The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
권호 표지

Class III nonsurgical treatment using indirect skeletal anchorage: A case report

간접 골성 고정원을 이용한 골격성 III급 부정교합의 절충 치험례

  • Choi, Jun-Young (Division of Orthodontics, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Lim, Won-Hee (Department of Orthodontics, School of Dentistry, Seoul National University) ;
  • Chun, Youn-Sic (Division of Orthodontics, Department of Dentistry, Ewha Womans University Mokdong Hospital)
  • Published : 2008.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Treatment of adult patients with Class III malocclusion frequently requires a combined orthodontic and surgical approach. However, if for various reasons, nonsurgical orthodontic treatment is chosen, a stable outcome requires careful consideration of the patient's biologic limitation. This case presents the orthodontic treatment of an adult with a Class III malocclusion, which was treated nonsurgically using indirect skeletal anchorage.

성인에서의 골격성 III급 부정교합의 치료의 원칙은 하악골의 후방이동을 동반한 수술적 교정치료이나, 다양한 문제로 인해 수술적 방법을 선택하기 어렵고 부조화의 정도가 심하지 않은 환자의 경우 비수술적 절충 치료를 선택할 수 있다. 비수술적 절충치료를 시행하는 경우 교정치료의 한계와 치주적인 부분에 대한 주의가 필요하다. 본 교실에서는 간접 골성 고정원을 이용하여 성인에서의 골격성 III급 부정교합을 비수술적으로 절충 치료 하였기에 보고하고자 한다.

Keywords

References

  1. Popp TW, Gooris CG, Schur JA. Nonsurgical treatment for a Class III dental relationship: A case report. Am J Orthod Dentofacial Orthop 1993;103:203-11 https://doi.org/10.1016/0889-5406(93)70001-5
  2. Proffit WR. Contemporary orthodontics. St Louis: Mosby; 1986. p. 200-207
  3. Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop 2002;122:27-38 https://doi.org/10.1067/mod.2002.123632
  4. Graber TM. Orthodontics, principles and practice. Philadelphia: Saunders; 2005. p. 128-130
  5. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod 1997;31:763-7
  6. Costa A, Raffainil M, Melsen B. Miniscrews as orthodontic anchorage: A preliminary report. Int J Adult Orthodon Orthognath Surg 1998;13:201-9
  7. Park HS, Bae SM, Kyung HM, Sung JH. Micro-implant anchorage for treatment of skeletal Class I bialveolar protrusion. J Clin Orthod 2001;35:417-22
  8. Celenza F, Hochman M. Absolute anchorage in orthodontics: Direct and indirect implant-assisted modalities. J Clin Orthod 2000;34:397-402
  9. Jensen AC, Sinclair PM, Wolford LM. Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 1992;101:266-75 https://doi.org/10.1016/0889-5406(92)70096-S
  10. Enacar A, Taner T, Toroglu S. Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. Int J Adult Orthodon Orthognath Surg 1999;14:27-35
  11. Chew MT. Soft tissue and hard tissue changes after bimaxillary surgery in Chinese class III patients. Angle Orthod 2005;75:959-63
  12. Bailey LT, Esmailnejad A, Almeida MA. Stability of the palatal rugae as landmarks for analysis of dental casts in extraction and nonextraction cases. Angle Orthod 1996;66:73-8
  13. Chang YJ, Lee HS, Chun YS. Microscrew anchorage for molar intrusion. J Clin Orthod 2004;38:325-30
  14. Yun SW, Lim WH, Chun YS. Molar control using indirect miniscrew anchorage. J Clin Orthod 2005;39:661-4
  15. Aldo G, Fabiana M, Francesca S, Claudio A. Miniscrew treatment of ectopic mandibular molars. J Clin Orthod 2003;37:380-3
  16. Park HS, Kyung HM, Sung JH. A simple method of molar uprighting with micro-implant anchorage. J Clin Orthod 2002;36:592-6
  17. Kyung SH, Choi JH, Park YC. Miniscrew anchorage used to protract lower second molars into first molar extraction sites. J Clin Orthod 2003;37:575-579
  18. Sam K, Rabie AB, King NM. Orthodontic intrusion of periodontally involved teeth. J Clin Orthod 2001;35:325-30
  19. Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod 1983;5:173-83 https://doi.org/10.1093/ejo/5.3.173
  20. McFadden WM, Engstrom C, Engstrom H, Anholm JM. A study of the relationship between incisor intrusion and root shortening. Am J Orthod Dentofacial Orthop 1989;96:390-6 https://doi.org/10.1016/0889-5406(89)90323-5
  21. Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop 1996;109:543-8 https://doi.org/10.1016/S0889-5406(96)70140-3