• Title/Summary/Keyword: Class I malocclusion

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Three-dimensional assessment of the temporomandibular joint and mandibular dimensions after early correction of the maxillary arch form in patients with Class II division 1 or division 2 malocclusion

  • Coskuner, Hande Gorucu;Ciger, Semra
    • The korean journal of orthodontics
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    • v.45 no.3
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    • pp.121-129
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    • 2015
  • Objective: This study aimed to assess three-dimensional changes in the temporomandibular joint positions and mandibular dimensions after correction of dental factors restricting mandibular growth in patients with Class II division 1 or division 2 malocclusion in the pubertal growth period. Methods: This prospective clinical study included 14 patients each with Class II division 1 (group I) and Class II division 2 (group II) malocclusions. The quad-helix was used for maxillary expansion, while utility arches were used for intrusion (group I) or protrusion and intrusion (group II) of the maxillary incisors. After approximately 2 months of treatment, an adequate maxillary arch width and acceptable maxillary incisor inclination were obtained. The patients were followed for an average of 6 months. Intraoral and extraoral photographs, plaster models, and cone-beam computed tomography (CBCT) images were obtained before and after treatment. Lateral cephalometric and temporomandibular joint measurements were made from the CBCT images. Results: The mandibular dimensions increased in both groups, although mandibular positional changes were also found in group II. There were no differences in the condylar position within the mandibular fossa or the condylar dimensions. The mandibular fossa depth and condylar positions were symmetrical at treatment initiation and completion. Conclusions: Class II malocclusion can be partially corrected by achieving an ideal maxillary arch form, particularly in patients with Class II division 2 malocclusion. Restrictions of the mandible in the transverse or sagittal plane do not affect the temporomandibular joint positions in these patients because of the high adaptability of this joint.

TREATMENT OF CLASS II MALOCCLUSION IN THE MIXED DENTITION WITH CLASS II ACTIVATOR: CASE REPORT (II급 Activator를 이용한 혼합치열기 II급 부정교합아동의 치험례)

  • Yoo, Kun-Jung;Kim, Hyun-Jung;Nam, Soon-Heun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.735-742
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    • 1997
  • Class II malocclusion can be treated via early orthopedic, orthodontic treatment or orthognathic surgery with orthodontic treatment. In the mixed dentition, early orthopedic treatment can be used. Especially, in the case of mandibular retrognathism, the functional appliances can be used, and in the case of maxillary protrusion is combined, they can be used together with headgear. After using activator and activator combined with headgear to the class II malocclusion paitent in the mixed dentition, the results were as follows: 1. Lateral profile was improved, and lower face height was increaed. 2. Overjet was decreased, and molar relationship was changed to class I molar relationship. 3. Growth can be undisturbed, and the aggravation of malocclusion can be prevented to make the 2nd phase orthodontic treatment be much easier.

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A CEPHALOMETRIC STUDY ON FACIAL MORPHOLOGY IN ANGLE'S CLASS III MALOCCLUSION PATIENTS WITH FACIAL ASYMMETRY (안면비대칭을 동반한 Angle III급 부정교합자의 안모형태에 관한 두부방사선계측학적 연구)

  • Kim, Mee-Kyung;Kang, Jeung-Suk;Kim, Jong-Ryoul;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.24 no.4 s.47
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    • pp.787-798
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    • 1994
  • The purpose of this study was three-fold: i) to investigate the degree of asymmetry in Angle's Class III malocclusion patients and normal adults; ii) to determine the nature of difference existed between two groups; and iii) to investigate the correlationship between the degree of asymmetry and ANB and overbite in Angle's Class III malocclusion patients. The subjects consisted of 25 Angle's Class III malocclusion patients and 25 normal adults and the mean ages were 22.0 and 24.5 years, respectively. Their posteroanterior and lateral cephalograms were traced and analysed with three-dimensional approach. The results were as follows: 1. Asymmetry of Angle's Class III malocclusion group was significant in all regions except cranial base. Their horizontal asymmetry was seen in mandibular angle, maxillary and mandibular 1st molar, mandibular midline and menton. Vertical asymmetry was observed in maxillary 1st molar and mandibular shape and anteroposterior asymmetry in mandibular angle. 2. Nine variables indicating asymmetry were selected and each variable had similar discriminant score. 3. There was a little correlationship between An and asymmetric variable(MSR-B6) and its correlation coefficients was 0.3564. 4. There was no significant correlationship between overbite and asymmetric variables.

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A STUDY ON THE FACIAL ESTHETIC PREFERENCES AMONG KOREAN YOUTHS: ASSESSMENT OF PROFILE PREFERENCES (한국 젊은이의 안면미 선호경향에 관한 연구 : 얼굴의 측모평가를 중심으로)

  • Song, Sejin;Choi, Ik-chan
    • The korean journal of orthodontics
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    • v.22 no.4 s.39
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    • pp.881-920
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    • 1992
  • This study was designed to assess profile preferences among Korean youths in the year 1992. Facial esthetics was evaluated by means of silhouette profiles, eliminating the influence of a number of aspects that may affect judgment when normal lateral photographs are used. The main points of preference to be clarified here are as follows. First, on facial convexity, Second, on nasion depth, Third, on mentolabial sulcus depth, Fourth, on the position of upper and lower lips, Fifth, on facial type according to Angle's classification of malocclusion, Sixth, on Song's tangents. The 54 subjects printed in questionnaire as black and white silhouettes were selected from 300 tracings from cephalometric radiographs of people whose age ranging from 11 to 20 years. Photographs of six female subjects were retouched by computer graphic software and printed in color and black/white photographs which were used for adaptation of eyes of participants in selecting profiles in silhouette. They constitute 2 questions. The 54 subjects were grouped as 22 questions, each of them composed of 6 subjects, according to the aspects to be clarified. Twenty four questions in total were asked to assess profile preferences. For the assessment, the profile line, the facial esthetic triangle, Song's tangents, and Angle's classification of malocclusion were introduced. The profile line is composed of 11 component points which are Trichion, Glabella, Nasion, Pronasale, Subnasale, Labrale superius, Stomion, Labrale inferius, Supramentale, Pogonion, and Gnathion. The facial esthetic triangle is composed of 3 tangents: A-tangent which is the tangent of dorsum of nose, B-tangent which is the line passing through Sn and Ls, and C-tangent which is drawn on the turning point of the curve which lies between mentolabial sulcus (Sm) and pogonion (Pg). Angle's classification has 3 types of malocclusion which are Class I, Class II, and Class III. Class II malocclusion is subdivided into Division 1 and Division 2. The participants of the survey were composed of 861 college students (448 male students, 413 female students) whose majors grouped as Fine Arts. Liberal Arts, and Natural Sciences, and whose mean age 21.8 years. The statistics program SPSS/PC + of SPSS Inc. was used to analyze answers of participants. Crosstabulation, Chi-square test, and Kendall test were done. The conclusions are as follows: First, Korean youths have a tendency to prefer the slightly convex face to the flat or concave face. Second, they prefer a moderately deep nasion. Third, they prefer a moderately deep mentolabial sulcus. Fourth, they prefer the position of lips which are near to Ricketts' E-line. The position of the upper lip which is slightly posterior to E-line is preferred. The upper lip which lies too far anterior or posterior to the lower lip is not perferred. Fifth, they prefer most, according to Angle's Classification of Malocclusion, Class I facial profile which has a slight inclination to Class II division 2. The order of preference is Class I, Class II division 2, Class III, and Class II division 1. Sixth, they prefer the type 2 and 3 of Song's tangents. The facial profile within which A-and B-tangent meet is preferred. The facial profile which has Cotangent that .meets with A-tangent slightly posterior to the crossing point of A-and B-tangent or that parallels with B-tangent is preferred.

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A study on the prevalence of the idiopathic osteosclerosis in Korean malocclusion patients (한국인 부정교합자의 악골에 발생한 특발성 골경화증의 유병률에 관한 연구)

  • Lee, Seung-Youp;Park, In-Woo;Jang, In-San;Choi, Dong-Soon;Cha, Bong-Kuen
    • Imaging Science in Dentistry
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    • v.40 no.4
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    • pp.159-163
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    • 2010
  • Purpose : This retrospective study was performed to investigate the prevalence of the idiopathic osteosclerosis (IO) in Korean malocclusion patients according to age, sex, and the Angle's classification of malocclusion. Materials and Methods : This study consisted of 2,001 randomly selected patients from the Department of Orthodontics at the Gangneung-Wonju National University Dental Hospital, Korea. The prevalence of IO in Korean malocclusion patients was recorded using their panoramic radiographs, and the following parameters were surveyed; age, sex, and the Angle's classification of malocclusion. The chi-square test was analyzed to determine the statistical significance of differences in the prevalence of IO between age, sex, and the Angle's classification of malocclusion. Results : The prevalence of IO in the jaws was 6.7% in a total of 2,001 examined orthodontic patients. The majority of IO was found in the mandible (96.58%). The 30-39 age group showed the highest prevalence of IO (9.60%). There was a higher prevalence in females (6.89%) than in males (6.45%). The prevalence of IO in Angle Class I group (7.07%) was the most frequent, followed by Angle Class II group (6.72%), and Angle Class III group (6.40%). However, there was no statistical significance in sex and Angle's classification of malocclusion. Conclusion : The prevalence of IO in malocclusion patients showed the differences between various age groups and most of them were found in the mandibular posterior area. However, sex and the type of malocclusion are not to be considered as a contributing factor of IO.

Three-dimensional analysis of the positional relationship between the dentition and basal bone region in patients with skeletal Class I and Class II malocclusion with mandibular retrusion

  • Jun Wan;Xi Wen;Jing Geng;Yan Gu
    • The korean journal of orthodontics
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    • v.54 no.3
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    • pp.171-184
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    • 2024
  • Objective: This study aimed to determine the maxillary and mandibular basal bone regions and explore the three-dimensional positional relationship between the dentition and basal bone regions in patients with skeletal Class I and Class II malocclusions with mandibular retrusion. Methods: Eighty patients (40 each with Class I and Class II malocclusion) were enrolled. Maxillary and mandibular basal bone regions were determined using cone-beam computed tomography images. To measure the relationship between the dentition and basal bone region, the root position and root inclination were calculated using the coordinates of specific fixed points by a computer program written in Python. Results: In the Class II group, the mandibular anterior teeth inclined more labially (P < 0.05), with their apices positioned closer to the external boundary. The apex of the maxillary anterior root was positioned closer to the external boundary in both groups. Considering the molar region, the maxillary first molars tended to be more lingually inclined in females (P = 0.037), whereas the mandibular first molars were significantly more labially inclined in the Class II group (P < 0.05). Conclusions: Mandibular anterior teeth in Class II malocclusion exhibit a compensatory labial inclination trend with the crown and apex relative to the basal bone region when mandibular retrusion occurs. Moreover, as the root apices of the maxillary anterior teeth are much closer to the labial side in Class I and Class II malocclusion, the range of movement at the root apex should be limited to avoid extensive labial movement.

RELATIONSHIPS BETWEEN CRANIAL BASE AND FACIAL STRUCTURES IN CHILDREN WITH CLASS I AND III MALOCCLUSIONS AGED FROM 7 TO 12 YEARS : A CEPHALOMETRIC STUDY (I급과 III급 부정교합을 보이는 어린이의 두개저의 성장변화에 관한 연구)

  • Lee, Mi-Sook;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.95-105
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    • 2001
  • The present study was designed to compare morphological and structural relationships between basicranial measurements such as MCF angulation (Ar-SE-ptm), saddle angle (N-S-Ba, N-S-Ar) and facial structures including types of malocclusion. Twenty six children with Class III whose longitudinal headfilms were available from 7 to 12-year-old, and also 26 cross-sectional headfilms at each ages of 8, 9, 10 and 11 with Class I were selected for the investigation. Cephalometric measurements such as Ar-SE-ptm, N-S-Ba, N-S-Ar, N-SE-Ar, SNA, SNB, N-S/PM vert, CP/PM vert, $\underline{1}/FH$ plane, and $N-perp/\underline{1}$ were measured. Morphologic relationships and pattern of changes in facial structures in relation to the changes of MCF and saddle angle in both malocclusion types were analysed statistically employing ANOVA, t-test and Pearson correlation. Results suggest that the MCF rather than the saddle angle in children with Class I and III is more closely related with various facial structures and with their changes. It may be, therefore, suggested that the MCF be one of the biologically meaningful measurements in determining structural relationships between cranial base and facial complex including types of malocclusion. In addition, the MCF and its correlated facial structures in children with Class III, interestingly, showed somewhat marked changes between the ages of 9 and 11.

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A ROENTGENOCEPHALOMETRIC DESCRIPTION OF CLASS I MALOCCLUSION (1급부정교합(一級不正咬合)에 관(關)한 두부방사선계측학적(頭部放射線計測學的) 연구(硏究))

  • Whang, Sun-moon
    • The korean journal of orthodontics
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    • v.9 no.1
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    • pp.105-110
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    • 1979
  • In order to define what the average Class I malocclusion looks like, 72 Class I malocclusions were compared with corresponding measurements from 90 cases of normal occlusion sample. This sample was obtained from the Department of Orthodontics, Infirmary of Seoul National University. 1. SNA, Fac(NP) to SN measurements were significantly different from the normal occlusions and smaller than the normal occlusion means. 2. 'Y' axis to SN, Mandibular plane to SN, $\underline{1}$ to Occlusal plane, $\bar{1}$ to NB(linear) measurements were significantly different from the normal occlusions and larger than the normal occlusions. 3. ANB, Occlusal plane to SN, AB to Occlusal plane, $\underline{1}$ to SN, $\bar{1}$ to SN, $\bar{1}$ to Occlusal plane measurements showed no significant difference between the means.

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The Evaluation of TMJ Status after Orthognathic Surgery for Skeletal Class III Malocclusion (악교정 수술을 받은 골격성 III급 부정교합 환자의 악관절 상태에 관한 연구)

  • Son, Woo-Sung;Jung, Choong-Bo;Kim, Jong-Ryoul
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.289-300
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    • 2006
  • This study was performed to investigate the influence of orthognathic surgery on the temporomandibular dysfunction in skeletal class III malocclusion. The temporomandibular joint status in 22 patients(mean age: 23.7 years) who received orthognathic surgery such as mandibular BSSRO(14 patients), maxillary Le Fort I osteotomy with mandibular BSSRO(8 patients) was evaluated by craniomandibular index. All these patients received orthognathic surgery at least 6 months ago. The mean score and standard deviation was obtained and compared with that of 22 normal individuals(mean age: 24.8years) by Student's t-test. In mandibular movement, the score of orthognathic surgery group was higher than that of the normal group. All the items except mandibular movement did not show any differences between the two groups.

Treatment for Class II Division I Malocclusion Using Cervical Headgear and Hotz Appliance: A Case Report (Cervical Headgear와 Hotz 장치를 이용한 II급 I류 부정교합의 치료 : 증례 보고)

  • Cho, Yongjae;Kim, Seonmi;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.70-78
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    • 2016
  • Many types of orthopedic appliances have been developed and used for the treatment of class II malocclusion in pediatric dentistry. Headgear is one of the extraoral appliances, which is used for the purpose of preventing the overgrowth of maxilla. Hotz appliance is used in couple with a cervical headgear for the expansion of maxilla and retraction of maxillary incisors. This case report is about the orthodontic treatment of three patients with class II division I malocclusion. These young patients were given orthopedic treatment in combination with a cervical headgear and Hotz appliance. After the treatment using these extraoral and intraoral appliances, succeeding treatments were practiced considering individual needs as follows: fixed orthodontic appliance for mandibular anterior crowding, Class II activator for retention and additory orthopedic treatment and the retention with Hotz appliance. Young patients with Class II division I malocclusion reported in this study received the orthodontic treatment using a cervical headgear and Hotz appliance as well as appropriate succeeding treatment afterward. All patients received improved convex profiles and lip protrusions by retracting maxilla and maxillary incisors.