• Title/Summary/Keyword: LIP Control

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ORENTGENOGRAPHIC STUDIES ON THE SOFT TISSUE PROFILE (악안면 연조직에 관한 X선학적 연구)

  • Park Tae Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.1 no.1
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    • pp.29-37
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    • 1971
  • Modern orthodontics implies not only occlusal excellence, but also the positioning of teeth to produce optimal facial harmony for the individual patients. Several methods have been used in the study of facial height, width and depth were made from living subjects. These methods, however, complicate to control the subjects, therefore many investigators have used profile cephalometric technics. Practically, cephalometric technics were used m orthodontic treatment, maxillo-facial surgery and anthropometric studies. Author was studied to investigate the normal standards of soft tissue profile in Korean adolescences. The subjects consisted of 53 males and 54 females from 17 to 22 years of age and with normal occlusion and acceptable profile. Aluminum filter was designed to obtain both hard and soft tissue structures on a single film. Eight profile landmarks were plotted and drawn on the tracings of all cephalograms and eighteen depth, height and angles were measured from each landmarks of the cephalograms. The following conclusIOns were obtained from this studies; 1. Total facial convexity was 170. 75 in males and females samples and lower facial and: labiomandibular convexity were each of 141.44, 171.05. 2. Maxillary and mandibular sulcus angulations were 137.61, 129.52 and upper and lower lip inclinations were each of 123.26 and 49.56 in male and females. 3. Soft tissue depth of several points were as follows; Subnasale 18.74㎜ in males and 16.65㎜ in females Pogonion 13.40㎜ in males and 13.07㎜ in females upper lip 14.06㎜ in males and 11.91㎜ in females . lower lip 15.46㎜, 13.63㎜ in males and females 4. The protrusion of nose were 16.28㎜ in males and 15.56㎜ in females 5. The vertical length of upper and lower lips were 25.67㎜, 52.96㎜ and the lip posture was indicated 93.43 per cent (closed state) in centric occlusions.

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MAXILLARY ADVANCEMENT USING RIGID EXTERNAL DISTRACTION(RED) IN CLEFT LIP AND PALATE PATIENT : CASE REPORT (견고 구외 골신장술을 이용한 구순구개열 환아의 치험례)

  • Yu, Nan-Young;Kim, Sung-Min;Lee, Ju-Hyun;Seo, Hyun-Woo;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.709-716
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    • 2005
  • Patients with cleft tip and palate present severe maxillary hypoplasia due to scar of lip and palate, often accompanied by compromised mastication, speech abnormalities. Sometimes maxillary hypoplasia persist even though active orthodontic treatment was done. In theses cases, patients born with cleft lip and palate will be potential candidates for maxillary advancement with bone grafting after growth to correct the functional deformities and improve aesthetic facial proportions. But, maxillary advancement using standard surgical approaches has several limitations : increased relapse tendency after maxillary advancement, necessity of additional bone graft and mandibular setback surgery. Distraction osteogenesis is current treatment modality to overcome these limitations, thus has become popular for treatment of maxillary hypoplasia associated cleft lip and palate, craniosyntosis. Especially, rigid external distraction, contrary to internal device, has advantages : better vector control of osteotomized segment, effective traction of the bony segments, the ease of the application and removal the distraction device. This study showed that relatively successful result could be generated by using rigid external distraction osteogenesis(RED) in the case of cleft lip and palate with severe maxillary hypoplasia, 6 years 7 months old.

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임상가를 위한 특집 2 - 선천성 기형환자에서의 악교정수술 적용과 수술 증례 분석

  • Jung, Hwi-Dong;Jung, Young-Soo
    • The Journal of the Korean dental association
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    • v.50 no.11
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    • pp.670-676
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    • 2012
  • Distraction osteogenesis and orthognathic surgery are the widely used surgical methods for treating hemifacial microsomia and cleft lip and palate, the representative forms of congenital deformity. Distraction osteogenesis is an outstanding treatment of choice when more traction is needed than what can be achieved by general orthognathic surgery. However, the stability of distraction osteogenesis has not yet been established, and in most of the cases, additional orthognathic surgery is mandatory. Moreover, the difficulty in precise control of the traction directions is another disadvantage of distraction osteogenesis. Therefore, it would be desirable not to conduct distraction osteogenesis when the patient is suitable for an orthognathic surgery. Also, distraction osteogenesis should be recognized as an accessorial method of treatment, and be used restrictively.

A Study of Korean Standard Speech Evaluation(kSNAP test) for Cleft Palate speaker (구개열 언어 평가의 표준화 연구 : kSNAP 테스트를 중심으로)

  • Shin Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.1
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    • pp.1-9
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    • 2002
  • Some children with Cleft Palate have shown a speech disorders after repaired surgical operation. A diagnostic evaluation of speech in children with cleft palates is important in preventing speech disorders. However, standard speech evaluation form for children with cleft palates has not yet developed in Korea. The purpose of this study is to make the standard speech evaluation form for children with cleft palates. Thirty control children group and ten children with cleft palate participated in this experiment. The test words are composed of meaningless two syllabic words containing the three different types of korean stop consonants,

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The Effects of Type of Rapid Palatal Expansion Appliance on the Circummaxillary Sutures : A 3D FEA study (급속 구개 확장 장치 종류가 상악골 주변 봉합에 미치는 영향에 대한 유한요소해석)

  • Kim, Yu-Wan;Moon, Yoon-Sik;Sung, Sang-Jin
    • Korean Journal of Cleft Lip And Palate
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    • v.15 no.2
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    • pp.51-60
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    • 2012
  • Craniofacial sutures absorb the stress transferred to skull. It was reported the cells of craniofacial sutures respond to exogenetic factors to be involved in growth control mechanism. In this study, we constructed a finite element model composed of cortical bone, cancellous bone, suture, PDL, and teeth by using CT images of a growing patient, simulating maxillary expansion to evaluate the effects of the thickness of sutures and type of maxillary expansion appliance on stress distribution in circummaxillary sutures.

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ROENTGENOCEPHALOMETRIC STUDY ON CRANIOFACIAL MORPHOLOGY OF DEEPBITES (과개교합자의 악안면 형태에 관한 두부 X-선사진 계측학적 연구)

  • Kim, Hee-Jeong;Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.23 no.3 s.42
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    • pp.341-358
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    • 1993
  • This study was investigated to evaluate the morphologic characteristics of deepbite tendency as multiple factors. The subjects consisted of 60 control subjects(male 25, female 35) and 137 deephite patients(68 male, 69 female). The deepbite group was composed of 4 subgroups(Class I 44, Class II div. 1 40, Class II div. 2 13, Class III 40). The mean age was 21.57 year for the control group 21 year for deepbite group lateral cephalograph in centric occlusion were taken, traced, and digitized for each subject. The statistically computerized analysis was carried out with SAS program. The results were as follows ; 1. In deepbite group, saddle angle is lesser than that of normal group. 2. The vertical dysplasia is prominent on anterior lower face and is closely related with mandibular form and inclination. 3. Without consideration of sagittal relationship, the dental factors such as curve of Spee, interincisal angle, U1 to upper lip length were prominent in the deepbite group. 4. Although there were individual variances in the perioral soft tissue profile, the lip presented more protruded pattern. 5. There was no significant difference in hyoid bone position and inclination between normal and deepbite group. 6. The multivariate discriminant analysis between normal and Class I deepbite group showed that curve of Spee, AB-MP angle, interincisal angle, articular agnle were critical in the determination of deepbite as multiple factors.

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Effects of Doin Gigong Exercise on Recovery from Facial Paralysis, Pain and Anxiety of Bell's palsy Patients (도인기공체조(導引氣功體操)가 구안와사(口眼喎斜)환자의 안면마비 회복정도, 통증 및 불안에 미치는 효과)

  • Sin, Mi Sook;Kim, Yi Soon;Lee, Mi Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.52-62
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    • 2012
  • Purpose: This study was done to evaluate the effects of Doin Gigong Exercise on the Recovery from Facial Paralysis, pain and anxiety in patients with Bell's palsy. Methods: A nonequivalent control group posttest-only non-synchronized design was used for this study. Participants were contacted at the oriental medicine ward of D hospital in Busan and assigned to either the experimental group (25) or control group (25). Collected data were analyzed for changes in recovery from facial paralysis, in pain and in anxiety between pre and post Doin Gigong Exercise. Data analysis was done using t-test, Fisher's exact test, $x^2-test$ with the SPSS 12.0 Win program. Results: There were significant decreases in the lip paralysis status pain and in anxiety between pre and post Doin Gigong Exercise. Conclusion: The results indicate that Doin Gigong Exercise is effective for patients with Bell's palsy to decrease lip paralysis, pain and anxiety and therefore, an effective intervention for use with patients with Bell's palsy.

The Study of Faulty Vocal Habits in Patients with Hoarsenes (애성환자에 있어서 잘못된 발성습관에 관한 연구)

  • 안철민;박정은
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.1
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    • pp.12-16
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    • 1999
  • Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

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STATISTICAL STUDY OF SIZE OF THE CRANIUM IN PARENTS OF CHILDREN WITH CLEFT LIP AND/OR PALATE (순열, 구개열 환자 부모의 두부 방사선 사진의 통계적 연구)

  • Lee, Jong-Han;Shin, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.3
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    • pp.231-240
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    • 1991
  • The parents of twenty-five patients with cleft lip(with or without cleft palate), CL(P) and the parents of fifteen non-cleft patients were studied. Area measurements of cranium of brain case from lateral and frontal roentgenograms. The most important finding of this investigation was that the CL/CP parents had a significantly smaller brain case than did the control subjects. A smaller brain case may well be one morphological characteristic predisposing toward the cleft anomaly. The results obtained were as follows, 1) Total area measurements for brain case of parents of CWCP patients were significantly smaller than those in the control group, on the frontal view. 2) A significantly smaller parietal and occipital region on the frontal view vas noted in the parents of CL/CP patients. 3) A significantly smaller parietal region on the lateral view was noted in the mothers of CL/CP patients. 4) A significantly smaller mastoid area on the lateral view was noted in the parents of CL/CP patients.

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THE EFFECTS OF CLEFT ON MESIODISTAL DIMENSIONS OF PERMANENT TEETH IN UNILATERAL CLEFT LIP AND PALATE PATIENTS (순구개열이 영구치 근원심 폭경에 미치는 영향)

  • Bok, Jae-Kweon;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.447-451
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    • 1995
  • The purpose of this study was to investigate the effects of cleft on mesiodistal dimensions of permanent teeth in unilateral cleft lip and palate patients. Mesiodistal dimensions of permanent teeth were measured to the nearest 0.01mm on plaster models of 50 subjects with unilateral complete cleft lip and palate, 10 siblings and 50 Controls. The results were as follows : 1. Tooth size discrepancy in the cleft group was significant in all regions except maxillary cuspid, mandibular cuspid and mandibular first premolar. 2. Some of the mesiodistal dimensions of the teeth on the cleft side were significantly smaller than those of their antimeres on the non-cleft side in the cleft group. 3. A comparison of mesiodistal dimensions of the teeth for the right and left sides of the control group showed no statisically significant differences excepts maxillary lateral incisor. 4. Asymmetries of mesiodistal dimensions of the teeth in the sibling group was not found except maxillary first molar.

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