대한치과교정학회지 (The korean journal of orthodontics)

  • 제40권3호
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  • Pages.195-206
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  • 2010
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  • 2234-7518(pISSN)
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  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
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Zygoma-gear를 이용한 구치부 후방이동을 통한 비발치 치험례

Zygoma-gear appliance for intraoral upper molar distalization

  • Nur, Metin (Karadeniz Technical University, Department of Orthodontics) ;
  • Bayram, Mehmet (Karadeniz Technical University, Department of Orthodontics) ;
  • Pampu, Alper (Karadeniz Technical University, Department of Oral Surgery)
  • 투고 : 2010.01.26
  • 심사 : 2010.03.09
  • 발행 : 2010.06.30
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초록

본 증례보고에서는 골격성 II급 관계를 보이는 16세 여자 환자에서 zygomatic-anchorage plates (Zygoma-gear Appliance, ZGA)를 이용하여 상악 구치를 후방 이동시킴 구내 장치를 소개하고자 한다. 이 장치는 양측성 zygomatic anchorage plates, inner-bow와 강한 힘을 내는 구강 내 고무줄로 구성되어 있다. 3개월 내에 상악 구치의 후방 이동이 이루어 졌으며, 측모 두부 방사선 사진 분석 결과, 상악 구치는 4mm 후방 이동, $4.5^{\circ}$ 후방 경사되었다. 본 연구 결과 ZGA 장치를 이용해 고정원 소실 없이 단기간에 상악 구치의 후방 이동이 효과적으로 이루어졌음이 확인되었으며, 이를 통해 구치의 후방 견인이 요하는 증례에서 구외 장치 대신 사용될 수 있을 것으로 판단된다.

The aim of this report is to present an intraoral upper molar distalization system supported with zygomatic anchorage plates (Zygoma-gear Appliance, ZGA). This system was used for a 16-year-old female patient with a Class II molar relationship requiring molar distalization. The system consisted of bilateral zygomatic anchorage plates, an inner-bow and heavy intraoral elastics. Distalization of the upper molars was achieved in 3 months and the treatment results were evaluated from lateral cephalometric radiographs. According to the results of the cephalometric analysis, the maxillary first molars showed a distalization of 4 mm, associated with a distal axial inclination of $4.5^{\circ}$. The results of this study show that an effective upper molar distalization without anchorage loss can be achieved in a short time using the ZGA. We suggest that this new system may be used in cases requiring molar distalization in place of extraoral appliances.

키워드

참고문헌

  1. Cangialosi TJ, Meistrell ME Jr, Leung MA, Ko JY. A cephalometric appraisal of edgewise Class II nonextraction treatment with extraoral force. Am J Orthod Dentofacial Orthop 1988;93:315-24. https://doi.org/10.1016/0889-5406(88)90162-X
  2. Wilson WL, Wilson RC. Modular 3D appliances. Problem solving in edgewise, straightwire and lightwire treatment. J Clin Orthod 1984;18:272-81.
  3. Blechman AM. Magnetic force systems in orthodontics. Clinical results of a pilot study. Am J Orthod 1985;87:201-10. https://doi.org/10.1016/0002-9416(85)90041-7
  4. Hilgers JJ. The pendulum appliance for Class II non-compliance therapy. J Clin Orthod 1992;26:706-14.
  5. Byloff FK, Darendeliler MA. Distal molar movement using the pendulum appliance. Part 1: clinical and radiological evaluation. Angle Orthod 1997;67:249-60.
  6. Taner TU, Yukay F, Pehlivanoglu M, Cakirer B. A comparative analysis of maxillary tooth movement produced by cervical headgear and pend-x appliance. Angle Orthod 2003;73:686-91.
  7. Haydar S, Uner O. Comparison of Jones jig molar distalization appliance with extraoral traction. Am J Orthod Dentofacial Orthop 2000;117:49-53. https://doi.org/10.1016/S0889-5406(00)70247-2
  8. Carano A, Testa M. The distal jet for upper molar distalization. J Clin Orthod 1996;30:374-80.
  9. Keles A, Pamukcu B, Tokmak EC. Bilateral maxillary molar distalization with sliding mechanics: keles slider. World J Orthod 2002;3:57-66.
  10. Fortini A, Lupoli M, Giuntoli F, Franchi L. Dentoskeletal effects induced by rapid molar distalization with the first class appliance. Am J Orthod Dentofacial Orthop 2004;125:697-705. https://doi.org/10.1016/j.ajodo.2003.06.006
  11. Karcher H, Byloff FK, Clar E. The Graz implant supported pendulum, a technical note. J Craniomaxillofac Surg 2002;30:87-90. https://doi.org/10.1054/jcms.2002.0281
  12. Keles A, Erverdi N, Sezen S. Bodily distalization of molars with absolute anchorage. Angle Orthod 2003;73:471-82.
  13. Gelgor IE, Buyukyilmaz T, Karaman AI, Dolanmaz D, Kalayci A. Intraosseous screw-supported upper molar distalization. Angle Orthod 2004;74:838-50.
  14. Kircelli BH, Pektas ZO, Kircelli C. Maxillary molar distalization with a bone-anchored pendulum appliance. Angle Orthod 2006;76:650-9.
  15. Kinzinger GS, Diedrich PR, Bowman SJ. Upper molar distalization with a miniscrew-supported distal jet. J Clin Orthod 2006;40:672-8.
  16. Escobar SA, Tellez PA, Moncada CA, Villegas CA, Latorre CM, Oberti G. Distalization of maxillary molars with the bone-supported pendulum: a clinical study. Am J Orthod Dentofacial Orthop 2007;131:545-9. https://doi.org/10.1016/j.ajodo.2006.08.012
  17. Bayram M, Nur M, Kilkis D. The frog appliance for upper molar distalization: a case report. Korean J Orthod 2010;40:50-60. https://doi.org/10.4041/kjod.2010.40.1.50
  18. Kim SJ, Chun YS, Jung SH, Park SH. Three dimensional analysis of tooth movement using different types of maxillary molar distalization appliances. Korean J Orthod 2008;38:376-87. https://doi.org/10.4041/kjod.2008.38.6.376
  19. De Clerck H, Geerinckx V, Siciliano S. The zygoma anchorage system. J Clin Orthod 2002;36:455-9.
  20. Sugawara J, Kanzaki R, Takahashi I, Nagasaka H, Nanda R. Distal movement of maxillary molars in nongrowing patients with the skeletal anchorage system. Am J Orthod Dentofacial Orthop 2006;129:723-33. https://doi.org/10.1016/j.ajodo.2005.08.036
  21. Kaya B, Arman A, Uckan S, Yazici AC. Comparison of the zygoma anchorage system with cervical headgear in buccal segment distalization. Eur J Orthod 2009;31:417-24. https://doi.org/10.1093/ejo/cjp016
  22. Burstone CJ. Application of bioengineering to clinical orthodontics. In: Graber TM, Vanarsdall RJ editors. Orthodontics. Current principles and techniques. 3rd ed. St Louis: CV Mosby; 2000. p. 259-92.

피인용 문헌

  1. Effects of maxillary molar distalization with Zygoma-Gear Appliance vol.82, pp.4, 2010, https://doi.org/10.2319/091611-595.1
  2. Zygomatic mini-implant for Class II correction in growing patients vol.75, pp.3, 2014, https://doi.org/10.1007/s00056-014-0214-z
  3. A 3D finite element analysis of maxillary molar distalization using unilateral zygoma gear and asymmetric headgear vol.24, pp.2, 2010, https://doi.org/10.1111/ocr.12430