Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제29권4호
  • /
  • Pages.239-244
  • /
  • 2003
  • /
  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

악교정수술 환자에서 교합기 석고 모형과 측면두부방사선사진의 교합평면에 관한 비교 연구

THE COMPARATIVE STUDY FOR OCCLUSAL PLANE BETWEEN ARTICULATED CAST MODEL AND CEPHALOGRAM IN ORTHOGANTIHIC SURGERY PATIENTS

  • 서경숙 (대구파티마병원 구강악안면외과) ;
  • 박미화 (대구파티마병원 구강악안면외과) ;
  • 이주현 (대구파티마병원 구강악안면외과) ;
  • 김철환 (대구파티마병원 구강악안면외과) ;
  • 채종문 (대구파티마병원 교정과)
  • Seo, Kyung-Suk (Dept. of Oral & Maxillofacial Surgery, Daegu Fatima Hospital) ;
  • Park, Mi-Hwa (Dept. of Oral & Maxillofacial Surgery, Daegu Fatima Hospital) ;
  • Lee, Ju-Hyun (Dept. of Oral & Maxillofacial Surgery, Daegu Fatima Hospital) ;
  • Kim, Chul-Hwan (Dept. of Oral & Maxillofacial Surgery, Daegu Fatima Hospital) ;
  • Chae, Jong-Moon (Dept. of orthodontics, Daegu Fatima Hospital)
  • 발행 : 2003.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The common errors in preoperative treatment plan for the orthognathic surgery can be occurred during cast impression, cast mounting procedure with face-bow transfer, surgical stent fabrication, and so on. One of the most common errors exists during mounting process of the model on the articulator. Accurate mounting of dental casts to articulator should be achieved by transferring the 3-dimensional spatial relationship of the maxillary arch to an articulator. A face-bow is used for transfer this relationship to articulator, usually by relating the face-bow to a plane of reference of maxillary cast. The purpose of this study is evaluation of the accuracy of face-bow transferring of maxillary model to the articulator. The maxillary casts of thirty patients for orthognathic surgery were mounted on articulator with an face-bow instrument. The relationship of occlusal plane angle to Frankfort horizontal plane relations were compared the cephalogram with the cast-mounted articulator. As a result of this study, the significant difference between the maxillary occlusal planes angle in the cephalogram and articulator were found. The results were followed, 1. The mean occlusal plane angle in cast-mounted articulator was $13.5^{\circ}\;(SD{\pm}5.4)$. 2. The mean occlusal plane angle in cephalogram was $10.4^{\circ}\;(SD{\pm}4.3)$. 3. The mean difference of occlusal plane angle between cast-mounted articulator and cephalogram was $3.3^{\circ}\;(SD{\pm}4.6)$. According to the result, we should suggest that the occlusal plane angle to Frankfort plane in cast-mounted articulator is more steeper than that of cephalogram. And then, maxillofacial surgeon should try to get a more predictable result by suggesting the proper correction method and mounting the cast accurately.

키워드

참고문헌

  1. Hershey HC, Smith LH : Soft-tissue profile changes in relation to movement of hard structure in orthognathic surgery. J Oral Surg 1974;32:891-896. https://doi.org/10.1016/0030-4220(71)90175-7
  2. Polido WD. Ellis E, Sinn DP : An assessment of the predictability of mqaxillary reposition. J Oral Maxillofac Surg 1991;20:349-352. https://doi.org/10.1016/S0901-5027(05)80263-2
  3. 김선용, 이의웅 : 악교정 수술시 골편의 술전 예측치와 술후 실제치에 관한 연구. 대한구강악안면외과학회지 1996;22(2):241-250.
  4. Bell WH, Dann JJ : Correction of dentofacial deformities by surgery in the anteriorpart of the jaws Am J Orthod. 1973;64;1-62.
  5. Epker BN, Fish LC, : Dentofacial deformity. St. Louis Mosby Co. 1986
  6. Schallhorn RG. : A study of the arbitrary hinge axis as in relates to the occlusion. J Prosthet Dent 1982;48;725-733.
  7. Schuyler C. Factor of occlusion spplicable to restorative dentistry. J Prosthet Dent 1953;3:772-782. https://doi.org/10.1016/0022-3913(53)90146-2
  8. Lundeen HC, Teteruck WR. : The accuracy of an ear face-bow. J Prosthet Dent 1966;16:1036-1046.
  9. John FB, Gregory CM : Reliability of a facebow transfer procedure. J Prosthet Dent 1992;67(4):491-498.. https://doi.org/10.1016/0022-3913(92)90079-P
  10. Gold BR, Setchell DJ : An investigation of the reproducibility of face-bow transfers. J Oral Rehabilitation 1983;10:495-503. https://doi.org/10.1111/j.1365-2842.1983.tb01473.x
  11. James V.M : Simple hinge and semiadjustable articulators in orthognathic surgery. Am J Orthod Dentofac Orthop 1986;90:37-44. https://doi.org/10.1016/0889-5406(86)90025-9
  12. Weinberg LA : An evaluation of the facebow mounting. J Prosthet Dent 1961;11;32-42.
  13. Schallhorn RG. : A study of the arbitrary center and the kinematic center of rotation for facebow mounting. J prosthet Dent 1961;7:162.
  14. Bailey LO, Nowlin TP : evaluation of the third point of reference for mounting maxillary cast on Hanau articulator. J Prosthet Dent 1984; 51(2):199-201. https://doi.org/10.1016/0022-3913(84)90260-9
  15. Omura T, Glickman RS, Suoer S : Method to verify the accuracy of model surgery and prediction tracing. Int J Adult Orthod Orthognath Surg 1996;11:265-271.
  16. Wylie GA, Epker BN, Mossop Jr. : A technique to improve the accuracy of maxillary surgery. Int J Orthod Orthognath Surg 1988:3;143-147.
  17. Ellis E : Accuracy of face-bow transfer. J Oral Maxillofac Surg. 1992;50:562-567. https://doi.org/10.1016/0278-2391(92)90434-2
  18. Ellis E : Accuracy of model surgery : Evaluation of an old techinque and introduction of a new one. J Oral Maxillofac Surg 1990;48:1161-1167. https://doi.org/10.1016/0278-2391(90)90532-7
  19. Erickson KM, Bell WH, Goldsmith DH : Analytical model surgery. In Bell WH : Modern practice in orthognathic and reconstructive surgery. Philadelphia. WB Saunders co. 1992, 154-216.
  20. Lundeen HC, Teteruck WR, The accuracy of an ear face-bow. J Prosthet Dent 1966;16:1039-46.
  21. Carlo E., Gerald NG, Ross HT, Daniel G : Face-bow record with a third point of reference : Theoretical consideration and an alternative technique. J Prosthet Dent. 1999;82(2):237-241. https://doi.org/10.1016/S0022-3913(99)70163-0
  22. Noel DW : The anterior point of reference. J Prosthet Dent. 1979;41(5):488-496. https://doi.org/10.1016/0022-3913(79)90079-9
  23. Gold BR, Setchell DJ : An investigation of the reproducibility of face-bow transfer. J Oral Rehabilitation. 1983;10:495-503. https://doi.org/10.1111/j.1365-2842.1983.tb01473.x
  24. Choi DG, Bowley JF, Marx DB : Reliability of an ear-bow arbitrary face-bow transfer instrument : J prosthe Dent 1999;82(2):150-156.
  25. Gonzalez JB, Kingery RH : Evaluation of plane of reference for orienting maxillary casts in articulators. J Am Dent Assoc 1968;76:329-335. https://doi.org/10.14219/jada.archive.1968.0052
  26. Teteruck WR, Lundeen HC. : THe accuracy of an ear facebow. J Prosthet Dent 1961;16:1039-1046.
  27. Palik JF, Nelson DR, White JT. : Accuracy of an earpice facebow. J Prosthet Dent 1985;53:800-804. https://doi.org/10.1016/0022-3913(85)90160-X
  28. Kahnberg KE, Sunzel B, Strand P : Planning and control of vertical dimension in Le Fort I osteotomies. J Craniomax Fac Surg 1987;15:238-243. https://doi.org/10.1016/S1010-5182(87)80060-4
  29. Wolford LM, Chemello PD, Hilliard F : Occlusal plane alteration in orthognathic surgery-Part I : Effects on function and esthetics. Am J Orthod Dentofacial Orthop. 1994;106(3):304-316. https://doi.org/10.1016/S0889-5406(94)70051-6
  30. O'malley AM, Milosevic A: Comparison of three facebow / semiadjustable articulator systems for planning orthognathic surgery. Br J Oral Maxillofac Surg 2000;38(3):185-190. https://doi.org/10.1054/bjom.1999.0182
  31. Celebic A, Kraljevic K,Valentic PM, Zivkovic Z, Stipetic J : Angle between occlusal plane and horizontal plane of articulators with quick mounting face bow. Acta Stomatol Croat. 1989;23(2):137-143.
  32. Nasttestad A, Vedtofte P. : Pitfall in orthognathiic model surgery. Int J Oral Maxillofac Surg 1994;23:11-15. https://doi.org/10.1016/S0901-5027(05)80318-2