• Title/Summary/Keyword: premolar

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OSTEOBLASTOMA OF THE MANDIBLE : A CASE REPORT (하악골에 발생한 골아세포종의 치험례)

  • Jeong, Se-Heon;Yoon, Hyun-Joong;Lee, Sang-Hwa
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.6
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    • pp.649-652
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    • 2008
  • Osteoblastoma is a relatively rare benign bone tumor representing less than 1% of all bone tumors. The tumor usually involves the spine and sacrum of young individuals, less than 10% being localized to the skull, and nearly half of these affect the mandible, especially the posterior segments. In clinical finding, osteoblastoma present mainly with pain, swelling, and expansion of bone cortex. Radiographic appearances are variable, but frequently a well-delineated radiolucent lesion containing varying amounts of mineral deposits is seen. Histologically, ostoeblastoma is consists of irregular trabeculeae of osteoid and immature bone present within highly vascular connective tissue matrix. Osteoblastoma must be differentiated from a number of bone-producing lesions, including osteoid osteoma, fibrous dysplasia, ossifying fibroma, fibrous dysplasia, and osteosarcoma. If diagnosis may be mistaken for osteosarcoma, there are risks of more aggressive and irreversible treatment. Differential diagnosis of osteoblastoma is important. The preferred treatment of osteoblastoma is conservative approach and surgical excision. Recurrence following surgical intervention is rare. We treated osteoblastoma located in premolar area of mandible by excision with preservation of vital structure, such as nerves and teeth. So we report our clinical treatment with literature review

Anterior and Posterior Overjet for Clinical Arch Coordination using 3-dimensional Analysis

  • Lee, Young-Wuk;Bayome, Mohamed;Baek, Seung-Hak;Kook, Yoon-Ah
    • Journal of Korean Dental Science
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    • v.2 no.2
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    • pp.18-23
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    • 2009
  • Introduction : The purposes of this study were to analyze the differences between the anterior and posterior overjets using bracket slot points, and compare two methods of overjet calculation according to different reference points using clinical bracket points on three-dimensional digital models. Methods : A total of 35 normal occlusion models were scanned using a three-dimensional scanner (Orapix$^{(R)}$, Orapix Co., Ltd, Seoul, Korea) and then, virtual brackets (0.022" Slot MBT preadjusted brackets, 3 M Co.CA. USA) were placed on the digital models using virtual setup program (3Txer$^{(R)}$ ver. 1.9.6, Orapix co., Ltd). Archwire-like curves were designed to analyze labial and buccal overjet. Results : There were no statistically significance differences between the right and left overjet and between genders. The average overjet was found to be $1.67{\pm}0.85mm$ at the central incisor area, $2.16{\pm}0.88mm$ at the second premolar and $1.53{\pm}0.71mm$ at the first molar. Conclusion : It is recommended that overjet of individualized upper and lower arch to be 2.0mm at the anterior and posterior teeth.

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A Clinical Study on the Number of Occlusal Contact Points in Centric Occlusion (중심교합(中心咬合)에 있어서 교합면(咬合面) 접촉점수(接觸點數)에 관(關)한 임상적(臨床的) 연구(硏究))

  • Lee, Byung-Tae
    • The Journal of Korean Academy of Prosthodontics
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    • v.8 no.1
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    • pp.37-41
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    • 1968
  • The purpose of this paper is to evaluate the number of occlusal contacts in centric occlusion. The 50 strictly selected subjects, who have good natural dentition and occlusion, were impressioned with Alginate Impression material, and dental stone models were madel. After transfering the models from mouth to Hanau Articulator Model H2 by means of SM type Face-Bow, condylar guidances were registered, red articulating papers($13{\mu}$ in thickness) were inserted between upper and lower posterior teeth, and the red marked points and lines were counted as occlusal contact points. 1. The number of occlusal contact points in centric occlusion were 1st Molars 2nd Molars, 2nd Premolars and 1st Premolars in order. 2. The number of occlusal contact points of right side showed comparatively much more than those of left side. 3. The number of occlusal contact points of upper in Premolar area were much more than those of lower, and in Molar area were the reverse. 4. The total number of occlusal contact points in centric occlusion were approximately 105 points.

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Disturbances of maxillofacial and dental development after cancer therapy: Case reports (항암치료 후 악골 및 치아의 발육 장애: 증례보고)

  • Kim, Hyo-Jung;Kim, Chong-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.2
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    • pp.112-115
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    • 2010
  • Chemotherapy and radiotherapy proved conservative and effective in treating tumors. However, both the cancer therapies will also have aberrant effects on developing maxillofacial and dental organs of children. The purpose of this report is to describe the clinical cases of Disturbances of maxillofacial and dental development after Cancer therapy. The first case reported a 7-year-old female patient diagnosed at age 2 years with bilateral retinoblastoma, receiving chemotherapy and radiotherapy. She had agenesis of premolar, microdontia, short tapered teeth in lower anterior area and generalized root stunting. The second case presented a 12-year-old female patient treated with chemotherapy and radiotherapy for neuroblastoma in her early childhood. She presented with a class III malocclusion on a skeletal III base due to maxillary retrognathism. Contemporay oncology had improved survival of children with malignant disease. It will be needed prevention of these side effect after cancer therapy to improve the quality of life.

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EXTRACTION OF MULTIPLE SUPERNUMERARY PREMOLARS IN MENTAL RETARDATION PATIENT : CASE REPORT (다수의 과잉 소구치를 가진 정신지체 환자의 치험례)

  • Choi, Hae-In;Song, Je-Seon;Lee, Hyo-Sul;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.118-121
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    • 2013
  • The supernumerary premolars account for 4%-9% of all supernumeraries and reported prevalence is 0.01%-1.00%. Multiple supernumerary teeth can be seen in syndromic phenotypes. But, only 2% of supernumerary premolars exhibited any pathological changes. Most of them cause interference with normal occlusal development that makes maintaining the disabled patients's oral hygiene difficult. It is recommended to delay the timing of extraction until the full permanent dentition is mature. If there is no complication, leaving the supernumerary premolars impacted is recommended. This case is about mental retardation patients with multiple supernumerary premolars.

RAPID SPREAD NK/T-CELL MALIGNANT LYMPHOMA OF MAXILLA (급속 진행된 상악의 NK/T-세포 악성 임파종)

  • Kim, Woon-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.5
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    • pp.435-446
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    • 2001
  • Natural Killer/T-cell(NK/TC) lymphoma is a rare disease of oral and maxillofacial region with an aggressive clinical course, showed unusual clinical manifestations. Prognosis is generally poor and the disease is invariably fatal after systemic dissemination. A case of nasal NK/TC non-Hodgkin's lymphoma in the left maxilla that showed unusual clinical manifestations and a fulminant course of disease, are described with literature reviews. A 81-year-old female patient presented with rapidly growing ulceration and general malaise after extraction of right upper second premolar NK/TC lymphoma was subsequently detected by biopsy. rapid and wide invasion from maxilla to mandible developed within 10 days and multiple metastasis to whole body was after a few weeks. Although the time relationship is not clear, local invasion and multiple metastasis could be dissemination from localized disease of NK/TC. As seen in my case, the course can be excessively aggressive and fulminant even though it first appeared as a localized ulceractive lesion. She is expired 2 months after biopsy. Positivity of immunohistochemical stain (CD56, LCA, UCHL-1, CD3), which is a specific characteristic of NK/TC, may serve as a factor showing a poor prognosis of a malignant lymphoma

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A PHOTOELASTIC STUDY ON THE INITIAL STRESS DISTRIBUTION BY 3 TYPES OF MOLAR UPRIGHITNG SPRING (3종류의 구치부 Uprighting Spring의 초기응력분포에 관한 광탄성학적 연구)

  • Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.24 no.3 s.46
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    • pp.709-719
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    • 1994
  • The aim of this investigation was to identify which suing is more suitable for uprighting of the 30 degree inclined lower second molar in different situations. Between four different molar uprighting springs which were A, B, C type and T-loop spring, the author tested T-loop suing as a control material and the other springs were experimental group. Each spring was fabricated from .017' $\times$ .025' TMA wire and preactivated with 40 degree tip-back bend. Stabilizing unit included from the lower right central incisor to the lower right second premolar which were made by acrylic resin. The photoelastic overview of the lower right quadrant showed that stress concentrations were observed in its photoelastic model. The obtained results were as follows. 1. Higher concentration of compression can be seen clearly at the distal curvature than the mesial of the lower second molar when A type uprighting spring was applied, which can be used as a space regainer. 2. Higher level compression was presented at the mesial root apex area than the distal of the lower second molar in B type uprighting spring, which can be used as a space closer. 3. Areas of higher compression and tension were observed about the mesial and distal root of the lower second moalr than A and B type in C type uprighting spring, which can be used as a partial space regainer.

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TREATMENT OF HEAVY MANDIBULAR BUCCAL FRENUM USING APICALLY POSITIONED FLAP UNDER DEEP SEDATION IN CHILDREN (소아환자의 깊은 진정요법 하에서 근단변위 판막술을 이용한 거대협소대의 치료)

  • Kim, Jong-Bin;Yoon, Hyung-Bae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.69-76
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    • 1999
  • The mandibular buccal frenum is defined as a fold of mucous membrane at the posterior labial vestibule and attaches the lips and the cheeks to the alveolar mucosa, gingiva, and underlying periosteum. The buccal frenum becomes a problem when its attachment is too close to the marginal gingiva. It may then pull on healthy gingiva, encourage plaque formation and interfere with tooth brushing. Especially, heavy buccal frenum mucogingivally results in insufficent attached gingiva, inadequate vestibular depth and high frenum attachment and also difficulty in eruption of mandibular premolar. Frenotomy, frenectomy and mucogingival surgery are used in treating heavy buccal frenum. Frenotomy with autogenous free gingival graft has been used popularly because of its stable result. But, it is difficult in younger children because of inadequate donor site, difficulty in making recipient site and behavior management. Frenotomy with apically positioned flap is considered as more efficient way for a very young child with heavy buccal frenum. Additionally, modified deep sedation with $N_2O-O_2$ can be used as an adjunct for the effective treatment outcome. Decrease in muscle pull, adequate width of attached gingiva and increased vestibular depth can be expected from this treatment approach.

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CLINICAL AND HISTOPATHOLOGICAL STUDIES ON THE GLOBULOMAXILLARY CYSTS -Case report- (Globulomaxillary Cyst의 임상 및 병리조직학적 관찰)

  • Lim, Chang-Youn;Park, Jae-Ho;Chun, Dong-Jin;Choi, Poo-Pyoung
    • The Journal of the Korean dental association
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    • v.9 no.3
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    • pp.117-121
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    • 1971
  • The authors had observed clinically and histopathologically on the 5 cases of globulomaxillary cysts. The results are as follows: 1. All cases occurred in men, and the average age was 33.6 year,; the oldest was 38 year and the youngest was 31 year old. 2. Four cases occurred in upper left jaw and the one was in right. 3. By the roentgenogram, well demarkated line between the cyst and intact bone were observed as pea shaped radiolucency between the canine and the lateral incisor. In most cases alveolar bone was involved from the central incisor to the premolar region. 4. Thick stratified squamous epithelium was covering the connective tissue wall. There were no keratinization except one case of parakeratosis which had massive inflammatory infiltration. Inflammatory infiltration was obsereved in most cases.

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A Study on Sexual Differentiation by Means of Discriminant Functions in the Dental Easurement (치열계측의 판별함수에 의한 성별판정에 관한 연구)

  • 배재일;김한평
    • Journal of Oral Medicine and Pain
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    • v.8 no.1
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    • pp.121-126
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    • 1983
  • This study is conducted with a view to make correct sexual differentiation by the utilization of discriminant functions. For that purpose were randomly sampled out 148 young adults testes, comprising 67 males and 81 females, ranging from 15 through 18 years fo age. Based on the values made available from the measurement of 6 items corresponding to the maxillary cast models, a statistical analysis was made to abstract feasible discriminant functions. The results findings are as follows: 1. The mean value by sex indicates, in all items, higher one in male group than in female group. 2. Through the measurement were defined as singnificant items in sexual differentiation the bucco-lingual dimensions of canine, 1st-molar, 2nd molar, and 1st bimolat width. 3. Derived from the value from measurement items were discriminant functions with the intention of applying them to sexual differentiation, as follows: 1) Y=-25.4112+0.7513BL3+0.3298BL4-0.2854BL5+0.7350BL6-0.3482BL7+0.2893AW (as tested by Method I) 2)Y=-25.0628+0.7737BL3+0.7468BL6-0.3885BL5+0.2951AW(as tested by Method II) BL3 : Bucco-lingual dimension of upper canine BL4 : Bucco-lingual dimension of upper first prmolar BL5 : Bucco-lingual dimension of upper second premolar BL5 : Bucco-lingual dimension of upper first molar BL6 : Bucco-lingual dimension of upper second molar AW : Upper first bimolar width 4. Sexual defferentiation in terms of descriminant functions represented a probility of 74.6%.

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