• Title/Summary/Keyword: molar teeth

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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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The clinical assessment of aggressive periodontitis patients

  • Cho, Chan-Myung;You, Hyung-Keun;Jeong, Seong-Nyum
    • Journal of Periodontal and Implant Science
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    • v.41 no.3
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    • pp.143-148
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    • 2011
  • Purpose: Few epidemiologic studies have investigated aggressive periodontitis in Koreans, but such studies of disease prevalence and other clinical characteristics would be invaluable in providing proper treatment. The aim of this study was to assess the prevalence of aggressive periodontitis and to measure the extent of associated periodontal breakdown. Methods: The study population consisted of 1,692 patients who visited the Department of Periodontology, Wonkwang Daejeon Dental Hospital from January to December, 2010. Clinical parameters (probing depth, gingival recession, periodontal attachment loss) were measured by a single examiner, and radiographic examination was performed at the baseline. Results: Twenty-eight (1.65%) patients showed clinical features of aggressive periodontitis, of which 27 patients exhibited the generalized form, and 1 exhibited the localized form. There was no significant difference between the percentage of male and female patients. The probing pocket depth of the maxillary first molar was deeper than that of the other teeth and gingival recession was also the most serious at the maxillary first molar. The periodontal attachment loss was the highest at the maxillary first molar. The average number of missing teeth was 1.29 per subject. Loss of the second molar was prominent. Conclusions: Within the limitations of this study, the periodontal breakdown evaluated by attachment loss was found to be most severe at the first molars of aggressive periodontitis patients. However, further large scale multicenter studies are necessary to access more precise data, including prevalence.

Hunminjeongeum Phonetics (II): Phonetic and Phoniatric Consideration for Explanation of Designs of Initial and Final Consonant Letters (훈민정음 음성학(II): 초성, 종성(닿소리) 제자해에 대한 음성언어의학적 고찰)

  • Choi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.83-88
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    • 2022
  • Hunminjeongeum had 17 initial consonant letters. Among them, five consonant letters, those are ㄱ (牙音, molar sound letter), ㄴ (舌音, lingual sound letter), ㅁ(脣音, labial sound letter), ㅅ (齒音, dental sound letter), ㅇ (喉音, guttural sound letter), were served as chief consonants. There was no argument that consonant letters were made by symbolizing the shape of vocal organs during phonation of them. It could be phoniatrically explained that all of five chief consonants were morphologically symbolized from left lateral view of vocal tract during articulation. Although 'ㄱ' was known as molar sound, it was not modeled the shape of molar tooth but modeled the shape of tongue at molar teeth bearing area. The same principle applies to 'ㅅ', and it was represented the shape of upper surface of anterior tongue instead of incisor teeth. 'ㄴ' was a lingual sound and directly shaped the shape of tongue. 'ㄷ' was made by addition of a stroke 'ㅡ' meaning hard palate above 'ㄴ'. 'ㅁ' was represented the shape of lateral view of anterior mouth. 'ㅇ' was looked like shaping left lateral view of laryngopharyngeal space.

Analysis of teeth with a fatigue root fracture (지상보수교육강좌 1 - 피로 치근파절 치아의 분석)

  • Lee, Hak-Churl;Rhyu, In-Chul
    • The Journal of the Korean dental association
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    • v.48 no.2
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    • pp.140-145
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    • 2010
  • True vertical root fracture (VRF) in nonendodontically treated teeth confined to the root surface (fatigue root fracture; FRF) is apparently uncommon, the few documented reports being Chinese. The aim of this study is to analyze the cases of a fatigue root fracture and to find out the characteristic features of teeth with a FRF. A total of 21 consecutive cases of fatigue root fracture occurring in 16 patients were reviewed. In terms of the occlusion, the presence of restorations, the location, the age and gender, each tooth and patient were analyzed. The prevalent age was in those over 50 years of age (75%) and FRFs were more frequent in male patients (69%). Fatigue root fractures occurred most frequently in the mandibular molars (61.9%; 42.9% in first molar, 19% in second molar). Fatigue root fractures were observed most frequently in the teeth with no restorations (85.7%) and in the patients with occlusal problems (94%). FRFs seem to occur frequently and may represent an undiagnosed clinical entity deserving of our attention.

Nonsurgical endodontic retreatment of fused teeth with transposition: a case report

  • Cardoso, Miguel Agostinho Beco Pinto;Noites, Rita Brandao;Martins, Miguel Andre Duarte;Paulo, Manuel Pedro da Fonseca
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.148-153
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    • 2016
  • Tooth transposition is a disorder in which a permanent tooth develops and erupts in the normal position of another permanent tooth. Fusion and gemination are developmental disturbances presenting as the union of teeth. This article reports the nonsurgical retreatment of a very rare case of fused teeth with transposition. A patient was referred for endodontic treatment of her maxillary left first molar in the position of the first premolar, which was adjacent to it on the distobuccal side. Orthopantomography and periapical radiography showed two crowns sharing the same root, with a root canal treatment and an associated periapical lesion. Tooth fusion with transposition of a maxillary molar and a premolar was diagnosed. Nonsurgical endodontic retreatment was performed. At four yr follow-up, the tooth was asymptomatic and the radiolucency around the apical region had decreased, showing the success of our intervention. The diagnosis and treatment of fused teeth require special attention. The canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Thermoplastic techniques were useful in obtaining hermetic obturation. A correct anatomical evaluation improves the set of treatment options under consideration, leading to a higher likelihood of esthetically and functionally successful treatment.

Evaluation of the relation between the pulp stones and direct restorations using cone beam computed tomography in a Turkish subpopulation

  • Guzide Pelin Sezgin ;Sema Sonmez Kaplan;Tuna Kaplan
    • Restorative Dentistry and Endodontics
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    • v.46 no.3
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    • pp.34.1-34.9
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    • 2021
  • Objectives: This study aimed to assess the presence of pulp stones through an examination of cone beam computed tomography images and correlate their prevalence with age, sex, dental arch and side, tooth type, and restoration type and depth. Materials and Methods: Cone beam computed tomography images obtained from 673 patients and archival data on 11,494 teeth were evaluated. The associations of pulp stones with age, sex, dental arch and side, tooth type, and restoration type and depth were noted. All the measurements were subjected to a χ2 test and one sample χ2 test (p < 0.05). Results: In the study group, 163 (24.2%) patients and 379 (3.3%) teeth had at least one pulp stone. The pulp stone frequency in those aged 30-39 years was significantly greater than in those aged 18-29 and ≥ 60 years, and the frequency was higher in females than in males (p < 0.05). The highest prevalence of pulp stones was found in maxillary dental arches and molar teeth (p < 0.05). Pulp stones were significantly more common in medium-depth restorations (p < 0.05). Conclusions: Maxillary molar teeth, medium-depth restorations, individuals aged 30-39 years and females had a greater percentage of pulp stones.

AN EXPERIMENTAL STUDY ON OCCLUSAL AND VERTICAL CHANGES AFTER DENTURE PROCESSING (의치온성시 발생하는 교합 및 수직고경 변화에 관한 실험적 연구)

  • Kim, Ki Seong;Kim, Chang Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.28 no.2
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    • pp.77-90
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    • 1990
  • The purpose of this study was to compare the amount of the vertical pin opening of $33^{\circ}$ resin and $0^{\circ}$ resin teeth during processing and to determine whether the changes in tooth contacts by using articulation ribbon and T-Scan system follow any identifiable pattern, and to determine if there is any correlation between the changes in tooth contacts and the amount of the vertical pin opening after processing. Through statistical analyses on the data from this study, the following conclusions were obtained. 1. The amounts of the vertical pin opening were 0.78m, 0.87mm for $0^{\circ}$ teeth and $33^{\circ}$ teeth, respectively. But there was no significant difference between them. 2. The total number of contact points recorded by articulating ribbon after processing was decreased to 442.5% of that before processing. 3. The mean values for the number of contact points per tooth recorded by articulating ribbon after processing were 4.3 for the second molar, 3.8 for the first molar, 1.3 for the second premolar, 0.8 for the first premolar. The reduction of contact points per tooth became greater moving in an anterior direction. 4. The correlation between the reduction of contact points and the amount of the pin opening after processing was not significant. 5. The mean values for the numbers of contact points per tooth recorded by T-Scan system after processing were 2.2, 2.5, 1.0, and 0.5 at the second molar, the first molar, the second premolar, and the first premolar, respectively. 6. The correlation between the number of contact points by using articulating ribbon and TScan system after processing was not significant.

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Three-dimensional analysis of tooth movement in Class II malocclusion treatment using arch wire with continuous tip-back bends and intermaxillary elastics

  • Lee, Ji-Yea;Choi, Sung-Kwon;Kwon, Tae-Hoon;Kang, Kyung-Hwa;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.49 no.6
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    • pp.349-359
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    • 2019
  • Objective: The aim of this study was to analyze three-dimensional (3D) changes in maxillary dentition in Class II malocclusion treatment using arch wire with continuous tip-back bends or compensating curve, together with intermaxillary elastics by superimposing 3D virtual models. Methods: The subjects were 20 patients (2 men and 18 women; mean age 20 years 7 months ${\pm}$ 3 years 9 months) with Class II malocclusion treated using $0.016{\times}0.022-inch$ multiloop edgewise arch wire with continuous tip-back bends or titanium molybdenum alloy ideal arch wire with compensating curve, together with intermaxillary elastics. Linear and angular measurements were performed to investigate maxillary teeth displacement by superimposing pre- and post-treatment 3D virtual models using Rapidform 2006 and analyzing the results using paired t-tests. Results: There were posterior displacement of maxillary teeth (p < 0.01) with distal crown tipping of canine, second premolar and first molar (p < 0.05), expansion of maxillary arch (p < 0.05) with buccoversion of second premolar and first molar (p < 0.01), and distal-in rotation of first molar (p < 0.01). Reduced angular difference between anterior and posterior occlusal planes (p < 0.001), with extrusion of anterior teeth (p < 0.05) and intrusion of second premolar and first molar (p < 0.001) was observed. Conclusions: Class II treatment using an arch wire with continuous tip-back bends or a compensating curve, together with intermaxillary elastics, could retract and expand maxillary dentition, and reduce occlusal curvature. These results will help clinicians in understanding the mechanism of this Class II treatment.

The Study of Eruption Process of the Permanent Teeth (First Permenent Molar) (영구치 맹출양상에 관한 연구(제1대구치))

  • Kim, Jin-Tae
    • The Journal of the Korean dental association
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    • v.21 no.12 s.175
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    • pp.1005-1010
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    • 1983
  • To study the eruption process of the permanent tooth, esp., 1st molar, the author took 303 cases of oblique cephalogram (Male. 162 cases, Female: 141 cases) from age 3 to 8 yea old children, and observed the vertical change and axial change. The result were as follow: 1. The mesial end of upper 1st molar was closer to the occlusal plane than the distal, and they were erupting toward the occlusal plane by aging. In the case of lower 1st molar, the distal end was closer to the occlusal plane than the mesial and the occlusion showed the tendency to accord with the plane to be settled by aging. 2. Eruption rate of the upper and lower 1st permanent molar increased rapidly at 5 or 6 years of age. 3. Axial inclination of lower 1st permanent molar to the mandibular plane decreased gradually from 3 years of age, except for 6 years of age. There was some increase at 5 or 6 years of age.

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Diagnosis and treatment for ectopic eruption of permanent first molar (임상가를 위한 특집 3 - 제1대구치 이소맹출의 진단과 처치)

  • Kim, Ji-Yeon
    • The Journal of the Korean dental association
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    • v.50 no.6
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    • pp.322-328
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    • 2012
  • Ectopic eruption of the permanent first molar is defined as the eruption of the tooth in an abnormal position or orientation. It may causes distal root resorption and premature exfoliation of the adjacent primary second molar and uncontrolled space loss is followed. Prolonged partial impaction of the permanent molar may also cause undetected caries or abscess formation of the neighbor teeth. The purpose of this paper is to provide a brief review regarding the etiology, classification, and different management techniques for correcting ectopic eruption of permanent first molar.