• Title/Summary/Keyword: 구개

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A HISTOLOGIC AND AUTORADIOGRAPHIC STUDY ON THE PALATAL EXPANSION OF RAT (백서의 구개확대시 조직변화에 관한 조직학적 및 자기방사법적 연구)

  • Kang, Jeong-hee;Kook, Yoon-A;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.22 no.2 s.37
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    • pp.373-388
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    • 1992
  • The purpose of this study was to clarify the histologic changes in the expansion of midpalatal suture by the tensile forces. 39 Sprague-Dawley rats were divided into a control group (3 rats) and three experimental groups (36 rats) -group 1, pressured with a light force(50-75 g), group 2, with a heavy force(250-300 g) and group 3, with a heavy force (250-300 g) plus laser irradiation. Autoradiographic and histopathologic observations were performed in 12, 24, 48 and 96 hours after force delivery. The results were as follows; 1. The anterior portion of midpalatal suture was more separated than the posterior portion in all experimental groups. Group 2 showed more separation than group 1 and no difference to group 3 2. Ligament tearing appeared intensively in 24 hours, but the sutural matrices increased with times. ; Group 2 showed more tearing than group 1, and active regeneration of sutural matrices was observed in group 3. 3. Vascular dilatation appeared intensively in 24 hours and decreased with times. ; The anterior portion of midpalatal suture showed more dilatation than the posterior portion, ; The changes was the greatest in group 3, group 2, group 1, in that order. 4. New bone formation and the new capillary prolieferation began to appear in 12 hours and increased with times, : Group 2 showed more changes than group 1 and no difference to group 3. 5. Infiltration of inflammatory cells was little observed and was the greatest in group 2, group 1, group 3, in that order 6. Positive reaction of cells to $[^3H]$ thymidine was the greatest in 24 hours, and decreased with times ; The reaction was the greatest in group 3, group 2, group 1, in that order.

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The determinants of vertical overbite and overbite depth indicator(ODI) (수직피개의 결정요인과 수직피개 심도지수(ODI)의 상호관계)

  • Yang, Sang-Duk
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.349-360
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    • 1999
  • The concept of denture frame, both the vertical and horizontal relationship of the dentitions are ultimately related to a skeletal configuration, leads to postulate that the vertical overbite will be determined by the jaw rotations and anteroposterior jaw relationship. Also, ODI is analyzed to be composed of the determinant factors of overbite such as FMA PPA and FABA. From the geometric analyses of an interrelationship between the ODT and the overbite determinants, the following formula can be induced. ODI norm=$85^{\circ} - 0.5 PMA-(1.08 - 0.01 FMA)(FABA - 81^{\circ})$. This formula indicates that the norm of ODI is not constant value but variable one according to the individual skeletal frames. Through the application of the formula to the various clinical cases, it is proved that the new concept, relativity of the ODI norm, is very diagnostically useful.

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Changes in mandibular transversal arch dimensions after rapid maxillary expansion procedure assessed through cone-beam computed tomography (급속 구개확장 후 하악골 폭경변화에 대한 콘빔씨티를 이용한 평가)

  • Baysal, Asli;Veli, Ilknur;Ucar, Faruk Izzet;Eruz, Murat;Ozer, Torun;Uysal, Tancan
    • The korean journal of orthodontics
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    • v.41 no.3
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    • pp.200-210
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    • 2011
  • Objective: This study aimed at evaluating the changes in mandibular arch widths and buccolingual inclinations of mandibular posterior teeth after rapid maxillary expansion (RME). Methods: Baseline and post-expansion cone-beam computed tomographic (CBCT) images of patients who initially had bilateral posterior cross-bite and underwent RME with a banded-type expander were assessed in this study. The patients included 9 boys (mean age: $13.97{\pm}1.17$ years) and 11 girls (mean age: $13.53{\pm}2.12$ years). Images obtained 6 months after retention were available for 10 of these patients. Eighteen angular and 43 linear measurements were performed for the maxilla and mandible. The measurements were performed on frontally clipped images at the following time points; before expansion (T1), after expansion (T2), and after retention (T3). Statistical significance was assessed with paired sample $t$-test at $p$ < 0.05. Results: T1-T2 comparisons showed statistically significant post-RME increases for all measurements; similarly, T2-T1 and T3-T1 comparisons showed statistically significant changes. The maxillary linear and angular measurements showed decreases after expansion, and mandibular linear and angular measurements increased after retention. Conclusion: All mandibular arch widths increased and mandibular posterior teeth were uprighted after RME procedure.

Treatment of skeletal Class II adult patient with vertical and transverse problems caused by nasal airway obstruction using microimplant anchorage (비강기도 협소에 의한 수직 및 횡적 문제를 가진 골격성 II급 성인환자에서의 마이크로임플란트를 이용한 증례보고)

  • Chae, Jong-Moon;Chang, Na-Young;Cho, Jin-Hyoung;Kang, Kyung-Hwa;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.39 no.4
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    • pp.257-272
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    • 2009
  • This case report describes the treatment of an adult patient with a Class I canine and molar relationship but a convex profile with a retrognathic mandible and marked lip protrusion, as well as an excessive lower anterior facial height and reduced transverse width on both arches due to a nasal airway obstruction. The constricted arches were expanded by surgically-assisted rapid palatal expansion and the application of a Schwarz appliance to the maxilla and mandible. Acceptable facial balance was obtained using contemporary directional force technology with microimplant anchorage (MIA), which provided horizontal and vertical anchorage in the maxillary and mandibular posterior teeth, as well as intrusion and torque control in the maxillary anterior teeth, resulting in a favorable counterclockwise mandibular response. The total treatment period was 29 months and the results were acceptable for 13 months after debonding.

CORTICOTOMY IN PATIENT WITH NARROW PALATAL ARCH (피질골절단술을 이용한 상악협소증환자의 치험례)

  • Kim, Eun-Cheol;Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Baek-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.371-374
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    • 1999
  • The treatment of adults with dentofacial deformities is frequently complicated by existence of discrepancies in transverse dimension. Control of the transverse dimension through surgical technique is now a valuable treatment consideration in non-growing patients. Proper diagnosis of relative and absolute maxillary transverse deficiency is imperative prior to surgical intervention. Therapeutic purpose should be implemented accordingly to facilitate correction of transverse discrepancies concomitant with treatment objectives in sagittal dimension in order to provide the patient with the most stable and functional result possible. Concomitant surgical correction of narrow palate require less treatment time, treatment cost and post-treatment relapse is less than to do only orthodontic therapy. This report is concerned with rapid palatal expansion by a combination of corticotomy and orthodontic treatment.

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A STUDY OF THE KOREAN SINGLE VOWEL SOUND DISTORTION IN RELATION TO THE PALATAL PLATE THICKNESS -LINEAR PREDICTION CORRELATION AND LOG AREA RATIO ANALYSES BY COMPUTER- (구개상의 두께가 한국어 단모음 발음에 미치는 영향에 관한 연구 -컴퓨터를 이용한 선형 예측 분석과 LOG AREA RATIO 분석-)

  • Lee, Joung-Man;Choi, Dae-Gyun;Park, Nam-Soo;Choi, Boo-Byung
    • The Journal of Korean Academy of Prosthodontics
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    • v.26 no.1
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    • pp.31-49
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    • 1988
  • This study was performed to investigate the sound distortion following the alternation of the palatal plate thickness, for this study, 3 subjects who were born in Seoul and spoke Seoul dialect were recruited from K university male student population. First, their sounds of /아(a)/, 어(e)/, 오(o)/, 우(u)/, 으($\.{+}$), 이(i)/,에(e)/ without inserting plate were recorded , and then the sounds with palatal plates of different thickness were recorded, respectively. The palatal plates was constructed to cover the alveolar & palatal surfaces of the maxilla with an approximate thickness of 1.0mm, 2.5mm, and thickness of 2.5mm over the alveolar ridge & 1.0mm elsewhere and, named B, C, D-type, in succession. Series of analysis were administered through Computer (16 bit IBM PC/AT) at analyze the sound distortions. These experiments were analyzed by the LPC, Log Area Ratio. The findings led to the following conclusions: 1. Sound distortions were relatively minute in each condition and informations, however, /이(i)/ was the most distorted vowel in all conditions. 2. By and large, sound distortion was large in C, D-types. However, there was no correlation of the distortion rate on the 3 informants, and all tested vowels. 3. It was similar to LPC, Log Area Ratio distortion rates. 4. It was found that the sound distortion wit]1 plate inserted was verified to the numeric value with LPC and Log Area Ratio method.

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MULTIDISCIPLINARY CARE OF FREEMAN SHELDON SYNDROME (Freeman-Sheldon Syndrome의 치료에 대한 고찰)

  • Kim, Ji-Hun;Lee, Jeong-Sub;Chang, Cherry
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.545-550
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    • 2010
  • Freeman-Sheldon Syndrome (FSS, also known as "Whistling Face Syndrome") is a rare genetic condition which characteristically includes a small "whistling" mouth, a flat mask-like face, club feet, joint contractures usually involving the fingers and hands, and under-development of the cartilage of the nose. Intelligence is usually normal. Most of the features of this syndrome are due to muscle weakness. The patient, 11 years old boy was consulted from pediatrics to pediatric dentistry due to dental management. After clinical & radiographic examinations, severe multiple problems were found. Dental problems were microsomia(whistling mouth) & micrognathia, perioral muscle contracture, restricted mouth opening, poor oral hygiene & care, generalized dental caries, high palatal vault, severe malocclusion & crowding. And Orthopedic problems, ophthalmic & respiratory, anesthetic problems were found. Then He also had psychiatric problem, hospital(dental) phobia due to previous medical history(frequent hospitalization). And he had genital problem, cryptochidism, too. Due to these intricate problems, he suffered with feeding, swallowing difficulties and showed growth retardation. For enhancing patient's oral health, pediatric dentist, orthodontist, oral surgeon, pediatrician, psychiatrist, orthopedist, they all agree with early, cautious intervention and treatment. So, he has been treated by multidisciplinary care, now he is recovering general health maintenance.

Surgical orthodontic treatment of skeletal Class III malocclusion using mini-implant: correction of horizontal and vertical dental compensation (Mini-implant를 이용한 III급 부정교합의 수술교정치료: 수평, 수직적 치성 보상의 조절)

  • Im, Dong-Hyuk;Park, Hyun-Jung;Park, Jae-Woo;Kim, Jeong-Il;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.36 no.5
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    • pp.388-396
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    • 2006
  • Treatment of skeletal Class III malocclusion with mini-implant anchorage is discussed in relation to vertical control of the maxillary posterior dentoalveolar region and horizontal control of mandibular anterior teeth. A midpalatal mini-implant provided anchorage for intruding the maxillary posterior teeth. Mandibular mini-Implant implants were used to bring about labioversion of mandibular anterior teeth. After mandibular setback surgery, improvement of the facial profile was obtained both horizontally and vertically, Total treatment time was 11 months. Stable occlusion was maintained after 18 months of retention, The effectiveness and efficacy of mini-implants for the treatment of skeletal Class III malocclusion are also discussed.

Cephalometric study of the effect of cervical pull headgear based on facial growth patterns (안모의 성장유형에 따른 경부견인 헤드기어의 효과에 대한 두부방사선계측학적 연구)

  • Kang, Eun-Ha;Chang, Chongon
    • The korean journal of orthodontics
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    • v.29 no.4 s.75
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    • pp.503-510
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    • 1999
  • The purpose of this study is to investigate the negative effects of cervical pull headgear and to compare the differences between the two groups of growers-vertical grower and horizontal grower group-which are classified by the posterior-anterior facial height ratio. Initial and final lateral cephalograms were taken for 26 patients including 15 vertical growers and 11 horizontal growers ; also, 3 angular measurements and 4 linear measurements were evaluated. The following results were found. 1. The palatal plane was tipped anteroinferiorly in the vertical grower group. 2. The posterior facial height/anterior facial height ratio was increased in the horizontal grower group. 3. The Mandibular plane angle remained stable on both groups. 4. There was no significant difference between the two groups in the amount of maxillary molar extrusion.

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The use of miniscrew as an anchorage for the orthodontic tooth movement (Miniscrew를 고정원으로 이용한 교정치료)

  • Kyung, Seung-Hyun;Lim, Jung-Ki;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.31 no.4 s.87
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    • pp.415-424
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    • 2001
  • Anchorage in orthodontics is very important factor for orthodontist to treat malocclusion from diagnosis and treatment planning to end of treatment. Skeletal anchorage like miniscrew is supposed to be more effective method in anchorage control than conventional anchorage which needs patient's good cooperation. So this article will be mentioned about various clinical application of miniscrew through the general investigation and case reports about orthodontic use of miniscrew, specially about screwing area and clinical consideration of miniscrew's screwing on midpalate. The changes of treatment philosophy and methods by using skeletal anchorage were summarized and following results were obtained. 1. The orthodontic anchorage changed from relative concept to absolute one. 2. Bodily movement of teeth gets easier and determinate force system is possible on biomechanical consideration. 3. Some part of treatment that needs surgical intervention is possible by just orthodontic treatment.

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