• Journal of the korean academy of Pediatric Dentistry
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• v.38 no.3
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• pp.250-259
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• 2011

The aim of this study was to suggest a design for an orthodontic miniscrew which may work most favorably in the thin cortical bone of the adolescent. In this study, orthodontic miniscrews with different diameters, lengths, and body types were manufactured and implanted in two artificial bone samples with different cortical bone thickness. Maximum insertion torque, maximum removal torque, and lateral alteration torque were measured. As a result, the bone quality, body type, diameter, and the length all had their effects on the maximum insertion torque, maximum removal torque, and lateral alteration torque. Cortical bone thickness was the most important factor. In initial stability, conical types showed better results than cylindrical types. Increase in the diameter had favorable effects in achieving mechanical stability. Increase in the length did not have as much influence as the other factors did on the initial stability, but there was a statistically significant difference between screws of 6 mm and 8 mm lengths(p<0.05). In conclusion, the conical type screw with a diameter of 1.8 mm is most favorable in the thin cortical bone of the adolescent. In terms of length, the 8 mm screw is expected to perform better than the 6 mm screw.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.3
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• pp.421-429
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• 2001

Since Non-Extraction treatment in some orthodontic case shows unstable result and unfavorable profile, extraction is selected as inevitable treatment option for the harmonious profile, facial skeleton, and the stable dentition on both arches. For the achievement of proper goal, premolars, molars, sometimes incisors or canines are selected to be extracted. The first Premolar is usually extracted for relieving the crowded dentition with which the molar relations are class I to gain stable dentition and proper profile, but often results in the depression of profile or the loss of vortical dimension. On the contrary, the extracton of the second molar helps maintaining the fullness of profile and the vertical dimension, prevents additional space closural procedures which often make the procedures complicated, relieves both anterior and posterior crowding, and substitutes the extraction fossae for newly erupting 3rd molars. From the point of recurrence, the second molar extraction procedure, therefore, is more beneficial. This cases showed the good results of second molar extraction procedures in the patients with class I crowding.

• Journal of the korean academy of Pediatric Dentistry
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• v.35 no.2
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• pp.357-366
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• 2008

Posterior cross-bite is a relatively frequent malocclusion in primary and early mixed dentition and the reported prevalence of posterior cross-bite varies from 7% to 23%. It has been defined as a transverse discrepancy in arch relationship which the palatal cusp of the upper posterior teeth do not occlude in the central fossa of the opposing lower teeth, and can be manifested in a single tooth or in a group of teeth. Posterior cross-bite does not often self-correct and therefore immediate treatment is recommended. Occlusal adjustment to eliminate premature contact that causes mandibular deviation, expansion of narrow maxillary arch, arrangement of the individual teeth to treat asymmetry within the dental arch are the methods of treating cross-bite. In the present case, functional posterior cross-bite was observed in the primary and the early mixed dentition children. The children were treated by the slow maxillary expansion and occlusal adjustment. The outcome of periodic examinations after the correction of cross-bite was favorable.

• Journal of the korean academy of Pediatric Dentistry
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• v.40 no.4
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• pp.335-341
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• 2013

Impacted maxillary canines are the most frequently impacted teeth after the third molars. The exact etiology of impacted maxillary canines is unknown, but several complications may result from impacted maxillary canines. An early detection of ectopically erupting teeth can lead to performing interceptive treatment such as early extraction of primary canine and provide the best long-term results. In the absence of prevention, clinicians should consider orthodontic treatment followed by surgical exposure of the canine to bring it into occlusion. However, in cases when the finding ectopically erupting teeth and severe root resorption of adjacent teeth are found late, malposed canine can replace the injured teeth. In these presented cases, early diagnosis and treatment of ectopic eruption and root resorption were not performed. The maxillary incisor replacement with ectopically erupting canine can be the alternative treatment of choice with successful results. The reconstructed canine is planned to be checked periodically for the condition of composite resin restoration. Orthodontic treatment and dental implant are planned. This report shows that when early diagnosis was not done, maxillary incisor replacement with ectopically erupting canine could prevent uncertain prognosis of the adjacent teeth with root resorption and provide esthetic satisfactory with time saved and cost reduced.

• The korean journal of orthodontics
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• v.35 no.5 s.112
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• pp.361-370
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• 2005

Fiber reinforced composite (FRC) has been widely used in operative and prosthetic fields of dentistry and its use is expanding into the orthodontic field. The purpose of this study was to examine the changes of flexural properties of FRC reinforced with silica glass fiber (FibreKor, Jeneric/Pentron Inc.. Wallingford. U.S.A.) according to the duration of water absorption. Specimens were grouped according to their shape as round and rectangular cross sections, and were immersed in distilled water at room temperature $(23^{\circ}C)$ for 0 hour 1 hour 1 week. 15 days, 1 mouth and 3 mouths. The number of specimens was 5 for each duration and bending test was done using a torque tester The flexural stiffness after 24 hour water immersion was reduced to 59% for round specimens and 25% for rectangular specimens and after 3 mouths of water immersion it was reduced to 29% and 19% stiffness of the 0 hour-specimen respectively Yield flexural moment after 24 hour water immersion was reduced to 45%for round specimens and 76% for rectangular specimens and after 3 months of water immersion it was reduced to 29% and 60% stiffness of the 0 hour-specimen respectively Ultimate flexural moment after 24 hour water immersion was reduced to 35% for round specimens and 76% for rectangular specimens and after 3 mouths of water immersion it was reduced to 25% and 37% stiffness of 0 hour-specimen respectively. Those results suggested that the flexural stiffness of FibreKor decreased greatly after initial water immersion. Consequently, further research for the maintenance of strength against water will be necessary

• The korean journal of orthodontics
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• v.26 no.5 s.58
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• pp.601-611
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• 1996

Craniofacial growth pattern is an important diagnostic data in the course of orthodontic diagnosis and treatment planning ; it also has great influence in the establishment of occlusion as well as shaping and development of face. There have been many studies to classify different craniofacial growth patterns and attempts to predict growth patterns. This study aimed to correlate craniofacial growth pattern and symphysis morphology. 120 adult patients with age from 19 to 39 (mean age : 23.1) were chosen as subjects , using lateral cephalometric films. their anterior to posterior facial height ratios were calculated. They were divided into 3 groups - clockwise growth pattern with $56\%-62\%$(36subjects), counter-clockwise growth pattern group with $65\%$-80\%$(43subjects) and normal growth pattern group with $62\%-65\%$(41subjects). Symphysis morphology and Prominence evaluation in each subject were studied and the following conclusions were drawn : 1. In comparison of symphysis morphology between the sex groups, men showed large symphysis height and prominence. 2. Concerning the symphysis morphology, the clockwise growth pattern group showed larger height, H/D ratio and actual length but smaller depth, angle, effective length and E/A ratio compared to the counter -clockwise growth pattern group. 3. Those with smaller prominance of symphysis showed clockwise growth tendency and those with larger prominance showed counter-clockwise growth tendency.

• The korean journal of orthodontics
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• v.28 no.6 s.71
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• pp.905-914
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• 1998

The goals of this study were to present presurgical naso-alveolar molding (PNAM) appliance in unilateral cleft lip and palate treatment and to evaluate the effects of PNAM appliance on alveolar molding. Samples were consisted of 4 unilateral cleft lip and palate infants (3 males and 1 female, mean age=23.2 days after birth) who were treated with PNAM appliances in Department of Orthodontics, Seoul National University Dental Hospital. Average alveolar cleft gap between the greater and lesser segment was 8.27mm and average duration of alveolar molding treatment was 9.7 weeks. These patients' models were obtained at initial visit (T1) and alter successful alveolar molding (T2). Seven linear and five angular variables were measured by using photometry and digital caliper. All statistical analyses were performed by SPSS win ver. 7.5 program. Paired t-test was used to compare the mean values. 1. The posterior part of alveolar segments are the stable structures during alveolar molding treatment period in infants. 2. Forward growth of the greater segment may be hindered by the action of alveolar molding. 3. The closure of cleft gap during alveolar molding were usually due to inward and backward bending of the anterior part of the greater segment and outward bending of the whole lesser segment.

• The korean journal of orthodontics
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• v.28 no.6 s.71
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• pp.947-954
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• 1998

The purpose of this study was to compare shear bonding strengths and debonding patterns of the ceramic brackets attached on the crystal which were grown on the enamel surface of a tooth with different concentrations of lithium sulphate-contained polyacrylic acid in different application times. Four kinds of concentrations of mixed solutions were made and applied to the enamel surface on extracted human premolars. The solutions were made by adding 0.3M or 0.6M of lithium sulfate to $50\%\;or\;65\%$ of polyacrylic acid with 0.3M sulfuric acid. The solutions were applied for 30 or 60 seconds. After bonding, a universal testing machine was used to measure the shear bond strength, and then observations were made of debonding patterns through the stereoscope. And the enamel surface was observed through the scanning electron microscope to examine the pattern of crystal growth and debonding. The results were as follows: 1. Shear bond strength in the enamel surface treated with $50\%$ polyacrylic acid was higher than that with $65\%$ polyacrylic acid. 2. There were no statistical differences in shear bond strength according to concentration of lithium sulfate and application time of solutions . 3. Enamel surface was almost free of resin debris after debonding. 4. Enamel surface treated with $50\%$ polyacrylic acid showed higher density of crystal growth than that with $65\%$ polyacrylic acid under scanning electron microscope.

• The korean journal of orthodontics
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• v.33 no.3 s.98
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• pp.157-167
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• 2003

The purpose of this study was to find whether there is a correlation between tooth size and jaw size. Dental stone models and cephalometric radiographic films of 87 untreated individuals were evaluated. Repeated measurements of the maximum mesiodistal width of the teeth were taken by means of a digital vernier caliper. Linear measurements of jaw size were assessed by means of a digitizer and Visual C++ program. All measurements were taken separately according to the subject's gender. To determine the relationship between jaw and tooth size, the Pearson correlation was used. The results were as follows: 1. Male and female subjects showed a statistical difference in regard to tooth size and jaw size 2. In contrast to the results of the male subjects, there were no statistically significant correlations between maxillary size and maxillary teeth size in female subjects 3. In male subjects, the two maxillary sizes of PTM vert-ANS vert (FH plane) and PTM vert-A yen (palatal plane) were significantly correlated with themaxillary teeth size. Especially, the size of the upper central incisor showed significant correlation with all maxillary sizes. 4. In both male and female subjects, mandibular size B vert- Point J vert (mandibular plane) showed significant correlation with mandibular teeth size. As gleaned kom the results of this study, the relationship between jaw size and tooth size was fair or little in natural occurring good occlusion.

• The korean journal of orthodontics
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• v.26 no.3
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• pp.301-307
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• 1996

The purpose of this study was to evaluate the effect of surface treatment of porcelain on tensile bond strength. To accomplish this purpose, this study was carried out with 120 samples which were divided into 12 groups with each 10 samples, and the first group was not surface treated, groups 2 through 5 underwent single surface treatment, and groups 6 through 12 underwent compound surface treatment. The results were as follows : 1. In statistic, all the single surface-treated groups showed higher tensile bond strength than the non surface-treated group and the sandblasted group showed the highest tensile bond strength as $10.34{\pm}2.50MPa$. 2. All the compound surface-treated groups showed no noticeable difference in the tensile bond strength(9-11.5MPa). 3. In statistic, no significant difference was found between the sandblasted group and the compound surface-treated groups. 4. There was no fracture of porcelain while testing in this study. Above study demonstrated that compound surface treatment or sandblasing, if used single surface treatment, should be employed to guarantee successful clinical application.