STUDY OF MAXILLARY CORTICAL BONE THICKNESS FOR SKELETAL ANCHORAGE SYSTEM IN KOREAN

Skeletal Anchorage System의 식립을 위한 한국인 악골의 피질골 두께에 대한 연구

  • Kim, Ji-Hyuck (Department of Oral & Maxillofacial Surgery, Research Institute of Oral Science College of Dentistry, Kangnung National University) ;
  • Joo, Jae-Yong (Department of Oral & Maxillofacial Surgery, Research Institute of Oral Science College of Dentistry, Kangnung National University) ;
  • Park, Young-Wook (Department of Oral & Maxillofacial Surgery, Research Institute of Oral Science College of Dentistry, Kangnung National University) ;
  • Cha, Bong-Kuen (Department of Orthodontics, Research Institute of Oral Science College of Dentistry, Kangnung National University) ;
  • Kim, Soung-Min (Department of Oral & Maxillofacial Surgery, Research Institute of Oral Science College of Dentistry, Kangnung National University)
  • 김지혁 (강릉대학교 치과대학 구강악안면외과학교실, 구강과학연구소) ;
  • 주재용 (강릉대학교 치과대학 구강악안면외과학교실, 구강과학연구소) ;
  • 박영욱 (강릉대학교 치과대학 구강악안면외과학교실, 구강과학연구소) ;
  • 차봉근 (강릉대학교 치과대학 치과교정학교실, 구강과학연구소) ;
  • 김성민 (강릉대학교 치과대학 구강악안면외과학교실, 구강과학연구소)
  • Published : 2002.08.31

Abstract

Recently, Skeletal Anchorage System (SAS) has been focused clinically with the view point that it could provide the absolute intraoral anchorage. First, it began to be used for the patient of orthognathic surgery who had difficulty in taking intermaxillary fixation due to multiple loss of teeth. And then, its uses have been extended to many cases, the control of bone segments after orthognathic surgery, stable anchorage in orthodontic treatment, and anchorage for temporary prosthesis and so on. SAS has been developed as dental implants technique has been developed and also called in several names; mini-screw anchorage, micro-screw anchorage, mini-implant anchorage, micro-implant anchorage (MIA), and orthosystem implant etc. Now many clinicians use SAS, but the anatomical knowledges for the installed depth of intraosseous screws are totally dependent on general experiences. So we try to study for the cortical thickness of maxilla and mandible in Korean adults without any pathologic conditions with the use of Computed Tomography at the representative sites for the screw installation.

Keywords

References

  1. Michelet FX, Deymes J, Dessus B. Osteosynthesis with miniaturized screwed plates in maxillo-facial surgery, J Maxillofac Surg 1973;1:79-84
  2. Champy M, Lodde JP. Mandibular synthesis-placement of the synthesis as a function of mandibular stress, Rev Stomatol Chir Maxillofac 1976;77:971-6
  3. Umemori M, Sugawara J, Mitani H, Nagasaka H, Kawamura H. Skeletal anchorage system for open-bite correction, Am J Orthod Dentofacial Orthop 1999;115:166-74
  4. Costa A, Raffani W, Melsen B. Miniscrews as orthodontic anchorage: a preliminary report, Int J Orthod Orthognath Surg 1998;13:201-209
  5. Wehrbein H, Feifel H, Diedrich P. Palatal implant anchorage reinforcement of posterior teeth: a prospective study, Am J Orthod Dentofacial Orthop 1999;116:678-86
  6. Schneider G, Simmons K, Nason R, Felton D. Occlusal rehabilitation using implants for orthodontic anchorage, J Prosthod 1998;7:232-236
  7. Kokich VG. Managing complex orthodontic problems: the use of implants for anchorage, Semin Orthod 1996;2:1-8
  8. 박효상. Micro-implant를 이용한 교정치료, 서울: 나래출판사, 2001
  9. 김재승. 안정된 골고정원 확보, 치과임상 2001;4:368-372
  10. 김재승, 성상진. 안정된 골고정원 확보, 치과임상 2001;6:574-578
  11. 정규림, 박영국, 이영준, 천훈. 구강내 고정원으로서 Titanium miniscrew의 이용증례(II), 대한치과의사협회지 2000;38(12):1110-1119
  12. 김영준, 최재훈. 구강내 고정원으로 이용한 Titanium miniscrew의 유지에 관한 조사, 대한치과의사협회지 2001;39(8):684-687
  13. 최선영, 이상래, 고광준. 술전후 상악동염 환자와 정상인의 상악동 크기 및 골벽두께에 관한 전산화단층방사선학적 연구, 대한구강악안면방사선학회지 2000;30:109-116
  14. Chumlea WC, Mukherjee D, Roche AF. A comparison of methods for measuring cortical bone thickness, Am J Phys Anthropol 1984;65:83-86
  15. 김수관, 김운규, 김봉균, 장현선. 두개골의 두께, 대한악안면성형재건외과학회지 2000;22:609-613
  16. Waitzman AA, Posnick JC, Armstrong DC, Pron GE. Craniofacial skeletal measurements based on computed tomography: Part I. Accuracy and reproducibility, Cleft Palate Craniofac J 1992;29:112-7 https://doi.org/10.1597/1545-1569(1992)029<0112:CSMBOC>2.3.CO;2
  17. Carter TB, Frost DE, Tucker MR, Zuniga JR. Cortical thickness in human mandibles: clinical relevance to the sagittal split ramus osteotomy, Int J Adult Orthod Orthognath Surg 1991;6:257-260
  18. Obeid G, Lindquist CC. Optimal placement of bicortical screws in sagittal split-ramus osteotomy of mandible, Oral Surg Oral Med Oral Pathol 1991;71:665-9
  19. Smith BR, Rajchel JL, Waite DE, Read L. Mandibular anatomy as it relates to rigid fixation of the sagittal ramus split osteotomy, J Oral Maxillofac Surg 199149:222-226