3차원 얼굴 영상을 이용한 상악 전방견인 치료 후의 연조직 평가

Soft tissue evaluation using 3-dimensional face image after maxillary protraction therapy

  • 최동순 (강릉원주대학교 치과대학 치과교정학교실) ;
  • 이경훈 (강릉원주대학교 치과대학 치과교정학교실) ;
  • 장인산 (강릉원주대학교 치과대학 치과교정학교실) ;
  • 차봉근 (강릉원주대학교 치과대학 치과교정학교실)
  • Choi, Dong-Soon (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Kyoung-Hoon (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Jang, Insan (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Cha, Bong-Kuen (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2015.12.03
  • 심사 : 2016.01.05
  • 발행 : 2016.03.01

초록

Purpose: The aim of this study was to evaluate the soft-tissue change after the maxillary protraction therapy using threedimensional (3D) facial images. Materials and Methods: This study used pretreatment (T1) and posttreatment (T2) 3D facial images from thirteen Class III malocclusion patients (6 boys and 7 girls; mean age, $8.9{\pm}2.2years$) who received maxillary protraction therapy. The facial images were taken using the optical scanner (Rexcan III 3D scanner), and T1 and T2 images were superimposed using forehead area as a reference. The soft-tissue changes after the treatment (T2-T1) were three-dimensionally calculated using 15 soft-tissue landmarks and 3 reference planes. Results: Anterior movements of the soft-tissue were observed on the pronasale, subnasale, nasal ala, soft-tissue zygoma, and upper lip area. Posterior movements were observed on the lower lip, soft-tissue B-point, and soft-tissue gnathion area. Vertically, most soft-tissue landmarks moved downward at T2. In transverse direction, bilateral landmarks, i.e. exocanthion, zygomatic point, nasal ala, and cheilion moved more laterally at T2. Conclusion: Facial soft-tissue of Class III malocclusion patients was changed three-dimensionally after maxillary protraction therapy. Especially, the facial profile was improved by forward movement of midface and downward and backward movement of lower face.

키워드

과제정보

연구 과제 주관 기관 : 강릉원주대학교

참고문헌

  1. Choi HJ, Kim JY, Yoo SE, Kwon JH, Park K. Cephalometric characteristics of Korean children with Class III malocclusion in the deciduous dentition. Angle Orthod. 2010;80(1):86-90. https://doi.org/10.2319/120108-605.1
  2. Chatzoudi MI, Ioannidou-Marathiotou I, Papadopoulos MA. Clinical effectiveness of chin cup treatment for the management of Class III malocclusion in prepubertal patients: a systematic review and metaanalysis. Prog Orthod. 2014;15:62. https://doi.org/10.1186/s40510-014-0062-9
  3. Baik HS. Clinical results of the maxillary protraction in Korean children. Am J Orthod Dentofacial Orthop. 1995;108(6):583-92. https://doi.org/10.1016/S0889-5406(95)70003-X
  4. Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop. 1998;113(2):204-12. https://doi.org/10.1016/S0889-5406(98)70141-6
  5. Merwin D, Ngan P, Hagg U, Yiu C, Wei SH. Timing for effective application of anteriorly directed orthopedic force to the maxilla. Am J Orthod Dentofacial Orthop. 1997;112(3):292-9. https://doi.org/10.1016/S0889-5406(97)70259-2
  6. Nartallo-Turley PE, Turley PK. Cephalometric effects of combined palatal expansion and facemask therapy on Class III malocclusion. Angle Orthod. 1998;68(3):217-24.
  7. Ngan P, Hagg U, Yiu C, Merwin D, Wei SH. Treatment response to maxillary expansion and protraction. Eur J Orthod. 1996;18(2):151-68. https://doi.org/10.1093/ejo/18.1.151
  8. Ngan P, Yiu C, Hu A, Hagg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod. 1998;20(3):237-54. https://doi.org/10.1093/ejo/20.3.237
  9. Westwood PV, McNamara JA,Jr, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop. 2003;123(3):306-20. https://doi.org/10.1067/mod.2003.44
  10. Cha BK, Lee NK, Choi DS. Maxillary protraction treatment of skeletal Class III children using miniplate anchorage. Korean J Orthod. 2007;37(1):73-84.
  11. Cha BK, Choi DS, Ngan PW, Jost-Brinkmann PG, Kim SM. Maxillary protraction with miniplates providing skeletal anchorage in a growing Class III patient. Am J Orthod Dentofacial Orthop. 2011;139(1):99-112. https://doi.org/10.1016/j.ajodo.2009.06.025
  12. Cha BK, Ngan PW. Skeletal anchorage for orthopedic correction of growing Class III patients. Semin Orthod. 2011;17(2):124-37. https://doi.org/10.1053/j.sodo.2010.12.005
  13. Kircelli BH, Pektas ZO. Midfacial protraction with skeletally anchored face mask therapy: a novel approach and preliminary results. Am J Orthod Dentofacial Orthop. 2008;133(3):440-9. https://doi.org/10.1016/j.ajodo.2007.06.011
  14. Heymann GC, Cevidanes L, Cornelis M, De Clerck HJ, Tulloch JF. Three-dimensional analysis of maxillary protraction with intermaxillary elastics to miniplates. Am J Orthod Dentofacial Orthop. 2010;137(2):274-84. https://doi.org/10.1016/j.ajodo.2009.07.009
  15. Nguyen T, Cevidanes L, Cornelis MA, Heymann G, de Paula LK, De Clerck H. Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction. Am J Orthod Dentofacial Orthop. 2011;140(6):790-8. https://doi.org/10.1016/j.ajodo.2011.04.025
  16. Ngan P, Hagg U, Yiu C, Merwin D, Wei SH. Soft tissue and dentoskeletal profile changes associated with maxillary expansion and protraction headgear treatment. Am J Orthod Dentofacial Orthop. 1996;109(1):38-49. https://doi.org/10.1016/S0889-5406(96)70161-0
  17. Kilicoglu H, Kirlic Y. Profile changes in patients with class III malocclusions after Delaire mask therapy. Am J Orthod Dentofacial Orthop. 1998;113(4):453-62. https://doi.org/10.1016/S0889-5406(98)70256-2
  18. Kilic N, Catal G, Kiki A, Oktay H. Soft tissue profile changes following maxillary protraction in Class III subjects. Eur J Orthod. 2010;32(4):419-24. https://doi.org/10.1093/ejo/cjp119
  19. Baik HS, Jeon JM, Lee HJ. Facial soft-tissue analysis of Korean adults with normal occlusion using a 3-dimensional laser scanner. Am J Orthod Dentofacial Orthop. 2007;131(6):759-66. https://doi.org/10.1016/j.ajodo.2005.08.038
  20. Baik HS, Kim SY. Facial soft-tissue changes in skeletal Class III orthognathic surgery patients analyzed with 3-dimensional laser scanning. Am J Orthod Dentofacial Orthop. 2010;138(2):167-78. https://doi.org/10.1016/j.ajodo.2010.02.022
  21. Hwang HS, Yuan D, Jeong KH, Uhm GS, Cho JH, Yoon SJ. Three-dimensional soft tissue analysis for the evaluation of facial asymmetry in normal occlusion individuals. Korean J Orthod. 2012;42(2):56-63. https://doi.org/10.4041/kjod.2012.42.2.56
  22. Lee JH, Choi DS, Cha BK, Park YW, Jang I. Threedimensional Assessment of Facial Soft Tissue after Orthognathic Surgery in Patients with Skeletal Class III and Asymmetry. Journal of Korean Association of Maxillofacial Plastic and Reconstructive Surgeons. 2013;35(6):360-7. https://doi.org/10.14402/jkamprs.2013.35.6.360
  23. Sade Hoefert C, Bacher M, Herberts T, Krimmel M, Reinert S, Goz G. 3D soft tissue changes in facial morphology in patients with cleft lip and palate and class III mal occlusion under therapy with rapid maxillary expansion and delaire facemask. J Orofac Orthop. 2010;71(2):136-51. https://doi.org/10.1007/s00056-010-9931-0
  24. Kusnoto B, Evans CA. Reliability of a 3D surface laser scanner for orthodontic applications. Am J Orthod Dentofacial Orthop. 2002;122(4): 342-8. https://doi.org/10.1067/mod.2002.128219
  25. Ghoddousi H, Edler R, Haers P, Wertheim D, Greenhill D. Comparison of three methods of facial measurement. Int J Oral Maxillofac Surg. 2007;36(3):250-8. https://doi.org/10.1016/j.ijom.2006.10.001
  26. Plooij JM, Swennen GR, Rangel FA, Maal TJ, Schutyser FA, Bronkhorst EM, et al. Evaluation of reproducibility and reliability of 3D soft tissue analysis using 3D stereophotogrammetry. Int J Oral Maxillofac Surg. 2009;38(3):267-73. https://doi.org/10.1016/j.ijom.2008.12.009
  27. Kau CH, Richmond S. Three-dimensional analysis of facial morphology surface changes in untreated children from 12 to 14 years of age. Am J Orthod Dentofacial Orthop. 2008;134(6):751-60. https://doi.org/10.1016/j.ajodo.2007.01.037
  28. Deguchi T, Kuroda T, Minoshima Y, Graber TM. Craniofacial features of patients with Class III abnormalities: growth-related changes and effects of short-term and long-term chincup therapy. Am J Orthod Dentofacial Orthop. 2002;121(1):84-92. https://doi.org/10.1067/mod.2002.120359