• Title/Summary/Keyword: 치과교정학회

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Non-surgical treatment and retention of open bite in adult patients with orthodontic mini-implants (성인 환자에서 구치부 압하를 통한 개방교합의 치료와 유지)

  • Moon, Cheol-Hyun;Lee, Joo-Sin;Lee, Hyun-Sun;Choi, Jin-Hugh
    • The korean journal of orthodontics
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    • v.39 no.6
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    • pp.402-419
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    • 2009
  • Successful treatment of the non-growing patient with an open bite of either dental skeletal pattern often presents a difficult challenge. The morphologic pattern in anterior open bite is characterized by longer vertical dimensions, an increase in development of the maxillary posterior dento-alveolar structure and a steep mandibular plane. In such cases, molar intrusion would be a good remedy for treatment. This article reports the successful treatment and retention of two anterior open-bite cases. We used orthodontic mini-implants for treatment and a circumferential retainer with posterior bite block or skeletal fixed retainer for retention. The diagnostic criteria and mechanics for appropriate treatment are discussed. Our results suggest that open bite can be reduced successfully with intrusion of molars using orthodontic mini-implants (OMI) without orthognathic surgery, and that circumferential retainer with posterior bite block and skeletal fixed retainer are effective for retention.

TENSILE STRENGTH OF ORTHODONTIC DIRECT BONING ADHESIVES (교정용 접착제의 인장강도)

  • Kwon, Oh-Won
    • The korean journal of orthodontics
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    • v.12 no.1
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    • pp.15-20
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    • 1982
  • The requirement of ideal orthodontic direct bonding adhesive should include longevity of bond, ability to withstand a variety of forces, resistance to the degrading effects of the oral environment, and ability to be easily removed without affecting the integrity of the enamel. The purpose of this study was to evaluate the adhesive properties of recently developed 3 orthodontic directbonding adhesives by testing the tensile strength. 75 premolars extracted for orthodontic treatment were used. The tensile strength was tested by Tensilon/UTM-1-10000C after 24 hours from bonding. Following results were obtained; The mean tensile strength of each product was higher than the maximum force $(29kg/cm^2)$ exerted on a bracket during orthodontic treatment. The tensile strength of Mono-Lok was statistically higher than Concise and Dyna-Bond, although there was no difference between the tensile strength of Concise and Dyna-Bond statistically. Of the filure, the combination type of failure $(68\%)$, where part of the adhesive remained on the tooth and part on the bracket was the most common type. The second type of failure $(22.7\%)$ occurred at the toothadhesive interface and the last type of failure $(9.3\%)$ occurred at the adhesive-bracket interface.

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AUTOTANSPLANTATION OF IMPACTED MAXILLARY CANINES: CASE REPORTS (자가 이식을 이용한 매복 견치의 치험례: 증례보고)

  • Ko, Yoon-Sik;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.435-440
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    • 2011
  • Maxillary canine impaction is a common eruption problem in children. Impaction frequently involves further complications such as root resorption of adjacent teeth, cyst formation and migration of the neighboring teeth, etc. Various treatment modalities include extraction of preceding deciduous canine, orthodontic traction, and surgical extraction followed by immediate replantation of the extracted tooth at the proper position(autotransplantation). Autotransplantation is considered as the treatment of choice when surgical exposure and subsequent orthodontic traction are difficult or impossible due to unfavorable impacted position. The prognosis of autotransplantation is affected by the degree of apex formation, surgical procedures performed, timing of root canal treatment, and length of stabilization period. In these two cases presented, the patients with unerupted maxillary canine were treated with autotransplantation. One case was thought that guidance of eruption by orthodontic traction was difficult because of its unfavorable impacted position. In the other case, parents didn't agree to treat by orthodontic traction, therefore autotransplantation was done. In both cases, autotransplantation was carried out following root canal treatment and orthodontic treatment, and both cases have demonstrated to be successful to this day.

Full mouth rehabilitation on the patient with maxillary anterior diastema and posterior bite collapse with orthodontic treatment (상악 전치부 치간 이개와 구치부 교합지지 상실을 가진 환자에서 교정치료를 동반한 완전 구강회복 증례)

  • Lee, Seon-Ki
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.60-68
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    • 2022
  • A patient with severe periodontitis has causative factors that cause pathological tooth movement, the occlusion is disintegrated, and the vicious cycle of worsening periodontitis is repeated. In particular, when pathological tooth movement occurs in the maxillary anterior region, the patient has an aesthetic sense of atrophy, and the quality of life was reduced. Therefore, when orthodontic treatment was added to patients with severe periodontitis, it promotes the formation of new bone, reduces periodontal cysts, and obtains clinical attachment, which leads to favorable results in prosthetic restoration, thereby enabling ideal occlusion, function and aesthetics. Periodontal treatment, orthodontic treatment, natural tooth restoration, and implant prosthesis were planned for patients with pathological tooth movement in the anterior region due to loss of occlusal support in the posterior region. As a result, an ideal restoration space was secured, a stable restoration of occlusal contact was formed, and the maxillary anterior teeth were aesthetically improved.

A comparative study of frictional forces according to orthodontic wires and ligation method under dry and wet conditions (교정선의 종류, 결찰방법, 타액의 유무에 따른 마찰력의 비교연구)

  • Lee, Jin-Woo;Cha, Kyung-Suk;Han, Jung-Suk
    • The korean journal of orthodontics
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    • v.31 no.2 s.85
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    • pp.271-281
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    • 2001
  • The Purpose of this study was fourfold - to evaluate the general laws of friction applied to orthodontic conditions, to compare archwire materials under these controlled conditions, to compare ligation method, and to measure the effect of the artificial saliva on friction with these materials Three wire alloys (Cobalt-chromium, Nickel-titanium, Beta-titanium) in two size wires (.016" , .016" ${\times}$.022" ) were examined respect to the bracket (.018" ${\times}$.025" standard), and two ligature material (stainless steel, elastomeric) in dry and wet conditions The results were as follows, 1. The order of frictional force against alloy materials was Co-Cr (lowest), Ni-Ti, and ${\beta}$-Ti(highest) - with the exception of elastomeric ligation under wet conditions. 2. S.S. ligation gave rise to significantly greater friction than elastomeric ligation did. 3. Testing in the presence of saliva, rather than in dry conditions, decreased the frictional force for S.S. ligation with .016" Co-Cr, Ni-Ti, ${\beta}$-Ti. but, increased the frictional force for S.S. ligation with .016" ${\times}$ .022" Co-Cr, Ni-Ti, ${\beta}$-Ti. 4. .016" ${\times}$.022 " wire generated more friction than .016" wire.

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Change of shear bond strength of orthodontic brackets according to surface treatment on dental gold alloy (치과용 금합금의 표면처리에 따른 교정용 브라켓의 전단결합강도 변화)

  • Min, Ji-Hyun;Hwang, Hyeon-Shik;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.30 no.4 s.81
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    • pp.483-490
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    • 2000
  • The dental gold alloy shows a lower bond strength than the natural teeth in bracket bonding, and this can be a possible source of subsequent bond failure. This study aims to evaluate the effect of various gold alloy surface treatment techniques on shear bond strength between the orthodontic adhesives and the gold alloy and to find ways of increasing the bond strength. Two hundred and forty specimens made of the dental fold alloy were divided into twelve groups based on the combination of surface treatment methods(non-surface treatment, sandblasted, sandblasted plus tin-plated, and sandblasted plus intermediate adhesive) and adhesive systems (Ortho-one, Panavia 21, Superbond C&B). The specimens with bonded brackets were placed in distilled water at $37^{\circ}C$ for 24 hours and shear bond strength was measured by a universal testing machine. The results were as follows: 1. All surface-treated groups showed a significantly higher shear bond strength than non-surface-treated groups. 2. The sandblasted plus tin-plated group showed a significantly higher shear bond strength than the sandblasted group only when Panavia 21 was involved. 3. The sandblasted plus intermediate adhesive group showed a significantly higher shear bond strength than sandblasted group regardless of the type of adhesive used. 4. Of the three resin adhesive types, the Superbond C&B showed the highest bond strength, followed by Panavia 21 and Ortho-one. These findings suggest that a combination of sandblasting and intermediate resin treatment is desirable in order to enhance bracket bond strength regardless of adhesive types.

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Orthodontic intrusion treatment of mandibular anterior teeth in a periodontal patient with hyperdivergent skeletal pattern: 8-year follow-up (장안모를 보이는 치주 질환자에서 하악 전치의 압하를 통한 과개 교합 치료: 8년 경과 관찰)

  • Kwon, Eun-Young;Jung, Kyung-Hwa;Park, Soo-Byung;Kim, Seong-sik;Kim, Yong-il;Choi, Youn-kyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.1
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    • pp.48-60
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    • 2021
  • Patients who have extruded anterior teeth and deep bite with pathologic tooth migration, it is necessary not only periodontal treatment for reduce inflammation, but also orthodontic treatment for intrusion of anterior teeth. However, it is difficult to place the orthodontic brackets due to the deep bite, and there is a problem that the extrusion of the posterior teeth occurs more easily than the intrusion of the anterior teeth biomechanically. In particular, in patients with long face, relative intrusion of the anterior teeth by extrusion of the posterior teeth causes the clockwise rotation of the mandible and makes the facial profile worse. Therefore the biomechanical consideration and appliance design that can block these problems are required from the treatment plan. This is a patient who had a deep overbite with extruded anterior teeth, treated by periodontal treatment and intrusion of mandibular anterior teeth using cute brackes and miniscrews, and resulted in favorable maintenance during 8-year retention.

Problems of Metallic Dental Instruments for Dental Use (치과에서 사용되는 금속치과기구의 임상적용시 문제)

  • 최한철
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2003.10a
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    • pp.15-15
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    • 2003
  • 치과재료에 사용되는 금속재료는 주로 스테인리스강, 타이타늄, Ni-Ti, Co-Cr등과 같은 특수합금이 주로 사용되고 있다. 이들 재료는 치과 보철물과 교정재료 및 충전재료로 주로 사용되고 있으며 그 외 치과에서 사용되는 기기나 기구에도 많이 활용되고 있다. 특히 치과 보철물을 사용하여 치료를 원하는 환자가 최근에 급격히 증가하면서 임플란트 고정체와 나사 등을 이용한 치료법의 연구와 개발이 필요하게 되어 세계적으로 연구와 투자가 활발히 진행되고 있다. 그러나 재료의 설계나 합금의 설계 및 제품의 설계상의 문제로 인하여 생체조직과 결합하는데 많은 문제점이 임상적으로 발생되고 있다. 즉 임플란트 표면의 생체적합성부여, 고정체와의 결합시 파절이나 풀림현상, 골에 고정체로 사용하는 나사의 강도와 내마모성문제 등이 개선되어야 할 문제점으로 남아있다. 또한 총의치에 사용되는 자석 어태치먼트의erosion-corrosion문제, 교정선의 탄성 과 마모저항문제 등은 앞으로 계속적인 연구를 행하여야할 과제로 남아있다. 또한 국소의치에서 사용되는 frame은 정밀주조법을 통하여 제조하며 주조상의 결함 등으로 인한 클라스프의 파절 문제점이 발생되고 있다. 따라서 본 연구에서는 치과재료로 사용되는 임플란트 고정체, 나사, 교정용 선등의 문제점을 고찰하고, 지금까지 이루어진 연구를 중심으로 최적의 개선 조건을 찾고자하였다. 최근첨단소재 및 금속재료를 사용하여 치과재료 합금을 설계할 수 있는 연구가 활발히 진행된다면 수입에 의존하고 있는 고가의 치과재료를 값이 싼 고성능의 제품으로 대체할 수 있는 효과가 클 것으로 생각된다.>$\rho$$\sub$0/=1.8 %. As t$\sub$Co/ increases, a transition from the regime of co-existence of superparamagnetic and ferromagnetic behaviors to ferromagnetic behavior was observed. Tunneling barrier called "decay length for tunneling" for the films having the thickness of Co layer from 1.4 to 1.6 nm was measured to be ranged from 0.004 to 0.021 ${\AA}$$\^$-1/.문에 기업간 관계를 연구하는 측면에서는 탐험적 연구성격이 강하다. 더 나아가 본 산업의 주된 연구가 질적이고 기업내부만을 연구했던 것에 비교하면 시초적이라고 할 수 있다. 또한 관계마케팅, CRM 등의 이론적 배경이 되고 있는 신뢰와 결속의 중요성이 재확인하는 결과도 의의라고 할 수 있다. 그리고 신뢰는 양사 간의 상호관계에서 조성될 수 있는 특성을 가진 반면, 결속은 계약관계 초기단계에서 성문화하고 규정화 할 수 있는 변수의 성격이 강하다고 할 수가 있다. 본 연구는 복잡한 기업간 관계를 지나치게 협력적 측면에서만 규명했기 때문에 많은 측면을 간과할 가능성이 있다. 또한 방법론적으로 일방향의 시각만을 고려했고, 횡단적 조사를 통하고 국내의 한 서비스제공업체와 관련이 있는 컨텐츠 공급파트너

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A comparative study of soft tissue changes with mandibular one jaw surgery and double jaw surgery in Class III malocclusion (III급 부정교합자의 양악 수술과 하악 편악 수술 시 연조직 변화에 관한 비교 연구)

  • Chang, In-Hee;Lee, Young-Jun;Park, Young-Guk
    • The korean journal of orthodontics
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    • v.36 no.1 s.114
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    • pp.63-73
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    • 2006
  • Numbers of postulations lie on the difference of integumental changes with two major surgical remedies of one jaw vs. two jaw surgery in skeletal Class III malocclusion. Accordingly it was the aim of the study to elucidate the skeletal profile changes with an accompanying disposition of soft tissues, consequently to yield the correlation and ratio of soft tissue changes with two types of surgical procedures, which in turn make it possible to predict the soft tissue outcomes by means of assembled regression equations. Cephalometric headfilms of fifty two adult skeletal Class III comprised of 26 maxillary advancement by Le Fort I osteotomy and mandibular setback by sagittal split ramus osteotomy simultaneously (double jaw surgery, group A), 26 mandibular setback alone (one jaw surgery, group B) were statistically analyzed. Group A manifested 72.4% soft tissue advancement to skeletal changes in the upper lip area, while group B appeared to have no statistically significant changes. The nasolabial angle showed more increment in group A than in group B, whereas the mentolabial angle illustrated more reduction in group B. The backward movement of soft tissue pogonion to skeletal change revealed 98% in group A, and 109% in group B. The double jaw surgery group characteristically revealed remarkable integ umental change in the upper lip area, while the one jaw surgery had major effects in the lower lip and soft tissue pogonion areas.

A prospective clinical trial to compare the performance of four initial orthodontic archwires (교정치료 초기에 사용되는 4가지 호선의 초기 치료효과를 비교하기 위한 전향적 임상 실험 연구)

  • Quintao, Catia C. A.;Jones, Malcoim L.;Menezes, Luciane M.;Koo, Daniel;Elias, Carlos N.
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.381-387
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    • 2005
  • The aim of this study was to compare the clinical performance of 4 types of orthodontic wires, indicated for initial tooth alignment: stainless steel, multistranded steel, superelastic and thermoactivated nickel-titanium. A prospective randomized clinical trial was conducted on a sample of 45 patients, at the Dental School of the State University of Rio do Janeiro, Brazil. Fixed appliances were fitted and study casts were obtained from each patient. Randomly, the wires were allocated as follows: 26 dental arches for superelastic NiTi wires, 22 for stainless steel, 22 for multistranded and 20 for thermoactivated archwires. After 8 weeks, the archwires were removed and impressions for study casts were taken again. Using a 3D digitization technique of defined anatomical points on the study cast crowns, a Dental Irregularity Index (DII) was created for each study cast. The difference between DII before and after the archwire insertion expressed the aligning effect of the wires. ANOVA tests were employed to evaluate the anatomical point approximation (positive DII) and separation (negative DII), for each area of the dental arches: upper and lower whole arch and anterior arch. Results showed no significant difference between the different archwires.