• Title/Summary/Keyword: 후방견인

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Nonextraction treatment of Class II division 2 in an adult patient using microimplant anchorage (MIA) (Microimplant Anchorage(MIA)를 이용한 II급 2류 성인 환자의 비발치 치험례)

  • Chae, Jong-Moon
    • The korean journal of orthodontics
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    • v.35 no.6 s.113
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    • pp.485-494
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    • 2005
  • Maxillary anterior teeth were intruded and lingually root torqued with two maxillary anterior microimplants between the lateral incisors and canines. Overerupted maxillary canines were intruded with two other microimplants between the maxillary canines and first premolars. Maxillary posterior teeth and canines were distalized, then the maxillary incisors were retracted with two maxillary posterior microimplants between the first and second molars. The mandibular anterior teeth were intruded and the mandibular posterior teeth were extruded with conventional method such as anterior bite plane, intrusion arch and Class II elastics. The mandible moved slightly forward after the correction of deep bite and retroclination of the upper incisors. Consequently, microimplant anchorage (MIA) provided absolute anchorage for simultaneous correction of Class II canine and molar relationships and deep overbite.

THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF THE PHENOMENON PRODUCED DURING RETRACTION OF FOUR MAXILLARY INCISORS (상악 4절치의 후방견인시 나타나는 현상에 관한 유한요소법적 분석)

  • Cheon, Ok-Jin;Kim, Tae-Woo;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.525-541
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    • 1995
  • This study was designed to investigate force systems and tooth movements produced by retraction archwire during retraction of four maxillary incisors after the maxillary canine retraction into the maxillary first premolar extraction space using the computer-aided three-dimensional finite element method. A three-dimensional finite element model, consisting of 2248 elements and 3194 nodes, was constructed. The model consisted of maxillary teeth and surrounding periodontal membranes, .022'$\times$.028'-slot brackets, and 5 types of retraction archwires(.019'$\times$.025' stainless steel archwire) modeled using the beam elements. The contact between the wire and the bracket slot was modeled using the gap elements because of the non-linear elastic behaviors of the contact between them. The forces and moments, End displacements produced by retraction archwire were measured at various conditions to investigate the difference according to types of loops, magnitudes of activation force, gable angle, and anterior lingual root torque. The results were expressed quantitative and visual ways in the three-dimensional method. The following conclusions can be drawn from this study.1. When the tear-drop loop archwire was activated, the mesio-distal and lingual translational movements of the teeth helped to close the extraction space, but unwanted movements of the teeth including intrusions and extrusions, and rotational movements in each direction occurred. 2. Activation of T-loop archwire compared with those of other types of retraction archwires produced the least translational movements of the teeth helped to space closure and also the least unwanted movements of the teeth. 3. Increasing amount of activation in the tear-drop archwire led not only to increase of translational movements of the teeth helped to space closure, but also to increase of unwanted movements of the teeth. 4. Addition of gable bend in the tear-drop archwire helped anterior teeth to translational movements in the mesio-distal direction, but increased unwanted movements of the teeth 5. Addition of anterior lingual root torque in the tear-drop archwire helped central and lateral incisor to improve their facio-lingual inclination, but increased unwanted movements of the teeth.

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Maxillary protraction effects of TTBA (Tandem Traction Bow Appliance) therapy in Korean Class III children (한국인 성장기 III급 부정교합의 TTBA 치료 후 상악골 견인 효과)

  • Kim, Hye-Jin;Chun, Youn-Sic;Lim, Won-Hee
    • The korean journal of orthodontics
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    • v.37 no.3 s.122
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    • pp.231-240
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    • 2007
  • Objective: The purpose of this study was to investigate the maxillary protraction effects of the Tandem Traction Bow Appliance (TTBA), a new appliance devised several years ago for the treatment of growing skeletal Class III patients. Methods: Participants were 88 Korean children (42 boys, 46 girls) with skeletal Class III malocclusion treated with TTBA at the orthodontic clinic of Ewha Womans University Mokdong Hospital. Mean age at the start of treatment was 7.5 years${\pm}$1.5 years. Mean treatment periods were $13{\pm}3$ months. Pretreatment and posttreatment lateral cephalograms were traced and superimposed by the same investigator and analyzed by modified McNamara analysis and pitchfork analysis. Changes were evaluated with paired t-tests at a significance level of p<0.05. Results: The maxilla and maxillary dentition moved forward. The mandible moved backward, although not significantly; and the mandibular dentition moved forward. The net dental changes combined with the apical base change resulted in a favorable total molar relationship correction. Net dental movement was 26% and the apical base change 74% of the total molar relationship correction. Conclusion: These results suggest that TTBA has a maxillary protraction effect that can be useful in the treatment of growing skeletal Class III malocclusion with maxillary deficiency.

Operative Treatment for Degenerative Arthritis of Elbow - Arthroscopic surgery with traction in Lateral position - (주관절의 퇴행성 관절염에 대한 수술적 치료 - 측와위에서 견인을 이용한 관절경 수술 -)

  • Byun, Jae-Yong;Kim, Bo-Hyun;Whang, Chan-Ha;Kang, Shin-Taek;Kim, Jung-Man;Kim, Hyoung-Jun;Lee, Dong-Yeob
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.178-183
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    • 2006
  • Purpose: We reported the results and efficiency of arthroscopic treatment in a state of the lateral traction about the degenerative arthris of elbow Materials and Methods: Twenty one elbows with the degenerative arthritis who were followed up for at 12 months were enrolled in this study. Male were 15 cases, female were 6 cases, the mean age was 47 years and right dominant hand was 14 cases. In all cases, during arthroscopic treatment under the traction of 10 pounds, we had done synovectomy, excision of loose body and anteroposterior spur. After operation, immobilization was done in the full extension state, and then continuous passive motion (CPM) was started two day Results: The average preoperative ROM of the elbow joint was $30{\sim}l15$ degree and the average postoperative ROM of the elbow joint was $5{\sim}130$ degree. The increasement of ROM was totally 41 degree in extension 25 degree and flexion 16 degree. The decrement of VAS in pain was from 7.5 into 2.3 and the increasement of the satisfactory function was from 1.8 into 9.0. Complication was in two cases. One was paresthesia of ulnar nerve, but resolved. The other was bullae formation around the elbow joint, but cured. Conclusion: Regarding degenerative arthritis of elbow, arthroscopic treatment showed excellent result in recovery of range of motion and relief of pain. We could obtain good visual field with distraction in lateral position.

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레이저산업의 부활 (II. 산업용 레이저)

  • Lee, Min-Gyeong
    • The Optical Journal
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    • s.153
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    • pp.47-62
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    • 2014
  • ${\blacksquare}$ 목적 * 우리나라 주력산업분야(자동차, 조선, 항공, 기계, 로봇, 반도체 등)에 절단, 가공, 용접, 리소그라피, 마킹, 열처리, 합성, 표면처리 등의 방식으로 활용되고, 융 복합산업(의료, 에너지, 영상, 군수, 신소재, 센서)에 광원으로 응용되는 산업용 고출력 레이저의 산업 생태계 분석을 통하여 기존 산업의 고부가화와 신산업의 경쟁력을 견인 ${\blacksquare}$ 주요현황 * (시장현황) 2011년부터 2014년까지 고출력 레이저의 시장규모는 4,452백만불(5조 463억원)에서 5,255백만불(5조 9,565억원)으로 연평균 5.7% 성장 전망 * (제품기술동향) 3세대 레이저인 광섬유 레이저와 고출력 다이오드 레이저, DPSS 레이저 등이 기술혁신을 거듭하면서 1, 2세대 레이저를 대체해 가면서 높은 수준의 성장을 거듭할 것으로 전망. 산업용레이저의 주요선진국 대비 국내 기술수준은 전체적으로 44.5%정도로 취약 * (기업동향) Coherent, Trumpf, Cymer, IPG Photonics, Rofin-Sinar 5개사가 전체시장의 55%이상을 점유하고 있으며 대부분 수직계열화를 통해 경쟁력 확보. 최근 중국의 Han's 사가 자국정부의 지원을 통해 급 부상 ${\blacksquare}$ 시사점 * 산업용 레이저를 이용한 응용기술 부분 투자가 과거에는 단기 경제적 성취는 이로웠으나, 현재에 이르러 레이저 혹은 레이저 시스템이 필요할 때마다 외국에서 관련 핵심부품, 모듈 등을 수입해야하는 실정에 이르렀음. 향후 레이저 국산화를 위한 노력과 함께 후방 소재.부품의 전략적 투자를 통해 산업의 건강한 선순환생태 환경을 조성하여 산업 경쟁력을 갖추어야 함.

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THE EFFECT OF RETRACTIVE FORCE ON JAW GROWTH IN GROWING RABBITS (하악골 후방 견인력이 가토의 악골 성장에 미치는 영향에 관한 실험적 연구)

  • Kim, Jong-Chul;Yang, Kyu-Ho;Lee, Kwang-Sub
    • The korean journal of orthodontics
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    • v.23 no.3 s.42
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    • pp.295-309
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    • 1993
  • The purpose of this study was to investigate the effect of jaw growth in a growing rabbits, when they are subjected to refractive force and after removal of refractive force. The experimental animals were Oryctolagus couniculus, male rabbits of 4 weeks of age. The mandible is retracted with 200gm in force of each side to the posterior and superior direction for 14 hours a day. Then rabbits were used as control group. First experimental group received refractive force for 4 weeks. Second experimental group received for 8 weeks. Third experimental group received for 12 weeks. True lateral films and dorso-ventral films were taken before wearing appliances, 4 weeks, 8 weeks, 12 weeks and 16 weeks after wearing appliance. The changes of rabbits jaw growth were observed radiographically. The findings were as follows : 1. Mandibular refractive force decreased total mandibular length, mandibular condylar length and angular length. 2. Mandibular refractive force increased nasal height, condylar width and angular width. 3. Mandibular refractive force decreased mandibular lenght growth but increased mandibular width growth. 4. There is no phenomena of catch-up growth after refractive force removal.

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Study on the Retraction of Anterior Teeth in the Lingual Orthodontics with the Three-Dimensional Finite Element Method (유한 요소법을 이용한 설측 치아교정시 전치부 후방 견인에 관한 연구)

  • Song, Jung-Han;Hug, Hoon;Park, Hyun-Sang
    • Proceedings of the KSME Conference
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    • 2004.04a
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    • pp.198-203
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    • 2004
  • In these days, the orthodontic surgery including lingual orthodontics has attracted a person' attention due to its functional and esthetic appreciation. The delivery of the optimal orthodontic treatment is greatly influenced by clinician' ability to predict and control the tooth movement by applying force system to dentition. The skeletal anchorage system with the miniscrew has been used recently in the lingual orthodontics to assist the anchorage control. Precise understanding of the force system produced from the various orthodontic appliances is necessary. However, the qualitative and quantitative effect of the miniscrew has not been identified well. In this paper, three dimensional finite element analysis is introduced on the lingual orthodontics to investigate the effect of anterior retraction force on the miniscrew and transpalatal arch wire. The purpose of this study is to determine the location of the miniscrew and the point of force application of the anchorage system in the lingual orthodontics. The analysis results indicate the efficient position of the miniscrew and the transpalatal arch wire in the lingual orthodontics.

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THE GROWTH OF RAT MANDIBLES FOLLOWING MANDIBULAR RETRACTIVE FORCE (백서 하악골 후방견인후의 하악골 성장에 관한 실험적 연구)

  • Kyung, Hee Moon
    • The korean journal of orthodontics
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    • v.19 no.3
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    • pp.15-33
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    • 1989
  • The purpose of this study was to investigate changes of the mandible of a growing rat when they are subjected to a retractive force and those after removal of the retractive force. The experimental animals were Sprague-Dawley male rats of four weeks of age. A mandible was retracted with 50 grams of force on each side in the posterior and superior direction for 8 hours per day. The animals were sacrificed after 1 week, 2-week and 4-week force application, and after 4-week force application-4-week force removal period. The changes of rat mandibular growth following retractive force on the growing rat mandible were observed histologically and biometrically. The findings were as follows ; 1. Histologically, the thickness of the condylar cartilage was slightly reduced in the anterosuperior region with the retractive force. However, in the group of 4-week force application-4-week force removal, there was no significant difference in the thickness of the condylar cartilage. 2. There were no significant histological changes in the articular disk and glenoid fossa through the experimental period. 3. The length and anterior height of the mandible subjected to the retractive force were significantly smaller and greater than those of the control group. 4. There were no significant differences in the mandibular length between 4-week force application - 4-week force removal and the control group. 5. It was concluded that a mandibular retractive force produced inhibitory effects in the growth of the mandible, but that these effects were not sustained during mandibular growth in this experimental model.

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A FEM study about the initial stress distribution on canine altered by the application point of preangulated TMA T-loop spring (Preangulated TMA T-loop spring의 적용 위치 변화에 따른 견치의 초기 응력 분포에 대한 유한 요소법적 연구)

  • Kim, Jung-Min;Cha, Kyung-Suk;Lee, Jin-Woo
    • The korean journal of orthodontics
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    • v.29 no.5 s.76
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    • pp.521-534
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    • 1999
  • The purpose of this study was to find the difference of stress distribution on canine altered by the application point of preangulated T-loop spring. For this study, the finite element models of upper left canine, upper left second premolar and upper left first molar were made. Also, the finite element models of $0.017{\times}0.025$ inch preangulated, preactivated T-loop spring and $0.018{\times}0.025$ inch stainless steel wire were made. Three types of T-loop spring were made . the middle of activated T-loop is positioned in accordance with the middle position of distance of bracket position of both the canine and first molar, 2mm anterior, 2mm posterior. We compared the forces and the distribution of stress that were generated by the difference of position of T-loop spring. The results were as follows. 1. All of the 3 types of T-loop spring showed the similar retraction forces. 2. All showed the similar amount & pattern of stress distribution. 3. The centers of rotation of canine in 3 types of T-loop spring were same and were positioned between C and D plane. 4. The canine showed the intrusive force by 2mm anterior positioned T-loop spring, but the extrusive force by 2mm posterior positioned T-loop suing. Neverthless, because of the small amount of the forces, the effect of vertical force was not significant.

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MANDIBULAR DIFFERENTIAL PREMOLAR EXTRACTI0N IN GROWING PATIENTS (성장기 환자에서 하악의 차등적 소구치 발치)

  • Kim, Do-Hoon;Sung, Sang-Jin;Moon, Yoon-Shik
    • The korean journal of orthodontics
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    • v.31 no.1 s.84
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    • pp.1-13
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    • 2001
  • The extraction lot orthodontic treatment can be adopted for aligning crowded dentition, improving facial esthetics and solving a skeletal discrepancy as alternative for a surgical option. Mandibular second premolar extraction was often selected as treatment plan when there we very little or no space shortage in lower arch or limited retraction of the lower incisors was required. The primary object of this study was evaluate a pretreatment condition and examine the amount of tooth movement ior a mandibular second premolar extraction in growing patients. Pretreatment and posttreatment lateral cephalograms of 14 cases that had their four first premolar extracted (4/4 group), 15 cases with upper first and lower second premolar extraction (4/5 group) were selected. Structural method superimposition was conducted to evaluate a difference of dental change between 4/4 and 4/5 group. The results were as follows, 1. Pretreatment factor for 4/4 extraction or 4/5 extraction choice included maxillary incisor axis to occlusal plane, Class II molar relationship, IMPA and interincisal angle. 2. The amount of molar anterior movement in 4/5 group was greater than that of 4/4 group(p<0.05). 3. There was no significant difference between 4/4 group and 4/5 group in aspects of maxillary tooth movement(p<0.05).

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