$ years). All patients had undergone orthodontic traction of the impacted canine after a closed flap surgery. The position of impacted canine on the panoramic radiograph was traced and calculated with regard to the treatment duration. Results: The canine overlap over the lateral incisor (COGr) had significant statistical difference between the short-term and the long-term treatment duration groups (divided by average treatment time of 21 months) (p<0.05). Multiple regression indicated that the variables of significance (with treatment duration as the dependent variable) were the canine vertical height from the occlusal plane $(HCV,\;r^2=0.115;\;p<0.05)$ and the mandibular anterior width $(MnDW,\;r^2=0.142;\;p<0.05)$. The treatment duration, the canine angle to the incisor midline (CA), and HCV decreased from primary dentition (under 12 yrs) to permanent dentition (15 yrs). Howerer, these increased again at the adolescent ages (over 16 yrs). Conclusion: These findings suggested that orthodontic treatment of a palatally impacted canine would show good prognosis at an age of early permanent dentition with the canine showing smaller CA and HCV.

TRANSPOSITION OF THE IMPACTED PRIMARY SECOND MOLAR AND THE TOOTH GERM OF SECOND PREMOLAR (매복된 제 2유구치와 제 2소구치 치배의 전위에 관한 증례 보고)

  • Kim, Song-Yi;Choi, Seong-Chul;Kim, Gwang-Chul;Lee, Keung-Ho;Choi, Yeong-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.722-727
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    • 2006
  • Most of impacted teeth reported are permanent teeth. Impaction of primary tooth caused by primary failure of eruption is rare and the most of impacted primary tooth are second primary molars. The etiology of a primary molar impaction would appear to be a physical barrier, early ankylosis of the tooth, abnormal development of the primary molar germ or malposition of the successor bud. Transposition has been described as an interchange in the position of two teeth within the same quadrant of the dental arch. It is most commonly seen with canine and lateral incisor teeth, but is rarely associated with the primary dentition. The two cases show the transposition of impacted primary molar and the tooth germ of second premolar in their clinical and radiographic examinations. In case 1, lower second primary molar was deeply impacted inferiorly to the tooth germ suspected to be a second premolar. In case 2, impacted all second primary molars were positioned inferiorly to the tooth germs suspected to be the successors. We extracted all second primary molars under general anesthesia and the extracted tooth germs appeared to be second premolars.

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ORTHODONTIC TRACTION OF IMPACTED POSTERIOR TEETH : CASE REPORTS (매복 구치부 치아의 교정적 이동 : 증례 보고)

  • Maeng, Yu-Jin;Oh, So-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.613-618
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    • 2009
  • Impacted molars are not usual with the prevalence rate of less than 1%, however problems such as infraocclusion, extrusion of the opposite tooth and lack of space are caused. If molars are impacted, radiographic check-up and observations are needed as they play an important role in skeletal development and mastication. Causes of impaction are underdevelopment of roots, supernumerary teeth, cysts, odontomas, ankylosis and etc. In our first case, we present impacted molar which was surgically exposed and orthodontically traded. As the developmental state of the root was less than half at first visit, we observed until the root was 2/3 in its length and traction was carried out. The second case is orthodontic traded molar with compleate enucleation of the existing cysts. When trading impacted molars, direct bonding of attachments to the tooth and light continuous forces are recommended so as to ankylosis, external absorption and periodontal attachment loss avoid. Fixed appliances tract the teeth on arch and obtain eruption spaces without patient's cooperation. We report surgically exposed and orthodontically traded molars which resulted in good occlusion and patients satisfaction.

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THE EFFICACY OF ANTIBIOTIC ADMINISTRATION IN THE IMPACTED MANDIBULAR THIRD MOLAR EXTRACTION (매복된 하악 제 3 대구치 발치시 항생제 투여의 효용성)

  • Yeo, Hwan-Ho;Jeong, Jong-Hown;Park, Joo-Cheol;Kang, Tae-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.4
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    • pp.370-375
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    • 1999
  • To evaluate the efficacy of antibiotic administration in the impacted mandibular third molar extraction the author investigated 107 patients requiring extraction of the lower third molar who visited at the Department of oral and maxillofacial Surgery, Chosun Dental Hospital and were healthy without medical problems and had no signs and symptoms of infection around the lower third molar. The patients were divided into 4 groups according to the method of antibiotics administration: 13 patients without antibiotics administration(group 1), 30 patients with only intravenous injection of $Cefazoline^{(R)}$ 2.0g 30 minutes before the procedure(group 2), 39 patients with intravenous injection of $Cefazoline^{(R)}$ 2.0g 30 minutes before the procedure and oral administration of follow-up dosages of $Augmentin^{(R)}$ for 1 day(group 3), and 25 patients with intravenous injection of $Cefazoline^{(R)}$ 2.0g 30 minutes before the procedure and oral administration of follow-up dosages of $Augmentin^{(R)}$ for 3 day(group 4). Infection rates after extraction were calculated and compared according to gender, the age of the patients, the level of impaction, and also compared between four groups. The results were as follows. 1. The overall infection rate was 8.4%. 2. The infection rate was higher in male(11.9%) than in female(4.2%), but there were statistically no significant differences between them. 3. Infection rate was lower in patients under age 30(7.2%) than in patients over age 30(12.5%), but there were statistically no significant between them. 4. Infection rate was higher in patients with complete bony impacted tooth(11.1%) than in patients with partial bony impacted tooth(6.5%), but there were statistically no significant differences between them. 5. Infection rate was 7.7% in group 1, 10.0% in group 2, 10.3% in group 3, 4.0% in group 4 and there were statistically no significant differences between groups. In summary, it is more important to extract the impacted lower third molar under aseptic condition and to minimize the injury of tissue if possible than to administer the preventive antibiotics in reducing the infection rate in healthy patients without medical problems who had no signs and symptoms of infection around the lower third molar.

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상악 매복 견치의 교정학적 고찰

  • Seo, Jeong-Hun
    • The Journal of the Korean dental association
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    • v.25 no.1 s.212
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    • pp.59-70
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    • 1987
  • Orthodontists, in evaluating maxillary impactd canines, must take into consideration the etiology of the problem. First, the possible etiologic factors must be eliminated. Thus some cases can be treated with orthodontic treatment alone without surgical trauma following window opening etc. Now, two cases are reported, which were treated without surgical intervention. Sometimes, impacted canine can be included in a plan for tooth removal due to its severe impaction and displacement. In such case, first premolar can be substituted for canine. One case which was treated by substituting maxillary first premolar for maxillary impacted canine is reported.

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Extensive Adenomatoid Odontogenic Tumor of the Maxilla: A Case Report of Conservative Surgical Excision and Orthodontic Alignment of Impacted Canine

  • Moon, Jee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.4
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    • pp.173-177
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    • 2014
  • The present report describe the surgical therapy, clinical course, orthodontic treatment and morphological characteristics of an adenomatoid odontogenic tumor in the maxilla of an 11-year-old patient. The cystic tumor filled the maxillary sinus and involved a tooth. Marsupialization was accompanied by partial enucleation and applied traction to the affected tooth by a fixed orthodontic appliance. Healing was uneventful and no local recurrence was observed during a 1-year period of follow-up control.

CASE REPORT ON THE DENTIGEROUS CYST OCCURED TO THE PERIPHERY OF THE IMPACTED SUPERNUMERARY TOOTH (매복치(埋伏齒) 주위(周圍)에 발생(發生)한 치성낭종(齒性囊腫)의 치험례(治驗例))

  • Yoo, K.W.
    • Restorative Dentistry and Endodontics
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    • v.6 no.1
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    • pp.149-152
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    • 1980
  • In this article, we found the dentigerous cyst due to the impacted supernumerary tooth. Involved teeth were treated with immediat canal filling and root resection technique. The cystic walls and its contents were marsupialized and perfectly enucleated with surgical techniques. After the operations, no clinical signs and symptoms were found, Radiographic findings after I months of the operations reveal the decrease of the radiolucency on the surgical field. The author thinks that it indicate the formation of the osteoid tissue.

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Ecological Comparisons of Stream Conditions Between the Unimpacted and Impacted Sites: Case Study

  • Lee, Jae-Hoon;Lee, Sang-Jae;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.41 no.4
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    • pp.441-448
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    • 2008
  • The purpose of this study was to analyze chemical water quality, fish trophic guilds, tolerance indicators, and fish community conditions in the Gap Stream and to compare the stream conditions between the unimpacted site and impacted site. This study was conducted in the physically stable season (May 2008) to minimize physical impacts such as flow and hydrological disturbance, and applied the study in the Gap Stream with two sites of unimpacted upstream site (Unim-S), mainly surrounded by forested area and impacted site (Im-S), influenced by the wastewater disposal plants and industrial complex in the urban region. Chemical data analysis showed that the degree of organic matter pollution, based on BOD, and COD, was $2{\sim}3$ fold greater in the Im-S than the Unim-S, and that TP, as eutrophication indicators, was 4.7 fold greater in the Im-S. Also, $NH_3-N$ was in 8.2 fold greater in the Im-S ($6.25\;mg\;L^{-1}$) than the Unim-S ($0.76\;mg\;L^{-1}$), indicating a massive influence of wastewater from the disposal plant. Similar results were found in other chemical parameters. Thus, chemical impacts in the Im-S were evident, compared to the unimpacted site. Evaluations of tolerant indicator species indicated that sensitive species were dominant in the Unim-S (23.9%) and tolerant species were dominant (97.8%) in the Im-S. Condition factor (CF) was averaged 0.95 ($0.68{\sim}1.18$) in the Unim-S and 1.08 ($0.93{\sim}1.22$) in the Im-S. Fish community in the Unim-S and Im-S was categorized as Zacco-community and Hemibarbus-community, respectively, and the community diversity index (H') was significantly (p<0.05) higher in the Unim-S (0.810) than the Im-S (0.466). Overall, our results suggest that the comparison approach of various chemical and ecological indicators provide important information in identifying multiple stressors in the stream ecosystems.