• Title/Summary/Keyword: 미국치과교정학회지

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교정장치의 효율적인 선택

  • Yun, Yeong-Ju
    • The Journal of the Korean dental association
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    • v.38 no.2 s.369
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    • pp.124-129
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    • 2000
  • 1800년대에 유럽에서 가철식 교정장치가 개발되면서 처음으로 교정치료가 시작되었다. 그 후 1900년대에 들어서면서 Edward H.Angle에 의해 미국의 독특한 형태인 고정식 교정장치가 개발되었다. 그 동안 수 많은 선학들에 의해 다양한 재료와 치료방법들이 고안되면서 아름다워지고자 하는 현대인의 욕구와 맞물려 임상교정학 분야는 꾸준히 발전하여 왔다. 국내에서는 1940년대 이후부터 외국의 가철식 교정장치와 고정식 교정장치를 그대로 받아들여 수 많은 부정교합 환자의 치료에 응용하고 있다. 그러나 조금만 더 세밀하게 들여다 보면 가철식 교정장치를 개발한 유럽의 교정의들은 지나치게 가철식 교정장치에만 의존하는 경향이 있고, 고정식 교정장치를 개발한 미국의 교정의들은 지나치게 고정식 교정장치에만 의존하면서 가철식 교정장치의 사용을 아예 금기시하는 경우도 있다. 그러나 이 두가지의 경우 모두 바람직하지 않다. 수혜자의 위치에 있는 우리가 할 수 있는 최선의 방법은 아무련 편견없이 가철식 교정장치와 고정식 교정장치를 적절하게 병행하여 사용하는 것이 바람직하다. 두 장치 모두 확실한 장ㆍ단점을 가지고 있기 때문에 시기와 방법을 적절하게 적용한다면 성공적인 교정치료를 위한 지름길이 될 수 있다.

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A Review of Statistical Methods in the Korean Journal of Orthodontics and the American Journal of Orthodontics and Dentofacial Orthopedics (대한치과교정학회지(KJO)와 미국교정학회지(AJODO)에서 사용된 통계기법의 비교분석 및 고찰(1999-2003))

  • Lim, Hoi-Jeong
    • The korean journal of orthodontics
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    • v.34 no.5 s.106
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    • pp.371-379
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    • 2004
  • The purpose of this study was to investigate the changes and types of statistical methods used in the Korean Journal of Orthodontics (KJO) and the American Journal of Orthodontics and Dentofacial Orthopedics (AJODO) from )999 to 2003. The frequency of use, transitions, assumption check of statistical methods and types of advanced statistical methods were examined from each journal. The study consisted of 247 articles published in the KJO and randomly chosen 50 articles per year which were original articles and used statistical methods T-test, analysis of variance(ANOVA), correlation analysis, nonparametric analysis. regression analysis chi-square test. factor analysis, were the order of statistical methods most frequently used in the KJO, while t-test. ANOVA, nonparametric analysis, correlation analysis, regression analysis, chi-square test. factor analysis. were the order of statistical methods used in the AJODO The changes of statistical methods observed in the KJO were not significant $(X^2=17.4\;p=0.5881)$ but the changes observed in the AJODO was seen to be significant $(x^2=42.4,\;p=0.0397)$ Some of the studies examined had overlooked the assumptions of the statistical methods employed. Data investigation such as outlier should be performed before analysis and alternative statistical approaches are applied for a small sample size. Types of advanced statistical methods were factor analysis and discriminant analysis in the KJO and Intention-To-Treat (ITT) analysis in clinical trials through multi-center, survival analysis and Generalized Estimating Equations (GEE) in the AJODO. Appropriate analysis approaches and interpretations should be applied for the correlated and repeated measurements of the orthodontic data set.

COMPARISON OF PLAQUE REMOVAL EFFICIENCY OF SONIC AND MANUAL TOOTHBRUSH IN YOUNG ORTHODONTIC PATIENTS (소아.청소년기 교정 환자의 음파 칫솔과 일반 칫솔의 치태 제거 효과 비교)

  • Kim, Ji-Youn;Shin, Cheol-Hwan;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.3
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    • pp.569-575
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    • 2005
  • The aim of this study was to compare the efficiency of sonic and manual toothbrush in decreasing plaque accumulation in young orthodontic patients. Twenty one healthy orthodontic patients attending department of pediatric dentistry at Samsung Medical Center were chosen for the study. The subjects were randomly assigned to either sonic or manual toothbrush and instructed to brush for 2 minutes. Plaque score was assessed with the modified Visible Plaque Index (VPI) before and after brushing. Each brush was repeated twice. A mean plaque reduction of sonic toothbrush was 61.79%(${\pm}7.95$) compared to 69.19%(${\pm}10.08$) of manual toothbrush(p<0.05). With the sonic toothbrush, male presented a mean plaque reduction of 63.07%(${\pm}8.64$) while female presented 60.39%(${\pm}7.30$). For manual toothbrush, male presented 69.33%(${\pm}10.14$) and female presented 69.03%(${\pm}10.55$) reduction of plaque accumulation(p>0.05). There was no statistically significant correlation between age and plaque removal efficacy in this study(p>0.05). Manual toothbrush was significantly more efficient in removing plaque than the sonic toothbrush in young fixed orthodontic patients.

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The vertical location of the center of resistance for maxillary six anterior teeth during retraction using three dimensional finite element analysis (상악 6전치부의 후방견인시 저항중심의 수직적 위치에 관한 3차원 유한요소법적 연구)

  • Lee, Hye-Kyoung;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.31 no.4 s.87
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    • pp.425-438
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    • 2001
  • The delivery of optimal orthodontic treatment is greatly influenced by clinician's ability to predict and control tooth movement by applying well-known force system to dentition. It is very important to determine the location of the centers of resistance of a tooth or teeth in order to have better understanding the nature of displacement characteristics under various force levels. In this study, three dimensional finite element analysis was used to measure the initial displacement of the consolidated teeth under loading. The purpose of this study was to define the location of the centers of resistance at the upper six anterior segment. To observe the changes of six anterior segment, 200gm, 250gm, 300gm, and 350gm forces at right and left hand side each were imposed toward lingual direction. For this study, two cases, six anterior teeth and six anterior teeth after corticotomy, were reviewed. In addition, it was reviewed the effects of changes on the location of the center of resistance in both cases based on different degree of forces aforementioned. The results were that : 1. The instantaneous center of resistance for the six anterior teeth was vertically located between level 4 and level 5, which is, at 6.76mm, $44.32\%$ apical to the cementoenamel junction level. 2. The instantaneous center of resistance for the six anterior teeth after corticotomy was located vertically between level 4 and level 5, that is, at 7.09mm $46.38\%$ apical to the cementoenamel junction level. 3. Changes of force showed little effect on the location of the center of resistance in each case. 4. It was observed that the location of the instantaneous center of resistance for the six anterior teeth after corticotomy was changed more than the six anterior teeth without corticotomy to the apical part, and the displacement of the consolidated anterior teeth moved further in case of the consolidated teeth after corticotomy.

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