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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 36, Issue 4 - Nov 2009
Volume 36, Issue 3 - Aug 2009
Volume 36, Issue 2 - May 2009
Volume 36, Issue 1 - Feb 2009
Selecting the target year
STUDY ON CHILDREN'S PREFERENCE TOWARD ATTIRE OF DENTIST AND DENTAL HYGIENIST
Nam, Jeong-Ran ; Lee, Nan-Young ; Lee, Sang-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 175~188
The purpose of this study was to find a method for improving children's preferences during dental treatment in relation to dentist's attire. For this study, 650 children asked to participate in a survey about the attire of the dentists. The results of the survey were as follows: 1. The survey found that gowns were preferred to ordinary clothes for both male and female dentists, 67.7 to 87.6% for male and 59.2 to 75.9% for female dentists. 2. For male dentists, the typical long white gown was the most preferred style, followed by a long gown, and a short jacket type, and then a short operating gown. 3. For female dentist, the typical long white gown was also most preferred, followed by a long gown, a short jacket type, and then a short operating gown. 4. For dental hygienists, the most preferred attire style was a two-piece wear with pants, followed by one-piece, skirt suit, shirts with cartoon characters, and apron. However, the difference among these attires was insignificant 5. White was the preferred color for gown. 6. Children prefer gown with no-pattern.
POLYMERIZATION SHRINKAGE OF COMPOSITE RESIN USING DOUBLE CURING UNIT SYSTEM
Han, Mi-Ran ; Kim, Jong-Soo ; Yoo, Seung-Hoon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 189~198
As a part of an effort to minimize the polymerization shrinkage which is considered to be a major cause of failed bonds to tooth, newly designed 'Double LED system' was tested in the present study. Analyses were performed on the pattern of micro-leakage and the changes of strain which have occurred during the polymerization process. The results can be summarized as follows: 1. In the strain change, dramatic increase was observed with initiation of polymerization which was followed by subsequent gradual decrease with elapse of time in both the single LED system and double LED system. 2. The single LED system were shown to develop and maintain the maximum stress more than double LED system(p<0.05). 3. Less micro-leakage was found in the double LED system than in the single LED system(p<0.05). From the above-mentioned results, the double LED system can be a very useful tool in a sense of reducing polymerization shrinkage when compared to the single LED system. However, practical problems such as size of curing unit and its application method with its light intensity should be solved before its clinical application.
DEVELOPMENT OF DIGITAL IMAGING FIBER-OPTIC TRANS-ILLUMINATION SYSTEM
Lee, Sang-Min ; Kim, Jong-Soo ; Yoo, Seung-Hoon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 199~208
This study was performed to improve the conventional
system(EOS Inc., USA) by developing the prototype of DIFOTI system which consists of light emitting diode(LED) and digital camera. The images of enamel surfaces treated under Carbopol 907 de-mineralizing solution were taken daily during 7 days of experimental periods by both DIFOTI systems. The results of comparative analyses of obtained images can be summarized as follows: 1. Trans-illumination indices of images taken from sample enamel surfaces were decreased with time in both systems. 2. The difference of intensity of luminance between sound and de-mineralized enamel surface in prototype DIFOTI system was shown to be relatively smaller than conventional
system. The application of LED light source in prototype DIFOTI system could possibly reduce the amount of current consumption and that could ultimately lead us to the successful development of wireless model with battery. The innovative development of digital camera is undoubtedly expected to create much clearer image despite of wireless transfer. LED and digital camera can be combined into a smaller size but a very important task of improving image manager and analyzing program into a simpler and easier one to manipulate has to be solved.
POSTSEDATION EVENTS IN PEDIATRIC PATIENTS SEDATED FOR DENTAL TREATMENT
Koo, Jung-Eun ; Baek, Kwang-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 209~216
The purpose of this retrospective study was to examine twenty four hour postsedation events after discharge in children sedated for dental treatment. The sedation sheets of 355 children were selected. Selection criteria excluded no midazolam or nasal route of midazolam, no ASA class I, absent or incomplete questionnaire. Children received orally chloral hydrate and hydroxyzine, nitrous oxide was maintained during the sedation. Midazolam was injected to buccal submucosa with titration. Parents were interviewed via telephone within twenty four hours after sedation. Questionnaire included sleeping response, sleeping time, sleeping behavior, vomiting response at home. Two hundred twenty four (67.8%) children slept and twenty one(6.3%) children had abnormal sleeping behavior. One hundred four(31.0%) children had abnormal behavior after sleep and ten(3.0%) children had vomiting response. In the children took the higher dose of midazolam, there were the great tendency to sleep after discharge (p<0.05), the more negative response to sleeping behavior(p = 0.055), the longer sleeping time(p=0.054). In this study many children slept after sedation and a few children showed negative response. However there were not any considerable emergency events. Further study is required to determine the postsedation safety for the use of submucosal midazolam combination with chloral hydrate and hydroxyzine.
STUDY ON COMPARISON OF ANTIMICROBIAL ACTIVITY BETWEEN HORSERADISH(ARMORACIA RUSTICANA) ROOT EXTRACTS AND SYNTHETIC ALLYL ISOTHIOCYANATE AGAINST ORAL PATHOGENIC MICROORGANISMS
Park, Kwang-Sun ; Park, Ho-Wom ; Shin, Il-Sik ; Lee, Ju-Hyun ; Seo, Hyun-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 217~226
Allyl isothiocyanate (AIT), the principle ingredient of antimicrobial ingredients from horseradish root, can be prepared from extracts of horseradish root or synthetic method. It is reported that the horseradish root extract has the antimicrobial effect against various oral microorganisms, while there is no further study about the antimicrobial effect against the oral microorganisms of synthetic AIT derived from synthetic method. The aim of the study is to compare the difference of the antimicrobial effect between horseradish root extracts and synthetic AIT. To evaluate the antimicrobial effect, we measured the minimum inhibitory concentration(MIC) and minimum bactericidal concentration (MBC), and the results are like following. 1. The MIC of horseradish root extract against 7 kinds of oral pathogenic microorganisms is about 117
0.175%), and the MIC of the synthetic AIT is about 344
0.3%), which have the antimicrobial effects against all kinds of microorganisms. 2. The MBC of the horseradish root extracts against the 7 kinds of oral microorganisms is about 625.2
0.6%), and the MBC of the synthetic AIT is about 1,750
0.7%), which have the antimicrobial effects against all kinds of microorganisms.
STUDY ON THE PRIMARY TOOTH ENAMEL EROSION CAUSED BY CHILDREN BEVERAGE
Shin, Yun-Hye ; Kim, Young-Jae ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 227~236
The purpose of this study is to examine the acidity of beverages that are sold for children in the market and to estimate by experiment the degree of the enamel erosion of deciduous teeth that is attributed to the beverages. The pH value of children beverages among top sale list in Seoul and Gyeonggi province were measured. And 7 beverages with the pH value of 3.5 or lower were selected. The enamel erosion of deciduous teeth by the children beverages for 1, 5, 10, and 30 minutes respectively was examined. The results were as follows: 1. The acidity of most of the children beverages examined in this study was the pH level of 5.5 or lower that can cause the tooth erosion. 2. The microhardness value of the enamel of deciduous teeth was lower as exposing it to children beverages. The reduction of surface microhardness value was significant from 1 minute after the exposure, and the reduction was continuously observed until 30 minutes has passed. 3. The higher the acidity of beverages, the larger the reduction in microhardness value caused after the exposure of 30 minutes to the beverages. There was no significant relation between the acidity of beverages and the reduction rate of surface microhardness value. The other factors such as calcium, phosphorus, and fluorine or buffering of the beverages may affect the enamel erosion.
THE ANTIMICROBIAL EFFECT OF HORSERADISH (ARMORACIA RUSTICANA) ROOT EXTRACTS AGAINST OBLIGATE ANAEROBES IN ROOT CANAL
Lee, Won-Ju ; Park, Ho-Won ; Shin, Il-Sik ; Lee, Ju-Hyun ; Seo, Hyun-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 237~244
When the symptom of periapical infection is not released by mechanical instrumentation. anti-microbial agents including antibiosis become necessary in order to remove microorganisms from the root canal. Since anti-microbial agents of natural origins are currently popular, more natural remedies are being sought out. As it turns out, it is well known isothiocyanates (ITCs) in horseradish root extract have anti-microbial activity from many studies. In this research, anti-microbial effects of horseradish root extract and chlorhexidine, a typical anti-microbial agent, were investigated and compared against two kinds of obligate anaerobes. Fusobacterium nucleatum and Prevotella nigrescens, that are often discovered in infected root canal, and Clostridium perfringens, which is resistant to antibiotics and frequently used as a control strain for antibacterial studies 1. The MIC and MBC of horseradish root extract were ranged from 87 to 470 ppm and from 156 to 625 ppm against three kinds of obligate anaerobes, respectively. Horseradish root extract showed the strongest anti-bacterial activity (MBC, 156 ppm) against F. nucleatum and also showed anti-bacterial activity against antibiotic resistant obligate anaerobes. C. perfringens. 2. The MIC and MBC of chlorhexidine were ranged from 3.12 to 6.25 ppm and 10.94 ppm against three kinds of obligate anaerobes, respectively. 3. The MIC with 87-470 ppm of horseradish root exact has the same growth inhibiting effect as the one of 3.12-6.25 ppm of chlorhexidine. Likewise, the MBC with 156-625 ppm of horseradish has the similar bactericidal effect as 10.94 ppm of chlorhexidine.
A CLINICAL STUDY OF CONGENITAL MISSING TEETH
Jeong, Hae-Kyoung ; Yang, Yeon-Mi ; Kim, Jae-Gon ; Baik, Byeong-Ju ; Jung, Jin-Woo ; Kim, Ha-Na ; Kim, Mi-Ah ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 245~252
The congenital missing of teeth is common, which takes place since the proliferation and differentiation are not allowed in that tooth bud fail to start development. The purpose of this study is to research incidence rate, number, and missing part of congenital missing teeth, and to study whether a person who has missing teeth has other abnormality of teeth or not. For this study, 1,520 subjects(aged 2.9
17) who had visited pediatric dentist department of Chonbuk national university dental hospital within 2 years were examined with an panoramic radiograph; exempting third molar missing state. The obtained results are as follows. 1. 8.88% among total subjects show missing teeth; male 9.05%, female 8.64% 2. The most frequently missing permanent teeth were the mandibular second premolars(22.3%). The most frequently missing primary teeth are mandibular lateral incisors(50%). 3. 43.3% patients have one permanent missing tooth, 34.3% have two, and 10.4% have more than six, respectively. In primary teeth, 86.7% patients have one missing tooth, and 13.3% have two missing teeth. 4. 18 patients(13.3%) have missing teeth as well as hyperdontia, while some patients have microdont, ectopic eruption, and fusion teeth.
ERUPTION TIME AND SEQUENCE OF PERMANENT TEETH IN STUDENTS FROM E-ELEMENTARY SCHOOL
Kwon, Joung-Hyun ; Choi, Byung-Jai ; Lee, Jae-Ho ; Kim, Seong-Oh ; Son, Heung-Kyu ; Choi, Hyung-Jun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 253~261
The purpose of this study was to present new data on the timing and sequence of permanent teeth emergence and to compare these findings with the results of earlier studies. The dental examinations had been performed to E-elementary school students, who visited the Yonsei University Dental Hospital between 1998 and 2005; 1,307 boys and 1,312 girls with the age ranging from 6 to 12 years old. The followings were concluded. 1. Eruption time of the maxillary permanent teeth is as follows. It was 6.81 years in male and 6.73 years in female for the central incisor, 7.78 years in male and 7.65 years in female for the lateral incisor, 10.48 years in male and 9.92 years in female for the canine, 9.76 years in male and 9.63 years in female for the first premolar, 10.66 years in male and 10.49 years in female for the second premolar, 6.39 years in male and 6.26 years in female for the first permanent molar, and 12.13 years in male and 12.03 years in female for the second permanent molar. 2. Eruption time of the mandibular permanent teeth is as follows. The central incisor could not be determined in this study, but it is assumed to erupt before the age of 6.08. In the mandible, eruption time was 6.78 years in male and 6.65 years in female for the lateral incisor, 9.76 years in male and 9.05 years in female for the canine, 9.82 years in male and 9.59 years in female for the first premolar, 10.67 years in male and 10.52 years in female for the second premolar, 6.22 years in male and 6.12 years in female for the first permanent molar, and 11.58 years in male and 11.14 years in female for the second permanent molar. 3. The eruption sequence is as follows. In the maxilla, the first permanent molar erupted first, followed by the central incisor, the lateral incisor, the first premolar, the canine, the second premolar, and the second permanent molar. In the mandible, the central incisor erupted first, followed by the first permanent molar, the lateral incisor, the canine, the first premolar, the second premolar, and the second permanent molar. 4. Tooth eruption occurred earlier in female compared to male by average of 0.19 year in the maxilla and 0.29 year in the mandible. 5. In both male and female, the hiatus (interval of rest) occurred between the emergence of lateral incisor and first premolar in the maxilla while it was observed between the lateral incisor and canine in the mandible. Male had a hiatus of 1.98 years in the maxilla and 2.90 years in the mandible, while the female's were 1.98 years and 2.40 years, respectively.
A STUDY ON THE DENTAL TREATMENT UNDER OUTPATIENT GENERAL ANESTHESIA
Lee, Hyun-Jung ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Hahn, Se-Hyun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 264~269
Seoul National University Dental Hospital opened The Clinic for The Disabled to provide dental treatment under outpatient general anesthesia. 432 patients underwent general anesthesia for dental treatment. The informations such as the pattern of dental treatment, the reasons of general anesthesia, the characteristics of the patients were analyzed. Followings are concluded. 1. The patients below 15 years old made up 50.60%. 2. The reasons for general anesthesia included mental and physical disabilities, systemic disease, dental phobia, and so on. 3. Restorative treatment was the most common procedure with the average of 9.7 teeth treated per one patient. 4. 62(14%) patients underwent general anesthesia for dental treatment more than once. 5. The efforts for better multidisciplinary system to provide more comprehensive and effective dental treatment including periodic recall check, preventive treatment for handicapped patients are necessary.
TREATMENT FOR IDIOPATHIC MULTIPLE DENTIGEROUS CYSTS: CASE REPORT
Kim, Ki-Baek ; Kim, Seon-Mi ; Yang, Kyu-Ho ; Choi, Nam-Ki ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 270~274
Dentigerous cysts generally encompass the crown of an unerupted tooth. These cysts are usually solitary. They are the second most common odontogenic type of cysts following radicular cysts, and are frequently associated with impacted mandibular third molars or maxillary canines. Most multiple cysts found in the jaw are odontogenic keratocysts associated with the nevoid basal cell carcinoma syndrome, mucopolysaccharidoses and cleidocranial dysplasia. Although a single dentigerous cyst is well documented in the medical literature, including the prevalence, treatment and prognosis, multiple dentigerous cysts without any systemic symptoms is unusual. Furthermore, cases involving both the maxilla and mandible are especially rare. We present the case of an 11-year-old boy with nonsyndromic multiple dentigerous cysts associated with a mandibular second premolar and a maxillary canine. The treatment was conservative and included marsupialization and eruption guidance. Further follow up is planned to rule out additional problems and the possible identification of a syndrome.
TREATMENT OF RADICULAR CYST USING DECOMPRESSION
Kim, Nam-Hyuk ; Choi, Byung-Jai ; Lee, Jae-Ho ; Son, Heung-Kyu ; Kim, Seong-Oh ; Choi, Hyung-Jun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 275~280
Radicular cyst is a true epithelium lined cyst formed when epithelium at the apex of a nonvital tooth is stimulated by inflammation. It is the most common type of cyst in the oral cavity, but its frequency is low in the primary dentition. Treatment of large-sized cyst aims at conservation of adjacent structure and allowance of proper eruption of the successive permanent teeth in the primary dentition. Considering these two aspects, marsupialization or enucleation following decompression is recommended as a treatment means for large-sized radicular cyst. In this case, 8-year old boy visited the pediatric dentistry department. Yonsei University Dental Hospital, with the chief complaint of pain on the lower right area. Clinical and radiographic examinations revealed periapical radiolucent lesion on #84, which had previous pulp treatment and restorated with the stainless steel crown. Dislocation of its successive tooth, #44, was also observed. #84 was extracted and sent for biopsy. Through histologic examination, it was diagnosed as radicular cyst. Following its extraction, removable space maintainer was delivered, which was also used as a decompressor. During periodic check-up for next 22 months, favorable healing of the lesion and eruption of the successive tooth were observed.
TREATMENT OF MAXILLARY FIRST MOLARS WITH ERUPTION FAILURES
Kwon, Soon-Yeon ; Kim, Hyun-Jung ; Kim, Yeung-Jin ; Nam, Sun-Hyun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 281~287
An eruption failure can be observed for child and adolescent periods when the primary dentition is changed to the permanent dentition through the mixed dentition frequently. The eruption failure can lead to miss erupting times of the tooth, then it will cause a lot of problems including root resorption, esthetic problem, transposition of adjacent tooth, malocclusoin and etc. Especially, the maxillary first molar is importantly concerned with occlusion and growth and is an essential tooth for development and maintenance of occlusion. So, it is a momentous part of more proper occlusal management to find these abnormal cases at the early stage and solve the problems. The sorts of eruption failures of the maxillary first molars can be divided into delayed eruption, impaction and the primary retention and the secondary retention. When physical obstacles cause impaction, first of all they must be removed then we can treat the impaction with observation after removal, surgical exposure or orthodontic traction. If the source of impaction is an ectopic eruption, the treatment can be a brasswire, a pendulum appliance, a space maintainer or space regainer after the extraction of the second deciduous tooth and etc. These cases are made a diagnosis of eruption failures of the maxillary first molars in mixed dentition period and have good prognosises after my treatments. So I reported them.
INTENTIONAL REPLANTATION OF THE CROWN-ROOT FRACTURED MAXILLARY CENTRAL INCISOR WITH RESIN BONDING : CASE REPORT
Rhee, Ye-Ri ; Park, Jae-Hong ; Choi, Sung-Chul ; Kim, Kwang-Chul ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 288~292
A crown-root fracture is defined as a fracture involving enamel, dentin, and cementum. The fractures may be grouped according to pulpal involvement into uncomplicated and complicated. Generally a vertically crown-root fractured tooth must be extracted. However, it should be mentioned that the cases have been reported where bonding of the coronal fragment has led to consolidation of the intraalveolar part of the fracture. Definitive conservative therapy comprises one of four treatment alternatives; fragment removal only, fragment removal with gingivectomy, orthodontic extrusion of apical fragment, and surgical extrusion of apical fragment. The choice is primarily determined by the exact information on the site and the type of fracture, but the cost and the complexity of treatment can also be decisional factors. On the other hand, intentional replantation of the teeth with vertical root facture reconstructed with resin bonding has emerged as a new promising method in recent years. This case presents an intentional replantation of the crown-root fractured maxillary central incisor reconstructed with resin bonding. However, an obvious increase of radiolucency was observed after 4 months and the tooth was re-fractured after 16 months.
ORTHODONTIC TRACTION AFTER THE TRAUMATIC INTRUSION OF UPPER CENTRAL INCISOR
Han, Yoon-Beum ; Lee, Jae-Ho ; Choi, Hyung-Jun ; Sohn, Hyung-Kyu ; Kim, Seong-Oh ; Song, Je-Seon ; Choi, Byung-Jai ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 293~297
Traumatic intrusion is a type of injury that involves axial displacement of a tooth toward the alveolar bone. Its occurance is relatively rare compared to other types of luxation in permanent dentition. It is more common in boys than in girls, and most common etiology of intrusion is fallen down. Various complication may occur following traumatic intrusion, such as pulp necrosis, root resorption, pulp obliteration and marginal bone loss. In addition, traumatic intrusion is commonly combined with hard or soft tissue injuries. Therefore, it is difficult to establish proper treatment plan. Choice of treatment for an intruded tooth by trauma include waiting for spontaneous re-eruption, orthodontic repositioning, and surgical repositioning. In this case, we repositioned the intruded central incisor using orthodontic traction, in a six-year old girl, which failed to re-erupt spontaneously.
X-LINKED HYPOPHOSPHATEMIC RICKETS : CASE REPORT
Lee, Su-Jin ; Kim, Young-Jae ; Jang, Ki-Taeg ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Hahn, Se-Hyun ; Kim, Jung-Wook ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 298~304
XLH (X-linked hypophosphatemic rickets) is a form of rickets which is resistant to the usual dose of vitamin D and inherited in a X-linked dominant manner. It is also known as vitamin D-resistant rickets or familial hypophosphatemic rickets. Here we report a 6-year-and-6-month-old female patient of XLH who is diagnosed with in SNUB. She was referred from local clinic for impaction of maxillary left permanent incisor and its treatment. She presents bowing deformities of the legs, short stature, enlargement of wrist and ankles and spontaneous dental abscesses of clinically sound teeth delayed eruption, taurodontism, delayed apical closure, enlarged pulp chambers, and absent or poorly defined lamina dura. The purpose of this case is to review the literatures of XLH and report the dental and medical characteristics of this patient.
APEXOGENESIS OF A DENS EVAGINATUS
Lee, Ji-Min ; Choi, Yeong-Chul ; Kim, Kwang-Chul ; Choi, Sung-Chul ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 305~309
Dens evaginatus is a dental anomaly most commonly seen in premolar teeth in which a tubercle or protuberance projects from either the center of the occlusal surface or the buccal triangular ridge. These tubercles are easily fractured from mastication as the tooth erupts and frequently leads to pulp necrosis as a common complication. To prevent these sequelae, prophylactic treatment soon after the tooth starts erupting is essential. These preventive treatments include, selective grinding and protection of the tubercle by pit and fissure sealant. When the tooth does shows signs of pulp necrosis and apical periodontitis, endodontic procedures are needed. Apexification and apexogenesis are usually the treatment of choice for the affected teeth which have immature apices. Apexogenesis is a vital pulp therapy procedure performed to encourage continued physiological development and formation of the root end. It involves removal of the inflamed pulp and the placement of calcium hydroxide on the remaining healthy pulp tissue. This case report describes an atypical apexogenesis of a mandibular premolar which showed to be a dens evaginatus. The tooth which was treated with calcium hydroxide shows good results and is planned for permanent root canal filling.
MTA APPLICATION TO PATIENTS WITH CELLULITIS CAUSED BY DENS EVAGINATUS
Koo, Jung-Eun ; Baek, Kwang-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 36, issue 2, 2009, Pages 310~317
Dens evaginatus is a dental anomaly involving an extra cusp or tubercle that protrudes from the occlusal surface of the affected tooth. The prevalence of dens evaginatus is 1 to 4 percent, and dens evaginatus is observed most commonly in premolars. It can be worn or fractured easily, resulting in pulpal exposure, pulpal infection, loss of vitality, facial infection and osteomyelitis. Since the tooth frequently has the immature apex when the tubercle is fractured, there is difficulty in treatment. Although calcium hydroxide is widely used for pulp treatment of an immature permanent tooth, several alternatives have been suggested to reduce patient's appointments. Mineral trioxide aggregate is considered biocom-patible and has excellent marginal sealing ability. In addition, it can minimize patient's visits. In this case report, apexification with MTA was attempted on the immature premolars in patients with cellulitis patient, caused by pulp necrosis due to dens evaginatus. Favorable clinical and radiologic results were achieved. In one case, continued root formation was observed.