• Title/Summary/Keyword: Inclination of the incisors

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Clinical effects of different prescriptions on the inclination of maxillary and mandibular incisors by using passive self-ligating brackets

  • Savoldi, Fabio;Sangalli, Linda;Ghislanzoni, Luis T. Huanca;Dalessandri, Domenico;Gu, Min;Mandelli, Gualtiero;Paganelli, Corrado
    • The korean journal of orthodontics
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    • v.52 no.6
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    • pp.387-398
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    • 2022
  • Objective: Controlling the incisal inclination is fundamental in orthodontics. However, the relationship between the inclination prescription and its clinical outcome is not obvious, and the incisal inclination changes generated by different bracket prescriptions were investigated. Methods: Twenty-eight non-extraction dental Class II patients (15 females, 13 males; mean age = 12.9) were retrospectively analyzed. Patients were treated using passive self-ligating fixed appliances with three inclination prescriptions for maxillary incisors (high, standard, low), and two for mandibular incisors (standard, low). Clinical outcomes were compared among different prescriptions, and regression analysis was used to explain the effects of bracket prescriptions and to understand the prescription selection criteria (α = 0.05). Results: For maxillary central incisors, low and high prescriptions were related to linguoversion (p = 0.046) and labioversion (p = 0.005), respectively, while standard prescription maintained the initial dental inclination. Maxillary lateral incisors did not show significant changes. For mandibular incisors, low prescription led to linguoversion (p = 0.005 for central incisors, p = 0.010 for lateral incisors), while standard prescription led to labioversion (p = 0.045 for central incisors, p = 0.005 for lateral incisors). The factors affecting inclination changes were the imposed change and selected prescription, while prescription selection was influenced by the initial dental inclination and initial intercanine distance. Conclusions: The direction of correction of incisal inclination can be controlled by choosing a certain prescription, but the final inclination may show limited consistency with it. The amount of imposed inclination change was the most relevant predictor of the clinical outcome.

Incisor inclination indicator for anterior torque control during retraction in lingual orthodontic treatment (설측교정치료에 있어서 전치부 후방 견인시 토오크 조절을 위한 incisor inclination indicator)

  • Hong, Ryoon-Ki;Kim, Tae-Gun;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.34 no.6 s.107
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    • pp.544-554
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    • 2004
  • A device called incisor inclination indicator to control the axial inclinations of the incisors in the diagnostic setup is introduced. It is used to control the retraction of the maxillary and mandibular incisors. In this article, we describe the use of the incisor inclination indicator to prescribe adequate torque into the anterior lingual brackets and evaluate the results of treatment in a bimaxillary dentoalveolar protrusion case that underwent orthodontic treatment with the pretorqued anterior lingual brackets. Retraction of the maxillary and mandibular incisors was achieved with careful control of the axial inclination. It is indicated that the use of the incisor inclination indicator is an effective adjunctive laboratory procedure for anterior torque control during retraction in lingual orthodontic treatment.

Correlation between the Inclinations of the Incisors and Lips in Mixed Dentition (혼합치열기 아동의 전치 경사도와 입술 경사도 사이의 상관관계)

  • Oh, Sungdong;Lee, Jewoo;Kim, Jinyoung;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.1
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    • pp.21-31
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    • 2018
  • This study aimed to investigate the correlation between the inclinations of the incisors and lips in mixed dentition aged 7 - 11 years. Lateral cephalometric radiographs of 353 children were analyzed to measure the upper incisor inclination, lower incisor inclination, lower-nasolabial angle, and mentolabial angle in relation to the skeletal malocclusion classification. The measurements were then assessed using the Kruskal-Wallis test, Pearson correlation, and multiple regression analysis. There were significant negative correlations between the inclination of the upper incisors and lower-nasolabial angle in all classes of skeletal malocclusion. There was a negative correlation between the inclination of the lower incisors and mentolabial angle; however, class II malocclusion had a significant positive correlation. This study identified the factors that affect lip inclination and verified their associations.

A STUDY OF THE CROWN INCLINATION IN NORMAL OCCLUSIONS (정상 교합자의 치관 경사도에 관한 연구)

  • Jeong, Don-Young;Sohn, Byung-Hwa;Park, Young-Chuel
    • The korean journal of orthodontics
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    • v.16 no.1
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    • pp.155-165
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    • 1986
  • Recently, straight-wire appliance is widely used with great concern in clinical orthodontic field. The purpose of this study was to collect the information of the straight-wire appliance and to determine the crown inclination in clinical orthodontics. The author analyzed the study model of 78 individuals with normal occlusion. The obtained results were as follows. 1. Mean, maximum value, minimum value and standard deviation of crown inclination of upper and lower teeth were obtained. 2. The lingual crown inclination of upper tooth had constant value from first premolar through second molar, the lingual crown inclination of lower tooth progressively increased from canine through second molar. 3. As Howes' ratio was decreased, the crown inclination of upper incisors was increased. 4. Narrowing the upper arch, the crown inclination of upper incisors was increased.

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Alveolar bone thickness around maxillary central incisors of different inclination assessed with cone-beam computed tomography

  • Tian, Yu-lou;Liu, Fang;Sun, Hong-jing;Lv, Pin;Cao, Yu-ming;Yu, Mo;Yue, Yang
    • The korean journal of orthodontics
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    • v.45 no.5
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    • pp.245-252
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    • 2015
  • Objective: To assess the labial and lingual alveolar bone thickness in adults with maxillary central incisors of different inclination by cone-beam computed tomography (CBCT). Methods: Ninety maxillary central incisors from 45 patients were divided into three groups based on the maxillary central incisors to palatal plane angle; lingual-inclined, normal, and labial-inclined. Reformatted CBCT images were used to measure the labial and lingual alveolar bone thickness (ABT) at intervals corresponding to every 1/10 of the root length. The sum of labial ABT and lingual ABT at the level of the root apex was used to calculate the total ABT (TABT). The number of teeth exhibiting alveolar fenestration and dehiscence in each group was also tallied. One-way analysis of variance and Tukey's honestly significant difference test were applied for statistical analysis. Results: The labial ABT and TABT values at the root apex in the lingual-inclined group were significantly lower than in the other groups (p < 0.05). Lingual and labial ABT values were very low at the cervical level in the lingual-inclined and normal groups. There was a higher prevalence of alveolar fenestration in the lingual-inclined group. Conclusions: Lingual-inclined maxillary central incisors have less bone support at the level of the root apex and a greater frequency of alveolar bone defects than normal maxillary central incisors. The bone plate at the marginal level is also very thin.

The effect of labial inclination on intrusion of the upper and lower incisors by three-dimensional finite element analysis (분절호선법으로 상하악 절치부 압하 시 순측경사도가 미치는 영향에 관한 3차원 유한요소법적 연구)

  • Kim, Dong Woo;Yang, Hoon Chul;Kim, Gi Tae;Kim, Sung Sik;Son, Woo Sung
    • The korean journal of orthodontics
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    • v.33 no.4 s.99
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    • pp.259-277
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    • 2003
  • This study was designed to investigate the position of anteroposterior center of resistance for genuine intrusion and the mode of change of the minimum distal force for simultanous intrusion and retraction of the upper and lower incisors according to the increase of labial inclination. For this purpose, we used the three-piece intrusion arch appliance and three-dimensional finite element models of upper and lower incisors. 1. Positions of the center of resistance in upper incisors according to the increase of the labial inclination were as follows; 1) In normal inclination situation, the center of resistance was located in 6m behind the distal surface of the lateral incisor bracket. 2) In $10^{\circ}$ increase of the labial inclination situation, the center of resistance was located in 9mm behind the distal surface of the lateral incisor bracket. 3) In $20^{\circ}$ increase of the labial inclination situation, the center of resistance was located in 12m behind the distal surface of the lateral incisor bracket. 4) In $30^{\circ}$ increase of the labial inclination situation, the center of resistance was located in 16m behind the distal surface of the lateral incisor bracket. 2. Positions of the center of resistance in lower incisors according to the increase of the labial inclination were as follows; 1) In normal inclination situation, the center of resistance was located in 10mm behind the distal surface of the lateral incisor bracket. 2) In $10^{\circ}$ increase of the labial inclination situation, the center of resistance was located in 13m behind the distal surface of the lateral incisor bracket. 3) In $20^{\circ}$ increase of the labial inclination situation, the center of resistance was located in 15m behind the distal surface of the lateral incisor bracket. 4) In $30^{\circ}$ increase of the labial inclination situation, the center of resistance was located in 18m behind the distal surface of the lateral incisor bracket. 3. The patterns of stress distribution were as follows; 1) There were even compressive stresses In and periodontal ligament when intrusion force was applied through determined center of resistance. 2) There were gradual increase of complexity in compressive stress distribution pattern with Increase of the labial inclination when intrusion and retraction force were applied simultaneously. 4. With increase of the labial inclination of the upper and lower incisors, the position of the center of resistance moved posteriorly. And the distal force for pure intrusion was increased until $20^{\circ}$increase of the labial inclination.

Effect of labiolingual inclination of a maxillary central incisor and surrounding alveolar bone loss on periodontal stress: A finite element analysis

  • Choi, Sung-Hwan;Kim, Young-Hoon;Lee, Kee-Joon;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.46 no.3
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    • pp.155-162
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    • 2016
  • Objective: The aim of this study was to investigate whether labial tooth inclination and alveolar bone loss affect the moment per unit of force ($M_t/F$) in controlled tipping and consequent stresses on the periodontal ligament (PDL). Methods: Three-dimensional models (n = 20) of maxillary central incisors were created with different labial inclinations ($5^{\circ}$, $10^{\circ}$, $15^{\circ}$, and $20^{\circ}$) and different amounts of alveolar bone loss (0, 2, 4, and 6 mm). The $M_t/F$ necessary for controlled tipping ($M_t/F_{cont}$) and the principal stresses on the PDL were calculated for each model separately in a finite element analysis. Results: As labial inclination increased, $M_t/F_{cont}$ and the length of the moment arm decreased. In contrast, increased alveolar bone loss caused increases in $M_t/F_{cont}$ and the length of the moment arm. When $M_t/F$ was near $M_t/F_{cont}$, increases in Mt/F caused compressive stresses to move from a predominantly labial apical region to a palatal apical position, and tensile stresses in the labial area moved from a cervical position to a mid-root position. Although controlled tipping was applied to the incisors, increases in alveolar bone loss and labial tooth inclination caused increases in maximum compressive and tensile stresses at the root apices. Conclusions: Increases in alveolar bone loss and labial tooth inclination caused increases in stresses that might cause root resorption at the root apex, despite the application of controlled tipping to the incisors.

희유한 상악 쌍태치의 일례

  • Lim, Kwang-Soo;Kim, Choong-Gun;Park, Chung-Cha
    • The Journal of the Korean dental association
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    • v.12 no.6
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    • pp.377-379
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    • 1974
  • A rare case of two supernumerary teeth on the lingual side of the upper central incisors was observed in a 17 year old korean male. The characteristics were as follow : 1) The site of the occurrence was on the lingual side of upper central incisors. 2) The sizes of both supernumerary teeth were smaller than the normal incisor teeth and quite different from the normal incisors in the tooth shape. 3) A diastema was seen between the maxillary central incisors, and the right incisor exhibited labioversion and left incisor exhibited some mesial inclination.

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소아의 치조골 돌출도 및 전치경사도에 관한 두부방사선계측학적 연구

  • SoHn, Dong-Soo
    • The Journal of the Korean dental association
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    • v.20 no.12 s.163
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    • pp.1049-1052
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    • 1982
  • This study was performed to investigate the changes of dento-alveolar relationship in relation to the eruption of in cisors using roentgenocephalometry. The Subjects consisted of 76 females from 4 to 8 years with normal occlusion. The following conclusions were obtained: 1. When maxillary and mandibular permanent central incisors were erupted, maxillary alveolar prognathism was increased, while mandibular alveolar prognathism was not changed. 2. Axial inclination of permanent incisors was greater than that of primary incisors.

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A COMPARATIVE STUDY ON THE POSITIONAL CHANCES OF CRANIOFACIAL STRUCTURES BETWEEN MIXED AND PERMANENT DENTITION IN CLASS III MALOCCLUSION BY MESH DIAGRAM (혼합치열 및 영구치열기에서 mesh diagram을 이용한 3급 부정교합자 악안면구조의 위치변화에 관한 비교 연구)

  • Lee, Young-Mi;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.101-113
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    • 1993
  • For the purpose of interpretation of positional changes of craniofacial structures in Class III malocclusion between mixed and permanent dentition, 73 normal samples and 103 Class III samples of mixed dentition and 125 normal samples and 168 Class III samples of permanent dentition were selected. Comparative cephalometric analysis was undertaken between them respectively by mesh diagram method to evaluate the positional changes of maxilla and mandible in anteroposterior direction and vertical direction and also the inclination changes of maxillary and mandibular incisors in labio-lingual direction. The following results were obtained : 1. The antero-posterior positional changes of the maxilla and mandible were posterior direction of maxilla and anterior direction of mandible. 2. The vertical positional changes of the maxilla and mandible were superior direction of both maxilla and mandible. 3. The labio-lingual inclination changes of the maxillary and mandibular incisors were lingual direction of both maxillary and mandibular incisors.

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