The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Berlin standard activator in the treatment of growing patients with mandibular deficiency: Case report

성장기 하악골 열성장 환자의 Berlin standard activator를 이용한 부정교합 치료: 증례보고

  • Lee, Seung-Youp (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University)
  • 이승엽 (강릉원주대학교 치과대학 치과교정학교실)
  • Received : 2010.08.12
  • Accepted : 2010.10.19
  • Published : 2010.11.01
Download PDF
⟨ Previous Next ⟩

Abstract

Activator is a removable functional appliance used for correcting the skeletal Class II malocclusion in children with the mandibular deficiency. Berlin standard activator modified from Andresen activator has following characters; do not cover the palatal surface for tongue space, relief on lingual surface of mandibular incisors and resin capping 1/3-1/2 of crown height on mandibular incisors for preventing labioversion of mandibular incisors, L-hook between maxillary lateral incisor and canine for anterior high pull headgear, relief on mandibular posterior bite block for differential eruption of posterior teeth. Two cases presented here had a mandibular deficiency and slight maxillary protrusion. First case (an 11-year-old girl) treated with Berlin standard activator and anterior high pull headgear for 13 months followed by fixed orthodontic appliance for another 29 months. Second case (a 12-year-old boy) treated with Berlin standard activator for 6 months followed by fixed appliance for another 24 months. Treatment results showed a significant improvement in sagittal skeletal and occlusal relationship without premolar extraction. Mandibular condyles were concentric in TMJ [ossa, and masticatory muscle activities were normalized after treatment. In the retention period facial harmony and occlusal stability was maintained.

Keywords

References

  1. 강 혜경, 유 영규. 1991학년도 연세대학교 학생을 대상으로 한 부정교합 빈도에 관한 연구. 대한치과교정학회지 1992;22(3):691-701
  2. 경 희문, 권 오원, 김 유경, 성 재현. 한국인 성장기 아동에서 Angle씨 2급 1류 부정교합자의 골격 특징. 대한치과교정학회지 1989;19(3):67-78
  3. Stockli PW, Willert HG. Tissue reactions in the temporomandibular joint resulting from anterior displacement of the mandible in the monkey. Am J Orthod 1971;60(2):142-155 https://doi.org/10.1016/0002-9416(71)90030-3
  4. Rabie AB, She TT, Hagg U. Functional appliance therapy accelerates and enhances condylar growth. Am J Orthod Dentofacial Orthop 2003;123(1):40-48 https://doi.org/10.1067/mod.2003.45
  5. 차 봉근. 기능적 악정형장치를 이용한 2급 부정교합의 치료 : 생물학적, 생역학적 고려사항. 대한치과의사협회지 2001;39(5):353-361
  6. Andresen V. The Norwegian system of functional gnatho-orthopedics. Acta Gnathol 1936;1(1):5-36
  7. Petrovic AG, Stutzmann J, Oudet C. Orthopedic appliances modulate the bone formation in the mandible as a whole. Swed Dent J Suppl 1982;15:197-201
  8. Voudouris JC, Kuftinec MM. Improved clinical use of Twin-block and Herbst as a result of radiating viscoelastic tissue forces on the condyle and fossa in treatment and long-term retention: growth relativity. Am J Orthod Dentofacial Orthop 2000;117(3):247-266 https://doi.org/10.1016/S0889-5406(00)70231-9
  9. Woodside DG. The activator. Graber TM, Neumann B. Removable orthodontic appliances. Saunders. 1977
  10. Harvold E. Some biologic aspects of orthodontic treatment in the transitional dentition. Am J Orthod 1963;49(1):1-14 https://doi.org/10.1016/0002-9416(63)90062-9
  11. 김 준헌, 이 진우. 성장기 II급 부정교합자에서 골격 형태에 따른 액티베이터 사용 효과에 관한 연구. 대한치과교정학회지 2007;37(1):29-43
  12. Pfeiffer JP, Grobety D. The class II malocclusion: differential diagnosis and clinical application of activators, extraoral traction, and fixed appliances. Am J Orthod 1975;68(5):499-544 https://doi.org/10.1016/0002-9416(75)90084-6
  13. Teuscher U. A growth-related concept for skeletal class II treatment. Am J Orthod 1978;74(3):258-275 https://doi.org/10.1016/0002-9416(78)90202-6
  14. 차 봉근, 주 상환, 조 형준, 민 선희. II급 부정교합의 치료(3): 액티베이터와 anterior high pull headgear를 이용한 II급 1류 부정교합 치료. 대한치과의사협회지 1997;35(5):276-278
  15. Lehman R, Hulsink JH. Treatment of Class II malocclusion with a headgear-activator combination. J Clin Orthod 1989;23(6):430-433
  16. 최 남기, 김 정란, 양 규호. Activator 와 Anterior high pull headgear를 이용한 골격성 II급 부정교합의 치험례. 대한소아치과학회지 1999;26(1):126-132
  17. van Beek H. Combination headgear-activator. J Clin Orthod 1984;18(3):185-189
  18. Tulloch JF, Phillips C, Koch G, Proffit WR. The effect of early intervention on skeletal pattern in Class II malocclusion: A randomized clinical trial*. Am J Orthod Dentofacial Orthop 1997;111(4):391-400 https://doi.org/10.1016/S0889-5406(97)80021-2
  19. Croft RS, Buschang PH, English JD, Meyer R. A cephalometric and tomographic evaluation of Herbst treatment in the mixed dentition. Am J Orthod Dentofacial Orthop 1999;116(4):435-443 https://doi.org/10.1016/S0889-5406(99)70230-1
  20. Wieslander L. Long-term effect of treatment with the headgear-Herbst appliance in the early mixed dentition. Stability or relapse? Am J Orthod Dentofacial Orthop 1993;104(4):319-329 https://doi.org/10.1016/S0889-5406(05)81328-9
  21. Pancherz H, Anehus-Pancherz M. Muscle activity in Class II division 1 malocclusions treated by bite jumping with the Herbst appliance. An electromyographic study. Am J Orthod 1980;78(3):321-329 https://doi.org/10.1016/0002-9416(80)90277-8