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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 37, Issue 4 - Nov 2010
Volume 37, Issue 3 - Aug 2010
Volume 37, Issue 2 - May 2010
Volume 37, Issue 1 - Feb 2010
Selecting the target year
THREE-YEAR LONGITUDINAL STUDY ON THE PREDICTABILITY OF THE RELATED FACTORS OF THE CARIES INCIDENCE ACCORDING TO THE DURATION
Kim, Sung-Ki ; Kim, Jin-Bom ; Bae, Kwang-Hak ; Kim, Shin ; Jeong, Tae-Sung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 395~402
The purpose of this study was to analyse the stability and validity of the related factors to the caries incidence according to the duration. The subjects were 249 elementary school students. Among them, the number of male students was 137 (55.0%). In the first year, all subjects gave the responses of the questionnaire composed of demographic variables and oral heath behaviors. They also received oral examination and tests of Dentocult SM and Dentocult LB. In the 2nd-4th year, they received second oral examination for the assessment of caries incidence on permanent teeth. The relation of oral health-related factors with caries incidence was analyzed by chi square method and adjusted Relative Risk (RR). In the caries incidence rate for 1 year, those who had 2 or higher score of dentocult LB was 2.3 times higher than those who had 1 or lower. The caries incidence rate for 2 years was highly associated with caries on deciduous molars and dentocult LB. The caries on deciduous molars showed strong association with the caries incidence for 3 years. It was suggested that the association between the caries incidence and the related factors was different according to the duration. Therefore, dentists could need to consider the visiting period in the education of the risk factors of dental caries.
REMINERALIZATION EFFECT OF SODIUM FLUORIDE VARNISH ON WHITE LESION BY APPLICATION INTERVALS
Lee, Eun-Hui ; Kim, Jong-Soo ; Yoo, Seung-Hoon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 403~411
This study is about the treatment effect of fluoride varnish on white lesion. The changes in microhardness values and lesion sizes were compared and analyzed in relation to application interval, frequency, etc. Resin blocks were fabricated with the crown portion of permanent molars. Samples were classified into group I(1 week), group II(2 weeks) and group III(3 weeks) based on fluoride application intervals, each with 15 samples. Samples were soaked into a decalcifying solution for 15 days, and stored in artificial saliva at
thermostat. The changes in microhardness values and lesion sizes, before/after decalcification and after fluoride application, were evaluated. The following results were obtained. 1. Microhardness values in group II and III exhibited almost twice the increasing rate than group I. There were significant differences between group I and II, and group I and III (p<0.05), but none between group II and III (p>0.05). 2. Change in lesion sizes showed no significant differences between group I and II, III (p>0.05). In conclusion, fluoride varnish application results in both qualitative and quantitative improvements in white lesions. The satisfactory results can be obtained when varnish is applied at more than 2 weeks interval.
THE ANTICARIOGENIC EFFECT OF RESIN INFILTRATION ACCORDING TO THE PRETREATMENT OF SURFACE LAYERS IN NATURAL INCIPIENT CARIES LESIONS
Kim, Min-Jeong ; Lee, Dong-Soo ; Kim, Shin ; Jeong, Tae-Sung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 412~421
As a most conservative, minimally invasive trial against early caries lesions, resin infiltration concept has been introduced and studied mainly about effective materials and pre-treatment methods of surface layers to arrest the lesion effectively, which is still going on. This study was performed with an aim of evaluating the efficacy of arresting the caries process in the natural incipient lesions in spite of removing the surface layers and we obtained the results as follows: 1. It was revealed that infiltration groups(1, 3, 5) showed lower radio-density decline between pre- and posttreatment than control groups(2, 4, 6)(p<0.05). 2. Group 5, in which the surface layer was removed with hydrochloric acid, showed the most significant anticariogenic effect(p<0.05). 3. Under SEM evaluation after infiltration, group 1 and 3 showed more irregular destruction and intensive loss of surface layers than group 5. In conclusion, it was thought resin infiltration can be an effective tool against the early caries lesions although surface layers are removed.
SHEAR BOND STRENGTH OF GIOMER AND SELF-ETCHING PRIMER ON THE DENTIN
Yoon, Eun-Young ; Lee, Nan-Young ; Lee, Sang-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 422~428
Giomer is fluoride-releasing, resin-based dental materials that comprise PRG(pre-reacted glass ionomer) filler. The purpose of this study was to evaluate the shear bond strength of Giomer using self-etching primer systems to bovine dentin. Bovine incisors were mounted in self-curing orthodontic resin and the facial surfaces were wet ground on SIC paper to expose the dentin. Total 100 samples were made and divided randomly into 4 groups, Giomer group(I), Composite resin group(II) and Compomer group(III), Giomer and single bottle adhesive group(IV). The shear bond strengths of 25 samples per each group were measured using universal testing machine. And data were analyzed statistically with One-way ANOVA and Scheffe test. Giomer group(I) showed the significantly higher bond strength than Compomer group(III)(p<0.05). There was no significant difference between Giomer group(I) and Composite resin group(II)(p>0.05). And there is no significant difference between gourp(I) and group(IV). Based on the results of present study, the use of Giomer as an esthetic restorative material for primary teeth might be justified. It is considered that more study about the fluoride releasing ability is needed to evaluate the anticariogenic effect of giomer.
FLUORIDE RELEASE AND MICROHARDNESS OF GIOMER ACCORDING TO TIME
Kim, Sang-Min ; Park, Ho-Won ; Lee, Ju-Hyun ; Seo, Hyun-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 429~437
The aim of this study was to evaluate the fluoride release and microhardness of Beautifil II as giomer(Group I), F2000 Compomer as compomer(Group II), GC Fuji II LC Capsule as resin-modified glass ionomer(Group III) and
Z350 as composite resin(Group IV) according to time. Forty discs(5 mm diameter and 2 mm height) were prepared for each material. Each disc was immersed in 3 ml of de-ionized water within polyethylene tube and stored at
. Evaluations were performed by pH/ISE meter for analysis of fluoride release and hardness testing machine for analysis of microhardness over 31 days. The results can be summarized as follows : 1. For all groups except group IV, the greatest fluoride release was observed after the first day of the study period and then dramatically diminished over time. On the 7th day of the study period, fluoride release level was stabilized. 2. Group III showed the highest fluoride release among test groups and then group II, group I were followed. Significant difference in cumulative fluoride release over 31 days was found between each groups. Group IV showed no fluoride release during study period. 3. Group IV showed the highest microhardness among test groups and then group I, group II, group III were followed. Significant difference in microhardness was found between each group, except between group I and group II. 4. After 31 days, microhardness was slightly diminished in every group. However, no significant difference was found.
CHANGES OF COMPRESSIVE STRENGTH AND MICROHARDNESS OF COMPOSITE RESIN, GIOMER AND COMPOMER AFTER THERMOCYCLING TREATMENT
Yoon, Mi ; Kim, Jong-Soo ; Yoo, Seung-Hoon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 438~444
Giomer is a recently developed light-cured resin-based material. This study compared compressive strength and microhardness of composite resin, giomer and compomer after 5000 times of thermocycling at
. The following results were obtained. 1. Composite resin resulted in the highest compressive strengths both before and after thermocycling, followed by giomer and compomer. There were statistically significant differences between composite resin and giomer/compomer (p<0.05), but no statistically significant differences between giomer and compomer. 2. Both before and after thermocycling, microhardness values appeared in the order of composite resin, giomer and compomer with statistically significant differences in microhardness of composite resin, giomer and compomer (p<0.05). 3. After thermocycling, microhardness of composite resin, giomer and compomer decreased with a statistically significant difference (p<0.05). In conclusion, giomer demonstrates higher microhardness than compomer, but lower compressive strength and microhardness than composite resin. In addition, the decrease in microhardness and compressive strength after thermocycling proves the necessity for a thorough understanding in mechanical properties of restoration materials prior to their clinical application.
THE EFFECT OF CPP-ACP PRE-TREATMENT ON BOND STRENGTH OF A SEALANT
Kong, Eun-Kyung ; Jung, Sang-Hyuk ; Mah, Yon-Joo ; Ahn, Byung-Duk ; Jung, Young-Jung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 445~452
Recently the effect of CPP-ACP on early caries remineralization and prevention has hashbeen extensively researched. However, there has been a lack of research on micro-shear bond strength of a sealant applied on a CPP-ACP treated surface. Therefore, the purpose of this study was to evaluate the effect of CPP-ACP on the micro-shear bond strength of a sealant bonded with 3 different bonding systems. From the sound human 3rd molars, the 150 specimens were prepared and randomly assigned to six groups. Group I: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid Group II: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid + dentin bonding agent Group III: Immersion in artificial saliva for 2 weeks + self-etching adhesive Group IV: CPP-ACP application for 2 weeks + 35% phosphoric acid Group V: CPP-ACP application for 2 weeks + 35% phosphoric acid + dentin bonding agent Group VI: CPP-ACP application for 2 weeks + self-etching adhesive Sealant was applied and the micro-shear bond strength was measured. From the result of this study, it can be assumed that the CPP-ACP pretreatment can weaken the bond strength of a sealant if the enamel surface is conditioned with self-etch adhesive.
DEGREE OF SYMMETRY OF DENTAL CARIES IN PRIMARY DENTITION
Lee, Kwang-Hee ; La, Ji-Young ; An, So-Youn ; Kim, Yun-Hee ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 453~460
This study was one of the caries pattern studies. The purpose was to investigate the degree of intraoral symmetry of dental caries in the primary dentition. The dmfs data from children aged 36 to 71 months were analyzed. Pearson correlation coefficients between right teeth and left teeth were from 0.558 (upper canines) to 0.847 (upper central incisors) and 0.905 in total (P<0.01). Differences between right teeth and left teeth were mostly not significant (P>0.05). Pearson correlation coefficients between upper teeth and lower teeth were from 0.150 (right lateral incisors) to 0.506 (right first molars) and 0.680 in total (P<0.01). Differences between upper teeth and lower teeth were mostly significant (P<0.05). Percentages of bilateral caries experience cases per cases having caries experience were from 34.0% (upper canines) to 80.1% (upper central incisors), and from 53.9% (distal) to 84.9% (mesial) in upper central incisors, from 34.1% (mesial) to 45.0% (occlusal) in upper first molars, from 20.7% (distal) to 48.0% (occlusal) in upper second molars, from 34.4% (buccal) to 58.1% (occlusal) in lower first molars, and from 29.7% (distal) to 61.4% (occlusal) in lower second molars, respectively.
STUDY OF TYPE OF BRAND NAMING OF DENTAL CLINICS IN THE KOREAN ACADEMY OF PEDIATRIC DENTISTRY
Shim, Youn-Soo ; Kim, Ah-Hyeon ; An, So-Youn ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 461~466
We examined the pattern of brand naming for dental clinics depending on various factors in 551 members of The Korean Academy of Pediatric Dentistry. The results follows: 1. Brand naming depending on the sex showed that the clinical subspeciality was 33.4% and the name of people or regional location was 31.7% in male members. In female members, the clinical subspeciality was 49% and a feeling of affinity was 29.9% (p<0.05). 2. Brand naming using the name of people and regional location in association with the year of graduation, the period before the 1960s was 66.7% the 1960s was 62.5% the 1970s was 68.8% and the 1980s was 46.5%. That is, these periods accounted for the most part. During the 1990s, however, brand naming based on the clinical subspeciality accounted for 52.2%. After the 2000s, it accounted for 59.8% (p<0.05). 3. In Seoul, Pusan and Kyounggi Province, brand naming based on the clinical speciality accounted for the most part. In other areas, the name of people and regional location, as well as a feeling of affinity, was the most prevalant (p<0.05). To summarize, there was a variability in the pattern of brand naming for dental clinics in association with the sex, schools and year of graduation and the regional location.
THE EFFECT OF Fam83h KNOCKDOWN ON THE AMELOGENIN GENE EXPRESSION IN THE AMELOBLAST CELL LINE
Lee, Sook-Kyung ; Lee, Kyung-Eun ; Kim, Jung-Wook ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 467~471
Amelogenesis imperfecta, one of the dental genetic disease, is clinically and genetically complex disease. Amelogenesis imperfecta can be classified into three major categories according to clinical phenotype; hypoplastic, hypomaturation, and hypocalcification. Recently a novel gene, Fam83h, was identified to cause autosomal dominant hypocalcification amelogenesis imperfecta, however its functional role in the pathogenesis of enamel defect is not known yet. So this study was aimed to identify the knockdown effect of Fam83h gene on the amelogenin mRNA expression via shRNA transfection into immortalized ameloblast cell line. The result showed that the knockdown of Fam83h did not influence the amelogenin expression. Further study of the functional role of Fam83h gene should be performed to understand the complex nature of amelogenesis as well as molecular pathogenesis of amelogenesis imperfecta.
RAPID PALATAL EXPANSION FOR THE TREATMENT OF AN ECTOPICALLY ERUPTING MAXILLARY CANINE: CASE REPORTS
Jang, Su-Young ; Kim, Ji-Yeon ; Park, Ki-Tae ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 473~481
Maxillary canine impaction is an anomaly often encountered in children. Although it has been reported that the incidence of palatally impacted canines is higher than that of labially impacted ones, it has been found that labial impaction of canines is more common than palatal impaction in Asian populations. In the cases presented here, maxillary canines were guided normally after rapid palatal expansion, followed by modification of root angulation of neighboring lateral incisors in 8-10-year-old children who had maxillary canines suspected of labial impaction. Consequently, the method of modifying the root angulation of the maxillary lateral incisor, combined with rapid palatal expansion, is effective in preventing impaction of an ectopically erupting maxillary canine without resorting to surgical methods.
ATTENTION DEFICIT-HYPERACTIVITY DISORDER: A CASE REPORT
So, Jeong-Won ; Ra, Ji-Young ; Lee, Kwang-Hee ; An, So-Youn ; Kim, Yun-Hee ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 482~487
Attention Deficit-Hyperactivity Disorder(ADHD) is the most common psychiatric disorder in school-age children which is increasing gradually. It is hard for ADHD children to focus on particular stimulus for a long time. ADHD children are characterized by hyperactivity which shows in behaviors like, talking too much, getting up from their seats without permission, running around, keep on moving their arms and legs. ADHD children have problems with impulse controlling that they tend to fall and get into an accident very often. Thus dentist's attention and care must increase when dental treatment is performed with ADHD children since behavior control, oral hygiene problems, and trauma might be expected. By using sedative drugs and psychological behavior control, chief complaint was resolved in a 8-years-old female diagnosed for ADHD.
DENS INVAGINATUS AND TALON CUSP CO-OCCURING: REPORT OF THREE CASES
Im, Sung-Ok ; Lee, Sang-Ho ; Lee, Nan-Young ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 488~496
Dens evaginatus is a tooth with cylindrical enamel projection which forms a nodule on occlusal surface. It could be explained as outward overgrowth of inner enamel epithelium or localized hyperplasia of pulpal mesenchymal tissue during tooth development. A problem is that it is likely to be worn out or fractured by mastication ensuing pulpal inflammation. It is occasionally found on the lingual surface of upper anterior teeth as well, called talon cusp. Dens invaginatus is a tooth with deep lingual pit made by invagination of lingual enamel epithelium during tooth development while it is considered normal in terms of size and shape. Radiographically, a part of cervical enamel shows inward growth forming cavity and it is reasonable to say that the base is possibly open to pulpal cavity since they are very close. Talon cusp and dens invaginatus are relatively common abnormality of shape. However it becomes the opposite if the two exist in the same tooth. Once the talon cusp is broken by occlusal force or fissure between cusps is decayed, the complicated structure of canals makes the pulpal treatment difficult. Preventive treatments such as occlusal equilibrium and sealant, and regular oral examination should be preceded and thorough understanding of canal shape, using radiography, is required when pulpal treatment is necessary. This report is about a 9- year-old boy(lower left central incisor), a 8-year-old girl(upper right central incisor), and a 7-year-old boy(upper right central incisor), who have dens invaginatus and talon cusp in the same teeth. The first and the second patients are under pulpal treatments, and the last one is being observed showing no pathologic impressions.
MAXILLARY MOLAR DISTALIZATION AND PREMOLAR ALIGNMENT WITH A JONES JIG APPLIANCE: CASE REPORTS
Jeon, Eun-Kyung ; Hyun, Hong-Keun ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Kim, Chong-Chul ; Hahn, Se-Hyun ; Lee, Sang-Hoon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 497~504
The treatment of Class II non-extraction cases, especially when premolar space is lost due to premature loss of the deciduous molars, usually requires distal movement of the maxillary molars. The Jones jig appliance is a non-compliant intraoral appliance and is effective for the distalization of the maxillary molars. It has unfavorable side-effects, however, so caution is needed to adjust the appliance and select appropriate cases. We reported four cases in which maxillary molar distalizations were concomitant with the alignment of palatally erupted premolars.
ERUPTION DISTURBANCE ASSOCIATED WITH A DEVELOPING ODONTOMA
Ryu, Jae-Ryang ; Kim, Young-Jin ; Kim, Hyun-Jung ; Nam, Soon-Hyeun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 505~511
Odontoma represents 22% of all odontogenic tumors, which is characterized by slow growth pattern. Most of the odontomas usually develop during dental follicle proliferation. The growth of odontoma is limited and lesion is generally asymptomatic. It is frequently diagnosed during assessments for delayed eruption of permanent tooth and is usually founded in the second decade of life. Odontoma is usually diagnosed through radiographic views and is difficult to diagnose at the early developmental stage of odontoma. But an uncalcified developing odontoma can disturb the eruption of the tooth, so it is important to perform periodic radiographic examinations. Treatments are surgical removal and observation of odontoma followed by surgical opening or orthodontic traction of impacted tooth according to the tooth development and the location of impacted tooth. In this case, we found the radiopaque calcified odontoma in the radiographic view meanwhile follow up of the impacted tooth showing idiopathic eruption disturbance. This suggests that a developing odontoma is the cause of eruption disturbace.
ERUPTING GUIDANCE OF IMPACTED MAXILLARY PERMANENT INCISOR WITH APICALLY REPOSITIONED FLAP
Im, Ye-Jin ; Kim, Young-Jin ; Kim, Hyun-Jung ; Nam, Soon-Hyun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 512~518
The impaction of the maxillary permanent incisor is a common clinical problem and is mostly found at the "labial to the alveolar process." Surgical exposure and orthodontic treatment with fixed orthodontic appliances can be considered if normal eruption of the labillay impacted tooth is not expected. Surgical exposure of the impacted tooth, that is usually under the attached gingiva or is surrounded by alveolar bone through gingivectomy and removal of alveolar bone, may give a rise to complications such as diminution in the width of the attached gingiva, inflammation of the gingiva, and the loss of marginal alveolar bone. Therefore, closed eruption technique, which includes surgical exposure and orthodontic treatment with fixed orthodontic appliances followed by repositioning of surgical flap, is preferred. However, apically repositioned flap of the impacted tooth, which is beneath the movable submucosal area or is above the alveolar crestal area, can prevent unwanted exposures and facilitate successful tooth eruption. In this report, we described esthetic results of three patients with unerupted maxillary permanent incisor who were performed with an apically positioned flap without the loss of attached gingiva.
TREATMENT OF ECTOPICALLY ERUPTED MAXILLARY FIRST PERMANENT MOLARS
Yun, Hyo-Jin ; Park, Ho-Won ; Lee, Ju-Hyun ; Seo, Hyun-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 519~525
Ectopic eruption means the eruption of the tooth in an abnormal position due to multiple factors, which found most frequently in maxillary fist permanent molars, mandibular lateral incisors and maxillary permanent canines. Ectopic eruption of the maxillary first permanent molar occurs when the molar erupts with a more mesial angulation than normal, and locks itself in an atypical resorption on the distobuccal root of the second primary molar. The maxillary first permanent molar plays important roles for mastication and occlusion, so ectopically erupted maxillary first permanent molars should be relocated into proper position. Treatment options are separation by insertion of the brass wire or elastic rings, preparation of distal aspect of the maxillary second primary molar, using fixed or removable appliance with finger spring, and placement of space maintainer or space regainer after extraction of the maxillary second primary molar. We report three cases treated of ectopically erupted maxillary first permanent molar by re-setting of stainless steel crowns, placement of brass wire and using active plate. We could find out distal movement of maxillary first permanent molars into proper position and normal occlusion.
RESTORATION OF MAXILLARY PRIMARY INCISORS USING POLYETHYLENE FIBER-REINFORCED POST
Yun, Hyo-Jin ; Park, Ho-Won ; Lee, Ju-Hyun ; Seo, Hyun-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 526~531
Early childhood caries which mainly affect maxillary anterior area, defined as 'the presence of 1 or more decayed, missing, or filled tooth surfaces in any primary tooth in a child 71 months of age or younger'. Extraction of teeth when early childhood caries affected in maxillary primary incisors often develops progressively, result in severe destruction of crowns, acute or chronic pulpitis, and periapical abscess formation. Maxillary primary incisors are need to preserve as possible, because the early loss of maxillary primary incisors may lead to various functional, esthetical, and psychological problems. It is necessary to the availability of an easy to perform technique capable of providing efficient, durable, functional, and esthetic restorative methods. Polyethylene fiber-reinforced post can be used in strengthen of composite resins that is esthetic and good physical and mechanical properties.
is made from an polyethylene fiber, has numerous usages, its surface is treated to enhance adhesion to resins, ease of manipulation, relatively cost effective. We report this case, had restored of maxillary primary incisors with severe coronal destruction due to affecting severe early childhood caries, using polyethylene fiber-reinforced posts, composite resin cores, and celluloid crowns. We could obtain good result of treatment.
HIDDEN CARIES: CASE REPORT
Yoon, Hye-Jeong ; Kim, Seong-Oh ; Son, Heung-Kyu ; Choi, Byung-Jai ; Lee, Jae-Ho ; Song, Je-Seon ; Choi, Hyung-Jun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 532~536
Hidden caries is a subtype of the occlusal pit and fissure caries type and is defined as a dentinal caries lesion near the occlusal surface of the tooth seen on a radiograph. In visual examination, the occlusal enamel is seen intact or is minimally perforated. Covert caries, Occlult caries or Fluoride syndrome are used as synonym. The percentage of occlusal dentin lesions that are clinically undetected ranges from 1.4-50%. Little is known about the mechanisms involved in the development of hidden caries. But it is thought that extensive use of topical fluoride or the special bacteriological profile has been a major factor. This case report is about detection and treatment of hidden caries of two children who visited the department of pediatric dentistry, Yonsei University Dental Hospital. The color of caries dentin found in hidden caries lesion is lighter than cavity forming caries, which makes it more difficult to detect caries by visual examination. Therefore diagnosis of hidden caries is often accomplished after clinical sign is recognized by patients. The use of advanced caries detection aids such as Diagnodent.. with periodic radiographic examination is seemed to be helpful for early detection of hidden caries.
THE USE OF MINISCREWS FOR TOOTH MOVEMENT IN CHILDREN
Kim, Sang-Min ; Park, Ho-Won ; Lee, Ju-Hyun ; Seo, Hyun-Woo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 537~544
Anchorage control in orthodontic treatment is an important factor affecting treatment results. In the conventional approach, intra-oral anchorage such as application of differential force and moment, Nance holding arch and lingual arch, as well as extra-oral anchorage such as head gear were used for anchorage reinforcement. However, these anchorages may result in undesired tooth movement and require patient cooperation. To overcome these disadvantages, skeletal anchorage system was introduced as orthodontic anchorage. Types of skeletal anchorage include implant, onplant, miniplate and miniscrew. Especially, miniscrew has many advantages such as reduced patient cooperation, low cost and easy placement. Recently, it is successfully used in orthodontic treatment. This cases were treated using orthodontic miniscrews for retraction of ectopically erupting maxillary canine and impacted mandibular canine and intrusion of maxillary incisors.
MULTIDISCIPLINARY CARE OF FREEMAN SHELDON SYNDROME
Kim, Ji-Hun ; Lee, Jeong-Sub ; Chang, Cherry ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 37, issue 4, 2010, Pages 545~550
Freeman-Sheldon Syndrome (FSS, also known as "Whistling Face Syndrome") is a rare genetic condition which characteristically includes a small "whistling" mouth, a flat mask-like face, club feet, joint contractures usually involving the fingers and hands, and under-development of the cartilage of the nose. Intelligence is usually normal. Most of the features of this syndrome are due to muscle weakness. The patient, 11 years old boy was consulted from pediatrics to pediatric dentistry due to dental management. After clinical & radiographic examinations, severe multiple problems were found. Dental problems were microsomia(whistling mouth) & micrognathia, perioral muscle contracture, restricted mouth opening, poor oral hygiene & care, generalized dental caries, high palatal vault, severe malocclusion & crowding. And Orthopedic problems, ophthalmic & respiratory, anesthetic problems were found. Then He also had psychiatric problem, hospital(dental) phobia due to previous medical history(frequent hospitalization). And he had genital problem, cryptochidism, too. Due to these intricate problems, he suffered with feeding, swallowing difficulties and showed growth retardation. For enhancing patient's oral health, pediatric dentist, orthodontist, oral surgeon, pediatrician, psychiatrist, orthopedist, they all agree with early, cautious intervention and treatment. So, he has been treated by multidisciplinary care, now he is recovering general health maintenance.