• Title/Summary/Keyword: 교합장치

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A STUDY ON PROFILE CHANGE AND STABILITY OF TREATMENT AFTER WEARING FACE MASK (상악골 전방견인 장치 사용후 측모 변화 및 안정성에 대한 연구)

  • Park, Young-Chel;Shin, Ja-Young;Yu, Hyung-Seog
    • The korean journal of orthodontics
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    • v.27 no.1
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    • pp.1-20
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    • 1997
  • Skeletal Class III malocclusions are growth-related discrepancies, and the problems are more severe until growth is complete. Causes of skeletal Class III malocclusion are classified into mandibular overgrowth, maxillary deficiency, and combination of the two. Face mask has been recommended for treatment of Class III malocclusion with maxillary deficiency in the early time of growth. Numerous experiments were performed and clinical studies have been reported on face mask ; nevertheless, studies on profile changes and stability after treatment of face mask are considered to be somewhat insufficient. The author selected 50 patients who can be checked for follow-up. They had been diagnosed as skeletal Class III malocclusion with maxillary deficiency and then treated with face mask ; the sample group was divided according to sex, treatment beginning age, palatal suture opening (intraoral appliance). For each group, changing pattern of facial profile and stability of treatment observed, and comparison with 20 Korean normal children(Angle's Class I). The following results were obtained. 1. skeletal, dental, and soft tissue measurements indicated more changes in the amounts of maxillary forward movement during face mask treatment. 2. R.P.E. group showed more significant maxillofacial changes and La-Li group showed more dental changes. 3. Growth changes of maxilla induced in the treatment group during wearing face mask were much more than those of normal group. 4. Growth changes of maxilla in the treatment group after treatment of face mask were less than those of normal group. From the obtained aata, it can be concluded that there was a stimulative effect on forward growth of maxilla during the use of face mask ; however, on removal of face mask, the stimulative effect was eliminated and undergrowth tendency of maxilla resumed.

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A STUDY ON THE EFFECT OF CHINCAP IN JUVENILE SKELETAL GLASS III MALOCCLUSION (유년기 III급 부정교합자에서 이모장치의 치료 효과에 관한 연구)

  • Nahm, Dong-Seok;Suhr, Chung-Hoon;Yang, Won-Sik;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.517-531
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    • 1998
  • The purpose of this study was to investigate the changes in the craniofacial skeleton subsequent to chincap therapy in the juvenile skeletal Class III malocclusion with more appropriate control samples. The experimental group consisted of 29 Korean children(14 males, 15 females) who had skeletal Class III malocclusion with prognathic mandible and were undergone chincap thorny from the beginning of treatment. The control group was composed of 21 Korean children(10 males, 11 females) who had no orthodontic treatment, but with similar skeletal discrepancies to experimental group. Lateral cephalometric radiographs at the age of 7, and 2 years later were analyized and compared with student's t-test(p<0.05). The results of this study were as follows; 1. The control group without chincap therapy had not shown any improvement of the skeletal discrepancies, but had grown to be much severe. This means that the untreated Class III patient with prognathic mandible would not be corrected by growth. For the experimental group with chincap therapy, the anterior-posterior skeletal discrepancies and mandibular prognathism were both improved. 2. Neither significant restraint nor acceleration of growth was found in the cranial base and maxilla by chincap treatment. 3. The inhibition of mandibular growth could not be accepted, but the changes of the direction of growth and morphological changes were found. 4. Vertical growth tendency was increased with chincap therapy. 5. When Putting together the results of the analyses , it seems to be the rotation and displacement of the mandible that the major treatment effects of chincap we. The changes of the direction of growth and the morphological changes also seems to contibute to the treatment effect partly. In summary, the chincap doesn't restrain the mandibular growth. But, it is considered as a useful treatment modality for correction of skeletal discrepancies and reduction of mandibular prognathism in growing Class III patients with madibular prognathism.

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Treatment effects of the Teuscher appliance in skeletal Class II division 1 malocclusion (골격성 II급 1류 부정교합에서 Teuscher 장치의 치료효과)

  • Mo, Sung-Seo;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.33 no.4 s.99
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    • pp.247-257
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    • 2003
  • Various methods have been used on patients with skeletal Class II division 1 malocclusion. The activator, Frankel appliance, headgear, Herbst appliance, and Twin-block appliance are some examples. The ideal treatment effect using these appliances would be to inhibit horizontal and vertical growth of the maxilla while promoting mandibular growth and obtaining optimum dentition. The Teuscher appliance has a simultaneous combined headgear effect with maxillary growth inhibition and an activator effect with mandibular growth promotion. The purpose of this study was to examine how well these effects were clinically obtained and the results are as follows. 1. The forward growth of the maxilla was effectively inhibited. 2. The downward-forward growth of the maxillary dentoalveolar complex was inhibited. 3. Growth promotion of the mandible was not observed. 4. The overjet, overbite, molar key were effectively improved. 5. The protruded upper lip and facial profile were unproved.

SHORT-TERM EFFECTS OF THE FUNCTIONAL REGULATOR III APPLIED TO ANTERIOR CROSSBITE PATIENTS IN EARLY MIXED DENTITION (기능성 반대교합을 가진 초기 혼합치열기 어린이에서 FR III를 단기간 장착했을 때의 효과)

  • Woo, Se-Eun;Nam, Soon-Hyeun;Kim, Young-Jin;Kim, Hyun-Jung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.293-300
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    • 2012
  • In case of treating the functional type of anterior cross bite, removing the cause in early stage prevents from turning to skeletal type, leads to perform normal function, and has improved facial appearance. Functional Regulator III (FR III), one kind of the Functional regulator(FR)s suggested by R$\ddot{o}$lf Fr$\ddot{a}$nkel in 1966, applied to patients with the functional and skeletal anterior crossbite in early mixed, and permanent dentition. This appliance improves unbalanced power condition by blocking abnormal muscle-power effect, so that normal growth can be expected. In this case report, favorable results were obtained by selecting clinical cases of children in their early mixed dentition with functional cross bite. 1. FR IIIs were applied to patients with anterior crossbite for 5~6 months. Anterior crossbite patients were corrected favorably, nevertheless they didn't show any horizontal skeletal-changes by buccal shields. 2. Normal occlusion and esthetic facial contour were achieved from dental movement of maxillary and mandibular anterior teeth while the mandible rotates to posterior and inferior direction.

PRE-ORTHODONTIC TREATMENT WITH MYOFUNCTIONAL APPLIANCE (근기능장치를 이용한 교정 전 치료)

  • Kim, Min-Soo;Yoo, Seung-Hoon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.620-627
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    • 2005
  • The purposes of early orthodontic intervention are to correct obvious problems, to intercept developing problems and prevent them from becoming worse. Myofunctional influence on facial growth and the dentition change in muscle function and initiate morphologic variation in the normal configuration of the teeth and enhance an already existing malocclusion. Myofunctional therapy has been advocated since 1960's as the treatment for tongue thrust and other oral habits. Pre-orthodontic $TRAINER^{(R)}$ is introduced as functional device usable in children of mixed dentition to correct functional problems concerning soft tissue, tooth and skeleton. The most common cases to treat with Pre-orthodontic $TRAINER^{(R)}$ are lower anterior crowding, anterior open bite, Class II malocclusion and deep bite. Also, it can be used as correction of oral habits. Patients in this cases visited Department of Pediatric Dentistry, School of dentistry, Dankook University for orthodontic treatment. Pre-orthodontic treatment with Pre-orthodontic $TRAINER^{(R)}$ was carried out for correction of the oral habits.

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Comparison of the outcomes of three-dimensional finite element analysis under arbitrary and realistic occlusal loading conditions in mandibular posterior region (하악 구치부에서 임의로 부여된 교합과 실제 교합의 삼차원 유한요소해석결과의 비교)

  • Lee, Wonsup;Alom, Ghaith;Kim, Myung-Soo;Park, Young-Seok;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.112-120
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    • 2020
  • Purpose: The purpose of this study was to compare the biomechanical outcome in the mandibular posterior region between two different loading conditions by finite element analysis. Materials and Methods: The mandibular posterior teeth model and the implant model were generated for the study. And 2 different types of loading conditions were provided: Arbitrary occlusion and natural occlusion obtained from the digital occlusal analyzer, Accura (Accura, Dmetec Co. Ltd., Seoul, Korea). Total load of 100 N was evenly distributed over arbitrary occlusion points, and 100 N load was differentially distributed over natural occlusion points according to Accura data. The biomechanical outcome was evaluated by the finite element analysis software. Results: The result of finite element analysis showed considerable difference in both von Mises stress pattern and displacement under different loading conditions. Conclusion: In finite element analysis, it is recommended to simulate a realistic occlusal loading pattern that is based on accurate measurement.

TREATMENT OF SKELETAL CLASS III MALOCCLUSION WITH MAXILLARY PROTRACTION APPLIANCE (상악골 전방견인 장치를 이용한 골격성 III급 부정교합 환자의 치험예)

  • Kim, Kyungho;Choy, Kwangchul;Lee, Jiyeon;Park, Soyoun
    • The korean journal of orthodontics
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    • v.27 no.6 s.65
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    • pp.997-1004
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    • 1997
  • The clinical cases presented here involve skeletal Class III malocclusion cases treated with maxillary protraction in a relatively short period of time with good results. When used on young patients, satisfactory results were obtained in a short period of time, but even for those with less growth potential remaining, skeletal enhancement was still evident. However, data on the criteria of diagnosis or relapse following maxillary protraction is limited despite the number of studies on the subject. The present study could not include the observations on retention and relapse, and further studies in the future nay include such observations.

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TREATMENT OF CLASS Ⅲ MALOCCLUSION WITH HORSESHOE APPLIANCE : CASE REPORT (Horseshoe Appliance를 이용한 Ⅲ급 부정교합의 치험례)

  • Hong, Han-Young;Park, Jae-Hong;Choi, Yeong-Chul;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.376-381
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    • 2008
  • In mixed dentition there exists many empty spaces in the arch due to eruption of permanent teeth and exfoliation of primary teeth. The empty spaces makes it difficult to apply fixed orthodontic appliances. Horseshoe Appliance can be used effectively at this stage, holding the whole dentition in one piece. It covers every surface of erupted teeth and prevents extrusion and rotation of single tooth. By using intermaxillary elastic force, remodeling of the alveolar bone is opposite in each arch. In patients who were treated with horseshoe appliance, forward growth of maxilla, labioversion of maxillary incisors and linguoversion of mandibular incisors were obtained. Minimum downward and clockwise rotation of mandible was shown, so increasing anterior facial height was minimized.

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