• Title/Summary/Keyword: 안면 성장

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교정-수술 혼합술식에 의한 악안면 기형의 치료(III)

  • Park, In-Chul;Roger L. Bandeen;Jerre M. Griffin
    • The Journal of the Korean dental association
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    • v.22 no.11 s.186
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    • pp.941-946
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    • 1984
  • 수술과 교정의 혼합술식으로 안면부의 기형과 부수적으로 발생하는 부정교합을 치료하는 경향이 점차적으로 증가하고 있다. 수술 - 교정 술식은 과거 20년동안, 특히 1970년대에 무척 빠른 속도로 발전하였다. 수술 - 교정 술식이 발달함에 따라 이전에는 수술이나 교정치료 단독으로는 치료하기가 어려웠던 case들의 치료가 가능하게 되었다. 교정의사들은 성장이 완료된 성인의 심한 skeletal dysplasia를 치아이동에 의해서만 치료하는 데에는 매우 제한이 많다는 것을 인식하게 되었으며, 반면에 구강외과 의사들은 수술전후의 교정치료에 의해 더욱 좋은 수술 결과를 얻을 수 있는 동시에 좋은 functional occlusion을 이룰수 있다는 사실을 인식하였다. 이러한 수술 - 교정 술식은 교정의사들과 구강외과의사들에게 새로운 면들을 요구하고 있다. 좋은 치료결과를 얻기 위해서는 교정의사와 구강외과의사간의 긴밀한 협조관계가 필수적이다. 이러한 협조관계를 유지하기 위하여는 서로 상대 전문분야의 용어, 진단원리, 치료기법 등에 대한 이해가 선행되어야 한다. 이 논문에서는 진단, 치료계획, 수술전 교정치료, 수술술식, 수술후 교정치료, 증례보고의 순서로 기술하려 한다.

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교정-수술 혼합술식에 의한 악안면 기형의 치료 5

  • Park, In-Chul;Roger L. Bandeen;Jerre M. Griffin
    • The Journal of the Korean dental association
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    • v.23 no.2 s.189
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    • pp.115-117
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    • 1985
  • 수술과 교정의 혼합술식으로 안면부의 기형과 부수적으로 발생하는 부정교합을 치료하는 경향이 점차적으로 증가하고 있다. 수술-교정 술식은 과거 20년동안, 특히 1970년대에 무척 빠른 속도로 발전하였다. 수술-교정 술식이 발달함에 따라 이전에는 수술이나 교정치료 단독으로는 치료하기가 어려웠던 case들의 치료가 가능하게 되었다. 교정의사들은 성장이 완료된 성인의 심한 skeletal dysplasia를 치아이동에 의해서만 치료하는 데에는 매우 제한이 많다는 것을 인식하게 되었으며, 반면에 구강외과 의사들은 수술전후의 교정치료에 의해 더욱 좋은 수술 결과를 얻을 수 있는 동시에 좋은 functional occlusion을 이룰수 있다는 사실을 인식하였다. 이러한 수술-교정 술식은 교정의사들과 구강외과의사들에게 새로운 면들을 요구하고 있다. 좋은 치료결과를 얻기 위해서는 교정의사와 구강외과의사간의 긴밀한 협조관계가 필수적이다. 이러한 협조관계를 유지하기 위하여는 서로 상대 전문분야의 용어, 진단원리, 치료기법 등에 대한 이해가 선행되어야 한다. 이 논문에서는 진단, 치료계획, 수술전 교정치료, 수술술식, 수술후 교정치료, 증례보고의 순서로 기술하려 한다.

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교정-수술 혼합술식에 의한 악안면 기형의 치료 (VI)

  • Park, In-Chul;Roger L. Bandeen;Jerre M. Griffin
    • The Journal of the Korean dental association
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    • v.23 no.4 s.191
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    • pp.301-308
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    • 1985
  • 수술과 교정의 혼합술식으로 안면부의 기형과 부수적으로 발생하는 부정교합을 치료하는 경향이 점차적으로 증가하고 있다. 수술-교정 술식은 과거 20년동안, 특히 1970년대에 무척 빠른 속도로 발전하였다. 수술-교정 술식이 발달함에 따라 이전에는 수술이나 교정치료 단독으로는 치료하기가 어려웠던 case들의 치료가 가능하게 되었다. 교정의사들은 성장이 완료된 성인의 심한 skeletal dysplasia를 치아이동에 의해서만 치료하는 데에는 매우 제한이 많다는 것을 인식하게 되었으며, 반면에 구강외과 의사들은 수술전후의 교정치료에 의해 더욱 좋은 수술 결과를 얻을 수 있는 동시에 좋은 functional occlusion을 이룰수 있다는 사실을 인식하였다. 이러한 수술-교정 술식은 교정의사들과 구강외과의사들에게 새로운 면들을 요구하고 있다. 좋은 치료결과를 얻기 위해서는 교정의사와 구강외과의사간의 긴밀한 협조관계가 필수적이다. 이러한 협조관계를 유지하기 위하여는 서로 상대 전문분야의 용어, 진단원리, 치료기법 등에 대한 이해가 선행되어야 한다. 이 논문에서는 진단, 치료계획, 수술전 교정치료, 수술술식, 수술후 교정치료, 증례보고의 순서로 기술하려 한다.

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ORAL AND MAXILLOFACIAL MANIFESTATIONS OF LARON SYNDROME (라론 증후군의 구강 악안면 증상)

  • Shin, Cha-Uk;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taek;Lee, Sang-Hoon;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.139-144
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    • 2009
  • Laron syndrome was first described by Dr. Laron. Administration of exogenous growth hormone failed to stimulate insulin-like growth factor-I(IGF-I) production which was related to postnatal growth, because these patients lacked receptors in the liver for this hormone. The diagnosis of this syndrome is based on the typical features of GH resistance such as normal or elevated serum GH, low serum IGF-I, and impaired IGF-I response to hGH. Laron syndrome patients showed characteristically severe postnatal growth failure and markedly reduced adult height. This report describes the oral and maxillofacial manifestations of children associated with Laron syndrome. Children with Laron syndrome have several dental and skeletal irregularities. Relatively little is known of the direct effect of Laron syndrome on dental development. Further research should be needed.

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SEMI-LONGITUDINAL STUDY OF GROWTH AND DEVELOPMENT OF CRANIO-FACIAL SOFT TISSUE OF CHILDREN AGED FROM 3 TO 11 (3-11세 아동의 두개 및 연조직의 성장변화에 관한 준종단적 연구)

  • Park, Young-chel;Choy, Kwang-chul;Han, Hee-kyung
    • The korean journal of orthodontics
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    • v.27 no.6 s.65
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    • pp.891-904
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    • 1997
  • Today's orthodontic treatment goals lie in functional esthetics, and the importance of the latter is increasing gradually in trend. Considering such, study on growth and development of soft as well as hard tissues becomes inevitable. Early studies emphasize mainly on skeletal analysis using cephalometric data. However, more recent studies report that maxillofacial soft tissue, which plays a critical role in determining facial esthetics, is influenced by underlying hard tissue, and yet close relationship between them was not noticed. Cephalometric x-rays were taken of 137 Korean boys and 106 girls with no systemic disease, fair developmental status and normal occlusion for two consecutive years; afterwards, soft tissue analysis, which was divided into four parts, facial form lip position & posture, nose, and thickness, was done to correlate them with general growth.

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A STUDY ON THE MORPHOLOGICAL CHANGES IN CHILDREN WITH CLASS I AND III MALOCCLUSIONS: CEPHALOMETRIC ANALYSIS (I급과 III급 부정교합 어린이의 두개안면골 형태의 변화에 관한 연구)

  • Hong, Han-Young;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.599-612
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    • 2007
  • The present study was designed to compare the morphological and structural differences of craniofacial structures among 146 children with Class I and Class III malocclusions. The results below were obtained from the study. 1. Sphenoethmoidal synchondrosis continues to grow later in Class III. 2. Anteroposterior length of the nasomaxillary complex was significantly shorter in Class III, but the height of the nasomaxillary complex was similar. 3. Mandibular length and mandibular body length were longer in Class III, but had no statistical significance. Lower anterior facial height was shorter in Class III, but had no statistical significance. 4. Dentoalveolar height was similar between Class I and Class III. 5. In Class I, anterior cranial base took part in the anteroposterior length of the nasomaxillary complex and the mandible. 6. In Class III, anterior cranial base and middle cranial base had higher correlation with the mandible with aging. These results suggest that there exist a little differences between Class I and Class III malocclusions at age $7{\sim}11$, but growth patterns are mostly similar. Therefore it is necessary to correct Class III malocclusions at an early age before skeletal differences appear.

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A Longitudinal Study on Craniofacial Skeleton Growth Change in Koreans with Normal Occlusion (한국인의 두개안면골 성장변화에 관한 누년적 연구)

  • Park, Kyung-Duk;Sung, Jae-Hyun;Jeong, Dong-Myung;Song, Jae-Kee
    • Journal of the Korean Data and Information Science Society
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    • v.7 no.1
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    • pp.137-144
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    • 1996
  • It is important to investigate the growth aspects of craniofacial skeleton in the orthodontics. The purpose of this study is to find the factors, which have a great influence on the growth aspects of craniofacial skeleton, and to evalute the control values of each factor in order to construct orthodontics diagnostic and planning.

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Application of Stress Hormones in Saliva in Research of Orofacial Pain Related with Stress (스트레스와 관련된 구강안면통증의 연구에 있어서 타액내의 스트레스호르몬의 활용)

  • Ryu, Ji-Won;Yoon, Chang-Lyuk;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • v.32 no.2
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    • pp.201-210
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    • 2007
  • Many diseases occur by stress or effect of stress. The basis for using hormones in research of stress is the observation that most systems in the body show changes during stress and that hormonal markers in these changes are related with stress. Conceptually, the central role of sympathetic nervous system(SNS) and hypothalamus-pituitary-adrenal(HPA) axis activity in stress provides copious justification for measuring hormonal changes. Catecholamines like epinephrine and norepinephrine, cortisol, testosterone and growth hormone and so on show sensitive reaction to stress. The major advantage of salivary sample to stress research is that its sampling technique can be performed in non-stressful conditions and without physical restraint and ethical problems. Because hormone levels in saliva is a good reflection of hormone levels in plasma, application of stress hormones in saliva is very useful for research of orofacial pain related with stress.

Dental Management of Pediatric Hydrocephalus (소아 수두증 환자의 치과적 관리)

  • Kim, Mijun;Park, Howon;Lee, Juhyun;Seo, Hyunwoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.228-234
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    • 2017
  • Hydrocephalus is a condition in which the volume of cerebrospinal fluid in the cerebral ventricles is abnormally elevated. Hydrocephalus patients may show macrocephaly and delayed development. Ventriculoperitoneal shunt is the most commonly used treatment but ventriculoatrial shunt is another treatment option. This report discusses the dental management process employed for a 7-year, 6-month old patient with ventriculoperitoneal shunt-treated hydrocephalus. This patient showed dental caries on the deciduous molars, facial swelling, macrocephaly and delayed development. Pulpectomy was performed on the deciduous molars under nitrous oxide sedation and mild protective stabilization. This patient did not appear to have any specific complications until the latest follow-up and was scheduled for the management of overall oral hygiene, development of permanent teeth, and craniofacial asymmetry through periodic follow-up. During dental treatment of shunt-treated patients, care should be taken to avoid applying excessive force to the catheter running along the patient's neck to prevent the displacement of the catheter. A referral to a neurosurgeon is recommended for patients with ventriculoatrial shunts for prophylactic antibiotics. As hydrocephalus patients grow, they may show craniofacial asymmetry or differences in the calcification of the permanent teeth, and require periodic oral and craniofacial assessment.

ROENTGENOCEPHALOMETRIC STUDY ON FACIAL HEIGHT AND OCCLUSAL PLANE INCLINATION IN CLASS II MALOCCLUSION GROUP (성인 II 급 환자의 안면 수직고경및 교합평면의 특징에 관한 두부방사선학적 연구)

  • Nahm, Dong-Seok;Jeong, Mi-Hyang
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.255-268
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    • 1998
  • This study was investigated to assess the difference of facial height and occlusal plane inclination between normal occlusion group and class II malocclusion group. The subjects consisted of 50 normal occlusion (male 25, female 25) and 50 class II(male 25, female 25) malocclusion patients. All subjects are adult. lateral cephalogram was taken with standard method traced, and digitized for each subjects. The computerized statiscal analysis was carried out with SPSS program. The results were as follows 1. In class II malocclusion group, variables significant different from normal occlusion group were as follows ; SN-FOP, FH-BOP, MP-BOP, AB-BOP, AB-FOP, Facial plane-BOP, FP-FOP 2. In class II malocclusion group, the posterior facial height -especially posterior lower facial height-was significantly smaller than normal occlusion group.(P<0.05) 3. In class II malocclusion group, the angles between occlusal plane and upper and lower incisor, the angle between upper molar and bisected occlusal plane were significantly larger than those of normal occlusion group. (P<0.05) 4. L1 to Mandibular plane (mm) was a unique factor of occlusal plane position that showed significant difference in class II malocclusion group. 5. The correlation between overbite and occlusal plane inclination existed in class II malocclusion group, but the correlation didn't exist in normal occlusion group.

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