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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
Journal Basic Information
Journal DOI :
Korean Academy of Pediatric Dentistry
Editor in Chief :
Volume & Issues
Volume 34, Issue 4 - Nov 2007
Volume 34, Issue 3 - Aug 2007
Volume 34, Issue 2 - May 2007
Volume 34, Issue 1 - Feb 2007
Selecting the target year
COMPARATIVE STUDY ON THE EFFICACY OF DIGITAL IMAGING FIBER-OPTIC TRANS-ILLUMINATION AND LASER FLUORESCENCE IN MONITORING THE REMINERALIZATION PROCESS OF INCIPIENT SMOOTH SURFACE ENAMEL LESIONS
Hwang, Kyu-Seon ; Yoo, Seung-Hoon ; Kim, Jong-Soo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 183~191
Through out the world dental caries seems to be decreased as it is difficult to make an accurate diagnosis for dental caries. The traditional diagnostic method which is probing and x-ray taking has many limitations to diagnose the early caries, so there were recommendations for the needs of new equipments such as laser fluorescence(LF), digital imaging fiber-optic trans-illumination(DIFOTI), and quantitative light fluorescence (QLF) which were developed from various study results. Also confocal laser scanning microscopy(CLSM) and ultrasonics are used for research progression. This study is to evaluate whether it is possible to monitor accurately for remineralization amount of enamel surface early caries using DIFOTI or LF After inducing artificial caries to bovine teeth to 10 participants remineralization was enhanced by 0 ppm and 500 ppm fluoride mouth rinse solution for 3 weeks. Then they were cross sectioned and analyzed using gold standard of the lesion depth measured by CLSM. The following results were obtained: 1. The measured percentage of light intensity(luminosity ratio) by DIFOTI increased with remineralization period, and showed significant reverse correlation with lesion depth measured by CLSM (p<0.01). 2. The measurement of laser fluorescence increased with remineralization period, and showed significant correlation with lesion depth measured by CLSM (p<0.01). 3. To the result for CLSM, 500 ppm fluoride mouth rinse group showed rapid rate for decreased tendency of lesion depth than 0 ppm fluoride mouth rinse group. In conclusion DIFOTI system was used to measure accurately for the remineralization amount of early surface caries, it is a very useful equipment to detect precisely the changes for early enamel caries remineralization during treatments.
EFFECT OF TOPICAL ALENDRONATE APPLICATION ON INFLAMMATION OF REPLANTED RAT MOLAR
Choi, Sung-Chul ; Lee, Keung-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 192~203
This study histologically assessed the effect of topical alendronate application on periodontal healing in replanted teeth in fifty four SD Rats. Upper first molars in rat were extracted and replanted after dried during 15 minutes or 60 minutes in the air. In Group I, all teeth were replanted after 15 minutes of dry storage without any other treatment. In Group II and III, the pulps were removed and all teeth were replanted after soaking 10 min in Hank's balanced salt solution with/without alendronate, followed by 60 minutes of dry storage. the rats were sacrificed after 7, 15 and 30 days. The histological parameters studied were healed PDL, surface inflammatory and replacement resorption, and inflammatory severity. The following conclusions could be drawn from the present investigation. 1. Group I showed lower inflammatory root resorption and inflammation severity rate, compared to Group II and Group III. In Group I there showed effective for reattachment and regeneration of PDL. 2. In Group II, inflammatory root resorption were more severe and faster than other groups. There were extensive root resorption in the rats sacrificed after 30 days. 3 In Group III, there were localized inflammatory resorption in several areas, but extensive resorption did not occur Group III showed increase in root resorption rate, compared to Group I. However this difference was not statistically significant. 4. There were no difference between sacrificed days in replacement root resorption in all groups.
COMPARISON OF MICROLEAKAGE IN SEALANT REPAIRED WITH DIFFERENT SURFACE TREATMENT
Kang, Myung-Bong ; Hyun, Hong-Keun ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taek ; Lee, Sang-Hoon ; Hahn, Se-Hyun ; Kim, Chong-Chul ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 204~214
The aim of this study was to investigate whether differences in surface treatment prior to repair influenced the seal of a resin fissure sealant placed on the occlusal surfaces of permanent molar teeth. One hundred and twenty extracted human molars were selected and a light curing sealant was placed on their occlusal surface following cleaning by prophylaxis and acid etching. The teeth were deliberately damaged, and then stored in artificial saliva for four weeks. Sixty teeth with the desired morphology of sealant failure were randomly divided into four groups where one group was treated with only etching agent, another by only air-abrasion, another by applying an etching agent followed by a bonding agent, and the last by air-abrasion followed by a bonding agent each. After sealant application, the samples were thermocycled and the degree of microleakage was determined. The results were as follows : 1. In the sealant/sealant interface group 2(0.22), 4(0.23) using air-abrasion showed a significantly lower microleakage score than group 1(0.38), 3(0.35) using an etching agent(p<0.05). There were no statistically significant differences(p>0.05) between groups 1, 2 and groups 3, 4. 2. In the sealant/tooth interface, group 3(0.20), 4(0.20) which used a bonding agent showed a significantly lower microleakage score than group 1(0.35), 2(0.40) (p<0.05). There were no statistically significant differences(p>0.05) between groups 1, 3 and groups 2, 4. 3. In SEM examination, while sealant surfaces treated with etching did not result in highly rough surfaces, those treated with air-abrasion did show rough surfaces.
AGE ESTIMATION USING PANORAMIC RADIOGRAPHS OF DEVELOPING PERMANENT TEETH
Choi, Eun-Young ; Choi, Nam-Ki ; Kim, Seon-Mi ; Yang, Kyu-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 215~221
The aim of this study was to test whether metric measurements of crown length, root length and apex width during tooth development could be a better basis for correlation with age than the classical methods based on subjective estimations of various stages of tooth development. Panoramic radiographs of 120 children, aged 7 to 9 years, were collected from the department of the pediatric dentistry of Chonnam National University Hospital, Korea. The methods of Mornstad was used to estimate age. The structures measured were crown length root length and apex width in panoramic radiographic. The results were as follows : 1. In the boys, it showed higher correlation between lower 2nd molar crown length, lower 1st molar root length or lower 1st permolar apical width and age. In the girls, it showed higher correlation between lower 2nd premolar crown length, lower 2nd molar root length or lower 1st molar apical width and age. 2. With the aid of a multiple regression model, a linear relationship between some of these distances and age was shown. Boy(months) = 43.958 + lower 2nd molar crown length
4.392 + lower 1st molar root length
2.255 - lower 1st permolar apical width
2.046, Girl(months) = 75.213 + lower 2nd premolar crown length
3.910 lower 2nd molar root length
2.280 - lower 1st molar apical width
6.217 Age was estimated in boys and girls using the mathematic model ; the mean difference between chronological and estimated ages was
months for boys and
months for girls. Therefore, it seems to be more accurate and easier than the earlier methods.
Quantitative Micro-CT Evaluation of Microleakage in Composite Resin Restorations
Lee, Sang-Ik ; Hyun, Hong-Keun ; Kim, Young-Jae ; Kim, Jung-Wook ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Hahn, Se-Hyun ; Jang, Ki-Taeg ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 222~233
One of the most important and basic test of dental restorative materials is the evaluation of microleakage into the tooth-restorative interface. There are many techniques to test microleakage, but most of them have several disadvantages. Recently developed microtomography(micro-CT) can provide the three dimensional image and information about the internal component in non-destructive way, therefore using micro-CT, it is possible to evaluate microleakage exactly in quantitative manner. The purpose of this study is to find a new method for quantitative and non-destructive evaluation of microleakage in composite resin restorations using micro-CT and to compare the new method with conventional dye penetration method. Thus, microleakages of two kinds of dentin bonding systems were evaluated with above two methods. 40 extracted sound human premolars were randomly divided into two groups consisting of 20 samples and restored accordingly. Group 1 : Class V resin restorations with
Singe Bond Group, 2 : Class V resin restorations with
Supreme was applied to the Class V cavities of all teeth. After that, 10 teeth from each group were applied to evaluation of microleakage using micro-CT, and other 10 teeth from each group were using conventional dye penetration method. The conclusions of this study were as follow : 1 Using micro-CT, Group 1 showed significantly less microleakage than Group 2 and there was statistically significant difference(p<0.01) between two groups. 2. Using conventional dye penetration method, Group 1 leaked less than Group 2 and there was statistically significant difference(p<0.01) between two groups 3. The difference between two groups is more evident in the method using micro-CT. 4. In all two methods, microleakage appeared more into the cavities to dentinal margins than enamel margins.
A STUDY ON THE EFFECTS OF SEDATION AND RELATED VARIABLES FOR PEDIATRIC DENTAL PATIENTS
Kim, Kyoung-Hee ; Kim, Seung-Oh ; Kim, Jong-Soo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 234~246
The combination of chloral hydrate and hydroxyzine is one of the safest and most commonly used drug regimens for sedating young, uncooperative pediatric dental patients. Midazolam IM or IN and
inhalation is sometimes administered with chloral hydrate and hydroxyzinecombination when deeper and longer sedation is needed. The purpose of this study was to assess the outcome and safety of chloral hydrate, hydroxyzine and
in the sedation of a large number of uncooperative pediatric dental patients and to identify variables associated with their effectiveness. In a nine-month retrospective study, 171 records of sedation performed in 94 healthy children(male 46, female 48) with mean age of
months were reviewed. The authors analyzed several variables such as age, sex, weight, methods of drug delivery, waiting time after drug delivery, treatment rendered, treatment time, adverse events, sedation outcome. Eighty five percent of sedation had success behavioral outcome. Sedation sessions rated success used more
administration and had longer treatment duration than sedation sessions rated failure. A children patient under 36 months of age had enough sleep by only oral administration and the mean waiting time of this case was significantly shorter than that of a children patient over 36 months of age. There was a clear correlation between age and
using tine, but no correlation between weight and
using time. There was no statistically significant difference among variables of treatment duration,
administration and adverse event.
PREVALENCE OF STREPTOCOCCUS MUTANS AND STREPTOCOCCUS SOBRINUS IN CHILDREN WITH MIXED DENTITION
Lee, Myung-Sung ; Choi, Sung-Chul ; Park, Jae-Hong ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 247~254
Mutans streptococci have been reported to be implicated in dental caries. Of these streptococcal species, Streptcoccus mutans and Streptococcus sobrinus are most commonly found in human dental caries. Prevalence of these bacterial species in dental caries is found to be varied in different races and countries. Therefore, importance of these bacteria in dental caries remains to be determined The present study was performed to find out correlation S. mutans and S. sobrinus with dental caries in 125 Korean children with mixed dentition between 6 to 11 years of age. They were classified as group A(6-8 years) and group B(9-11 years) by age. For the study, stimulated saliva samples were collected from each subject. The vials containing saliva specimens were serially diluted (1:10) in saline and plated in duplicate on tryptone-yeast extract-cysteine with sucrose and bacitracin (TYCSB) for S. mutans and S. sobrinus. After genomic DNA was extracted from the samples, polymerase chain reaction (PCR) amplification was performed for identification using universal primers and specific primers to S. mutans and S. sobrinus. Data of microbial variables were compared to caries status of the subjects. According to this study, the result were as follows : 1. S. mutans versus S. sobrinus were moderate positive linear correlated in both group A(r=0.70) and group B(r=0.50). 2. Between S. mutans and dental caries there were weak positive linear correlation in both group A(r= 0.25) and group B(r=0.34). 3. S. sobrinus versus dental caries were not correlated in group A but slightly correlated in group B(r=0.21). 4. Between S. mutans and age, there were not correlation in both group. 5. S. sobrinus versus age were weak correlated in group A(r=0.32) but not correlated in group B.
EFFECT OF ACIDULATED PHOSPHATE FLUORIDE ON THE SURFACE OF COMPOSITE RESIN
Yang, Kyu-Ho ; Yook, Geun-Young ; Choi, Nam-Ki ; Kim, Sun-Mi ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 255~263
Composite resin restorations are widely used to restore decayed teeth or preventive restoration in children. Children often receive topical fluoride treatments on a semiannual basis. However there is concern that topical acidulated phosphate fluorides (APF) may cause deterioration of composite resins. The aim of this study was to evaluate the surface changes in composite resins due to topical fluoride application. Composite resins(Solitaire
) in topical fluoride agents were immersed and their surface roughness, weight loss and SEM findings were evaluated. The results were as follows: 1. The 4 minutes-immersion group showed more roughened surface than 1 minute-immersion group and the control group showed the smoothest surface among all the materials, and there was statistically significant difference between the groups except the Composan
(P<0.05). 2. There was no significant difference between the 1 minute-immersion group and 4 minutes-immersion group in weight loss (P>0.05) 3. The experimental group treated with topical fluoride gel showed generally more roughened surface than control group in the SEM findings.
IMPROVEMENT OF ORAL HYGIENE METHODS FOR EARLY CHILDHOOD
Lee, Kwang-Hee ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 264~272
The purpose of study was to improve the oral hygiene methods for early childhood. The author investigated the oral hygiene materials for early childhood and the oral hygiene methods used by 672 caregivers in Iksan city. The oral hygiene materials were oral tissue, finger brush, toothbrush sets according to the growth stages, electric toothbrush, child toothbrush, toothpaste sets according to the growth stages including eatable toothpaste, and child toothpaste, The rate of caregivers who used each materials was 62.5% for oral tissue, 70.9% for finger brush, 55.9% for toothbrush sets, and 87.4% for eatable tooth-paste. 79.0% of caregivers began toothbrushing from first eruption and about 1 year of age. The rate of swallowing toothpaste was 22% before 48 months, 9% from 48 to 59 months, and 3% after 60 months. The rate of children brushed by caregivers was 52% before 48 months, 42% from 48 to 59 months, and 26% after 60 months. The basic method of oral hygiene management for early childhood is to remove the dental plaque by toothbrushing, and the toothpaste may be used. Suffocation, accidental swallowing, and injury to the throat must be avoided. Generally, the fluoride toothpaste is not recommended before 3 years of age. The least amount of fluoride toothpaste should be used and caregivers should supervise children to prevent the swallowing of toothpaste.
CHEMICAL DEGRADATION AND WEAR OF LIGHT-CURED COMPOSITE RESINS
Yang, Kyu-Ho ; Jung, Hee-Kyung ; Choi, Nam-Ki ; Kim, Seon-Mi ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 273~284
The aim of this study was to evaluate the resistance to degradation and to compare the wear resistance characteristics of four esthetic restorative materials in an alkaline solution(0.1N NaOH). The composite resins studied were Composan LCM flow(Promedica, Germany). Clearfil ST(Kuraray medical, Japan), Durafi VS1(Heraeus Kulzer, U.S.A), Point 4(Kerr, U.S.A). The results were as follows : 1. The mass loss of each brand was
and highest value in Durafil VS
. 2. The sequence of the degree of degradation layer depth was in descending order by Durafil VS, Clearfil ST, Point 4 and Composan LCM flow. There were significant differences between Point 4, Composan LCM flow and the others (p<0.001). 3. The sequence of the Si loss was in descending order by Clearfil ST, Durafil VS, Composan LCM flow and Point 4. There were significant differences among the materials (p<0.001). 4. On SEM, destruction of bonding between matrix and filler and on CLSM, the depth of degradation layer of specimen surface was observed. 5. The sequence of maximum wear depth was in descending order by Durafil VS, Composan LCM flow, Point 4 and Clearfil ST. There were no significant differences among the materials (p>0.001) 6. The correlation coefficient between Si loss and degradation layer depth (r=0.892, p<0.01) and Si loss and mass loss(r=0.736, p<0.01) were relatively high. These results indicate that hydrolytic degradation, wear and another factor may consider as evaluation factors of composite resins.
THE EFFECTS OF COLLAGENASE AND ESTERASE ON THE MICROTENSILE BOND STRENGTH IN DENTIN BONDING
Jung, Young-Jung ; Hyun, Hong-Keun ; Kim, Young-Jae ; Kim, Jung-Wook ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Hahn, Se-Hyun ; Jang, Ki-Taeg ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 285~291
The purpose of this study was to evaluate the effect of collagenase and esterase on the microtensile bond
in dentin bonding. After resin composites were bonded to occlusal dentin.
specimens were formed and stored in PBS, collagenase, or esterase solution After 4-week storage,
was determined and, the results were as follows : 1.
values of Single Bond 2 were lower than those of Clearfil SE Bond for all storage medium (p<0.05). 2. In Single Bond 2 group, collagenase solution lowered bond strength more than PBS and esterase solution (p>0.05). 3. In Clearfil SE Bond group, esterase solution lowered bond strength more than PBS(p>0.05). Collagenase solution lowered bond strength more than esterase solution(p>0.05) and PBS(p<0.05).
A RESEARCH ON THE EVALUATION OF THE NEW PATIENTS FOR THE LAST 8 YEARS IN DEPT. OF PEDIATRIC DENTISTRY OF CHONBUK UNIVERSITY
Ko, Young-Han ; Kim, Jae-Gon ; Yang, Yeon-Mi ; Baik, Byeoug-Ju ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 292~298
In order to thoroughly understand change patterns and to set up an appropriate approach the direction of future treatment towards children in Chonbuk area, we carried out this research. we could draw below conclusions from the studies based on researches of distribution of new patients visited Dept. of Pediatric Dentistry, Chonbuk Nat' university from 1998 to 2005 and current changes in dental treatment. 1. There was an increase in the number of patients until 2004 but it decreased in 2005. Boys took higher portion. 2. Number of patients increased during school holidays. 3. 97.7% of patients were urbanites. 4. An age group from 31 months to 6 years showing 48.2% was the highest, each percentage of
months showed 31.3%, 17.2%. 5. 33.8% of patients were referred from local dental clinics and among them, an age group from 31 months to 6 years showing 49.5% was the highest, each percentage of
months showed 35.2%, 12.9%. 6, 5.5% of patients who had systemic diseases, among them, each percentage of cardiovascular disease, mental retardation, respiratory disease showed 21.8%, 13.6%, and 11.0%. 7. According to the distribution of chief complaints, dental caries showing 42.9% was the highest. 8. Root canal treatment, restoration, prosthesis showing 42.6% were the highest of all treatments.
THE EFFECTS OF SUGARS ON THE EXPRESSION OF GTFB AND GTFC MRNA
Chung, Hye-Jin ; Kim, Shin ; Chung, Jin ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 299~308
Insoluble glucan is the important component of oral biofilm, which is synthesized from sucrose through the action of glucosyltransferase (GTF) B and GTF C encoded by the gtfB and gtfC genes, respectively of Streptococcus mutans. In present study, the effects of various sugars on the mRNA expression of gtfB and gtfC of S. mutans Ingbritt were examined by fluorescent in situ hybridization (FISH). The mRNA of gtfB and gtfC was expressed normally in the BHI broth containing 1% and 5% sucrose. The mRNA expression was decreased by the addition of 10% of glucose, and 1%, 5% and 10% of fructose. Lactose had no great effect on the expression of gtfB and gtfC. 5% and 10% of xylitol greatly reduced the mRNA expression of gtfB and gtfC. Sorbitol slightly decreased the mRNA expression of gtfB and gtfC when compared to the control. In summary, mRNA expression of gtfB and gtfC was decreased by the addition of glucose, fructose, and xylitol.
AMELOBLASTIC FIBROMA IN MIXED DENTITION : A REPORT OF 2 CASES
Kwon, Joung-Hyun ; Lee, Jae-Ho ; Choi, Hyung-Jun ; Choi, Byung-Jai ; Son, Heung-Kyu ; Kim, Seong-Oh ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 309~314
Ameloblastic fibroma is a rare benign tumor, accounting for only 2.5% of odontogenic tumors. It occurs during the period of tooth formation between the ages of 5 and 20 years with the average age being about 15. There is no gender predilection. In the majority of cases, the lesion arises in the mandible, presenting the swelling of jaw and the failure of tooth eruption. In this report, the main concern of the patient was the failure of eruption of lower permanent and deciduous molars. Radiographic investigation showed a radiolucency surrounding the crown of unerupted teeth. Surgical intervention and histopathologic study revealed the lesion to be ameloblastic fibroma. After the surgery, no evidence of residual tumor or recurrency was found. These patients are scheduled for the long-term continuing evaluation of the eruption of adjacent teeth and successor with radiographic study.
THE CLINICAL APPLICATION OF BUCCAL ACRYLIC APPLIANCES
Noh, Hong-Seok ; Kim, Shin ; Jeong, Tae-Sung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 315~321
Removable appliance has many utilities in pediatric dentistry in the fields of space maintainance or occlusal guidance. In contrast to maxilla, many problems have occurred with mandible in using removable appliance such as deteriorated retention, inconvenience and patient's unwillingness to wear. It is probably due to adapting several retentive clasps at buccal side of the tooth, where there is actually little or no undercut especially in young children having the erupting teeth Moreover, acrylic base plate of conventional removable appliance is located at lingual parts, which leads to the conflict with alveolar crest undercut and sublingual soft tissues. Moreover, young children frequently do not follow the dentist's direction to elevate tongue properly during the impression taking process. Throughout this study, the position of clasps and acrylic baseplate was changed opposite to the traditional Hawley acrylic appliance in order to make a buccal acrylic appliance with buccal base plate and lingual clasp into primary dentition and early mixed dentition. This study was performed for the purpose of evaluating the buccal acrylic appliance in regards of patient compliance, retention and efficiency compared with traditional lingual acrylic appliance along with its merits and demerits. Buccal and lingual acrylic appliance were applied to 5 cases respectively which required space maintaining and tooth movement, and drew a comparison in relevance to patients' compliance, combination with the tongue's function and clinical effectiveness. According to this study, in every case buccal appliance was proved superior to lingual appliance in terms of retention and patients' compliance. Moreover, buccal appliance has shown to be similar to lingual appliance with respect to clinical effectiveness. Throughout this study, it was thought that, if removable appliance is to be applied to mandible, several drawbacks related to conventional lingual appliance shall be resolved. Conclusively, the buccal acrylic appliance is thought to be a good alternative in designing a mandibular appliance in young children and recommended to clinical applications.
TREATMENT OF IMPACTED MANDIBULAR FIRST MOLAR BY SURGICAL EXPOSURE : A CASE REPORT
Cho, Yun-Jung ; Park, Young-Ok ; Kim, Tae-Wan ; Kim, Hyun-Jung ; Kim, Young-Jin ; Nam, Soon-Hyeun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 322~328
The first molar is important for mastication and also it plays roles to formation of vertical occlusion and growth of jaw bone after mixed dentition. Impaction of mandibular first molar can result in a short lower facial height, formation of a follicular cyst, pericoronal inflammation, resorption of the roots of neighboring teeth and malocclusion. The options of treatment plans are as follows; observation, surgical exposure, orthodontic traction, surgical relocation and extraction. Surgical exposure could be considered as a basic treatment plan. For surgical exposure it is important to maintain patent channel between the crown and the normal eruptive path into the oral cavity, many techniques including cementation of a celluloid crown, packing with zinc oxide-eugenol surgical pack are used. In these cases, we could observe spontaneous eruption of mandibular first molar using surgical exposure with or without removal of odontoma. Also we could obtain the main patency effectively and conveniently by using surgical pack and translucent retainer.
THE SPONTANEOUS ERUPTION OF DISPLACED PERMANENT TOOTH BY PERIAPICAL LESION OF PRIMARY TEETH
Kang, Dong-Gyun ; Yang, Seung-Duck ; Kim, Tae-Wan ; Kim, Hyun-Jung ; Kim, Young-Jin ; Nam, Soon-Hyeun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 329~334
The infection of primary teeth occurs by caries or trauma. But, if it is not treated on time, the complication may occur such as enamel hypoplasia, discoloration, impaction, displacement and dilaceration of permanent successors. The periapical lesion on primary tooth could displace the permanent successors in any direction. Treatment options of displaced tooth are observation after extracting the primary teeth, surgical exposure orthodontic traction, transplantation and extraction. In these cases, displacement of permanent central incisor caused by the periapical lesion of primary teeth was observed. The spontaneous eruption after extraction of primary teeth was expected considering degree of displacement, development of root and direction of eruption. This case report shows spontaneous eruption of displaced permanent tooth germ was achieved with periodic examination after extraction of primary teeth.
ERUPTION GUIDANCE OF DISPLACED PERMANENT SUCCESSOR CAUSED BY PERIAPICAL LESION OF MANDIBULAR PRIMARY MOLAR
Lim, Su-Min ; Baik, Byeoug-Ju ; Yang, Yeon-Mi ; Han, Ji-Hye ; Kim, Jae-Gon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 335~340
Primary teeth and the permanent successor must be understood as interdependent units, where each one of them interacts with and depends upon the other. The spread of pulpal inflammation in primary teeth to the periradicular tissues can lead to early eruption, enamel hypoplasia or hypocalcification, developmental arrest of permanent successor. Also the periapical inflammation cause permanent tooth displacement in various direction. We describe here two clinical cases of displaced permanent successor caused by periapical lesion of mandibular primary molar in children.
MANAGEMENT OF ADULT DENTAL PHOBIC PATIENTS
Kim, Dae-Eop ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 341~348
We dentists perform many of routine dental procedures and must deal with much of the population's dental anxiety and fear. Dentists have used many non-pharmacological modalities initially to overcome anxiety and fear, including distraction, empathy, desensitization, and so on. However, certain patients need pharmacological backup of anxiety and fear to conquer dental treatment. This article presents four cases to introduce the methods from nitrous oxide and oxygen inhalation to general anesthesia for difficult adult dental phobic patients to deal with.
EXCISIONAL BIOPSY OF MUCOCELE USING BIOPSY PUNCH
Hong, Eun-Hye ; Choi, Byung-Jai ; Lee, Jae-Ho ; Choi, Hyong-Jun ; Son, Heung-Kyu ; Kim, Seong-Oh ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 34, issue 2, 2007, Pages 349~353
Mucocele is a clinical term of the localized superficial mucosal swelling caused by salivary retention after the obstruction or the rupture of minor salivary ducts. Various treatment methods have been suggested to lower its recurrence rate, including complete excision of lesion Biopsy punch can be used easily and simply for complete excision of mucocele. It has several advantages, such as convenience in use, low bleeding tendency, and nearly no requirements for post-operative management. In this case, biopsy punch was used for the removal of mucocele in an uncooperative child, which enable fast, simple and safe procedure, with a good result.