• 대한치과교정학회지
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• 제28권1호
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• pp.29-41
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• 1998

교정치료란 동적인(dynamic)진료행위 임에도 불구하고 치료를 위해 사용하는 교정장치의 효과를 평가하는데 있어서는 정적인(static) 방법이 주로 이용되어왔다. 대부분의 교정의들은 동일한 치료목표를 위해 여러 종류의 장치가 제시될때 과연 어떠한 장치가 상대적으로 치료결과 및 치료기간 면에서 상대적으로 더 우수한가를 알고 싶어한다. 이에 본 저자들은 구치부 교차교합 해결을 위해 사용하고 있는 PLA중 Burstone식 PLA(single force응용)와 구치직립식 PLA(couple기전 응용) 간의 치아이동 기전과 치아이동 시간의 상대적 차이를 규명하고 얻어진 결과를 임상에 적용하기 위하여 본 교실에서 개발, 제작한 Calorific machine을 이용하여 실험한 후 정상치와 경사치의 이동양상과 치아이동시간을 계측하여 paired t-test를 한 결과 다음과 같은 결론를 얻었다. 1. 구치직립식 PLA가 Burstone식 PLA 보다 경사치의 정출량과 치근의 수평이동량이 더 큰것으로 나타났다(p=0.0000). 2. 구치직립식 PLA 사용시 정상치 (upright molar)의 치아이동은 없는 것으로 나타났으나(P=0.3475) Burstone식 PLA는 미미한 양(0.2mm)이지만 있는 것으로 관찰되었다(p=0.0001). 3. 경사치의 치아이동시간이 Burstone식 PLA의 경우 약 17.8분 정도 소요되었으나 구치직립식 PLA는 3.8분으로 나타났다(P=0.0001).

• 구강회복응용과학지
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• 제34권1호
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• pp.17-31
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• 2018

목적: 이 연구의 목적은 다양한 구강 스캐너를 사용하여 협측 악간관계 스캔에 따른 상하악 악궁 관계의 정확성을 비교 평가하는 것이다. 연구 재료 및 방법: 정상 교합을 보이는 상하악 전악 모델을 5종(Cerec Omnicam, CS3500, iTero, Trios, TruDef)의 구강 스캐너로 제조사의 지시대로 스캔하였다. 폴리비닐실록산 교합 재료로 고정시킨 금속 지그를 이용하여 우측 구치부를 1, 2, 3, 4 mm 단계적으로 올린 후 좌측 협측 악간관계 스캔을 채득하였다. 두 데이터를 중첩하여 전체적인 삼차원 변이를 평가하였고, 교합 평면에 수직인 단면을 분석하여 교두간 거리의 양과 방향을 평가하였다. 결과: 중첩연구에서 Cerec Omnicam ($165.5{\mu}m$)이 가장 적은 변이를 보였고, CS3500 ($369.0{\mu}m$)이 가장 큰 변이를 보였으며(P < 0.01), 1 mm 보다 3, 4, 2 mm 이개 그룹에서 변이가 유의미하게 컸다(P < 0.01). 단면 연구에서는 Cerec Omnicam이 교두끼리의 거리가 가장 먼 변이를 보였고($-242.8{\mu}m$), CS3500이 가장 가까워지는 변이를 보였으며($312.5{\mu}m$), 다른 거상 높이 보다 3 mm 이개 그룹에서 유의하게 변이가 컸다(P < 0.01). 결론: 구강 스캐너 마다 협측 악간관계 스캔을 이용해 상하악 교합 관계를 재현하는 정확성이 달랐다.

• 대한치과교정학회지
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• 제10권1호
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• pp.71-79
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• 1980

The purpose of this study was (1) to determine the prevalence of some causes by which dental occlusion might be affected , (2) to determine the prevalence of malocclusion, and types of molar, vertical incisor and horizontal incisor relationships, and (3) to examine the sex difference in the prevalence ratios, and (4) to determine the between-examiner differences in assessing types of dental occlusion. The material consisted of 1281 males and 811 females, total 2091 persons, aged 17 to 21 years. Two examiners who were graduate students in the orthodontic course, examined independently dental occlusion of the material. Before calculating the statistics, the subjects consisted of 156 mates and 164 females, total 320 persons, haying any one or more causes suspected to affect dental occlusion, was eliminated. Then the remained subjects, 1124 males and 647 females, total 1771 persons, were assessed. The results were as follows 1. The prevalence of some causes by which dental occlusion might be affected was 15.32 per cent. The missing rate of any one or more first molars was 8.85 percent, that of any one or more teeth positioned anterior to the first molar was 3.83 per cent. The prevalence of crossbite of the first molar was 0.48 per cent, that of retained primary teeth was 0.77 percent, and that of orthodontic treatment was 0.43 per cent. 8. The rate of between-examiner difference was 12.53 per cent in assessing the types of molar relationship, 18.86 percent in assessing the types of horizontal incisor relationship, and 26.37 percent in assessing the types of horizontal incisor relationship. 3. There was no sex difference in the prevalence ratios of the types of molar relationship. The prevalence of Class I molar relationship was 80.91 percent, that of Class II was 5,03, that of Class II subdivision was 4.01, Percent, that of Class III was 5.99 percent and that of Class III subdivision was 4.07 percent. 4. In the prevalence of the types of horizontal incisor relationship, there were no sex differences except that of Class II division 2. The prevalence of Class I horizontal incisor relationship was 73.12 percent, that of Class II division t was 12.03 percent, that of Class II division 2 was 6.58 percent in male and 4.33 percent in female, and that of Class III was 9.09 percent. 5. In the prevalence of the types of vertical incisor relationship, there were no sex differences except that of deep bite, The prevalence of open bite was 2.20 per cent, that of edge-to-edge bite was 9.15 percent, that of normal bite was 76,34 percent, and that of deep bite was 14.15 percent in male and 9.12 percent in female. 6. There was no sex difference in the prevalence of malocclusion the prevalence of malocclusion was 82.67 percent and that of normal occlusion was 17.33 percent. 7. There was a tendency that when Class I molar relationship changed to Class II, incisor relationships were to be larger overjet or upright upper incisors and deep bite, but when that changed to Class III molar relationship, these were to be cross bite and openbite.

• 대한치과교정학회지
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• 제47권1호
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• pp.39-49
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• 2017

Objective: This retrospective, cross-sectional study aimed to establish reference data for normal crown and root lengths and the root-crown ratios (R/C ratios) for the mature maxillary and mandibular incisors in a Korean population by using cone-beam computed tomography (CBCT). Methods: We included 672 Korean patients (141 men and 531 women; mean age, $27.2{\pm}7.7years$) who underwent CBCT examinations during various dental treatments. Crown and root lengths and the R/C ratios of the maxillary and mandibular incisors were measured using CBCT data, which were analyzed to detect significant differences between demographic factors as well as sagittal and vertical skeletal or occlusal relationships. Results: Teeth of the same type in each half-arch were symmetrical. The mean R/C ratios varied from 1.1 to 1.2 for the maxillary incisors and from 1.3 to 1.4 for the mandibular incisors. Crown and root lengths were greater in men than in women, regardless of tooth type. Root lengths and R/C ratios for the mandibular incisors were significantly greater in patients with skeletal Class II malocclusion or an excessive overjet than in the other patients. The R/C ratios for the mandibular incisors were lower in patients with an open bite than in those with a normal or deep bite. Moreover, the R/C ratios for the mandibular incisors increased with age. Conclusions: The data obtained in our study can serve as reference values for crown and root lengths and the R/C ratios for the maxillary and mandibular incisors in the Korean population.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제35권3호
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• pp.189-194
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• 2013

Osteochondroma is a benign neoplasm, osseous projection surrounded with cartilage, 35.8% of benign osseous tumor, 8.5% of whole osseous tumor and usually arises from the skeletal bone. Osteochondroma is a cartilaginous derivation and relatively uncommon in the craniofacial bone. Osteochondroma of the mandible has slow growth rates which mainly affect women around forty years of age and it can appear through the coronoid process and mandibular condyle, especially in the medial half. Clinical finding associated with osteochondroma of condyle are primarily a palpable, painless temporomandibular area mass with facial asymmetry, malocclusion and midline deviations. Sometimes pain and dysfunction like trismus often accompany the anatomic derangement. Other features include malocclusion with open-bite on the affected side and cross-bite on the contralateral side. In this study, a 45-years old female patient exhibits pain on the left temporo-mandibular joint area and malocclusion due to loss of the molar region with osteochondroma on the top left of her mandibular condyle head. The patient is able to recover gradually from the symptom through treatments on manipulation, stabilization splint, arthroscopic lavage and surgical excision, thus, this is reported as a clinical case.

• 대한치과의사협회지
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• 제51권6호
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• pp.302-312
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• 2013

It has been established that disk displacement of the temporomandibular joint(TMJ) can cause mandibular asymmetry in growing subjects. One of the causes of internal derangement of TMJ seems to be the result of poor positioning of the joint structure in unilateral cross bite, and the subsequent occlusal trauma transferred to the functioning unit of the mandible, the joint and disc. Transverse discrepancy of the maxillary and the mandibular posterior dentoalveolar units was often found in mandibular asymmetric subjects. Most of the asymmetry in growing subjects becomes worse with further growth if left untreated. However once sufficient posterior overjet is gained through orthodontic treatment, many cases have shown improvement in facial asymmetry. Furthermore, the position of condyles in computed tomogram(con-beam CT) changed from anatomically unfavorable position to more concentric position.

• 대한치과교정학회지
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• 제23권4호
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• pp.475-483
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• 1993

The purpose of this study was to investigate the treatment effects on anterior crossbite patients using chin cap and labiolingual arch appliance. In the present study, I statistically evaluated measurement values on a cephalogram before and after treatment form twenty anterior crossbite cases. The results were as follows: 1. In the craniofacial patterns, cranial base increased after treatment. 2. In the maxillo-mandibular relationship, ANB and Facial convexity significantly increased. 3. In the denture patterns, occlusal plane, Ul to FH and Overjet significantly increased. On the contrary overbite decreased significantly. Lower incisors inclined lingually. 4. In the soft tissue profile changes, lower lip protrusion was signifacantly improved.

• 대한치과의사협회지
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• 제23권7호통권194호
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• pp.625-630
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• 1985

11 years 7 months old female had a reverse object of anterior teeth and class III molar relationship. Maxillary right and left canines were erupted labially and lower left lateral incisor was congenitally missed. She was treated by rapid palatal expansion and full band technique with extraction of maxillary and mandibular second molars. The following results were obtained. 1. Maxilary arch was expanded. 2. Anterior cross-bite and crowding was corrected. 3. Molar relationship was corrected. 4. Profile was somewhat improved.

• 대한소아치과학회지
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• 제39권3호
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• pp.293-300
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• 2012

기능성 전치부 반대교합을 가진 성장기 환자의 경우, 조기에 원인을 제거함으로써 골격성으로 이행하는 것을 방지하고 성장 조절로 악골 관계를 개선함으로써 정상적인 기능과 안모를 유도할 수 있다. 1966년 R$\ddot{o}$lf Fr$\ddot{a}$nkel에 의해 소개된 Functional regulator(FR)의 한 종류인 FR III는 기능성 전치부 반대교합 및 상악의 열성장을 동반한 반대교합을 치료하기 위해 유치열기, 혼합치열기 초기, 및 영구치열기에 사용되고 있다. 이 장치는 비정상적인 근육력을 차단하여 구강 내 치열 및 악골에 대한 힘의 불균형 상태를 개선하여 정상적인 성장 발육을 할 수 있게 하는 악정형 장치이다. 이번 증례에서는 초기 혼합치열기에서 기능성 반대교합을 가진 환자의 임상 케이스를 선별하여 FR III 장치를 사용하여 다음과 같은 양호한 결과를 얻었다. 1. 초기 혼합치열기 환아에서 FR III 장치를 5~6개월 정도 단기간 장착하여 전치부 반대교합을 치료하였으며, 협측 차폐판에 의해 발생할 수 있는 상악의 횡적인 악골 변화는 나타나지 않았다. 2. 상, 하악 전치의 치성 변화와 하악의 후하방 회전의 효과를 통해 정상적인 치열관계의 회복과 심미적인 안모를 얻을 수 있었다.

• 대한소아치과학회지
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• 제36권4호
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• pp.550-555
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• 2009

과거에 비해 소아 및 청소년기에 교정치료를 시작하는 경우가 증가하고 있으며 따라서 소아치과에서 교정치료가 차지하는 비율 역시 증가하는 추세이다. 이러한 변화에 맞추어 소아치과에 내원하는 교정환자의 분포 양상을 파악하기 위하여 본 연구를 시행하였다. 2006년 1월부터 2008년 12월까지 서울대학교 치과병원 소아치과를 내원한 환자 중 교정 진단 받은 792명을 대상으로 조사를 진행하였으며 다음과 같은 결과를 얻었다. 1. 교정 진단을 받은 환자의 연령 분포는 8세가 22%로 가장 많았고 7세(19%), 9세(16%) 순서로 나타났다. 2. 골격 분포는 골격성 1급 부정교합이 52%로 가장 많았고 3급(29%), 2급(19%)순서로 나타났으며 연령이 낮은 경우 3급 부정교합 환자의 비율이 높은 경향을 보였다. 3. 총 792명의 환자 중 28%인 218명에서 전치부 반대교합을 보였으며 연령이 낮은 경우 그 비율이 높은 경향을 보였다.