• Title/Summary/Keyword: Dental arch development

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Orthodontic treatment in a patient with Moebius syndrome: A case report

  • Lee, Sanghee;Moon, Cheol-Hyun
    • The korean journal of orthodontics
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    • v.52 no.6
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    • pp.451-460
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    • 2022
  • Moebius syndrome (MBS) is a congenital neurologic disorder that causes cranio-facial abnormalities. It involves paralysis of the VI and VII cranial nerves and causes bilateral or unilateral facial paralysis, eye movement disorder, and deformation of the upper and lower limbs. The orofacial dysfunctions include microstomia, micrognathia, hypotonic mimetic and lip muscles, dental enamel hypoplasia, tongue deformity, open bite or deep overbite, maxillary hypoplasia, high arched palate, mandibular hyperplasia or features indicating mandibular hypoplasia. This case report presents a 7-year-old male patient who was diagnosed with MBS at the age 2 years. The patient displayed typical clinical symptoms and was diagnosed with Class II malocclusion with a large overjet/overbite, tongue deformity and motion limitation, and lip closure incompetency. Treatment was initiated using a removable appliance for left scissor bite correction. After permanent tooth eruption, fixed appliance treatment was performed for correction of the arch width discrepancy and deep overbite. A self-ligation system and wide-width arch form wire were used during the treatment to expand the arch width. After 30 months of phase II treatment, the alignment of the dental arch and stable molar occlusion was achieved. Function and occlusion remained stable with a Class I canine and molar relationship, and a normal overjet/overbite was maintained after 9.4 years of retainer use. In MBS patients, it is important to achieve an accurate early diagnosis, and implement a multidisciplinary treatment approach and long-term retention and follow-up.

A Study on the Classification of the Stage of Root Development and Crown Eruption for Permanent Teeth (영구치의 치근발육과 맹출시기의 분류에 관한 연구)

  • Kim, Jae-Chang;Han, Kyung-Soo
    • Journal of Oral Medicine and Pain
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    • v.24 no.1
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    • pp.95-106
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    • 1999
  • This study was performed to investigate the age distribution with tooth calcification and degree of eruption of permanent teeth. For the study, healthy 184 patients from 5 to 19 years old without any previous serious dental treatment were randomly selected, and intraoral standard films and dental casts were taken for evaluation of stage of calcification and degree of eruption, respectively. Tooth calcification of 13 stages, designed by the author based on the Nolla's classification and eruption level of 4 or 5 degree was used. Data were processed by SAS/Stat program and the obtained results were as follows; 1. The age of root completed with open apex in lower posterior teeth were 13.8 years for first premolar, 14.0 years for second premolar, 10.5 years for first molar, and 14.2 years for second molar. There were no significant difference between right and left side. 2. As for the sequence of eruption, first molar was the first teeth erupted in upper arch, while central incisor was the first teeth in lower arch. In general, eruption of lower teeth were slightly earlier than the corresponding teeth of upper arch. 3. There were no difference of age of the same stage of development between Nolla's and the author's classification. From the results, the author's classification can be used for estimation of age with more finely in age of 8 to 15 years old. 4. Multiple regression equations for age with Nolla's(Ns) and the author's(Ks) classification of tooth calcification, and degree of eruption(DE) were as follow; Age(by #34) = 7.55 + 0.76Ks34 + 0.80DE34 - 0.72Ns34 Age(by #35) = 7.10 + 0.81Ks35 + 0.6IDE35 Age(by #37) = 6.61 + 0.82Ks37 + 0.5IDE37. Age(by #44) = 7.02 + 0.62Ks44 + 0.82DE44 Age(by #45) = 8.04 + 0.93Ks45 + 0.64DE45 - 0.89Ns45 Age(by #47) = 6.40 + 0.86Ks47 + 0.56DE47.

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교정용 브라켓의 간접 접착법

  • Cha, Bong-Geun
    • The Journal of the Korean dental association
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    • v.37 no.7 s.362
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    • pp.530-535
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    • 1999
  • Detailed finishing of the occlusion is a clinical skill that has become difficult with the development of fixed appliances. Accuracy of bracket placement definitely improves with indirect technique, Several methods for the placement of orthodontic brackets on dental casts are currently used in the indirect bonding technique. These include attachment by means of bonding resins, adhesive tapes or sticky wax. This article presents the indirect procedures of our clinic, which use paste-paste chemically cured composites. Detailed laboratory and clinical procedure for dual tray method and other application of indirect bonding will be presented.

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A LONGITUDINAL STUDY ON THE DEVELOPMENT OF DENTAL ARCHES IN KOREAN CHILDREN (한국인 아동의 치궁발육에 관한 연구)

  • Hur, Man-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.8 no.1
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    • pp.25-36
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    • 1981
  • The purpose of this longitudinal study was to measure and analyze the width and length changes of dental arches at age 7 to 9. 66 children were selected for this study. Stone models obtained from these children were measured and analyzed annually. The results were as follow. 1. The widths of upper arch increased by age both in males and females except the region of second deciduous molars. 2. The widths of lower arch increased by age significantly both in males and females. 3. The lengths of dental arches increased by age both in males and females at anterior portion. ; did not increase at Posterior portion. 4. The upper widths of males were wider than those of females at age 9, but no significant difference were present at age 7 and 8. 5. The differences of the lower widths between males and females were not present except the region of the second deciduous molars (E-E) at age 7. 6. There were few differences between the lengths of males and females except the posterior lengthes at age 7. 7. The widths and lengths of upper arches were difinitely wider and longer than lower arches.

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Orthodontic treatment and management of adult patient with cleft lip and palate (성인 구순구개열환자의 교정치료 및 관리)

  • Kim, Seong Sik
    • The Journal of the Korean dental association
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    • v.53 no.7
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    • pp.457-467
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    • 2015
  • Patients with cleft lip and palate require interdisciplinary treatment to achieve successful rehabilitation. However, there are special difficulties in orthodontic treatment of adult cleft lip and palate patients: 1. Lack of Tissue, Bone, and Soft tissue; 2. Heavy Scar Tissue, Vestibule, and Palate; 3. Severe Anteroposterior discrepancy and Impaired Maxilla; 4. Distortion of Alveolar Ridge; 5. Abnormal Eruption Path and Malalignment of Tooth. Solving these problems, orthodontist should have differential diagnosis on extent of cleft site and residual deformities of adult cleft lip and palate patient. The tooth missing area in cleft site was commonly treated with a removable or fixed prosthesis, but this method is not stable to retain maxillary arch shape. To establish the more stable arch shape in cleft lip and palate, endosseous implants in the alveolar clefts with bone graft is helpful for management of adult cleft lip and palate patient.

A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

  • Choi, Sunyoung;Yeo, In-Sung;Kim, Sung-Hun;Lee, Jai-Bong;Cheong, Chan Wook;Han, Jung-Suk
    • Journal of Periodontal and Implant Science
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    • v.45 no.4
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    • pp.152-155
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    • 2015
  • Purpose: This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone. Methods: Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented. Results: The submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch. Conclusions: The results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.

Triplication of upper right primary anterior teeth : a case report (상악 우측 유전치부에 발생한 삼중치 : 증례 보고)

  • Bae, Sangyong;Lee, Jewoo;Ra, Jiyoung
    • The Journal of the Korean dental association
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    • v.57 no.10
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    • pp.588-594
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    • 2019
  • The fusion is an anomalous union of two or more tooth germ at some stage in the development process resulting in a decreased number of teeth in the dental arch. Fusion is common odontogenic anomaly but triplication of primary teeth is a rare phenomenon. We report a case of a 3 - year - old girl who visited our clinic for the pain on maxillary anterior tooth. The patient was diagnosed by the fusion of a the maxillary primary right central and lateral incisor with a supernumerary tooth and caries of dentine. And then, Endodontic treatment and composite resin restoration were performed on the triple teeth. After follow-up of 6 months period, there was no marked complications.

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Development and application of the intraoral tracer for the record of centric relation (중심위 채득을 위한 구내묘기장치의 개발과 응용)

  • Kwag, Heung Koo;Jeong, Soeg-Cho;Kang, Dong Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.1
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    • pp.37-49
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    • 2000
  • It was clinically important to substitute the physiologic centric relation to the therapeutic position of the patients who needed the oral rehabilitation or occlusal treatment. There were several methods for recording the centric relation. One of the known methods was to use the gothic arch tracer. However the existing intraoral device was difficult to adjust the three dimensional angulation of the recording plate and recording stylus depending on the hinge movement arch of the individual. The purpose of this study was to develop new intraoral tracer which had adjustable stylus within hinge movement arch for the record of centric relation and to evaluate the clinical application of this device. The results were as follow; 1. A stylus of new developed intraoral tracer was so adjustable that the recording of mandibular positions could be reproducible within the hinge movement arc. 2. A record plate of new developed intraoral tracer was so adjustable to parallel with the occlusal plane that lateral recording of mandibular position was able to obtain stably. This study showed that new developed intraoral tracer allowed the determination of the treatment position which can be used in the full mouth rehabilitation and occlusal treatments.

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EVALUATION AND DEVELOPMENT OF DIGITAL DEVICE FOR MEASURING PROXIMAL TOOTH CONTACT TIGHTNESS (디지털 방식의 인접면 접촉강도 측정장치의 개발 및 평가)

  • Choi, Woo-Jin;Kim, Kyung-Hwa;Kim, Jin-A;Kang, Dong-Wan;Oh, Sang-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.5
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    • pp.687-695
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    • 2007
  • Statement of problem: The proper contact relation between adjacent teeth in each arch plays an important role in the stability and maintenance of the integrity of the dental arches. Proximal contact has been defined as the area of a tooth that is in close association, connection, or touch with an adjacent tooth in the same arch. Purpose: The aim of this study was to develop a digital device for measuring the proximal tooth contact tightness by pulling a thin stainless steel strip (2mm wide, 0.03mm thick) inserted between proximal tooth contact. Material and method: This device consists of measuring part, sensor part, motor part and body part. The stainless steel strip was connected to a stain gauge. The strain gauge was designed to convert the frictional force into a compressive force. This compressive force was detected as a electrical signal and the electrical signal was digitalized by a A/D converter. The digital signals were displayed by a micro-processor. The pulling speed was 8mm/s. Results: For testing reliability of the device in vivo, two healthy young adults (A, B) participated in this experiment. The tightness of proximal tooth contact between the second premolar and the first molar of mandible (subject A) and maxilla (subject B) was measured fifteen times for three days at rest. We double-checked the accuracy of the device with a Universal Testing Machine. Output signals from the Universal Testing Machine and the measuring device were compared. Regression analysis showed high linearity between these two signals. In vivo test, no significant differences were found between measurements. Conclusion: This device has shown to he capable of producing reliable and reproducible results in measuring proximal tooth contact. Therefore, it was considered that this device was appropriate to apply clinically.

A Study for the development of the Korean orthodontic bracket (한국형 교정치료용 Bracket의 개발에 관한 연구)

  • Chang, Young-Il;Yang, Won-Sik;Nahm, Dong-Seok;Moon, Seong-cheol
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.565-578
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    • 2000
  • The aim of this study was development of the Straight-Wire Appliance(SWA) suitable lot the treatment or Korean. To accomplish the object of this study, Korean adult with normal occlusion were selected with following criteria : 1) no functional abnormality in the craniofacial area, 2) good dental arch form and posterior occlusal relationship, 3) Angle Class I occlusal relationship, 4) no experience of orthodontic, nor prosthodontic treatment, especially, no dental treatment on labial and buccal surfaces of teeth, 5) good racial profile. Impression were taken for upper and lower dental arches or the selected normal occlusion samples and the orthodontic dental stone models were fabricated. 5 well-trained orthodontists had examined the acquired dental stone models to select study samples which satisfy the Six keys to optimal occlusion of Andrews. 155 pairs of dental stone models (92 pairs of Male, 63 of Female) were finally selected. 3 dimensional digitization were performed with the Coordinate Measuring Machine(CMM, MPC802, WEGU-Messtechnik, Germany) and measuring of Angulation, Inclination, In-and-Out, Molar offset angle and Arch form were accomplished with a measuring software to achieve data for the development of SWA. Before the measurement, error study was performed on the 3 dimensional digitization with CMM, and the analysis of reliability of computerized measuring method adapted in this study and conventional manual method Presented by Andrews was performed. Results of this study were as to)lows : 1. Equi-distance digitization with mesh size 0.25 mm, 0.5 mm and 1.0 mm were acceptable in 3 dimensional digitization of dental stone model with the CMM, and the digitization with 1.0 mm mesh size was recommendable in terms of efficiency. 2. Computerized measuring method with 3 dimensional digitization was more reliable than manual measuring method of Andrews. 3. Data were collected for the development of SWA suitable for the morphological characteristics of Korean with the computerized measuring method with 3 dimensional digitization.

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