피질골 절제술을 응용한 치아의 함입 이동

Corticotomy and the Intrusive Tooth Movement

  • 김상철 (원광대학교 치과대학 교정학교실) ;
  • 태기출 (원광대학교 치과대학 교정학교실)
  • Kim, Sang-Cheol (Department of Orthodontcis, School of Dentistry, Wonkwang University) ;
  • Tae, Ki-Chul (Department of Orthodontcis, School of Dentistry, Wonkwang University)
  • 발행 : 2003.10.01

초록

빠르며 정확하고 안전한 치아이동을 목표로 삼고 있는 교정치료에서 새로운 패러다임이라고 여겨지는 피질골 절제술과 견인 골형성술을 응용한 치아이동에 대하여 알아보았다. 일반적인 방법으로는 어렵거나 불가능하다고 여겨지는 치아의 함입 이동을 피질골 절제술과 견인 골형성술을 응용하여 도모하였다. 전치군 및 구치군 각각의 함입 이동 증례를 통해 피질골 절제술과 견인 골형성술의 적용 술식, 견인장치 등을 논하고 그 효과를 파악하였다. 빠른 치아이동과 이에 따른 교정치료 기간의 감소가 가능하고 기존의 교정치료로는 어려웠던 치아이동을 도모할 수 있었으며 무리한 치아이동 시 발생할 수 있는 치근 흡수나 치주조직의 파괴 같은 부작용도 줄일 수 있었다.

Tooth movement facilitated by corticotomy and distraction osteogenesis, new paradigm in orthodontics, was discussed. Intrusive tooth movement of anterior or posterior teeth was thought to be difficult or impossible. In this study, a part of cortical bone, which was a sort of resistance to tooth movement in alveolar bone, was removed. On the other hand, active bone deposition was made possible in the tension side. That was the main concept of tooth movement facilitated by corticotomy and distraction osteogenesis. Teeth moved at such a speedy tate as we could not imagine in conventional tooth movement, which lead to the reduction of total treatment Period. And intrusive movement was Possible without a side effect, lot example, root resorption or the periodontal breakdown. Those were the superior aspects to the conventional orthodontics.

키워드

참고문헌

  1. Proffit WR. Mechanical principles in orthodontic force control. In : Proffit WR. Contemporary orthodontics. St Louis: CV Mosby, 2000 : 326-61
  2. 황충주. 교정치료의 의원성 손상 (전국교정학교수협의회편 '치과교정학' 중에서) 서울 : 지성출판사, 1998 : 525-39
  3. Suya H. Corticotomy in orthodontics. In : Hosl E, Baldauf A. Mechanical and biological basics in orthodontic therapy. Germany: Hichtig Buch verlag Heidelberg, 1991 : 207-26
  4. Gantes B, Rathbun E, Anholm M. Effects on the periodontium following corticotomy- facilitated orthodontics. J Periodontol 1990 : 61 : 234 -8
  5. 이백수, 황혜욱, 정규립. 성인 교정치료를 위한 피질골절단술(corticotamy) 의 임상 적용. 대악안면성형지 1999 : 21 : 303-11
  6. Talbot ES. Teeth irregularities and their surgical correction. Dental cosmos 1896 : 38 : 907-11
  7. Bichlmayr A. Chirurgische Kiefcrorthopadic und das Verhalten des Knochens und der Wurzelspitzen nach derselben. Dtsch zahl-arztl Z 1931 : 34 : 835-42
  8. Spanier F. Prognathie-Operationen. Z Zahn-$\"{a}$rztl Ortbop 1932 : 24 : 76-85
  9. Newmann D. Die Bichlmayrsche Keilresektion bei der Kieferorthopadischen Spatbehandlung. Fortschr Kiefer Gesichtschir 1955: 1 : 205-10
  10. Kole H. Chirurgische Kieferorthoiidie am Alveolarkamm. $\"{O}$st Z Stomat 1959 : 56: 57-73
  11. Kole H. Die chirurgische Behandlung des offenen Bisses. $\"{O}$st Z Stomat 1967 : 64 : 255-63
  12. Converse JM, Horowitz SL. The surgical-orthodontic approach to the treatment of dentofacial deformities. Am J Orthod 1969 : 55 : 217-43
  13. Liou EJ, Huang CS. Rapid canine retraction through distraction of the periodontal ligament. Am J Orthod Dentofac Orthop 1998: 114: 372-82
  14. llizarov GA. The tension-stress effect on the genesis and growth of tissues: Part I. The influence of stability of fixation and soft tissue preservation. Clin Ortbop 1989 : 238 : 249-81
  15. lizarov GA. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. Clin Orthop 1989 : 239 : 263-85