양악전돌증 치료에서 피질골절단술의 효율성에 관한 연구

THE STUDY OF EFFICIENCY OF CORTICOTOMY IN TREATMENT OF BIMAXILLARY PROTRUSION

  • 서영준 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 정성우 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 강학수 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 임재중 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 허영성 (나인빌 치과) ;
  • 우순섭 (나인빌 치과) ;
  • 심광섭 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 황경균 (한양대학교 의과대학 치과학교실 구강악안면외과)
  • Seo, Young-Jun (Department of Oral & Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Jung, Sung-Woo (Department of Oral & Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Kang, Hag-Soo (Department of Oral & Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Im, Jae-Jung (Department of Oral & Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Huh, Young-Sung (Ninevil Dental Clinic) ;
  • Woo, Soon-Seop (Ninevil Dental Clinic) ;
  • Shim, Kwang-Sup (Department of Oral & Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Hwang, Kyung-Gyun (Department of Oral & Maxillofacial Surgery, College of Medicine, Hanyang University)
  • 발행 : 2005.07.30

초록

In esthetic treatment of bimaxillary protrusion, it is important to move backward the anterior teeth segment. For the backward movement of the anterior teeth segment, orthodontic force and segmental osteotomy have been applied on the clinical treatment until recently. These methods caused long treatment time, anchorage loss, the possibility of root resorption and the complication followed by segmental osteotomy. Therefore, corticotomy has become a major concern lately. This research has been conducted to study the efficiency of corticotomy in the treatment of bimaxillary protrusion comparing the profile change, canine retraction velocity and space closing time. The research compared and analyzed space closing time, canine retraction velocity and profile change in two groups of patients. Both groups were formed out of patients over 18 years old who visited the department of dentistry in Hanyang University for treatments. The experimental group who was treated by corticotomy and Skeletal Anchorage System(SAS). The control group who received orthodontic treatment using SAS. The following results are produced after analyzing both groups. The significant statistic difference in space closing time has been observed in the experimental group as compared with the control group(p<0.05). In the experimental group, the significant statistic increase in canine retraction velocity was also observed(p<0.05). There was no significant difference in profile change between the control group and the experimental group(p<0.05). As a result, orthodontic treatment using corticotomy has a reasonable efficiency in space closing time as compared with the existing orthodontic treatment. Therefore, it is concluded that corticotomy with orthodontic treatment can be reasonably applied to dentofacial abnormality.

키워드

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