대한치과의사협회지 (The Journal of the Korean dental association)

  • 제50권2호
  • /
  • Pages.72-82
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  • 2012
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

임상가를 위한 특집 3 - 악교정 수술환자의 진단과 교정치료

Contemporary Diagnosis and Orthodontic Treatment in Orthognathic Surgery

  • 백형선 (연세대학교 치과대학 교정학 교실)
  • 투고 : 2012.01.06
  • 심사 : 2012.01.25
  • 발행 : 2012.02.01
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초록

악교정 수술에 대한 관심이 증가되고, 환자 또한 증가되는 시점에서, 환자에 대한 정확한 진단이 우선되어야 하며, 환자의 요구에 의해서 수술시기가 죄우되는 것이 아니라, 술전 교정치료를 하고 수술하는 경우와 수술을 일찍하고 후에 교정치료를 하는 경우에 대한 결정은 치과교정의사와 구강악안면외과의사가 함께 최신의 다양한 방법 등을 통한 정확한 분석과 예측과정 후에 각각의 환자에 맞는 수술계획을 수립한 후 시행하여야 하며, 무엇보다도 최선의 치료 결과를 얻는 것이 가장 중요하다.

Recently in treatment planning for orthognathic surgery, 3-dimensional analysis using CBCT can give more detailed information that cannot be achieved with 2-dimensional cephalograms. Also, laser Scanning and 3D camera can show 3-dimensional information on soft tissue changes as well as hard tissue changes in orthognathic surgery patients. In other words, soft tissue changes in lateral facial area as well as mid facial area can be quantitatively calculated. To bring out the best results from orthognathic surgery, close interaction between orthodontist and oral surgeon is needed and well treated pre-surgical orthodontics can simplify orthognathic surgical plan that also results in good long-term stability. In surgery-first cases, more thoughtful diagnosis and pre-operative preparation will be needed to prevent complicated problems.

키워드

참고문헌

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