매복된 하악 제1대구치의 매복 양상과 역학적 조사
Epidemiologic Survey on Failed Eruption of Mandibular First Molar
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
하악 제1대구치의 매복은 흔치 않은 맹출 장애이나 부정교합, 낭종성 변화, 치관 주위염, 인접치아의 치근 흡수와 같은 많은 합병증을 야기한다. 이에 본 연구에서는 하악 제1대구치의 매복이 관찰된 6세 이상의 아동 67명과 그들에서 관찰된 74개의 매복된 하악 제1 대구치를 대상으로 역학적 조사를 시행하고 매복 양상에 대하여 평가해 보았다. 그 결과로 매복치의 유병률은 남자가 여자보다 높았으며, 좌우측의 차이는 없었다. 매복에 대한 평균 인지 연령은 9.19세로 제1대구치의 평균 맹출 연령보다 약 3세가량 늦었다. 또한 매복의 원인으로서 원인불명이 가장 많았으며 비정상적인 맹출경로를 가진 경우, 치성종양, 낭종성 변화의 증대 순이었다. 매복양상은 Type I이 가장 많았고, Type III, Type IV, Type II 순이었으며 매복치의 맹출 유도를 위해서는 외과적 노출술이 가장 많이 시행되었다. 본 연구를 통하여 저자는 아동을 대상으로 하악 제1대구치의 맹출 연령에 대한 구강 교육이 필요하며 영구치 맹출 시기의정기적인 치과 검진이 이루어질 것을 권장하는 바이다.
Abstract
The purpose of the present retrospective study was to analyze gender, age, awareness, etiology, and treatment choice in patients with failed eruption of the mandibular first molar. Radiographic material and dental records from 67 patients with 74 mandibular first molars with failed eruption treated during the years 2001-2014 were evaluated. As results, the prevalence of mandibular first molar with failed eruption was higher in males than females, and the average awareness age was 9.19 years old. The most common etiological cause was unknown, and the next most common causes were abnormal eruption pathway and odontogenic tumor in order. In this study, it is suggested that more dental education to children about the time of eruption of permanent tooth is required, and the importance of regular dental check-ups is emphasized during mixed dentition.
참고문헌 (27)
- 권정현, "E-초등학교 어린이의 영구치 맹출시기 및 순서", 대한소아치과학회지, 36(2), pp.253~261 (2009), 대한소아치과학회
- Helm S, "Timing of permanent tooth emergence in Danish children", Community Dentistry and Oral Epidemiology, 2, pp.122~129 (1974)
- Raghoebar GM, "A clinical, radiographic and histological characteristics of secondary retention of permanent molars", J Dent, 19, pp.164~170 (1991)
- Suri L, "Delayed tooth eruption : Pathogenesis, diagnosis and treatment. A literature review", Am J Orthod Dentofacial Orthop, 126, pp.432~445 (2004)
- Almonaitiene R, "Factor influencing permanent teeth eruption, Part one-general factors", Stomatologija, 12, pp.67~72 (2010)
- Pytlik W, "Impairment of tooth eruption :Pathogenetic aspects", J Orofac Orthop, 57, pp.238~245 (1996)
- Andreasen JO, "Textbook and colar atlas of tooth impaction", pp.51~21 (1997), Munksgaard. C.V.Mosby
- Grover PS, "The incidence of unerupted permanent teeth and related clinical cases", Oral Surg Oral Med Oral Pathol, 59, pp.420~425 (1985)
- Kramer RM, "The incidence of impacted teeth : A survey at Harlem hospital", Oral Surg Oral Med Oral Pathol, 29, pp.237~241 (1970)
- Raghoebar GM, "Eruption disturbance of permanent molars : a review", J Oral Pathol Med, 20, pp.159~166 (1991)
- Raghoebar GM, "Secondary retention of permanent molars : A histologic study", J Oral Pathol Med, 18, pp.427~431 (1989)
- Proffit WR, "Primary failure of eruption : A possible cause of posterior open-bite", Am J Orthod, 80, pp.173~190 (1981)
- Ekstrand KR, "Time and duration of eruption of first and second permanent molars : a longitudinal investigation", Community Dent Oral Epidemiol, 31, pp.344~350 (2003)
- Palma C, "Failure of eruption of first and second permanent molar", J Clin Pediatr Dent, 27, pp.239~245 (2003)
- 김민정, "항암 치료를 받은 아동의 치아 발육 장애", 대한소아치과학회지, 36(4), pp.607~612 (2009), 대한소아치과학회
- Haavikko K, "The formation and alveolar and clinical eruption of the permanent teeth. An orthopantomographic study", Suom Hammaslaak Toim, 66, pp.103~107 (1970)
- Gron AM, "Prediction of tooth emergence", J Dent Res, 41, pp.573~585 (1962)
- Kaban LB, "Idiopathic failure of eruption of permanent molar teeth", Oral Surg Oral Med Oral Pathol, 42, pp.155~163 (1976)
- Ohman I, "The eruption tendency and changes of direction of impacted teeth following surgical exposure", Oral surg Oral Med Oral Pathol, 49, pp.383~389 (1980)
- Kracker RR, "Delayed tooth eruption versus impaction", ASDC J Dent Child, 42, pp.371~374 (1975)
- Matsuzaki H, "Conditions inhibiting eruption of permanent first molars", Pediatr Dent, 35, pp.67~70 (2013)
- Philipsen HP, "Odontogenic lesions in opercula of permanent molars in eruption", J Oral Pathol Med, 21, pp.38~41 (1992)
- Fujiyama K, "Denervation resulting in dento-alveolar ankylosis associated with decreased Malassez epithelium", JDent Res, 83, pp.625~629 (2004)
- Bang E, "Etiological aspects and orthodontic treatment of unilateral localized arrested tooth development combined with hearing loss", Am J Orthod Dentofac Orthop, 108, pp.154~161 (1995)
- Becktor KB, "Unilateral primary or secondary retention of permanent teeth, and dental malformations", Eur J Orthod, 24, pp.205~214 (2002)
- Nagpal A1, "Eruption disturbances: an aetiological-cum-management perspective", Dentomaxillofac Radiol, 34, pp.59~63 (2005)
- Kjoer I, "Phenotypic classification of 90 dentitions with arrested eruption of first permanent mandibular or maxillary molars", Semin Orthod, 16, pp.172~179 (2010)