• Title/Summary/Keyword: 후방이동

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Noncompliance screw supported maxillary molar distalization in a parallel manner (미니스크류를 이용한 상악구치부 후방이동장치 효과)

  • Nalcaci, Ruhi;Bicakci, Ali Altug;Ozan, Fatih
    • The korean journal of orthodontics
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    • v.40 no.4
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    • pp.250-259
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    • 2010
  • Objective: Intraoral noncompliance upper molar distalization techniques have gained in popularity and have subsequently found to be successful in Class II correction. The aim of the present study was to introduce a screw supported intraoral distalization appliance and investigate its efficiency. Methods: Twenty-one subjects (11 females, 10 males; average age of 14.9 years) with Angle Class II malocclusion participated in this study. Two screws were inserted behind the incisive foramen and immediately loaded to distalize the upper first molars. An intraoral screw supported distalization appliance was used to distalize the upper molars in order to achieve a Class I molar relationship. Skeletal and dental changes were evaluated using cephalometric and three-dimensional (3D) model analysis. Results: Upper molars were distalized 3.95 mm on average and a Class I molar relationship was achieved without any anchorage loss. The upper molars were tipped only $1.49^{\circ}$ and the upper right and left molars were rotated only $0.54^{\circ}$ and $0.74^{\circ}$ respectively which were statistically non-significant (p > 0.05). Conclusions: The newly designed screw supported noncompliance distalization appliance was found to be an effective device for achieving bodily molar distalization without any anchorage loss.

Zygoma-gear appliance for intraoral upper molar distalization (Zygoma-gear를 이용한 구치부 후방이동을 통한 비발치 치험례)

  • Nur, Metin;Bayram, Mehmet;Pampu, Alper
    • The korean journal of orthodontics
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    • v.40 no.3
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    • pp.195-206
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    • 2010
  • The aim of this report is to present an intraoral upper molar distalization system supported with zygomatic anchorage plates (Zygoma-gear Appliance, ZGA). This system was used for a 16-year-old female patient with a Class II molar relationship requiring molar distalization. The system consisted of bilateral zygomatic anchorage plates, an inner-bow and heavy intraoral elastics. Distalization of the upper molars was achieved in 3 months and the treatment results were evaluated from lateral cephalometric radiographs. According to the results of the cephalometric analysis, the maxillary first molars showed a distalization of 4 mm, associated with a distal axial inclination of $4.5^{\circ}$. The results of this study show that an effective upper molar distalization without anchorage loss can be achieved in a short time using the ZGA. We suggest that this new system may be used in cases requiring molar distalization in place of extraoral appliances.

Analysis of the Risk Factors for Posterior Migration of Single Cage after Transforminal Lumbar Interbody Fusion (경추간공 요추 추체간 유합술 후 단일 케이지 후방이동의 위험인자에 대한 분석)

  • Ko, Young-Chul;Ha, Dong-Jun;Park, Man-Jun;Huh, Jung-Wook;Park, Joon-Hyung;Lee, Woo-Myung
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.237-243
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    • 2019
  • Purpose: To analyze the risk factors for posterior migration of a single cage after transforminal lumbar interbody fusion (TLIF). Materials and Methods: This study was conducted retrospectively on 48 patients (60 discs) who were followed-up for 1 year after TLIF from January 2015 to January 2017. The patients were divided into two groups: group 1 containing 16 patients (17 discs) with cage migration and group 2 containing 32 patients (43 discs) without it. Information related to cage migration, such as the demographic factors, shape of disc, level and location of the cage inserted, and disc height change, was acquired from the medical records and radiologic images, and the possibility for generating posterior migration of cage was evaluated statistically. Results: The demographic factors and cage-inserted level were similar in the two groups (16 patients in group 1, 32 patients in group 2). In the migration group, number of patients with a pear-type disc, 9 patients, was significantly larger; the disc height change, 1.8 mm, was significantly smaller; and the cage was located frequently on non-center in the anteriorposterior view and center in the lateral view in 9 and 15 out of 16 patients, respectively. Conclusion: A pear-type disc shape, small disc height change, cage with non-center on the anteriorposterior view and non-anterior on the lateral view are the risk factors for posterior migration. These factors are important for preventing posterior migration of the cage.

Prediction of the change of soft tissue profile on the lower face following retraction of incisors (전치부 후방이동에 따른 하안면부 연조직 측모 변화의 예측)

  • Lee, Jang-SeoP;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.29 no.4 s.75
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    • pp.399-409
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    • 1999
  • The purpose of this study was to evaluate the change of soft tissue profile on lower face following retraction of incisors through orthodontic treatment. 31 Korean women with bialveolar protrusion who were treated with 4 first bicuspid extraction were selected. All of samples were treated from above 17 years of age. Lateral cephalometric head films taken before and after treatment were analyzed statistically. The results were obtained as follows. $\cdot$The ratio of upper incisor retraction to upper lip retraction and lower incisor retraction to lower lip retraction were 1.54:1 (r=0.746) and 0.92:1 (r=0.584) respectively $\cdot$It appeared during orthodontic treatment that UIS-LS was increased considerably and the others in soft tissue thickness measurements were slightly decresed. $\cdot$Analysis of correlation showed that the change of the upper lip (LS) with the change of maxillary central incisor (UIS) and the change of lower lip with the change of B point were most strongly correlated. $\cdot$The multiple regression equations were obtained to predict soft tissue profile change of lower face according to retraction of incisors.

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THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF THE PHENOMENON DURING DISTAL EN MASSE MOVEMENT OF THE MAXILLARY DENTITION (상악 치열의 치군 후방이동에 관한 3 차원 유한요소법적 연구)

  • Shin, Soo-Jung;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.563-580
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    • 1998
  • This study was designed to analysis the displacement and stress distribution of individual tooth by orthodontic force during distal on masse movement of the maxillary dentition. In this study, three dimensional finite element analysis was used. Author made the finite element model of maxillary teeth, periodontal ligament, alveolar bone and bracket with anatomic and physiologic characteristics on computer. Author analysed and evaluated the displacement and stress distribution of individual tooth when extraoral force, Class II intermaxillary elastics, ideal arch wire, MEAW and tip back bend were used for distal on masse movement of the maxillary dentition. These analyses were also applied in the case of the maxillary second molar were not extracted. Author compared the results of the cases which maxillary second molar were extracted or not. The results were expressed quantitatively and visually. Author obtained following results, 1. When anterior headgear was applied, the posterior translation, posterior tipping, and vertical displacement of teeth were produced more in the anterior segment of the dentition. 2. When Class II intermaxillary elastics were applied in the ideal arch wire, the teeth displacement were usually produced in the anterior segment. But when tip back bend were added in the ideal arch wire, the orthodontic force produced by elastics were transmitted to the posterior segment. As increasing the tip back bend, posterior translation and lingual tipping of anterior teeth were decreased, posterior translation and tipping displacement of posterior teeth were increased, and extrusion of anterior teeth by Class II elastics were decreased 3. When MDAW and Class II elastics were applied, the teeth movement were sir flu with the case of ideal arch wire and Class II elastics, but more small and uniform teeth displacement were produced Compared with the ideal arch wire, posterior tipping of the posterior segment were more produced than lingual tipping displacement of the anterior segment. 4. When the maxillary second molar without orthodontic appliance existed, the displacement of maxillary first molar were decreased.

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A Study on Supression of Back-lobe of Base Station Antennas for Mobile Communication (이동통신용 기지국안테나의 후방부엽 개선에 관한 연구)

  • 민경식;임정남;김동일;정세모
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 1998.05a
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    • pp.169-176
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    • 1998
  • 이동통신용 기지국안테나는 현재 약 -20dB의 후방부엽이 존재한다. 이는 인접한 안테나에 전파감쇠 및 장애를 일으키고 있어 후방부엽을 -50dB이하까지 개선시킬 필요가 있다. 본 논문에서는 기존의 Back Plate 구조를 새롭게 변형하여 후방부엽의 레벨을 낮추고자 한다. 새로운 구조의 Back Plate는 리플렉터안테나의 원리를 이용하여 ㄷ자 형태로 만들었다. 본 연구 수행의 구체적 방법으로는 범용소프트웨어툴인 NEC2를 사용하였고 각 파라메터에 대해 파라메터스터디를 하여 최적의 파라메터를 도출하였으며 -49.58dB의 후방부엽을 갖는 기지국안테나를 설계하였다.

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SOFT TISSUE CHANGES AFTER DOUBLE JAW SURGERY IN SKELETAL CLASS III MALOCCLUSION (골격성 III급 부정교합자의 양악수술후 연조직 변화의 평가)

  • Cho, Eun-Jung;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.26 no.1 s.54
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    • pp.1-16
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    • 1996
  • The purpose of this study was to evaluate the amount and interrelationship of the soft and hard tissue changes after simultaneous maxillary advancement and mandibular setback surgery in skeletal Class III malocclusion. The sample consisted of 25 adult patients(13 males and 12 females) who had severe anteroposterior skeletal discrepancy. These patients had received presurgical orthodontic treatment and surgical treatment which consisted of simultaneous Le Fort I or Le Fort II osteotomy and bilateral sagittal split ramus osteotomy. The presurgical and postsurgical lateral cephalograms were evaluated. The computerized statistical analysis was carried out with SPSS/$PC^+$ program. The results were as follows. 1. The correlation of maxillary hard and soft tissue horizontal changes were high and the ratios for soft tissue to A point were $71\%$ at Sn, $67\%$ at SLS and $37\%$ at LS. 2. The correlation of mandibular hard and soft tissue horizontal changes were very high and the ratios were $84\%$ at LI, $107\%$ at ILS, $96\%$ at Pog' and $97\%$ at Gn'. 3. The correlation of mandibular hard tissue horizontal changes and soft tissue vertical changes were moderate. 4. The upper to lower lip length were increased(P<0.001). 5. The soft tissue thickness were decreased in upper lip and increased in lower lip(P<0.001). The postsurgical changes were reversely correlated with initial thickness in upper lip.

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Non-extraction treatment in Class III malocclusion by using improved superelastic NiTi wire (III급 부정교합 환자에서 초탄성 Ni-Ti alloy wire를 이용한 비발치 치료)

  • Min, Sam;Chung, Chu-Ryung;Hwang, Chung-Ju;Cha, Jung-Yul
    • The korean journal of orthodontics
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    • v.41 no.4
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    • pp.297-306
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    • 2011
  • Nonextraction camouflage treatment in mild Class III malocclusion is achieved by backward movement of the lower dentition and forward movement of the upper dentition. Many camouflage treatment modalities have been used for distal tipping and distal movement of mandibular posterior teeth. The amount of distal movement of mandibular dentition can be improved in cases of severe crowding, even without the patient's cooperation, by using miniscrews for anchorage. However, miniscrew insertion may be unsuccessful, and it may contact the adjacent root because of the distal movement of dentition. Distal tipping of mandibular dentition can be achieved using multiloop edgewise archwires and intermaxillary elastics. However, the complexity of this wire design causes discomfort to patients. Recently, a new treatment using improved superelastic NiTi wires (ISWs) and intermaxillary elastics has been introduced. ISWs can deliver orthodontic force more effectively, and their use with molar tip-back treatment has several advantages-this approach is effective, simple, and easy to use and reduces patient discomfort. The aim of this study was to report a case of camouflage treatment using ISW with tip-back and intermaxillary elastics for distal tipping of mandibular posterior dentition and to evaluate the effectiveness of this treatment in a clinical setting.

A photoelastic evaluation of stress distribution during distal movement of upper molar (헤드기어를 이용한 상악 제1대구치의 후방이동 시 응력분포에 관한 광탄성법적 연구)

  • Song, Sae-Eun;Lim, Sung-Hoon;Yoon, Young-Joon;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.34 no.2 s.103
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    • pp.121-129
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    • 2004
  • The purpose of this study was to photoelastically visualize 4he distribution of fortes transmitted to the alveolus and surrounding structures using three different types of headgear for the distal movement of the upper molars. A photoelastic maxillary model was made and three different directional forces applied, which were high-pull, straight-pull, and cervical-pull. Stress distribution was recorded through circular polariscope, and two-dimensional photoelastic stress analysis was performed according to isochromatic fringe characteristics. The results were as follows: 1. In the case of high-pull headgear bodily movement occurred in the medium- length outer bow, stress distribution in the apical region was 1st molar, 2nd premolar, lst premolar in sequence and there was no apparent difference. 2. In the case of straight-pull headgear, bodily movement occurred in the long outer bow and stress distribution in the apical region was heavy in the 1st molar, 2nd premolar, 1st premolar in sequence. But. there were no apparent differences according to the length of the outer bow. 3. In the case of cervical- pull headgear, bodily movement also occulted in 4he long outer bow, and apical stress of the premolar region was heaviest among other cases and apical stress of the 2nd premolar was heaviest in the short outer bow. In clinical situations, to achieve bodily movement of the upper 1st molars without modifying outer bow height, applying an outer bow length as long as the inner bow length in high-pull headgear and applying an outer bow length longer than the inner bow length in straight-pull, cervical-pull headgear are recommended.

Soft Tissue Change After Single Jaw(mandible) Surgery in Skeletal Class III Malocclusion (골격성 III급 부정교합자의 편악(하악)수술후 연조직 변화의 평가)

  • Park, Kwang-Soo;Lee, Hee-Kyung;Chin, Byung-Rho
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.197-208
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    • 1997
  • The purpose of this study was to evaluate the amount and interrelationship of the soft and hard tissue change after mandibular setback surgery in skeletal Class III malocclusion. The sample consisted of 25 adult patient (12 male and 13 female) who had severe anteropostrior skeletal discepancy. These patient had received presurgical orthodontic treatment and surgical treatment which is bilateral sagittal split ramus osteotomy. The presurgical and postsurgical lateral cephalograms were evaluated. The computerized statistical analysis was carried out with SPSS/PC program. The result were as follows: 1. After mandibular bilateral sagittal split ramus osteotomy, lower facial soft. tissue horizontal posterior changes were high significance value. but vertical soft tissue changes were low significance value. 2. After mandibular bilateral sagittal split ramus osteotomy, relative upper lip protrusion increased(p<0.01) and relative lower lip protrusion decreased(p<0.01) and lower facial soft tissue thickness increased(p<0.01).

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