구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제34권1호
  • /
  • Pages.10-16
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  • 2018
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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골격고정원을 이용한 Pendulum 장치가 두개 안면의 수직적 요소에 미치는 효과 분석

Analysis of effects from usage of skeletal anchorage-assisted Pendulum appliance on vertical component of craniofacial structure

  • 이진우 (단국대학교 치과대학 치과교정과학교실)
  • Lee, Jin-Woo (Department of Orthodontics, College of Dentistry, Dankook University)
  • 투고 : 2017.08.31
  • 심사 : 2017.12.18
  • 발행 : 2018.03.31
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초록

목적: 골격성 고정원의 사용으로 고정원이 보강된 Pendulum 장치가 환자의 두개 안면 요소의 수직적인 부분에 미치는 영향을 분석하고자 하였다. 연구 재료 및 방법: 골격성 고정원과, pendulum을 이용하여 비발치 치료를 시행한 환자 중, 발산형 안모(SN-MP > $37^{\circ}$)와 중간형 안모($29^{\circ}$ < SN-MP < $37^{\circ}$) 각각 10명씩 분류하여 치료의 단기적 효과에 대해 분석하였다. 결과 및 결론: 골격 형태에 따른 차이로 발산형 안모군(HG)은 구치부 후방이동과 관련하여 하악 전치의 순측 경사가 유의하게 나타났다(P < 0.05). 중간형 안모군(MG)은 구치부의 유의한 이동만 나타났다(P < 0.05). 전치의 순측 이동은 유의성이 없었다. 본 논문에서 Pendulum 장치는 수직적인 안모 형태에 유의한 영향을 주지 않으며, 악화시키지 않았다.

Purpose: The purpose of this study was to evaluate distalizing effects from the Pendulum appliance on vertical component of craniofacial structures. Materials and Methods: 20 Patients who visited for orthodontic treatments are assigned to two groups. Group I, SN-MP > 37 degrees are showing hyperdivergent pattern. Group II, 29 < SN-MP < 37 degrees are showing mesocephalic pattern. Each group are consisted of 10 people. Results and Conclusions: Differences between skeletal classifications result in significant differences at labioversion of lower incisors and distalized amount, which is larger at Group I (P <.05). Group II has only shown significant distalized molars (P < .05). Labioversion of lower incisors has not shown significant change. Skeletal anchorage-assisted Pendulum appliance doesn't deteriorate vertical component nor significantly improve.

키워드

참고문헌

  1. Bolla E, Muratore F, Carano A, Bowman SJ. Evaluation of maxillary molar distalization with the distal jet: a comparison with other contemporary methods. Angle Orthod 2002;72:481-94.
  2. Burhan AS. Combined treatment with headgear and the Frog appliance for maxillary molar distalization: a randomized controlled trial. Korean J Orthod 2013;43:101-9.
  3. Fuziy A, Rodrigues de Almeida R, Janson G, Angelieri F, Pinzan A. Sagittal, vertical, and transverse changes consequent to maxillary molar distalization with the pendulum appliance. Am J Orthod Dentofacial Orthop 2006;130:502-10. https://doi.org/10.1016/j.ajodo.2004.12.031
  4. Patel MP, Janson G, Henriques JF, de Almeida RR, de Freitas MR, Pinzan A, de Freitas KM. Comparative distalization effects of Jones jig and pendulum appliances. Am J Orthod Dentofacial Orthop 2009;135:336-42. https://doi.org/10.1016/j.ajodo.2007.01.035
  5. Mah SJ, Kim JE, Ahn EJ, Nam JH, Kim JY, Kang YG. Analysis of midpalatal miniscrew-assisted maxillary molar distalization patterns with simultaneous use of fixed appliances: a preliminary study. Korean J Orthod 2016;46:55-61. https://doi.org/10.4041/kjod.2016.46.1.55
  6. 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
  7. Oncag G, Seckin O, Dincer B, Arikan F. Osseointegrated implants with pendulum springs for maxillary molar distalization: a cephalometric study. Am J Orthod Dentofacial Orthop 2007;131:16-26. https://doi.org/10.1016/j.ajodo.2005.02.034
  8. Oncag G, Akyalcin S, Arikan F. The effectiveness of a single osteointegrated implant combined with pendulum springs for molar distalization. Am J Orthod Dentofacial Orthop 2007;131:277-84. https://doi.org/10.1016/j.ajodo.2005.07.015
  9. Polat-Ozsoy O, Kircelli BH, Arman-Ozcirpici A, Pektas ZO, Uckan S. Pendulum appliances with 2 anchorage designs: conventional anchorage vs bone anchorage. Am J Orthod Dentofacial Orthop 2008;133:339.
  10. Fudalej P, Antoszewska J. Are orthodontic distalizers reinforced with the temporary skeletal anchorage devices effective? Am J Orthod Dentofacial Orthop 2011;139:722-9. https://doi.org/10.1016/j.ajodo.2011.01.019
  11. Grec RH, Janson G, Branco NC, Moura-Grec PG, Patel MP, Castanha Henriques JF. Intraoral distalizer effects with conventional and skeletal anchorage: a meta-analysis. Am J Orthod Dentofacial Orthop 2013;143:602-15. https://doi.org/10.1016/j.ajodo.2012.11.024
  12. Keles A, Erverdi N, Sezen S. Bodily distalization of molars with absolute anchorage. Angle Orthod 2003;73:471-82.
  13. Kinzinger GS, Wehrbein H, Diedrich PR. Molar distalization with a modified pendulum appliancein vitro analysis of the force systems and in vivo study in children and adolescents. Angle Orthod 2005;75:558-67.
  14. Caprioglio A, Fontana M, Longoni E, Cozzani M. Long-term evaluation of the molar movements following Pendulum and fixed appliances. Angle Orthod 2013;83:447-54. https://doi.org/10.2319/050812-378.1
  15. Sar C, Kaya B, Ozsoy O, Ozcirpici AA. Comparison of two implant-supported molar distalization systems. Angle Orthod 2013;83:460-7. https://doi.org/10.2319/080512-630.1
  16. Kang JM, Park JH, Bayome M, Oh M, Park CO, Kook YA, Mo SS. A three-dimensional finite element analysis of molar distalization with a palatal plate, pendulum, and headgear according to molar eruption stage. Korean J Orthod 2016;46:290-300. https://doi.org/10.4041/kjod.2016.46.5.290
  17. 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
  18. Yu IJ, Kook YA, Sung SJ, Lee KJ, Chun YS, Mo SS. Comparison of tooth displacement between buccal mini-implants and palatal plate anchorage for molar distalization: a finite element study. Eur J Orthod 2014;36:394-402. https://doi.org/10.1093/ejo/cjr130
  19. Hilgers JJ. The pendulum appliances for Class II non-compliance therapy. J Clin Orthod 1992;26:706-14.
  20. Hilgers JJ, Bennet RK. The pendulum appliance: creating the gain. Clin Impressions 1994;3:14-23.
  21. Triaca A, Antonini M, Wintermantel E. Ein neus titan-flachschrauben-implantat zur orthodontischen verankerung am anterioren gaumen. Inf Orthod Kieferorthop 1992;24:251-7.
  22. Wehrbein H, Merz BR, Diedrich P. Palatal bone support for orthodontic implant anchorage-a clinical and radiological study. Eur J Orthod 1999;21:65-70. https://doi.org/10.1093/ejo/21.1.65
  23. Kircelli BH, Pektas ZO, Kircelli C. Maxillary molar distalization with a bone-anchored pendulum appliance. Angle Orthod 2006;76:650-9.
  24. Byloff FK, Darendeliler MA. Distal molar movement using the pendulum appliance. Part 1: Clinical and radiological evaluation. Angle Orthod 1997;67:249-60.