1.Use of Miniscrew-assisted Rapid Palatal Expansion in Children: Case Reports
Yoo Jin LEE ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG
Journal of Korean Academy of Pediatric Dentistry 2025;52(2):239-252
The use of miniscrew-assisted rapid palatal expansion (MARPE) has yielded successful outcomes in late adolescence and early adulthood, particularly in correcting transverse maxillary discrepancies and enhancing airway expansion. This report presents three cases of children at different dentition stages treated with MARPE. In one patient with severe crowding, MARPE enabled dental alignment without the need for premolar extractions. Additionally, MARPE combined with facemask therapy improved the patient’s facial profile, resulting in high patient and guardian satisfaction. These cases highlight MARPE’s potential as an effective treatment for maxillary discrepancies and severe arch length discrepancies in children.
2.Use of Miniscrew-assisted Rapid Palatal Expansion in Children: Case Reports
Yoo Jin LEE ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG
Journal of Korean Academy of Pediatric Dentistry 2025;52(2):239-252
The use of miniscrew-assisted rapid palatal expansion (MARPE) has yielded successful outcomes in late adolescence and early adulthood, particularly in correcting transverse maxillary discrepancies and enhancing airway expansion. This report presents three cases of children at different dentition stages treated with MARPE. In one patient with severe crowding, MARPE enabled dental alignment without the need for premolar extractions. Additionally, MARPE combined with facemask therapy improved the patient’s facial profile, resulting in high patient and guardian satisfaction. These cases highlight MARPE’s potential as an effective treatment for maxillary discrepancies and severe arch length discrepancies in children.
3.Use of Miniscrew-assisted Rapid Palatal Expansion in Children: Case Reports
Yoo Jin LEE ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG
Journal of Korean Academy of Pediatric Dentistry 2025;52(2):239-252
The use of miniscrew-assisted rapid palatal expansion (MARPE) has yielded successful outcomes in late adolescence and early adulthood, particularly in correcting transverse maxillary discrepancies and enhancing airway expansion. This report presents three cases of children at different dentition stages treated with MARPE. In one patient with severe crowding, MARPE enabled dental alignment without the need for premolar extractions. Additionally, MARPE combined with facemask therapy improved the patient’s facial profile, resulting in high patient and guardian satisfaction. These cases highlight MARPE’s potential as an effective treatment for maxillary discrepancies and severe arch length discrepancies in children.
4.Autotransplantation in Pediatric Dentistry: Factors Affecting Treatment Outcomes
Sungjoon CHUNG ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG
Journal of Korean Academy of Pediatric Dentistry 2024;51(3):245-264
This research aimed to evaluate the outcomes of autotransplantation in both children and adolescents, with a focus on root growth, and determine the clinical and radiographic factors associated with the success rate. In this study, 73 teeth, autogenously transplanted in 63 patients, were examined over an observation period of 3.2 years on average. The mean age at the time of autotransplantation was 11.9 years. Based on the radiographic criteria, the success rate was 73.97% and the survival rate was 100%. Based on the radiographic criteria, the success rate was 73.97%, and the survival rate was 100%. A significant increase in root length was observed in the transplanted teeth with an open apex. An association was found between the success rate and use of bone graft and surgeon experience. In conclusion, greater clinical experience in autotransplantation (> 36 cases) and prohibiting the use of bone grafts may improve the prognosis of the transplanted teeth in children and adolescents.
5.Modified Mandibular Lingual Arch for Orthodontic Traction of Impacted Mandibular Canine and Premolar: Case Reports
Minyoung YANG ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM
Journal of Korean Academy of Pediatric Dentistry 2024;51(3):310-320
Impaction of the tooth can cause functional and esthetic problems, so early intervention is critical. This report describes two cases of orthodontic traction of impacted mandibular canine and mandibular premolar teeth using a modified mandibular lingual arch soldered with traction hooks rather than a conventional orthodontic appliance. By planning the position and shape of the traction hooks with consideration for the three-dimensional position and angulation of the impacted teeth, clinicians can apply the intended direction and magnitude of traction force. Furthermore, this appliance can be used for multiple impacted teeth in various locations within the mandibular arch by modifying the position and shape of the traction hooks.
6.Comparison of the Ability to Mask the Color of Endodontic Filling Materials Using Several Types of Base Materials
Hyun-Ji SHIN ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG ; Hong-Keun HYUN
Journal of Korean Academy of Pediatric Dentistry 2024;51(3):220-228
In clinical pediatric dentistry, a base material with optical properties, including transparency, that can mask the color of the material used for root canal-filling is preferred. This study aimed to examine the optical properties of various base materials by thickness. The disk-shaped specimens were photopolymerized and fabricated using Ionosit (IN), TheraCal LC (TL), TheraCal PT (PT), and A2 shade of FiltekTM Supreme Flowable Restorative (FZ), Fuji II LC (FL), and KetacTM Fil (KF) with 1 and 2 mm thickness. The color parameters of these specimens were measured using a spectrophotometer on a black and white background and were measured using the same method on a mold containing Vitapex® and gutta-percha. The translucency parameter (TP) and color difference were calculated for each group. The Kruskal-Wallis and Bonferroni tests were used in the statistical analyses. The TP decreased when the thickness was 2 mm compared with 1 mm. The TP values of TL and PT were the lowest at all thicknesses. The TP values of 2 mm thickness in all molds filled with Vitapex® and gutta-percha were the lowest for TL, PT, KF, and IN. In TL and PT, the color difference before and after the application of the canal-filling material was the smallest, regardless of material thickness. Within the limits of this in vitro study, TL, PT, KF, and IN demonstrated better masking of the color of canal-filling material.
7.Clinical Features of Molar Root-Incisor Malformation: A Retrospective Study
Sejin CHUN ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Jung-Wook KIM ; Ki-Taeg JANG ; Young-Jae KIM
Journal of Korean Academy of Pediatric Dentistry 2024;51(3):279-289
This study aimed to identify the clinical characteristics of molar root-incisor malformation (MRIM) and provide clinical considerations for treatments. Panoramic radiographs and electronic medical records of 64 patients with MRIM were retrospectively reviewed. Age, gender, follow-up period, medical history, complications, distribution of MRIM teeth, treatment, and prognosis were analyzed. Females were affected 1.56 times more than males, and the average age was 8.2 years. Dental complications, including periapical lesions, abscesses, and alveolar bone loss, were observed in 71.9%, and eruption disturbance of adjacent teeth was noticed in 37.5%. Most patients had medical histories in the first year of life. The most prevalent history was prematurity or low birthweight, followed by neurological conditions, surgeries, medications, and infections. All patients had MRIM on permanent first molars. The primary second molars were the second most frequently involved, followed by maxillary permanent central incisors and primary first molars. The prevalence was low on permanent lateral incisors and canines. Extraction was the most prevalent treatment done on MRIM-affected teeth, and most extraction sockets were managed by the eruption of permanent second molars. Few cases received endodontic treatment but with low success rates. Early detection of MRIM and prompt, appropriate treatment are important to avoid unnecessary discomfort from complications.
8.Comparison of Optical Properties in Single-Shade and Multi-Shade Composite Resins
Minyoung YANG ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM
Journal of Korean Academy of Pediatric Dentistry 2024;51(4):442-458
This study aimed to evaluate the differences in optical properties, such as color and translucency, between single-shade composite resins (Omnichroma) and multi-shade composite resins (Filtek Z350XT). Furthermore, the study assessed the influence of the surrounding structure’s shades on the shade matching of Omnichroma. Two types of disc-shaped specimens were prepared: Single specimen (diameter, 8.0 mm; thickness, 1.0 and 2.0 mm), consisting of either Omnichroma or Filtek Z350XT in the A1B, A2B, and A3B shades, and dual specimen (diameter, 8.0 mm; thickness, 2.0 mm), featuring a bottom layer (diameter, 8.0 mm; thickness, 1.0 mm) of Filtek Z350XT in the A1B, A2B, and A3B shades, and a top layer (diameter, 8.0 mm; thickness, 1.0 mm) filled with Omnichroma. Commission Internationale d’Eclairage L*a*b* color measurements and calculations for color differences (ΔE*ab) and translucency parameters (TP) of each specimen were performed. Omnichroma exhibited a lighter, more greenish, and blueish color compared to the Filtek Z350XT in A1B, A2B, and A3B shades. With increased thickness, Omnichroma became more yellowish, whereas Filtek Z350XT became less yellowish. Additionally, when Omnichroma was applied over Filtek Z350XT in dual specimens, the yellowness increased further beyond Omnichroma’s original yellowness level. Consequently, Omnichroma achieved clinically acceptable shade matching, especially in the A3 shade, because it aligns well with the original high yellowness of the A3 shade. Additionally, Omnichroma’s superior shade-matching ability was attributed to its higher translucency compared to Filtek Z350XT. Therefore, Omnichroma might be considered useful in pediatric dentistry by simplifying the shade selection process.
9.Root Growth and Apical Foramen Closure Velocity of Maxillary Permanent Central Incisor in Korean Children
Sung-Joo KIM ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG ; Hong-Keun HYUN
Journal of Korean Academy of Pediatric Dentistry 2024;51(4):432-441
This study aimed to evaluate the growth velocity of root elongation and the timing of apical foramen closure in maxillary permanent central incisors using panoramic radiographs. The study also examined the timing of alveolar eruption and its relationship with root development while considering potential sex-specific differences. The study included 176 patients (94 males, 82 females) from the Seoul National University Dental Hospital, each with three or more panoramic radiographs taken between 2014 and 2023 and analyzed to measure the crown length, total tooth length, root length, and mesiodistal width of the apical foramen. Root lengths were expressed as percentages of the fully developed stage. Scatter plots and polynomial trend lines were used to evaluate the relationship between age and tooth development, with intraobserver reliability assessed using Cohen’ s kappa. Root growth velocity peaked during the early stages of development, with females generally exhibiting earlier and faster apical foramen closure than males. Significant correlations were found between the root length and apical foramen width (Pearson correlation coefficients, males, -0.907; females, -0.887, p < 0.0001). The mean age for alveolar eruption was 7.27 years for males (N = 16) and 7.10 for females (N = 17), predominantly at Demirjian stage F. The study presents the critical periods of rapid root elongation and apical foramen closure in the maxillary central incisors, underscoring their importance for clinical dental practice. Future research is warranted to provide a more comprehensive understanding of human dental development.
10.Autotransplantation in Pediatric Dentistry: Factors Affecting Treatment Outcomes
Sungjoon CHUNG ; Hyuntae KIM ; Ji-Soo SONG ; Teo Jeon SHIN ; Hong-Keun HYUN ; Young-Jae KIM ; Jung-Wook KIM ; Ki-Taeg JANG
Journal of Korean Academy of Pediatric Dentistry 2024;51(3):245-264
This research aimed to evaluate the outcomes of autotransplantation in both children and adolescents, with a focus on root growth, and determine the clinical and radiographic factors associated with the success rate. In this study, 73 teeth, autogenously transplanted in 63 patients, were examined over an observation period of 3.2 years on average. The mean age at the time of autotransplantation was 11.9 years. Based on the radiographic criteria, the success rate was 73.97% and the survival rate was 100%. Based on the radiographic criteria, the success rate was 73.97%, and the survival rate was 100%. A significant increase in root length was observed in the transplanted teeth with an open apex. An association was found between the success rate and use of bone graft and surgeon experience. In conclusion, greater clinical experience in autotransplantation (> 36 cases) and prohibiting the use of bone grafts may improve the prognosis of the transplanted teeth in children and adolescents.

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