• Title/Summary/Keyword: Cephalometrics

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THE EFFECTS OF HIGH PULL HEADGEAR IN MIXED DENTITION WITH CLASS II MALOCCLUSION (혼합치열기 II급 부정교합에 대한 high pull Headgear의 효과)

  • Kwon, Soo-Yong;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.24 no.3 s.46
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    • pp.555-567
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    • 1994
  • The purpose of this study is to observe the effect of high pull headgear on the craniofacial structures of mixed dentition with Class II malocclusion. The cephalometric headplates of 16 children treated by high pull headgeaar during 6 months and 18 children during 12 months were traced, digitized and statistically analyzed. The results were as follows. 1. Inhibition of foreward growth of maxilla was observed in both group. 2. Clockwise rotation of maxilla was observed in both group. 3. There were distal movement of maxillary 1st molar and inhibition of alveolar bone growth of maxilla. 4. There was compensatory extrusion on mandibular 1st molar. 5. The ratio of anterior facial height to posterior facial height was almostly not changed. In the treatment plan of C II malocclusion by high pull headgear, ire must prevent the mandibulasr 1st molar from extruding and for orthopedic effect, at least 6 months is needed.

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Distalization with a modified C-palatal plate for severe upper crowding and a missing lower incisor

  • Park, Jae Hyun;Saito, Traci;Yoo, Sun Kyong;Alfaifi, Mohammed;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.50 no.1
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    • pp.52-62
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    • 2020
  • This case report presents the orthodontic treatment of a 25-year-old patient with skeletal Class II and severe maxillary arch crowding, moderate mandibular arch crowding, anterior crossbite, and a missing lower incisor. He was treated with molar distalization using a modified C-palatal plate and temporary anchorage devices to create sufficient space for retraction. The total treatment duration was 21 months. After treatment, his occlusion and smile esthetics showed significant improvement. The modified C-palatal plate represents a treatment modality that enhances the prospects of non-extraction treatment and reduces the need for extraction.

A LONGITUDINAL ROENTGENO-CEPHALOMETRIC STUDY ON THE CRANIOFACIAL DEPTH AND HEIGHT BY COBEN'S METHOD (Coben법에 의한 한국 아동의 두개안면골의 성장 변화에 관한 누년적 연구)

  • Ahn, Hyo-il;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.15 no.1
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    • pp.23-42
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    • 1985
  • The morphology and growth changes of the Craniofacial Complex are important in orthodontics and cephalometrics for analysis and evaluation of facial bone growth are widely used. The author analyzed the data using lateral cephalometric roentgenogram of 75 Korean male and 50 Korean females age of 6 to 10 with normal occlusion to provide informations-relative rates of facial bone growth of Korean which is to be contributed in Korean standard. The results were as follows: 1. Means, standard deviation and coefficient of variation of Korean children were obtained. 2. The item which showed significent difference between male and female was craniofacial height in absolute dimension. 9. No difference of sex was showed in increment of craniofacial height and depth. 4. Among the craniofacial depth increments, the lower facial depth dimension increased most, midfacial depth dimension increased less, and cranial depth dimension increased the least. 5. The horizontal body of mandible showed rapid growing tendency more than did the ascending ramus.

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MEASURING OF SOFT PALATE FOR EFFECTIVE PALATOPHARYNGOPLASTY (성공적 구개인두성형술을 위한 구인두궁 측정법)

  • 이준희;이상덕;남순열;박재훈
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.23-23
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    • 1991
  • 구개인두성형술이 코골음과 수면무호흡증에 유용한 수술적 방법으로 널리 이용되고 있으나 코골음과 수면무호흡증의 유발기전이 어리기지 복합적인 원인에 의하므로 구개인두성형술의 적응증을 결정하는데 많은 어려움이 있어, 수술전에 이 방법의 적응이 되는 환자를 보다 정확히 선택함이 중요하므로 많은 사람들에 의하여 주된 병변부위를 검시하는 방법들이 시행되어 왔다. 예를 들면 Mueller maneuver 중 내시경검사, Cephalometrics, polysomnogram, Multiple sleep latency test, CT scan 등의 방법이 환자선택에 이용되었다. 저자들은 비교적 쉽고 경비가 들지 않는 술전 검사법으로 양 후구치봉선(retromolar raphe)을 연결하는 선상에서 구인두궁 (soft palate arch)의 길이를 비교하는 방법을 총 89례에 적용 시행하여 그중 추적관찰이 가능한 46례에서 코골음은 86%, 수면무호흡증은 82%에서 자각적 증상의 개선이 있었기에 구개인두성형술을 시행함에 있어 양 후구치봉선거리와 구인두궁 거리를 비교하는 방법이 간단하고 경제적인 술전 진단방법으로 사료되어 문헌고찰과 함께 보고하는 바이다.

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MAXILLARY INCISOR CROWN-ROOT ANGLE(COLLUM ANGLE) IN DIFFERENT MALOCCLUSIONS (부정교합 분류에 따른 상악 중절치의 치관-치근 각도(Collum Angle)에 대한 연구)

  • Hong, Hee-Sook;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.453-463
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    • 1995
  • Most commonly used axis for central incisors in lateral cephalometric radiographs is the line connecting root apex and incisor edge. However, crown axis and root axis do not always coincide in cases of malocclusion patients. The angle created by these axis are called the collum angle, which should be considered in orthodontic diagnosis and treatment. In this study, 31 Class I malocclusion, 30 Class II division 1 malocclusion, 31 Class II division 2 malocclusion, and 31 Class m malocclusion patients were selected and their collum angles were measured. Correlation between these angles and malocclusions was investigated, and the correlation analysis with other parameters in cephalometrics was done. The results were as follows ; 1. The mean collum angles according to the types of malocclusions are ; $3.11^{\circ}{\pm}3.54^{\circ}$ for Class I, $1.23^{\circ}{\pm}2.41^{\circ}$ for Class II division 1, $3.77^{\circ}{\pm}4.39^{\circ}$ for Class II division 2, and $3.90^{\circ}{\pm}4.08^{\circ}$ for Class III malocclusion. 2. Statistically significant differences in collum angles were noted between Class II division 1 group and Class II division 2 and Class III group. 3. Significant correlations were found between collum angles and other parameters used in cephalometrics, namely IMPA for Class I, Wits for Class II division 1, Overbite for Class II division 2 and for ClassIII.

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AWAKE CEPHALOMETRIC ANALYSIS OF POSTERIOR AIRWAY SPACE AND CALCULATED RESISTANCE RELATED TO RESPIRATORY DISTURBANCE INDEX BEFORE AND AFTER MAXILLOMANDIBULAR ADVANCEMENT FOR OBSTRUCTIVE SLEEP APNEA (폐쇄성 수면 무호흡 환자의 상하악 전방이동술 전후의 두부계측방사선 사진에서 산출한 기도직경, 상기도 공간의 기류저항과 호흡방해지수 변화와의 연관성)

  • Park, Kwang-Ho;Waite, Peter D.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.2
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    • pp.157-161
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    • 2001
  • The purpose of this study cephalometrically evaluated changes in the posterior airway space for patients with obstructive sleep apnea syndrome(OSAS) before and after surgical advancement of the maxilla and mandible. The change in calculated airway resistance was correlated with the respiratory disturbance index(RDI). Twenty cephalometric radiographs were traced before and after surgery to determine the posterior airway area and calculate resistance. Polysomnograms of each patient were obtained before and after surgery. All patients had a decrease in calculated airflow resistance in the airway. The mean amount of resistance was 865.15 before surgery, decreasing to 192.65 after surgery (p<0.01). Eighty-five percent of the patients experienced improvement in their RDI. Reduction in the RDI appears to be due to an increase in the posterior airway space and decrease in flow resistance.

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Facial soft tissue thickness among skeletal malocclusions: is there a difference?

  • Kamak, Hasan;Celikoglu, Mevlut
    • The korean journal of orthodontics
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    • v.42 no.1
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    • pp.23-31
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    • 2012
  • Objective: The purpose of this study was to determine the soft tissue thickness of male and female orthodontic patients with different skeletal malocclusions. Methods: Soft tissue thickness measurements were made on lateral cephalometric radiographs of 180 healthy orthodontic patients with different skeletal malocclusions (Class I: 60 subjects, Class II: 60 subjects, Class III: 60 subjects). Ten measurements were analyzed. For statistical evaluation, one-way ANOVA and Kruskal-Wallis tests were performed. Least significant difference (LSD) and Dunnet T3 post hoc tests were used to determine the individual differences. Results: Soft tissue thicknesses were found to be greater for men than for women. Statistically significant differences among the skeletal groups were found in both men and women at the following sites: labrale superius, stomion, and labrale inferius. The thickness at the labrale superius and stomion points in each skeletal type was the greatest in Class III for both men and women. On the other hand, at the labrale inferius point, for both men and women, soft tissue depth was the least in Class III and the greatest in Class II. Conclusions: Soft tissue thickness differences among skeletal malocclusions were observed at the labrale superius, stomion, and labrale inferius sites for both men and women.

A STUDY OF THE CHANGE OF MANDIBLE POSITION AND THE STABILITY AFTER ORTHOGNATHIC SURGERY (악교정 수술후 하악 근원심 골편의 위치 변화와 안정성에 관한 연구)

  • Nam, Kwang-Ho;Lee, Sang-Chull
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.2
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    • pp.95-101
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    • 2003
  • The purpose of this study was to evaluate the patterns of skeletal changes of proximal and distal segments after one jaw surgery and two jaw surgery with posterior impaction using SSRO on mandible in order to determine the skeletal origin of relapse and compare the stability of surgical methods in anterior open bite. The points and lines from lateral cephalometrics were measured before, after surgery, and at least 6-month follow up period. And then, the positional change of the proximal and distal segment were evaluated respectively. The results obtained were as follows; In cases of two jaw surgery, the results were stabler because they had less relapse factors. In cases of one jaw surgery, the value of APD were increased but it didn't relapse to the original value. Both of proximal and distal segments were responsible for the relapse tendency. But in one jaw surgery, the rotation of proximal segment was more responsible, and in two jaw surgery, the rotation of distal segment was.

Maxillary distraction osteogenesis in the management of cleft lip and palate: report of 2 cases

  • Kim, Jin-Woo;Park, Sung-Ho;Jang, Jin-Hyun;Kim, Myung-Rae;Kim, Sun-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.4
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    • pp.321-328
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    • 2011
  • This study is to evaluate the growth and development of the maxilla advanced by transoral distraction osteogenesis of cleft lip and palate children. Subjects are two patients diagnosed as maxillary hypoplasia with cleft lip and palate, and followed up over 5 years after distraction. At the age of 11.4 years (mean), the distraction had been rendered and periodically taken lateral cephalograms were analysed to trace the growth of the maxilla. This cephalometric study showed continuous growth and development of the distracted maxilla to be stable through long term follow-up.

Validation of three-dimensional digital model superimpositions based on palatal structures in patients with maximum anterior tooth retraction following premolar extraction

  • Liu, Jing;Koh, Kyong-Min;Choi, Sung-Hwan;Kim, Ji-Hoi;Cha, Jung-Yul
    • The korean journal of orthodontics
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    • v.52 no.4
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    • pp.258-267
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    • 2022
  • Objective: This study aimed to evaluate the superimposition accuracy of digital modes for measuring tooth movement in patients requiring anterior retraction after premolar extraction based on the proposed reference regions. Methods: Forty patients treated with bilateral maxillary first premolar extraction were divided into two groups: moderate retraction (< 7.0 mm) and maximum retraction (≥ 7.0 mm). Central incisor displacement was measured using cephalometric superimpositions and three-dimensional (3D) digital superimpositions with the 3rd or 4th ruga as the reference point. The Wilcoxon signed-rank test and linear regression analyses were performed to test the significance of the differences and relationships between the two measurement techniques. Results: In the moderate retraction group, the central incisor anteroposterior displacement values did not differ significantly between 3D digital and cephalometric superimpositions. However, in the maximum-retraction group, significant differences were observed between the anteroposterior displacement evaluated by the 3rd ruga superimposition and cephalometric methods (p < 0.05). Conclusions: This study demonstrated that 3D digital superimpositions were clinically as reliable as cephalometric superimpositions in assessing tooth movements in patients requiring moderate retraction. However, the reference point should be carefully examined in patients who require maximum retraction.