• Journal of Yeungnam Medical Science
• /
• v.4 no.1
• /
• pp.151-156
• /
• 1987

A 25 year and 7 month old man patient who had Angle's classII division 2 malocclusion combined with anterior crowding of upper & lower part was treated by bioprogressive mechanism. After setting our objectives through the use of V.T.O., we programmed a sequence of mechanics. The possible objectives of treatment in the classII division 2 malocclusion can be listed as follows. 1) Relief of crowding & irregularities. 2) Relief of anterior gingival trauma & correction of interincisal inclination. 3) Correction of buccal segment relationship. We'd applied the classII intermaxillary elastics, Quad helix, utility arch wire and sectional arch wire in order to achieve anticipated objectives. As compared with pre & post treatment cephalogram, the result accomplished by this mechanics showed to us that interincisal angle was improved and favorable molar relationship was achieved.

• The korean journal of orthodontics
• /
• v.33 no.1 s.96
• /
• pp.63-72
• /
• 2003

Over the Past decades, the number of Patients seeking orthodontic treatment has increased markedly with socioeconomic development and change of recognition on appearance. The purpose of this study was to provide an epidemiologic data base related to the orthodontic treatment need. We could take an adequate information regarding the characteristics of orthodontic patients, and the changing trends about treatment mordality. Distrubution and treands were Investigated in 676 patients who had been examined and diagnosed at Department of orthodontics, Dental Hospital, Seoul National University from January to June in 1992 and 2002. 1. Sex distribution of patients changed from 1:2.1 to 1:1.5 (male female). 2. In 2002, are distribution had shown $7\~12$ year-old group being the largest$(32.0\%)$ and percentage of $19\~24,\;13\~18,\;over\;25,\;4\~6,\;0\~3$ year-old group were $24.0\%,\;21.6\%,\;14.2\%,\;5.8\%,\;2.4\%$ respctively. Compared with data in 1992, the number of adult patients highly increased. 3. With regard to Angle classification, each percentage of Class I, Class II div 1, Class II div 2, and Class III malocclusion were $25.0\%,\;20.9\%,\;3.4\%,\;and\;48.1\%$ respectively in 2002. 4. Geographic distribution showed that most of the patients visited $(37.0\%)$ lived in northeast of Seoul in 2002. 5. Mandibular prognathism showed the highest percentage in chief complaints. The percentages of crowding and facial asymmetry were $14.2\%\;and\;11.8\%$ in 2002. Patients with facial asymmetry increased significantly. 6. Percentages of patients treated with fixed appliance and orthognathic surgery were $38.0\%\;and\;25.0\%$ in 2002. Patients needed to observe the growth pattern comprised $13.0\%$ with increasing trends. The use of chin cap reduced and the percentage of ortognathic surgery and growth observation increased significantly.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.24 no.1
• /
• pp.29-40
• /
• 2008

The purpose of this study was to evaluate the prevalence of symptoms and signs of temporomandibular joint dysfunction (TMD) and malocclusion in 10-12 year old children and to determine if a relationship exists between symptoms and signs of TMD and malocclusion. The subjects were composed of 465 school children (233 boys and 232 girls). Each subject was evaluated with simplified questionnaire and clinical examination to measure symptoms and signs of TMD and malocclusion. The results showed an elevated prevalence of headache (34.6%), which were more frequent in girls than boys. The most common cardinal sign of TMD was clicking (32.9%), which increased with age. TMJ lateral tenderness was present in 18.1% of the subjects and had a tendency to increase with age. Masseter muscle tenderness was found to be sensitive in 15.1%of the subjects and had a tendency to increase with age. Restriction of mandibular mobilitywas present in 30.3% of the subjects and had a tendency to increase with age. There was no significant difference in the prevalence of TMD signs between sex. The occlusal status showed Class I malocclusion in 73.3%, Class III in 12.9%,Class II division 1 in 11%, Class II division 2 in 2.8%. There was no significant difference in malocclusion traits between sex. There was statistically significant relationship between TMD signs and symptoms and class II division 1 and Class III malocclusion(p<0.05). The results indicate that the prevalence of TMD symptoms and signs in children is high, and the evaluation of TMD in children seems to be important.

• The korean journal of orthodontics
• /
• v.34 no.2 s.103
• /
• pp.197-203
• /
• 2004

Tweed-Merrifield directional force technology is a very useful concept, especially for the treatment of Glass II malocclusion. It has contributed to treating a favorable counter-clockwise skeletal change and balanced face, while head gear force using high pull J-hook (HPJH) in an appropriate direction is also essential to influence such results. Clinicians have encountered some problems concerning patients' compliance; however skeletal anchorage has been used widely of late because it does not necessitate patients' compliance, yet produces absolute anchorage. In this case, a good facial balance was obtained by Tweed-Merrifield directional force technology using HPJH together with skeletal anchorage, which provided anchorage control in the maxillary posterior area, torque control in the maxillary anterior area, and mandibular response. This indicates 4hat skeletal anchorage can be used to reinforce sagittal and vortical anchorage in the maxillary posterior area during the retraction of anterior teeth. The author used HPJH for torque control, Intrusion, and the bodily movement of maxillary anterior teeth during on masse movement. However, it is thought that such a result nay also be achieved by substituting mini- or microscrews for HPJH. Consequently, Tweed-Merrifield directional force technology using skeletal anchorage for the treatment of Class II malocclusion not only maximiaes the result of treatment but can also minimize patients' compliance.

• The Journal of the Korean dental association
• /
• v.19 no.1 s.140
• /
• pp.67-71
• /
• 1981

This study was undertaken to find out the characteristic craniofacial morphology of Class II Division 2 malocclusions in children by means of roentgenocephalometry. The subjects consisted of twelve boys and thirteen girls with Class Ii, Division 2, thirty seven boys and fifty three girls with Class II, Division 1, and forty six boys and eighty one girls with normal occlusion, ranged from 10 years old to 18 years old. The following results were obtained; 1. The anteroposterior relationship of the maxilla to the cranium in the Class II, Division 2 malocclusion similar to the normal occlusion, but the mandible was the posterior position in th the cranial anatomy. 2. There were no significant differences in the anteroposterior relationship of the maxilla and the mandible between Class II, Division 1 and Class II, Division 2 malocclusions. 3. In Class II, Division 1 the axes of maxillary incisors showed labial inclination, but lingual inclination in Class II, Division 2 malocclusions. 4. Overbite was prominent one in Class II, Division 2, on the other hand overjet was distinguished in Class II, Division 1.

• The korean journal of orthodontics
• /
• v.13 no.2
• /
• pp.209-222
• /
• 1983

Three patients who had Angle's Class II Division 1 malocclusion were treated by Bioprogressive therapy. In spite of their occlusions, the 3 patients did not have any skeletal problems. Their skeletal patterns were within normal range. So headgear or functional appliance therapy were not considered. During the treatment procedure, the most noteworthy results of Bioprogressive therapy were the effect of the Utility arch to intrude 4 mandibular anterior teeth, the effect of the Cuspid retractor in cuspid retraction and the effect of the Double delta retraction arch in the retraction of 4 anterior teeth. The whole treatment results in these cases which were achieved by Bioprogressive therapy were very favorable and the efficiency of this therapy was very excellent.

• The korean journal of orthodontics
• /
• v.31 no.4 s.87
• /
• pp.393-401
• /
• 2001

The purposes of this study were to assess the treatment results in orthodontic department, Kyung Hee University, to evaluate the occlusion at 2 year follow-up control, in relation to the original malocclusion, and changes occurring in the follow-up period, and to determine whether treatment and posttreatment changes of the PAR index were related to the original Angle classification Dental study casts of 25 patients in permanent dentition were evaluated using Peer Assessment Rating (PAR) index. The PAR index was measured at the pretreatment stage, immediately after treatment, and at 2 yews posttreatment. The following results were obtained : 1. The treatment reduced the PAR index by 85.05% and it indicates that KHDC clinic has a high standard of treatment 2. The follow-up result of 75.40% PAR score reduction implies a gain of 9.55% of posttreatment PAR score during follow-up period. 3. There is no relationship between the treatment changes of the PAR index and the orignal Angle classification.

• The korean journal of orthodontics
• /
• v.18 no.1 s.25
• /
• pp.209-216
• /
• 1988

The purpose of this study was to verify the class I molar relationship in skeletal class II and class II molar relationship in skeletal clan I malocclusion with unilateral class II, division 1 malocclusion. The sample consisted of lateral cephalometric radiographs and upper and lower dental casts of 30 unilateral class II, division 1 malocclusion. The results of this study were as follows: 1. Skeletal class I malocclusion was $43\%$, and skeletal class II malocclusion was $57\%$ in 30 cases of unilateral class II, division 1 malocclusion. 2. In the skeletal class II with unilateral class II, division 1 malocclusion, mandibular first molar on the class I side showed more mesial migration than the opposite side. 3. In the skeletal class I with unilateral class II, division 1 malocclusion, maxillary first molar on the class II side showed more mesial migration than the opposite side. 4. Midline deviation of upper or lower dental arch was $90\%$ in 30 cases of unilateral class II, division 1 malocclusion.

• The korean journal of orthodontics
• /
• v.16 no.1
• /
• pp.167-177
• /
• 1986

This study was undertaken to compare the main differences and its effects of the 4 first bicuspid extraction on the face and dental arch of the class II div 1 malocclusion. The subjects consisted of twenty two class II div 1 malocclusion, four males, eighteen females, were 14 Years 2 Months old at the stan of the treatment 16 Year 3 Months old at the end of the treatment. (mean age) Twenty one variables were observed by comparing the statistical data of the pretreatment records with postteratment records, which were consited of eight varibles on the study model digitation, thirteen variables on the tracing of the lateral cephalogram. The following results were obtained. 1. No significant change was observed in the intercanine width. 2. Intercuspal widths of the 1st. premolar and 2nd. premolar were decreased. 3. Change of the overjet was dependant upon upper anterior rather than lower anterior. 4. No significant changes were observed in facial plane angle and ANB angle. 5. Uprighting of the lower 1st. molar had an effect on the increase of the facial height.

• The korean journal of orthodontics
• /
• v.18 no.1 s.25
• /
• pp.141-154
• /
• 1988

This study was designed to investigate the difference between craniofacial characteristics of the normal occlusion and those of Class II Div. 1 malocclusion. The sample was divided into 2 groups, the 50 subjects of Normal occlusion, the 50 subjects of Class II Div. 1 malocclusion in both sexes. Both groups aged from 11 to 14 years. The results of this study were as follows; 1. No significant difference was observed in cranial base shape between both groups, but anterior cranial base size of Class II Div. 1 malocclusion group was larger than that of normal group. 2. No significant difference in antero-posterior position of Maxilla to cranial base was founded between both groups. 3. No difference in Mandibular shapes and Mandibular plane angles to the cranial base was observed between Class II Div. 1 malocclusion and normal occlusion, but Mandibular position in Class II Div. 1 malocclusion was posterior to that of normal group. 4. Antero-posterior relationship of Maxilla and Mandible was significant difference between both groups, but vertical relationship of those was no difference. 5. Maxillary incisor position to cranial base of Class II Div. 1 malocclusion was anteior to normal occlusion, and Maxillary posterior teeth was posterior. Mandibular incisor and mandibular posterior teeth position was no difference. 6. Upper and lower lip position to esthetic line of Class II Div. 1 malocclusion was anterior to normal occlusion.