• 대한소아치과학회지
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• 제31권3호
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• pp.406-411
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• 2004

영구 상악 절치의 매복은 매복이 흔한 제3대구치와 상악 견치에 비해서 드물지만 상악 중절치 미맹출을 주소로 내원한 학동기 아동에서 종종 관찰된다. 매복을 유발시키는 원인에 대해서는 많은 논란이 있으나 주 요인으로는 유치의 외상과 유치의 치근단 감염이 보고되고 있다. 특히 유치의 치근단 감염에 의한 매복설이 유력한데 병소의 압력에 의한 계승영구치의 회전, 변위등의 위치변화가 일어날 수 있다고 보고되고 있다. 매복치는 무엇보다도 조기에 발견하여 치료하는 것이 이로 인해 발생되는 부정교합이나 그 밖의 부작용을 예방할 수 있다. 일단 매복이 진단되면 방사선 검사를 통하여 위치 확인을 정확히 하는 것이 중요하며 치료에 앞서 전반적인 공간분석과 치료계획을 세워야 한다. 치료로는 교정적 견인, 또는 자가이식등이 있으며, 역위 매복된 경우가 아니라면 공간 확보만으로도 50%의 자발적 맹출을 보고하고 있다. 본 증례는 유치의 치근단 감염에 의해 역위 매복된 것으로 보이는 상악 중절치를 교정력을 이용해 정상적인 맹출로 바로 잡아준 결과 4-5개월만에 자발적으로 맹출하였기에 이에 보고하는 바이다.

• 대한치과교정학회지
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• 제48권4호
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• pp.224-235
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• 2018

Objective: The purpose of this study was to compare the skeletal, dental, and soft-tissue treatment effects of nonextraction therapy using the modified C-palatal plate (MCPP) to those of premolar extraction (PE) treatment in adult patients with Class II malocclusion. Methods: Pretreatment and posttreatment lateral cephalographs of 40 adult patients with Class II malocclusion were retrospectively analyzed. The MCPP group comprised 20 patients treated with total arch distalization of the maxillary arch while the PE group comprised 20 patients treated with four PE. Fifty-eight linear and angular measurements were analyzed to assess the changes before and after treatment. Descriptive statistics, paired t-test, and multivariate analysis of variance were performed to evaluate the treatment effects within and between the two groups. Results: The MCPP group presented 3.4 mm of retraction, 1.0 mm of extrusion, and $7.3^{\circ}$ lingual inclination of the maxillary central incisor. In comparison, the PE group displayed greater amount of maxillary central incisor retraction and retroclination, mandibular incisor retraction, and upper lip retraction (5.3 mm, $14.8^{\circ}$, 5.1 mm, and 2.0 mm, respectively; p < 0.001 for all). In addition, the MCPP group showed 4.0 mm of distalization and 1.3 mm of intrusion with $2.9^{\circ}$ distal tipping of the maxillary first molars. Conclusions: These findings suggest the MCPP is an effective distalization appliance in the maxillary arch. The amount of incisor retraction, however, was significantly higher in the PE group. Therefore, four PE may be recommended when greater improvement of incisor position and soft-tissue profile is required.

• 대한치과기공학회지
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• 제29권1호
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• pp.35-48
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• 2007

The purpose of this study was to evaluate shade selection using conventional visual assessment in vivo natural teeth and porcelain-fused-to-metal (PFM) crown. Maxillary central incisors, lateral incisors and canines of one hundred twenty four college women were used as vivo natural teeth. Fifty one PFM crown for maxillary central incisor fabricated by dental laboratory were used as experimental materials. Using Vitapan Classical Shade Guides, shade selection of natural teeth was measured by each college woman and shade selection of PFM crown was measured by three ceramists with more than ten years career. Both natural teeth and PFM crown shade selection were measured through Shade Eye-Ex. From the shade selection comparing, following results were obtained. The results were as follows: 1. The shade matching identification of natural teeth between the shade selection using Vitapan Classical Shade Guides and the shade selection using Shade Eye-Ex was 27.4% in maxillary central incisor, 13.7% in lateral incisor and 18.5% in canine. 2. Among the shade selection of PFM crown by three ceramists, the shade evaluation of three ceramists were same only in ten cases. In twenty case, those of two ceramists were same. 3. The shade matching identification of PFM crown between the shade selection using Vitapan Classical Shade Guides and the shade selection using Shade Eye-Ex was 38.6% in average. These results suggest that the shade selection using conventional visual assessment should be dealt with care in clinic and need a credible method for shade matching color.

• 대한소아치과학회지
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• 제24권3호
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• pp.568-574
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• 1997

Inverted maxillary incisor is a state in which the maxillary incisor rotates to the upward position. The present report provides two examples of correction of inverted maxillary incisors with surgical intervention & orthodontic appliance. Through surgical exposure & direct bonding of lingual button, the central incisor were brought into proper eruption path with elastic traction. The case 1 & 2 were both treated successfully. The results showed the good position of treated teeth and satisfactory esthetics and adequate width of keratinized gingiva were achieved. Careful differential diagnosis procedure is needed in order to avoid dissatisfactory results and the treatment approaches taken in this case report provided an esthetic and functional results.

• Restorative Dentistry and Endodontics
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• 제7권1호
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• pp.25-31
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• 1981

One of the most important factors for successful endodontic therapy is an accurate length determination of physiological root apex. Some methods suggested for the measurement of root canal length, include digital-tactile sense and roentgenographic technique with measuring wire, scale and grid. But these methods do not derermine an accurate working length to physiological root apex. Recently electronic measuring devices are used to locate the physiological root apex in root canal length determination and these devices are accepted as an effective apparatus. The 89 patients (116 teeth, 144 canals) among the out-patients of Yonsei University Dental Infirmary, who had had an endodontic treatment in the Department of Operative Dentistry, were measured by the Root-Canal Meter$^{(R)}$ as an electronic device, and radiographs to determine the distribution and location of physiological root apex, then the following results were made: (1) Range of ${\pm}$1mm from the radiographic root apex were present in 88.88% (128 canals) of the subjects. (2) Physiological root apex and radiographic root apex were coincided in 31.94% (46 canals) of the subjects. (3) The actual length of the physiological root apex of the teeth were as follow; A : in the maxillary central incisor : 0.46mm B : in the maxillary lateral incisor : 0.44mm C : in the maxillary canine : 0.44mm D : in the maxillary 1st premolar : a) Buccal : 0.59mm b) Lingual : 0.34mm E : in the maxillary 2nd premolar : 0.54mm F : in the maxillary 1st molar : a) Mesio-buccal : 0.50mm b) Disto-buccal : 0.42mm c) Lingual : 0.56mm G : in the mandibular central incisor : 0.62mm H : in the mandibular lateral incisor : 0.45mm in the mandibular canine : 0.54mm J : in the mandibular 1st premolar : 0.47mm K : in the mandibular 2nd premolar : 0.34mm L : in the mandibular 1st molar : a) Mesio-buccal : 0.54mm b) Mesio-lingual : 0.31mm c) Distal : 0.37mm.

• 대한소아치과학회지
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• 제34권1호
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• pp.162-168
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• 2007

상악 중절치의 매복은 소아 환자의 심미적 사회적 기능적 문제를 일으킬 수 있어 적절한 치료를 통해 바로잡아 주어야 한다. 상악 중절치 매복의 치료로 외과적 노출 후 교정적 견인이 어려울 경우 발치하기에 앞서 외과적 재위치(surgical repositioning) 혹은 치조 내 자가치아이식(intra-alveolar autotransplantation)을 고려해 볼 수 있다. 본 증례는 5세 9개월 된 남아의 역위 매복된 상악 우측 중절치를 치근 발육 초기인 Nolla's stage 6.5에 부분 맹출된 위치로 외과적 재위치를 시행하여 자발적 맹출을 기대하였으나 21개월 간의 추적 검사 결과 치근 발육 및 맹출이 정지된 증례이다. 그 원인으로서 수술 시 치배를 발거하고 치조와를 적합하는 과정에서 Hertwig's epithelial root sheath(HERS)가 손상 받았기 때문으로 생각된다. 매복 치아의 외과적 재위치 시에는 본 증례와 같이 합병증 발생 가능성이 있으므로 신중한 적응증의 선택, 치근 발달정도를 고려한 적절한 치료 시기의 결정, 최소한의 손상을 주는 외과적 술식 등의 노력이 필요할 것이다.

• 대한소아치과학회지
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• 제43권3호
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• pp.246-253
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• 2016

과잉치의 발거시기는 조기발거와 지연발거로 나뉠 수 있으며 각각의 장단점이 있으며 특히 상악 중절치에 미치는 영향이 크다. 이 연구에서는 과잉치 발거 후 3개월 이상 추적관찰이 시행된 166명을 조사하여 최적의 과잉치 발거시기를 결정하고자 하였다. 환자의 나이가 어리고, 상악 중절치 미맹출 혹은 발육단계가 낮고, Hellman's dental stage상 낮은 단계에서 정중선 변위는 적게 일어났다. 정중이개와 상악 중절치의 회전, 추적 관찰 기간에 따른 변화는 통계적 유의성이 없었다. 상악 중절치가 아직 맹출하지 않은 경우라 하더라도 파노라마 방사선 사진을 촬영하여 정중선 변위가 보인다면 이른 시기에 과잉치를 발거할 필요가 있다. 이 연구는 상악 중절치의 위치 변위에 따라 과잉치의 발거시기를 결정하는 데에 도움을 줄 수 있을 것이다.

• 대한소아치과학회지
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• 제21권2호
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• pp.510-517
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• 1994

It is a relatively common clinical experience to see a impacted maxillary central incisor. This is apparent at the dental age of about eight years and over, when the patient is in the early mixed dentition stage. The adjacent teeth may tilt toward the site of the missing tooth with resulting space closure and midline deviation. Most often, the central incisor is impacted labially. The labial impaction has been indicated as the most difficult to manage. Each of the current articles describing labial impactions shows at least one case with mucogingival recession or a minimal zone of attached gingiva. This report described the surgical uncovering and orthodontic-physiologic positioning methods with labially impacted maxillary central incisors. Through surgical exposure and direct bonding of lingual botton, the central incisors were brought into proper eruption path with elastic traction. The case 1 and 2 were treated with the physiologic erupting forces. The case 3 was applied with continuous orthodontic force. The case 1 and 2 resulted in good positioning, good esthetics and adequate width of keratinised gingiva. The case 3 resulted in local inflammation and inadequate width of keratinised gingiva.

• Imaging Science in Dentistry
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• 제41권1호
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• pp.17-21
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• 2011

Purpose : The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. Materials and Methods : This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatment lateral cephalometric radiographs. The root resorption of each tooth and the factors of malocclusion were analyzed with an analysis of variance. A paired t test was performed to compare the mean amount of root resorption between male and female, between extraction and non-extraction cases, and between surgery and non-surgery groups. Correlation coefficients were measured to assess the relationship between the amount of root resorption and the age in which the orthodontic treatment started, the degree of changes in overbite and overjet, and the duration of treatment. Results : Maxillary central incisor was the most resorbed tooth, followed by the maxillary lateral incisor, the mandibular central incisor, and the mandibular lateral incisor. The history of tooth extraction was significantly associated with the root resorption. The duration of orthodontic treatment was positively correlated with the amount of root resorption. Conclusion : These findings show that orthodontic treatment should be carefully performed in patients who need the treatment for a long period and with a pre-treatment extraction of teeth.

• 대한심미치과학회지
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• 제31권2호
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• pp.40-46
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• 2022

상악전치부는 심미적 회복이 가장 중요한 부위이지만 구치에 비해 좁은 협설측 치조골 폭 및 발치시의 치조골 흡수로 인하여, 그만큼 심미적인 결과를 얻기가 어려운 부위이다. 본 증례 보고를 통해 외상으로 인한 상악전치부의 발치 즉시 임플란트 식립을 통해 치조골 및 연조직 소실을 최소화 하며 심미성을 확보하기 위한 고려 사항에 대해 살펴 보고자 한다.