대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제47권2호
  • /
  • Pages.167-175
  • /
  • 2020
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지
DOI QR코드

DOI QR Code

구개확장장치와 facemask를 이용한 교정치료 환자의 구개주름 평가

Evaluation of Palatal Rugae Following Orthopedic Treatment Using Rapid Maxillary Expander and Facemask

  • 박세희 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실)
  • Park, Sehee (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Namki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Seonmi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • 투고 : 2019.10.14
  • 심사 : 2019.11.21
  • 발행 : 2020.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

이 연구는 혼합치열기 3급 부정교합 환자에서 RME와 facemask치료 전후에 구개 및 구개주름의 횡적 및 전후방적 변화를 평가하고, 구개주름이 교정 전후의 모델 중첩을 위한 적절한 기준 영역으로 사용될 수 있는지를 확인하는 것을 목적으로 수행되었다. RME와 facemask를 이용한 교정치료를 받은 52명의 혼합치열기 3급 부정교합 환자의 교정치료 전, 후 상악 진단모형을 이용하여 치료 전(T1), 후(T2)의 구개 및 구개주름을 계측하였다. RME와 facemask 치료로 인해 상악골과 구개에 나타나는 골성 변화에도 불구하고 구개와 구개주름의 전후방적 변화는 유의하지 않았다. 구개와 구개주름의 형태학적 변화는 주로 횡적 변화로 나타났다. 구개주름은 하방의 경조직의 해부학적 변화에 적응하여 늘어나는 것으로 보인다. 계측된 구개주름의 영역 중 3번째 구개주름의 내측점이 가장 적은 변화를 나타내었다. 이 연구에서 관찰된 구개주름의 변화는 3번째 구개주름의 내측점이 RME와 facemask 치료를 받은 환자의 치아 이동을 연구하기 위한 목적으로 교정 전후 모델을 중첩할 때 안정적인 기준 영역으로 사용될 수 있는 가능성을 보여준다.

The purpose of this study was to determine whether the palatal rugae could be used as an appropriate reference area for serial model superimposition following Rapid maxillary expansion(RME) and facemask treatment. A total of 52 pediatric patients who had undergone RME and facemask treatment were selected. Palate and palatal rugae in the pre- and post- treatment casts from the patients were measured. In spite of dentoalveolar changes occurred by RME and facemask, anteroposterior changes in palate and palatal rugae were not significant. Anatomical changes of palate and palatal rugae were mostly shown in the transverse dimension. The soft tissue of the palatal rugae stretches in adaptation to hard tissue movement. Among the evaluated landmarks, the medial point of the third palatal rugae seemed to be the most stable. The observed alterations in the palatal rugae demonstrated the potential of medial points of third palatal rugae as a reference point in model superimpositions to evaluate dental movement within the maxillary arch following RME and facemask treatment.

키워드

참고문헌

  1. Hoggan BR, Sadowsky C : The use of palatal rugae for the assessment of anteroposterior tooth movements, Am J Orthod Dentofacial Orthop, 119:482-488, 2001. https://doi.org/10.1067/mod.2001.113001
  2. Damstra J, Mistry D, Cruz C, Ren Y : Antero-posterior and transverse changes in the positions of palatal rugae after rapid maxillary expansion. Eur J Orthod, 31:327-332, 2009. https://doi.org/10.1093/ejo/cjn113
  3. Lysell L : Plicae palatinae transversae and papilla incisiva in man; a morphologic and genetic study. Acta Odontol Scand, 13:1-137, 1955. https://doi.org/10.3109/00016355509028169
  4. Patil MS, Patil SB, Acharya AB : Palatine rugae and their significance in clinical dentistry: A review of the literature. J Am Dent Assoc, 139:1471-1478, 2008. https://doi.org/10.14219/jada.archive.2008.0072
  5. Peavy DC Jr, Kendrick GS : The effects of tooth movement on the palatine rugae. J Prosthet Dent, 18:536-542, 1967. https://doi.org/10.1016/0022-3913(67)90219-3
  6. van der Linden FP : Changes in the position of posterior teeth in relation to ruga points. Am J Orthod, 74:142-161, 1978. https://doi.org/10.1016/0002-9416(78)90081-7
  7. Ngan P, Hagg U, Wei SH, et al. : Treatment response to maxillary expansion and protraction. Eur J Orthod, 18:151-168, 1996. https://doi.org/10.1093/ejo/18.1.151
  8. Baccetti T, McGill JS, Tollaro I, et al. : Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop, 113:333-343, 1998. https://doi.org/10.1016/S0889-5406(98)70306-3
  9. Westwood PV, McNamara JA Jr, Sarver DM, et al. : Longterm effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop, 123:306-320, 2003. https://doi.org/10.1067/mod.2003.44
  10. Bucci R, D'Anto V, Michelotti A, et al. : Dental and skeletal effects of palatal expansion techniques: a systematic review of the current evidence from systematic reviews and metaanalyses. J Oral Rehabil, 43:543-564, 2016. https://doi.org/10.1111/joor.12393
  11. Zhou Y, Long H, Lai W, et al. : The effectiveness of nonsurgical maxillary expansion: a meta-analysis. Eur J Orthod, 36:233-242, 2014. https://doi.org/10.1093/ejo/cjt044
  12. Woller JL, Kim KB, Behrents RG, Buschang PH : An assessment of the maxilla after rapid maxillary expansion using cone beam computed tomography in growing children. Dental Press J Orthod, 19:26-35, 2014.
  13. Gohl E, Nguyen M, Enciso R : Three-dimensional computed tomography comparison of the maxillary palatal vault between patients with rapid palatal expansion and orthodontically treated controls. Am J Orthod Dentofacial Orthop, 138:477-485, 2010. https://doi.org/10.1016/j.ajodo.2008.12.025
  14. Gracco A, Malaguti A, Raffaeli R, et al. : Palatal volume following rapid maxillary expansion in mixed dentition. Angle Orthod, 80:153-159, 2010. https://doi.org/10.2319/010407-7.1
  15. Lione R, Huanca Ghislanzoni LT, Cozza P, et al. : Bonded versus banded rapid palatal expander followed by facial mask therapy: analysis on digital dental casts. Eur J Orthod, 38:217-222, 2016. https://doi.org/10.1093/ejo/cjv038
  16. Uzuner FD, Ozturk D, Varlik SK : Effects of combined bonded maxillary expansion and face mask on dental arch length in patients with Skeletal Class III Malocclusions. J Clin Pediatr Dent, 41:75-81, 2017. https://doi.org/10.17796/1053-4628-41.1.75
  17. Almeida MA, Phillips C, Kula K, Tulloch C : Stability of the palatal rugae as landmarks for analysis of dental casts in extraction and nonextraction cases. Angle Orthod, 66:73-78, 1996.
  18. Chen G, Chen S, Xu TM, et al. : Stable region for maxillary dental cast superimposition in adults, studied with the aid of stable miniscrews. Orthod Craniofac Res, 14:70-79, 2011. https://doi.org/10.1111/j.1601-6343.2011.01510.x
  19. Jang I, Tanaka M, Yoshida N, et al. : A novel method for the assessment of three-dimensional tooth movement during orthodontic treatment. Angle Orthod, 79:447-453, 2009. https://doi.org/10.2319/042308-225.1
  20. Christou P, Kiliaridis S : Vertical growth-related changes in the positions of palatal rugae and maxillary incisors. Am J Orthod Dentofacial Orthop, 133:81-86, 2008. https://doi.org/10.1016/j.ajodo.2007.07.009
  21. Baccetti T, McGill JS, Tollaro I, et al. : Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop, 113:333-343, 1998. https://doi.org/10.1016/S0889-5406(98)70306-3
  22. Westwood PV, McNamara JA Jr, Sarver DM, et al. : Longterm effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop, 123:306-320, 2003. https://doi.org/10.1067/mod.2003.44
  23. Hass AJ : Rapid expansion of maxillary dental arch and nasal cavity by opening the mid palatal suture. Angle Orthod, 31:73-90, 1961.
  24. Leonardi R, Sicurezza E, Cutrera A, Barbato E : Early posttreatment changes of circumaxillary sutures in young patients treated with rapid maxillary expansion. Angle Orthod, 81:36-41, 2011. https://doi.org/10.2319/050910-250.1
  25. Ngan P, Yiu C, Gunel E, et al. : Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod, 20:237-254, 1998. https://doi.org/10.1093/ejo/20.3.237
  26. Saadeh M, Macari A, Haddad R, Ghafari J : Instability of palatal rugae following rapid maxillary expansion. Eur J Orthod, 39:474-481, 2017. https://doi.org/10.1093/ejo/cjx016
  27. Almeida MA, Phillips C, Kula K, Tulloch C : Stability of the palatal rugae as landmarks for analysis of dental casts. Angle Orthod, 65:43-48, 1995.
  28. Cotton LA : Slow maxillary expansion: skeletal versus dental response to low magnitude force in Macaca mulatta. Am J Orthod, 73:1-23, 1978. https://doi.org/10.1016/0002-9416(78)90098-2
  29. Muguerza OE, Shapiro PA : Palatal mucoperiostomy: an attempt to reduce relapse after slow maxillary expansion. Am J Orthod, 77:548-558, 1980. https://doi.org/10.1016/0002-9416(80)90305-X
  30. Adkins MD, Nanda RS, Currler GF : Arch perimeter changes on rapid palatal expansion. Am J Orthod, 97:194-199, 1990. https://doi.org/10.1016/S0889-5406(05)80051-4
  31. Kim JH, Viana MAG, BeGole EA, et al. : The effectiveness of protraction facemask therapy: A meta-analysis. Am J Orthod Dentofac Orthop, 115:675-685, 1999. https://doi.org/10.1016/S0889-5406(99)70294-5
  32. Primozic J, Perinetti G, Richmond S, Ovsenik M : Three-dimensional longitudinal evaluation of palatal vault changes in growing subjects. Angle Orthod, 82:632-636, 2012. https://doi.org/10.2319/070111-426.1
  33. Yang ST, Kim HK, Park YS, et al. : A three dimensional observation of palatal vault growth in children using mixed effect analysis: a 9 year longitudinal study. Eur J Orthod, 35:832-840, 2013. https://doi.org/10.1093/ejo/cjs104
  34. Kim HK, Moon SC, Lee SJ, Park YS : Three-dimensional biometric study of palatine rugae in children with a mixedmodel analysis: a 9-year longitudinal study. Am J Orthod Dentofacial Orthop, 141:590-597, 2012. https://doi.org/10.1016/j.ajodo.2011.11.018