• Title/Summary/Keyword: 교정적 치아 이동

Search Result 243, Processing Time 0.029 seconds

Interleukin-$1\beta$ levels in human gingiva1 crevicular fluid during orthodontic tooth movement (교정적 치아 이동 중 치은열구액의 Interleukin-$1\beta$의 발현)

  • Kim, In-Sook;Park, Young-Guk
    • The korean journal of orthodontics
    • /
    • v.30 no.4 s.81
    • /
    • pp.423-431
    • /
    • 2000
  • Bone remodeling is a complex process regulated by various mediators. Cytokines are known to be associated with the mechanically induced response in orthodontic tooth movement. In particular, IL-$1\beta$ stimulates bone resorption and induces osteoclast proliferation. The purpose of this study was to identify and quantify IL-$1\beta$ in human gingival crevicular fluid(GCF), and to investigate the changes in its level during orthodontic tooth movement. Twelve patients(mean age of 19.2 years) were used as the subjects. An upper canine of each patient haying treatment lot distal movements served as the experimental tooth, whereas the contralateral was used as the control. The GCF of compression and tension side of the experimental teeth and the GCF of mesial side of control teeth was taken from the each subject immediately before activation, and at 1, 24, and 168 hr after initiation tooth movement. IL-$1\beta$ amount was detected by ELISA. The concentration of IL-$1\beta$ was higher in experimental group than in the control group after treatment. Its level was elevated after initiation of tooth movement and it was the highest level at 24 hr in compression side of experimental group. But there was no significant change in control group. The results indicate that the change in IL-$1\beta$ level in GCF is associated with orthodontic tooth movement.

  • PDF

Intrusion of the extruded maxillary central incisor using skeletal anchorage system and unilateral segmental intrusion arch (골성 고정원과 편측 분절호선을 이용한 정출된 상악 중절치의 압하 치료)

  • Kwon, Eun-Young;Baek, Young-Jae;Park, Soo-Byung;Kim, Seong-sik;Kim, Yong-il;Choi, Youn-kyung
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.35 no.3
    • /
    • pp.180-190
    • /
    • 2019
  • Patients who have a moderate periodontitis with pathologic tooth migration of maxillary incisors, it is necessary not only periodontal treatment for reduce periodontal inflammation, but also orthodontic treatment to teeth repositioning. For orthodontic treatment, it is necessary to apply less force and careful considerations of the center of resistance of the tooth and optimal force of tooth movement. At this time, the segmental arch applied only to the target teeth, is more effective and predictable, because applied force and direction can be controlled. In addition, to design the orthodontic appliance that can prevent the unwanted tooth movement that used as an anchorage is important. In recent years, various types of skeletal anchorage system have been used for preventing loss of the anchorage. We reported the patient who had extruded maxillary central incisor due to pathologic tooth migration, treated by a successful periodontal-orthodontic multidisciplinary treatment using an orthodontic appliance designed to apply less traumatic force and reduce an anchorage loss.

A Case Report of Porcelain Laminate Veneers for Closing the Space in Anteriors with Moderate Periodontitis (중등도 치주염으로 인한 치주조직상실과 정중이개를 동반한 상악중절치에서 laminate를 이용하여 심미적인 공강폐쇄를 얻은 증례보고)

  • Kim, Eun-Ha;Choe, Jeong-Han;Lee, Dong-Hwan;Lee, Seok-Hyeong;Jeong, Un-Ho;Im, Sun-Ho
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.18 no.1
    • /
    • pp.79-85
    • /
    • 2009
  • 전치부사이의 비정상적 공간이 생기는 원인은 순측소대, 악궁과 치아의 크기 부조화, 악습관, 과잉치, 치주염으로 인한 병적치아이동 등 다양하다. 이러한 일차적인 원인요소들을 먼저 제거한 후 남게 되는 공간을 해결하기 위해서 교정치료 또는 여러가지 보철수복방법을 고려해 볼 수 있다. 보철적으로 치료할 경우, laminate를 이용하여 심미적인 전치부를 만드는 술식은 보존적인 면에서나 심미적인 면에서 유리한 점이 있어 많이 사용되고 있다. 그러나 인접면사이에 비교적 큰 공간이 존재하며, 감소된 치주조직으로 인하여 치간유두의 소실이 많고 직경이 작은 치경부가 노출되었을 경우에는 laminate를 이용하여 공간을 수복하기가 쉽지 않기 때문에, 교정적으로 치아를 이동시킴으로서 보다 심미적인 결과를 얻을 수 있다. 본 증례는 중등도의 치주질환으로 인하여 치주조직이 감소된 상악중절치에서 정중이개의 양이 비교적 크고 치간유두의 소실 및 직경이 작은 치경부가 노출된 환자에서 laminate를 이용하여 심미적인 공간폐쇄를 도모하였다.

  • PDF

THE LIMITATION OF ALVEOLAR BONE REMODELING DURING RETRACTION OF THE UPPER ANTERIOR TEETH (상악 전치부 견인 시 치아이동에 따른 전방 치조골개조량의 변화에 관한 연구)

  • Hwang, Chung-Ju;Moon, Jeong-Lyon
    • The korean journal of orthodontics
    • /
    • v.31 no.1 s.84
    • /
    • pp.97-105
    • /
    • 2001
  • In many cases of orthodontic treatment the upper anterior teeth are retracted. Periodontal problems may arise during incisor retraction, if the amount of tooth movement and the amount of remodeling in the anterior cortical bone are not the same. Therefore in this study, to find out the relationship between the amount of tooth movement and the amount of bone remodeling during retraction of the upper anterior teeth, lateral cephalograms of 56 female patients over 18-year-old were taken before and after treatment. Among the 56 patients, two groups were divided according to the type of root movement during retraction. 26 patients mainly moved by tipping and 30 by bodily movement. The cephalograms taken before and after treatment were superimposed upon the true horizontal plane. In the Tip-Group, the horizontal bone remodeling/tooth movement ratio was 1:1.63, and in the Torque-Group it was 1:1.66. Because the amount of tooth movement and the amount of bone remodeling were not the same in both groups, in the Tip-Group the root apex moved away from the palatal cortical plate and closer to the labial cortical plate, whereas in the Torque-Group the root moved away from the labial cortical plate and closet to the palatal cortical plate. Therefore, there are limitations in the amount of incisor retraction in patients with a very thin anterior cortical plate in the maxilla, and in patients with severe skeletal discrepancies orthognathic surgery should be considered and when orthodontic camouflage treatment is the only possible method, the orthodontist must be aware of the limitations of treatment.

  • PDF

AUTOTRANSPLANTATION OF A MALPOSITIONED MANDIBULAR SECOND PREMOLAR : A CASE REPORT (이소매복된 하악 제2소구치의 자가치아이식을 이용한 치험례)

  • Chung, Youn-Joo;Koong, Hwa-Soo;Choi, Sung-Chul;Kim, Kwang-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.36 no.4
    • /
    • pp.591-596
    • /
    • 2009
  • In the case of the impacted teeth, the clinician has to consider development of tooth, site of impaction, eruption path, and cooperation of patient. Treatment options for the management of impacted teeth are separated into four categories: observation, intervention, orthodontic or surgical relocation and extraction. Autotransplantation may be defined as the transplantation of embedded, impacted or erupted teeth, from one site to another in the same individual into extraction site or surgically prepared sockets. Autotransplantation ensures preservation of natural tooth, induction of alveolar bone growth and root development, offers one of the fastest and most economically feasible means in the replacement of young patients' missing teeth. This case presents a malpositioned impacted mandibular premolar of an 11-year-old girl. It was thought that orthodontic traction was difficult because of its unfavorable impacted position. Therefore the tooth was treated by autotransplantation, we can observe good healing pattern during 12 months.

  • PDF