• Title/Summary/Keyword: 변형교정

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Strategic surgical-combined orthodontic treatment planning of patient with missing incisors on maxilla: a case report (상악 전치부 결손 환자의 수술을 동반한 전략적 교정치료 증례)

  • Park, Je-Hyeok;Jeon, Jin;Zhao, Sen;Jeon, Young-Mi;Kim, Jong Ghee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.244-252
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    • 2019
  • Proper positioning of maxillary incisors is key to success of surgery combined treatment. Establishing surgery plan would be a difficult job if maxillary incisors are lost. Patient who lost all of her maxillary incisors due to accident came for orthodontic treatment. Through careful modification of maxillary archform, pre-surgical orthodontic treatment was conducted with four prosthetic space consolidation. Position of incisors was decided by help of 3D prosthetic set-up, and 1-jaw surgery was planned. After relative short treatment period of 28 months, final prosthesis was done. When alveolar bone loss happens, harmonious prosthesis of upper incisors is difficult. Utilizing mandibular set-back surgery and incisor positioning using 3D set-up could make a better environment for treatment outcome. Strategic pre-surgical orthodontic treatment can allow shorter time and less number of prosthetics.

Effects of conventional and modified facemask therapies on dentofacial structures (변형된 페이스 마스크의 치아 및 골격적 효과)

  • Yagci, Ahmet;Uysal, Tancan
    • The korean journal of orthodontics
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    • v.40 no.6
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    • pp.432-443
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    • 2010
  • Objective: The purpose of this prospective study was to evaluate the dentofacial effects of conventional and modified facemask therapies with rapid maxillary expansion, in a group of Class III patients; and compared with an untreated control group. Methods: The conventional facemask group (Group 1) comprised of 24 patients, 13 girls and 11 boys (mean age, $9.2{\pm}1.4$ years); the modified facemask treatment group (Group 2) comprised of 24 patients, 12 girls and 12 boys (mean age, $9.3{\pm}1.6$ years); and the control group (Group 3) comprised of 21 subjects, 11 girls and 10 boys (mean age, $9.8{\pm}1.9$ years). Treatment and control changes within the groups and the differences between the groups were analyzed statistically. Intra-group comparisons were evaluated using the non-parametric Wilcoxon's test and intergroup changes were analyzed using the Kruskal-Wallis test. The statistical significance of intergroup differences was further assessed with the Mann-Whitney test for independent samples and applying Bonferroni's correction (p < 0.016). Results: In group 1, SNB changes were less than the control. There were increases in SNA, ANB, SN-MP, A to N perp and Upper lip to E plane. In group 2, SNB, U1-NA (mm) U1-NA (${\circ}$) and Pog to N perp (mm) changes were less than the control. There were increases in SNA, ANB, SN-MP, A to N perp and Upper lip to E plane. Conclusions: Modified facemask appliance can be used effectively in Class III patients with a retrognathic maxilla. Facemask therapies with expansion resulted in an anterior advancement and translation of maxilla without rotation; and the mandible moved downward and backward ward in both treatment groups.

A STUDY ON THE CHANGES OF THE ELASTIC PROPERTIES TN LOOPED WIRES BY VARIABLE FACTORS (변환요소에 따른 LOOPED WIRE의 탄성 변화에 관한 연구)

  • Na, Yong-In;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.25 no.3 s.50
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    • pp.263-271
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    • 1995
  • The purpose of this study nab to evlauate and compare the effect of the variable factors of wire on the elastic properties of looped rectangular wire. Five variable factors were presented-material(Hi-T, blue Elgiloy), wire size(.016'$\;\times\;$.022', .018'$\;\times\;$.025'), loop length(15mm, 20mm), loop configuration(open loop, closed loop), gabling (non-gable, gable). So, the total 256 specimens were divided into 32 groups, and each of those nab pulled on Instron testing machine. The load-deflection curve of each wire obtained, from which force, range in elastic limit, and stiffness were computed and analyzed statistically. The results were obtained as follows : 1. All of the variable factors - wire material, size, loop length loop configuration, and gabling - took a significant effect on load-deflection rate of looped wire. 2. The force at elastic limit was the smallest in the group of Hi-T, .016'$\;\times\;$.022', 20mm loop length, open loop, non-gable, and the largest in the group of blue Elgiloy, .018'$\;\times\;$.025', 15mm loop length, closed loop, non-gable. 3. The range at elastic limit was the smallest in the group of Hi-T, .018'$\;\times\;$.025', 15mm loop length, open loop, non-gable, and the largest in the group of HI-T, .016'$\;\times\;$.022', 20mm loop length, closed loop, gable. 4. Loop configuration and loop length were the most effective factors on the elastic properties of looped wires, and gabling was the least effective.

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Mechanical analysis of the taper shape and length of orthodontic mini-implant for initial stability (교정용 미니임플랜트의 초기 안정성에 대한 원추형태와 길이에 관한 기계역학적 분석)

  • Kim, Jong-Wan;Cho, Il-Sik;Lee, Shin-Jae;Kim, Tae-Woo;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.36 no.1 s.114
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    • pp.55-62
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    • 2006
  • Orthodontic mini-implants, despite its usefulness as anchorage, have some limits such as loosening. Therefore, various shapes and lengths have been studied. The aim of this study is to analyze the shape and length of mini-implants mechanically. The shapes of mini-implants (1.6 mm, Dual Top, Jeil Medical Co., Seoul, Korea) were cylindrical and taper. The lengths of mini-implants were 6 mm and 8 mm. The tested groups were 5 groups (cylindrical 6 mm, cylindrical 8 mm, taper 6 mm, taper 8 mm and taper 8 mm modified whose thread is reduced from the middle to upper part). All were inserted and removed on the polyurethane foam with the torque measured. During insertion and removal, the taper shape needed higher torque than the cylindrical shape, and the 8 mm length than the 6 mm length (p<0.001). The taper 6mm group showed superior insertion torque (p<0.001) and similar removal torque to the cylindrical 8 mm group. The taper 8 mm modified group with gradually reduced threads, showed continuous high removal torque after the peak. The initial mechanical stability can be provided by the tapered shape and also, affected by length and thread design.

Mechanical properties of nickel titanium and steel alloys under stress-strain test

  • GRAVINA, Marco A;QUINTAO, Catia A;KOO, Daniel;ELIAS, Carlos N
    • The korean journal of orthodontics
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    • v.33 no.6 s.101
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    • pp.465-474
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    • 2003
  • The great variety of commercial brands of orthodontic wires available on the market, stimulated by the so called superior wires (nickel titanium with shape memory effect and superelastic nickel titanium), makes the professional choice for a suitable and less expensive material difficult. The in vitro study of the mechanical properties of the orthodontic wires acts as an auxiliary tool for the professional. In this paper, a comparative study of mechanical properties was made, using stress strain tests for 4 types of orthodontic wires (conventional stainless steel, multistranded steel, superelastic nickel titanium and thermoactivated nickel titanium) separated into 5 groups. A series of 6 tests were tested for each group of wires. Initially, each group was tested 3 times until the wires broke. Furthermore, 3 more tests for each group were performed, stretching the wires under standardized activation loads, for a reliable comparison of their mechanical properties, during loading and unloading. 1 tests were applied to check differences among the groups. In vitro, the results suggest that regarding the mechanical properties supposedly desirable for physiological teeth movement, such as resilience, elasticity modulus, strength liberated during unloading, and the way that strength is liberated, thermoactivated nickel titanium wires, acting under mouth temperature, seems to be a good choice, fellowed by superelastic nickel titanium, multistranded stainless steel, and conventional stainless sleet. Superelasticity was demonstrated for superelastic nickel titanium wires. When at $37^{\circ}C$, thermoactivated nickel titanium wires showed shape memory effect, showing that temperature is important for enhancing the mechanical properties.

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 Effect of Long-Term Orthokeratology in Different Age Groups (장기간 굴절교정렌즈 착용자에서 연령군 별 굴절교정효과 비교)

  • Mun, Mi-Young;Lee, Koon-Ja
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.4
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    • pp.65-73
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    • 2008
  • Purpose: The purpose of this study is to investigate the effect of age in the response to long-term overnight orthokeratology (OK) lens wearing. Methods: Among volunteers, ninety-five healthy subjects who had no eye diseases and could wear OK contact lens at least for 8 hours every day were divided into three groups children, youngsters and young adults. Unaided logMAR visual acuity, refractive error, apical corneal radius, corneal asphericity and central corneal thickness were measured with different period; before and after one day, one week, two weeks, one month, three months and six months of OK lens wear. Paired student t-test, ANOVA analysis and Pearson correlation were used with a critical p value of 0.05 for statistical analysis. Results: All groups showed statistically significant (p<0.001) improvement in unaided visual acuity, a trend for flattening in the apical corneal radius, decrease in central corneal thickness and less prolate after OK lens wear. The child group showed significantly rapid change (p<0.001) in visual acuity, and apical corneal radius showed that they reached the targeted refractive change earlier compared with youngster and adult groups. The visual effect of OK lens was significantly related with the change in central corneal thickness after long-term OK lens wear, especially in child and youngster group, and central corneal thickness were highly correlated with the targeted refractive change. Conclusions: Visual acuity change is statistically correlated with the central corneal thickness change, which is highly correlated with targeted refractive change in the long-term orthokeratology and younger lens wearers showed a rapid response to OK lens wear, suggesting a reduced epithelial response with increasing age. The results found this study extends our understanding and development in the long-term orthokeratology.

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Analysis of force system developed by continuous straight archwire (Continuous straight archwire에 의하여 발생하는 force system의 분석)

  • Choy, Kwanchul;Sohn, Hwa Byung
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.281-290
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    • 1996
  • Determination of force system and prediction of side effects from unbent straight wire engaged in edgewise bracket is clinically very difficult because it is statically indeterminate system. This study is to develop a linear beam theory that explains the force system for straight wire engaged in edgewise bracket regardless of geometry(a/b), material, cross section of wire, and interbracket distance. 1. Formula for force system of bilateral fixed end beam was derived. 2. It is possible to calculate force system of each tooth engaged in continuous straight wire. 3. The possibility and location of permanent deformation can be predicted.

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Automatic Inter-Phoneme Similarity Calculation Method Using PAM Matrix Model (PAM 행렬 모델을 이용한 음소 간 유사도 자동 계산 기법)

  • Kim, Sung-Hwan;Cho, Hwan-Gue
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.34-43
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    • 2012
  • Determining the similarity between two strings can be applied various area such as information retrieval, spell checker and spam filtering. Similarity calculation between Korean strings based on dynamic programming methods firstly requires a definition of the similarity between phonemes. However, existing methods have a limitation that they use manually set similarity scores. In this paper, we propose a method to automatically calculate inter-phoneme similarity from a given set of variant words using a PAM-like probabilistic model. Our proposed method first finds the pairs of similar words from a given word set, and derives derivation rules from text alignment results among the similar word pairs. Then, similarity scores are calculated from the frequencies of variations between different phonemes. As an experimental result, we show an improvement of 10.1%~14.1% and 8.1%~11.8% in terms of sensitivity compared with the simple match-mismatch scoring scheme and the manually set inter-phoneme similarity scheme, respectively, with a specificity of 77.2%~80.4%.

Effect of estrogen on growth hormone receptor expression of human periodontal ligament cell line (치주인대세포 배양에서 estrogen이 growth hormone receptor의 발현유도에 미치는 영향)

  • Hong, Sung-Gyu;Jeon, Young-Mi;Kim, Jong-Ghee
    • The korean journal of orthodontics
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    • v.30 no.4 s.81
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    • pp.441-452
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    • 2000
  • The present studies were performed to investigate the interaction of $17{\beta}$-estradiol and human growth hormone(hGH) on the proliferation of human periodontal ligament(WDL) cell. The independent effects of $17{\beta}$ estradiol and hGH on hPDL cell proliferation were investigated and the effects of hGH on hPDL cell proliferation after $17{\beta}$-estradiol pre-treatment were also investigated. Lastly, the change of hGH receptor expression in hPDL cell after $17{\beta}$-estradiol pre-treatment were investigated. The obtained results were as follows; 1. The treatment of $17{\beta}$-estradiol or hGH had no significant effects on hPDL cell proliferation. 2. After pre-treatment of $17{\beta}$-estradiol, hGH stimulated the proliferation of the hPDL cell, regardless of hHG concentration. 3. Although there was not hGH receptor in the hPDL cell, hGH receptors were expressed in hPDL cell after more than 6 hours pre-treatment of $17{\beta}$-estradiol. 4. The effect of hGH on hPDL cell proliferation was related to the hGH receptor expression. $17{\beta}$-estradiol pre-treaaent contributed to the hGH effects on the hPDL cell by stimulating hGHR expression.

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