• Title/Summary/Keyword: Crowding index

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Evaluation of the alignment efficiency of nickel-titanium and copper-nickel-titanium archwires in patients undergoing orthodontic treatment over a 12-week period: A single-center, randomized controlled clinical trial

  • Aydin, Burcu;Senisik, Neslihan Ebru;Koskan, Ozgur
    • The korean journal of orthodontics
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    • v.48 no.3
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    • pp.153-162
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    • 2018
  • Objective: The aim of this trial was to compare the alignment efficiency and intermaxillary arch dimension changes of nickel-titanium (NiTi) or copper-nickel-titanium (CuNiTi) round archwires with increasing diameters applied sequentially to the mandibular arch. Methods: The initial alignment phase of fixed orthodontic treatment with NiTi or CuNiTi round archwires was studied in a randomly allocated sample of 66 patients. The NiTi group comprised 26 women, 10 men, and the CuNiTi ($27^{\circ}C$) group comprised 20 women, 10 men. The eligibility criteria were as follows: anterior mandibular crowding of minimum 6 mm according to Little's Irregularity Index (LII), treatment requiring no extraction of premolars, 12 to 18 years of age, permanent dentition, skeletal and dental Class I malocclusion. The main outcome measure was the alignment of the mandibular anterior dentition; the secondary outcome measure was the change in mandibular dental arch dimensions during 12 weeks. Simple randomization (allocation ratio 1:1) was used in this single-blind study. LII and mandibular arch dimensions were measured on three-dimensional digital dental models at 2-week intervals. Results: No statistically significant difference was observed between NiTi and CuNiTi according to LII (p > 0.05). Intercanine and intermolar arch perimeters increased in the CuNiTi group (p < 0.001). Inter-first premolar width showed a statistically significant interaction in week ${\times}$ diameter ${\times}$ application (p < 0.05). Conclusions: The effects of NiTi and CuNiTi round archwires were similar in terms of their alignment efficiency. However, the intercanine and intermolar arch perimeters, and the inter-first premolar width changes differed between groups.

Long-term stability of dentoalveolar, skeletal, and soft tissue changes after non-extraction treatment with a self-ligating system

  • Basciftci, Faruk Ayhan;Akin, Mehmet;Ileri, Zehra;Bayram, Sinem
    • The korean journal of orthodontics
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    • v.44 no.3
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    • pp.119-127
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    • 2014
  • Objective: To evaluate the long-term effects of self-ligating brackets (SLBs) on transverse dimensions of arches and skeletal and soft tissues and to quantitatively evaluate the treatment outcome after non-extraction treatment with SLBs. Methods: The sample consisted of 24 (18 female and six male) subjects, with a mean age of $14.23{\pm}2.19$ years, who received treatment with the Damon$^{(R)}$3 appliances. Complete records including cephalometric radiographs and plaster models were obtained before treatment (T1), immediately after treatment (T2), six months after treatment (T3), and two years (T4) after treatment. Digital study models were generated. Twenty lateral cephalometric, six frontal cephalometric, and eight dental cast measurements were examined. The Peer Assessment Rating index was used to measure the treatment outcome. The Wilcoxon test was applied for statistical analysis of the changes. Results: There were significant increases in all transverse dental cast measurements with active treatment. There was some significant relapse in the long term, particularly in maxillary width (p < 0.05). Statistically significant increases were found in nasal (p < 0.001), maxillary base, upper molar, lower intercanine, and antigonial (p < 0.05) widths in T1-T2. Lower incisors were proclined and protruded in T1-T2. Conclusions: SLBs correct crowding by mechanisms involving incisor proclination and protrusion and expansion of the dental arches, without induction of clinically significant changes in hard and soft tissues of the face.

Effectiveness of laser-engineered copper-nickel titanium versus superelastic nickel-titanium aligning archwires: A randomized clinical trial

  • Omar Khairullah Ahmed;Ammar Salim Kadhum
    • The korean journal of orthodontics
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    • v.54 no.1
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    • pp.16-25
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    • 2024
  • Objective: To compare the effectiveness of laser-engineered copper-nickel titanium (SmartArch) and superelastic nickel-titanium (SENT) archwires in aligning teeth and inducing root resorption and pain experienced by patients. Methods: Two-arm parallel groups with a 1:1 allocation ratio were used. The participants were patients aged 11.5 years and older with 5-9 mm of mandibular anterior crowding who were indicated for non-extraction treatment. The primary outcome was alignment effectiveness, assessed using Little's irregularity index (LII) over 16 weeks with a single wire (0.016-inch) in the SmartArch group and 2 wires (0.014- and 0.018-inch) in the SENT group (8 weeks each). Secondary outcomes included root resorption evaluated by pre- and post-intervention periapical radiographs and pain levels recorded by the participants during the first week. Results: A total of 40 participants were randomly allocated into 2 groups; 33 completed the study and were analyzed (16 in the SmartArch group and 17 in the SENT group, aged 16.97 ± 4.05 years). The total LII decrease for the SmartArch and SENT groups was 5.63 mm and 5.29 mm, respectively, which was neither statistically nor clinically significant. Root resorption was not significantly different between the groups. The difference in pain levels was not statistically significant for the first 5 days following wire placement; however, there was a significant difference favoring the SENT group in the final 2 days. Conclusions: SmartArch and SENT archwires were similarly effective during the alignment phase of orthodontic treatment. Root resorption should be observed throughout the treatment with either wire. SmartArch wires demonstrated higher pain perception than SENT wires.

Relationship between the Malocclusion and Caries Prevalence of Adolescents in Iksan (익산시 청소년의 부정교합과 치아우식 유병률 사이의 연관성)

  • Shin, Gayoung;Ra, Jiyoung;An, Soyoun;Song, Jihyun;Lee, Kwanghee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.3
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    • pp.207-217
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    • 2014
  • The purpose of the present study was to evaluate the relationship between the malocclusion and dental caries in adolescents with permanent dentition. The subjects of the study were 385 adolescents aged 12 to 15 years. Dental Aesthetic Index (DAI) and DMFT index were recorded as clinical indicators of malocclusion and dental caries. The mean Dental Aesthetic Index (DAI) score of the subjects was 12.42 and the mean DMFT index of the subjects was 2.89. Four students (1.04%) were included in the group of orthodontic treatment mandatory, which signifies the handicapping malocclusion. Moreover, the result of gender-specific analysis of the DAI components observed that the prevalence of midline diastema and mandibular overjet were significantly higher among boys (p < 0.05). In 7 components (missing teeth, incisal segment crowding, maxillary anterior irregularity, mandibular anterior irregularity, mandibular overjet, anterior openbite, antero-posterior molar relationship) among the 10 DAI components, abnormal groups showed significantly higher DMFT index than normal groups (p < 0.05). The subjects in the group of definite to handicapping malocclusion (DAI ${\geq}$ 26) showed significantly higher DMFT index than the subjects in the group of minor or no malocclusion (p < 0.01). In addition, the DAI score had significant positive linear correlation with the DMFT index (r = 0.584, p < 0.01). Consequently, the current findings suggested a positive relationship between the malocclusion and caries prevalence. And several specific types of malocclusion were supposed to be significantly correlated with dental caries.

The Prevalence Study of TMD and the Associated Factors in Korean Malocclusion Patients (한국인 부정교합자의 측두하악장애(TMD) 유병율과 그 기여요인에 관한 연구)

  • Kim, Myung-Hee;Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.27 no.4 s.63
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    • pp.523-538
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    • 1997
  • In order to investigate TMD prevalence in malocclusion patients and to study its relationship with occlusal factors, 205 malocclusion patients (M67, F138, 6Y1M-46Y8M) were examined. The following examinations were carried out, Questionnaire personal history, TMD symptoms, and the associated factors Clinical examination : TMJ sound and maximum mouth opening Orthopantomogram : condyle abnormalities, length of Co'-Inc' and Co'-Go', ratio Co'- Inc'/ Co'-Go', and depth of antegonial notch Transcranial view limitation of anterior movement of condyle Model Angle classification, overjet, overbite, midline discrepancy, missing of posterior teeth, posterior crossbite, attrition of palatal cusp of maxillary molars, crowding/spacing The results could be summarized as follows, 1. The prevalence of TMD showed that Helkimo Anamestic Inder(Ai) 0 was $46.8\%$, Ai I was $22.0\%$, Ai II was $31.2\%$ and subjective symptoms increased with aging (p<0.001) and were frequent in females (p<0.05). 2. Flattening ($4.4\%$) was the most frequent condyle abnormality on Orthopantomogram, and $8.3\%$ of subjects showed some abnormalities on Orthopantomogram. 3. The cases with neck and shoulder pain (p<0.001), clenching, lip biting (p<0.01), and headache (p<0.05) showed higher scores of Ai. 4. Angle class II showed high frequency of condylar abnormalities on Orthopantomogram, and subjects whose palatal cusp of maxillary molars had been attrided had the tendency to show high hi scores (p<0.05). The other occlusal factors had nothing to do with the symptoms of TMD. 5. In the cases that 1)the value of Co'-Inc', Co'-Go' or Co'-Inc'/Co'-Go' were low or 2)the differences of Co'-Go' or Co'-Inc'/Co'-Go' between the right and the left were large, condylar abnormalities were frequently obserbed on Orthopantomogram.

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Spatial Distribution Patterns of Oplismenus undulatifolius var. undulatifolius on Mt. Hanwoo in Korea (한우산에 분포하는 주름조개풀의 공간적 양상)

  • Huh, Man Kyu
    • Journal of Life Science
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    • v.28 no.11
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    • pp.1262-1267
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    • 2018
  • The patchiness of local environments within a habitat is assumed to be a primary factor affecting the spatial patterns of plants. In this study, a randomization procedure was developed to test the null hypothesis that only spatial association with patches determines the spatial patterns of plants. Oplismenus undulatifolius (Ard.) P. Beauv. var. undulatifolius is an herbaceous plant and a member of the genus Oplismenus in the family Poaceae. Oplismenus hirtellus subsp. undulatifolius occurs in temperate, subtropical, and tropical areas of the world. The spatial pattern of O. undulatifolius var. undulatifolius was analyzed using dispersion indices in different sizes of plots according to several patchiness indexes, population uniformity, or aggregation. Population densities (D) at Mt. Hanwoo varied from 0.453 to 4.375, with a mean of 2.387. The small and mid-sized plots ($2m{\times}2m$, $2m{\times}4m$, $4m{\times}4m$, $4m{\times}8m$, and $8m{\times}8m$) of O. undulatifolius var. undulatifolius were aggregated in the forest community. However, O. undulatifolius var. undulatifolius was uniformly distributed in three large plots ($8m{\times}16m$, $16m{\times}16m$, and $16m{\times}32m$). The greatest mean crowding ($M^*$) and patchiness index (PAI) showed positive values. Aggregation is mainly caused by environmental factors. Many plants on Mt. Hanwoo are being disturbed by climbers, which is preventing these plants from inhabiting their realized niches on Mt. Hanwoo.

THREE DIMENTIONAL FORCE ANALYSIS OF FORCE SYSTEM IN CONTINUOUS ARCHWIRE BY FINITE ELEMENT METHOD (CONTINUOUS ARCHWIRE의 FORCE SYSTEM에 대한 3차원 유한 요소법적 연구)

  • Row, Joon;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.26 no.1 s.54
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    • pp.17-32
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    • 1996
  • It is important to understand the operating mechanism and force system of fixed appliance that most effective for individual tooth movement in various orthodontic appliances. The archwire system of fixed appliance is devided into 3 types, which is continuous arch, segmented arch and sectional arch. The last two types have longer interbracket distance and simple force operating points, so it is easy to control force system by operator. But the continuous arch has shorter interbracket distance and various bracket geometry, so it is hard to control and anaylze the force system. The purpose of this study was three dimentional force and moment analysis of continuous arch system by finite element method, which is similar situation to three dimentional elastic beam in structural engineering. Several sample form of various bracket geometry and artificial lower crowding typodont made by author were constructed, analyzed and compared each other. The results were as follows : 1. The force magnitude is linear proportional to the degree of displacement or tilting of the bracket. 2. The force magnitude is inversely non-linear proportional to the interbracket distance. 3. In three dimensional typodont model, while the force can be compared with that of the sample form in the area where adjacent bracket geometry is simple, the force is much more than the expected value in the area where adjacent bracket geometry is complex.

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DENTOFACIAL CHANGES IN CLASS I PROTRUSION PATIENTS TREATED WITH PREMOLAR EXTRACTIONS (제 1 소구치 발치가 수반된 Class I전돌 증례의 치료 전후 변화)

  • Chang, Young-Il;Lee, Yu-Hyun
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.487-495
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    • 1996
  • The purpose of this study was to evaluate the dentofacial characteristics and the fost-treatment dentofacial changes of those treated by four premolar extractions and to investigate the factors affecting extraction decision. The sample consisted of 35 patients (27 females, and 8 males) with no more than 7.0mm crowding, diagnosed as Class I protrusion. Pre-treatment and post-treatment lateral cephalograms were evaluated. Computerized statistical analysis was carried out using SPSS/PC+ program. The results were as follows. 1. There was no significant change in skeletal pattern after treatment while there was significant change in dentoalveolar and soft tissue pattern. 2. In pre-treatment skeletal pattern, a tendency toward vertical discrepancy was found. 3. In pre-treatment dental pattern, interincisal angle was $113.11^{\circ}$, U1 to FH was $117.78^{\circ}$ and L1 to A-Pog was 7.94mm. Pre-treatment upper and lower lip position was 2.88mm and 5.43mm to E line. 4. After treatment, interincisal angle increased $14.46^{\circ}$ and upper and lower lip moved back 2.45mm and 3.2mm to E line.(p<0.001) 5. The EI was 138.71 before treatment and 148.2 after treatment.

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Spatial Distribution Pattern of the Populations of Cephalanthera erecta at Mt. Ahop in Busan (부산시 아홉산의 은난초 집단의 공간적 분포 양상)

  • Huh, Man Kyu
    • Journal of Life Science
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    • v.26 no.8
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    • pp.881-886
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    • 2016
  • Cephalanthera erecta (Thunb. ex, Murray) is an herbaceous and a member of the genus Cephalanthera in the family Orchidaceae. The species is an herbaceous and has reputed Chinese medicinal value. It has been investigated the population density and spatial distribution of this species at Mt. Ahop in Korea during 2015. The spatial pattern of C. erecta was analyzed according to several patchiness indexes, population uniformity or aggregation under different sizes of plots by dispersion indices, and spatial autocorrelation. The mean crowding (M*) and patchiness index (PAI) showed positive values except one small plot (2 m × 2 m). Most natural individuals of C. erecta for plots were not uniformly distributed in the forest community. The small plots (2 m × 2 m, to 8 m × 16 m) of C. erecta were uniformly distributed in the forest community and large plots (16 m × 16 m and 16 m × 32 m) were aggregately distributed. Significant aggregations by Moran's I of C. erecta were partially observed within IV classes (12 m). Dissimilarity among pairs of individuals could found by more than 18.0 m. In conclusion, the geographic distribution of C. erecta is not even with varying degrees of size of plots and human activities give rise to density effects in the plots at Mt. Ahop in Korea.

A Study on the Cognitive Judgment of Pedestrian Risk Factors Using a Second-hand Mobile Phones (중고스마트폰 업사이클링을 통한 보행위험요인 인지판단 연구)

  • Chang, IlJoon;Jeong, Jongmo;Lee, Jaeduk;Ahn, Se-young
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.274-282
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    • 2022
  • In order to secure pedestrians' right to walk, we have up-cycled second hand mobile phones to overcome limitations of the existing survey methods, analysis methods, and diagnosis to reduce pedestrian traffic accidents. Second hand mobile phones were up-cycled to produce mobile CCTVs and installed in areas where pedestrian deaths rate is high to secure image data sets for the period of more than 24 hours. It was analyzed by applying image visualization technology and clouding reporting technology, and more precise and accurate results were derived through modeling based on artificial intelligence learning and GIS-based diagnostic guidance. As a result, it was possible to analyze the risk factors and number of pedestrian safety, and even factors that were not known in the existing method could be derived. In addition, the traffic accident risk index was derived by converting data into one year to verify whether second hand mobile phone up-cycling mobile CCTV will be an objective tool for finding pedestrian risk factors. Up-cycling mobile CCTV of second hand mobile phones newly applied through research can be used as a new tool to find pedestrian risk factors, and it can be used as a service to protect the safety of the traffic vulnerable other than pedestrians.