The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Corticotomy and the molar uprighting

피질골 절제술을 응용한 구치의 원심직립 이동

  • Kim, Sang-Cheol (Department of Orthodontics, School of Dentistry, Wonkwang University) ;
  • Kang, Kyung-Hwa (Department of Orthodontics, School of Dentistry, Wonkwang University) ;
  • Oh, Seung-Hwan (Department of Oromaxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Lee, In-Seong (Department of Orthodontics, School of Dentistry, Wonkwang University) ;
  • Kim, Seon-Young (Department of Orthodontics, School of Dentistry, Wonkwang University)
  • 김상철 (원광대학교 치과대학 교정학교실) ;
  • 강경화 (원광대학교 치과대학 교정학교실) ;
  • 오승환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 이인성 (원광대학교 치과대학 교정학교실) ;
  • 김선영 (원광대학교 치과대학 교정학교실)
  • Published : 2004.10.01
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Abstract

Tooth movement facilitated by corticotomy and distraction osteogenesis, a new paradigm in orthodontics, was discussed. Molar uprighting was thought to be either difficult or nearly impossible. In this study, a section of cortical bone, which may act as resistance to tooth movement in alveolar bone, was removed. Active bone deposition was also made possible in the tension side This forms the main concept of tooth movement facilitated by corticotomy and distraction osteogenesis. Molars in two cases were uprighted at such a speedy rate as we could not imagine in conventional tooth movement. which lead to reduction of the total treatment period. And molar uprighting was possible without side effects. for example, supraversion oif the tooth or anterior anchorage loss. These were the superior aspects to conventional orthodontics.

빠르며 정확하고 안전한 치아이동을 목표로 삼고 있는 교정치료에서 새로운 패러다임이라고 여겨지는 피질골 절제술과 견인 골형성술을 응용한 구치의 원심직립이동에 대하여 알아보았다. 일반적인 방법으로는 어렵거나 치료 기간이 길어질 것으로 판단되는 구치의 원심직립 이동을 피질골 절제술과 견인 골형성술을 응용하여 도모하였다 각각의 원심직립 증례를 통해 피질골 절제술과 견인 골형성술의 적용 술식, 견인장치 등을 논하고 그 효과를 파악하였다. 빠른 치아이동과 이에 따른 교정치료 기간의 단축이 가능하고 통상의 교정치료로는 이동에 한계가 있었던 치아이동을 구치의 정출이나 고정원의 상실 없이 도모할 수 있었다.

Keywords

References

  1. Proffit WR. Contemporary orthodontics. St Louis: CV Mosby; 2000. p.558-68
  2. Tulloch JFC. Uprighting molars as an adjunct to restorative and periodontal treatment in adults. Br J Orthod 1982;9:122-8 https://doi.org/10.1179/bjo.9.3.122
  3. Roberts RW, Chacker FM, Burstone CJ. A segmental approach to ma-ndibular molar uprighting. Am J Orthod 1982;81:177-84 https://doi.org/10.1016/0002-9416(82)90051-3
  4. Toncay OC. Molar uprighting with T-loop springs. J Am Dent Assoc 1980;100:863-6 https://doi.org/10.14219/jada.archive.1980.0248
  5. 황충주. 교정치료의 의원성 손산. 전국교정학교수협의회 편. '치과교정학'중에서. 서울:지성출판사 1998;525-39
  6. Suya H. Corticotomy in Orthodontics. In: Hosl E, Baldauf A. mecha-nical and biological basics in orthcdontic therapy. Germany: Hichtig Duch verlag Heidelberg 1991;207-26
  7. Gantes B, Rathbun E, Anholm M, Effects on the periodontium follo-wing corticotomy-facilitatcd orthodontics. J Periodontol 1990;61:234-8
  8. 이백수, 황혜욱, 정규림. 성인 교정치료를 위한 피질골절단술(cortico-tomy)의 임상 적용. 대악안면성형지 1999;21:303-11
  9. Talbot ES. Teeth irregulatities and their surgical correction. Dental cosmos 1896:38:907-11
  10. Bichlmayr A. Chirurgisehe Kieferorthop$\"{a}$die und das Verhalten des Knochens und der Wurzelspitzen nach derselben. Dtsch zahl-$\"{a}$rztl Z 1931;34:835-42.
  11. Kole H. Chimrgische Kieferortho$\"{a}$die am Alveolarkamm. $\"{O}$st Z Stomat 1959;56:57-73.
  12. Kole H. Die chirurgisehe Behandlung des offenen Bisses. $\"{O}$st Z Stomat 1967;64:255-63.
  13. Converse JM. Horowitz SL. The surgical-orthodontic approach to the treatment of dentofacial deformities. Am J Orthod 1969;55:217-43 https://doi.org/10.1016/0002-9416(69)90104-3
  14. Liou EJW, Huang CS. Rapid canine retraction through distraction of the periodontal ligament. Am J Orthod Dentofacial Orthop 1998;114:372-82 https://doi.org/10.1016/S0889-5406(98)70181-7
  15. Ilizalov 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 Orthop 1989;238:249-81
  16. Ilizalov GA. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. Ctin Orthop 1989:239:263-85
  17. 김상철, 민승기, 오승환, 태기출, 강경화. 외과적 술식을 동반한 빠른 치아 교정. 서울: 명문출판사; 2004
  18. 김상철, 태기출. 피질골 절제술을 응용한 치아의 함입 이동. 대치교정지 2003;33:399-405