• Title/Summary/Keyword: Malocclusion patients

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The Treatment Change of PAR(Peer Assessment Rating) Index and Cephalometric Measurements in Class I Malocclusion Patients (제 I 급 부정교합 환자에서 치료전후 PAR지수와 두부방사선계측치의 변화)

  • Kim, Hyeon-Hye;Lee, Ky-Heon;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.29 no.2 s.73
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    • pp.277-284
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    • 1999
  • The purpose of this study was to evaluate the relation between the treatment duration and cephalometric measurements and the PAR index in Class I malocclusion patients. In 100 Class I malocclusion patients, PAR score and cephalometric measurements were taken from study model and cephalometric radiographs and analyzed statistically. The results of this study were obtained as follows: 1. treatment duration was correlated with extraction and pre PAR index. 2. ANB, FMA, FMIA and IMPA exhibited positive correlation between pre PAR index and pretreatment cephalometric measurements. 3. $\underline{1}$ to FP exhibited positive correlation between post PAR index and posttreatment cephalometric measurements, and $\overline{1}$ to FP exhibited negative correlation. 4. $\underline{1}$ to SN, IIA and $\overline{1}$ to FP exhibited positive correlation between ${\%}\;PAR$ reduction and the change of cephalometric measurements and FMA FMIA, WITS and UL exhibited negative correlation. The results of this study indicate that PAR index taken from study model relate with items concerned with upper and lower incisors, and there are the tendency that pretreatment PAR index are larger in the patients with large Am value and hyperdivergent face.

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TREATMENT OF SKELETAL ANTERIOR CROSSBITE IN PRIMARY DENTITION USING FACEMASK (Face mask를 이용한 유치열기 골격성 반대교합의 치료)

  • Seo, Ju-Hee;Lee, Kwang-Hee;Kim, Dae-Eop;Lee, Ji-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.100-106
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    • 2002
  • The prevalence of Class III malocclusion is approximately 5% in the Caucasian population, rising to as mush as 50% in the Japanese and Korean population. Recent studies have suggested than 63% of this malocclusion display maxillary retrusion. If left untreated, the malocclusion tends to worsen. Consequently, early treatment is commonly indicated to obtain a more normal jaw relationship. This report is 2 cases treated patients who diagnosed as skelectal Class III malocclusion due to deficient maxilla using facemask.

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Maxillomandibular arch width differences at estimated centers of resistance: Comparison between normal occlusion and skeletal Class III malocclusion

  • Koo, Yun-Jin;Choi, Sung-Hwan;Keum, Byeong-Tak;Yu, Hyung-Seog;Hwang, Chung-Ju;Melsen, Birte;Lee, Kee-Joon
    • The korean journal of orthodontics
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    • v.47 no.3
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    • pp.167-175
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    • 2017
  • Objective: To evaluate the differences in maxillomandibular transverse measurements at either the crown or the estimated center of resistance (CR), and to compare values between normal occlusion and Class III malocclusion groups. Methods: Dental casts and computed tomography (CT) data from 30 individuals with normal occlusion and 30 with skeletal Class III malocclusions were evaluated. Using the casts, dental arch widths (DAWs) were measured from the cusp tips, and basal arch widths (BAWs-cast) were measured as the distance between the points at the mucogingival junction adjacent to the respective cusp tips. The BAWs determined from CT (BAWs-CT) images were measured from the estimated CRs of the teeth. Results: None of the DAW measurements or maxillomandibular DAW differences showed statistically significant intergroup differences. In contrast, the maxillary BAWs-CT and BAWs-cast were lesser in the Class III malocclusion group than in the normal occlusion group. The mandibular BAWs-CT were significantly greater in the Class III malocclusion group than in the normal occlusion group. Moreover, the maxillomandibular BAW differences on both CT and cast showed significant intergroup differences in all transverse measurements. Conclusions: The maxillomandibular DAW differences showed no significant intergroup differences. In contrast, the maxillomandibular BAW differences on both CT and cast showed significant intergroup differences in all transverse measurements. The maxillomandibular BAW differences at the estimated CRs, measured using CT or casts, can reveal underlying transverse maxillary basal arch deficiencies in patients with skeletal Class III malocclusions.

Location of mental foramen by lateral cepalometric radiography (측방 두부규격방사선사진을 이용한 이공의 위치)

  • Lee, Seung-Hun;Kim, Dong-Yeol;Jung, So-Yun
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.655-661
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    • 2010
  • Objectives : This study is aimed to prevent the damage to the inferior alveolar nerve during the orthognathic surgery. Methods : The control group consist of 50 patients with class I occlusion. The experimental group consist of 50 patients with class III malocclusion. The cepalometric radiography was used to evaluate the position of the mental foramina. Results : In the first, mental foramen position of class III was more inferior 0.85 mm in the distance between base of mandible and mental foramen. But the distance between occlusal plan and mental foramen had not statistically significant. Secondly, mental foramen location of Mandibular Prognathism was more anterior 0.91 mm in the distance between coronal plane of mandible included pogonion point and mental foramen. Also, the distance of occlusal-coronal plane of mandible included central incisor and mental foramen had statistically significant. The mental foramen location of class III was more anterior 4.81 mm than class I patients. Conclusions : The result of this study could help the clinicians to apprehend fundamental data with various facial skeletal types for any related researches about the location of the mental foramina for other purposes.

THE CLINICAL STUDY OF MANDIBULAR FRACTURE

  • Lee, Dong-Keun;Yim, Chang-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.69-77
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    • 1989
  • This is a retrospective study on 219 patients with mandibular fracture. The patients were treated in the Dept. of Oral Maxillofacial Surgery of WON KWANG UNIV. HOSPITAL from Aug. 1, 1984 to Sept. 30. 1988. The results were as follows. 1. The mandibular fractures occured most frequently in the twenties(35%) and male were predominant (74.7%) than females. 2. The most frequent etiologic factor was traffic accident(34.3%). 3. The most common location of fracture was symphysis(37.1%). And angle(27.6%), condyle(25.7%), ramus(1.6%) were next in order of frequency. 4. In mandible fracture, they have an average 1.8 fracture line. 5. The use of plate & screw system were more increased in the comparison of each year. 6. Intermaxillary fixation period was more reduced from the concept of 6 weeks fixation, due to the use of Plate & screw system. 7. Postoperative acute wound infection was developed 9.6% in 219 mandibular fracture patients. The compression osteosynthesis was most common cause of acute wound infection than any other treatment method. 8. Postoperative malocclusion was developed 4% in 219 mandibular fracture. And the compression osteosynthesis was most common cause of malocclusion. 9. Acute wound infection was detailed by the approach method. The Intraoral & extraoral combination method was most common cause on acute infection and intraoral, extraoral approach method was next in order of frequency. 10. Normal mouth opening process was proportioned to IMF period. The short IMF period have a fast normal mouth opening process.

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A ROENTGENOCEPHALOMETRIC STUDY ON THE EFFECTS OF THE CHINCAP IN THE SKELETAL CLASS III MALOCCLUSION (이모장치를 사용한 골격성 III급부정교합 아동의 두개악안면 형태변화에 대한 두부방사선계측학적 연구)

  • Hwang, Chi Il;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.19 no.1 s.27
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    • pp.219-243
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    • 1989
  • The purpose of this study was to evaluate the effects of the chincap therapy on the craniofacial structure in persons with skeletal Class III malocclusion. The patients selected for this study were treated with extra-oral chincap therapy only. Both control and treatment samples were obtained from Seoul National University Hospital where these longitudinal data were gathered. 55 treated patients and 14 control patients were studied. The mean ages at the 1st evaluation was 8 years 3 months in the treatment sample and 9 years 4 months in the control sample. The duration of chincap therapy was variable but averaged 2 years of treatment. Post-treatment observation procedeeded for 1 year 2 months. Active treatment and post treatment effects were evaluated. The results were as follows: 1. Neither significant restraint nor acceleration of growth was found in the cranial base and maxilla during treatment. 2. A distal rotation of the mandibular complex was seen. 3. Some amount of restraint of growth was found in mandibular body length, ramus height, mandibular length during treatment. 4. The genial angle was reduced. 5. After removal of the chin-cap, forward displacement of the mandible took place.

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Soft tissue changes in skeletal class II patients treated with bilateral sagittal split osteotomy advancement surgery (골격성 II 급 부정교합 환자의 하악골 전진술 후 연조직 변화 분석)

  • Shin, Hee-Jin;Kim, Jin-Wook;Park, Je-Uk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.2
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    • pp.94-99
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    • 2010
  • The purpose of this study was to examine the soft tissue changes in skeletal class II patients after mandibular advancement by bilateral sagittal split ramus osteotomy (BSSRO). In Asian population, the incidence of skeletal class II malocclusion is lower than that of skeletal class III malocclusion unlike the caucasians. This study was conducted to figure out the ratio at which hard tissue and soft tissue changes after mandibular advancement by analyzing cephalograms of 13 patients that have undergone the mandibular advancement surgery. As a result, change ratios of Li, B', Pog' according to the movement of li, B, Pog were found to be 0.59, 1.06, 0.82. Also, vertical height of vermilion zone (Si-Vb) and lower lip and chin (Si-Me') were measured to evaluate vertical changes. Vermilion zone showed tendency to decrease by 1.02 mm on the average postoperatively, whereas vertical length of lower lip and chin showed tendency to increase by 3.57 mm on the average.

Retromandibular Approach for the Open Reduction of Fractured Mnadibular Condyle (하악과두 골절의 관혈적 정복술을 위한 하악 후방 접근법)

  • Kim, Hak-Kyun;Kim, Su-Gwan;Kang, Dong-Wan;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.283-288
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    • 2006
  • There are several manners for surgical approaches to the mandibular condyle. With the retromandiular approach, the condyle and fracture are exposed directly and allow for good inspection and reduction. The retromandibular scar is very well camouflaged and practically invisible. The aim of this study was to evaluate clinical results of retromandibular approach for the reduction and fixation of fractured mandibular condyles. We described postoperative complications such as temporary facial nerve weakness involving the marginal mandibular branch, mouth opening limitation and malocclusion in 13 patients with mandubular condylar fractures; 11 subcondylar fractures and 2 condylar neck fractures. The follow-up period was longer than 6 months in all patients. The retromandibular approach was successful in all subcondylar fracture cases. 2 patients with condylar neck fracture had mouth opening limitation and temporary marginal nerve palsy longer than 3 months. But there were no cases of permanent nerve injury and malocclusion. Our findings indicate that retromandibular approach is an easy and safe technique for subcondylar fracture but not for condylar neck fracture.

DIFFERENT IAL APPROACHES IN THE MALOCCLUSION WITH CANINE IMPACTION (견치 매복을 동반한 부정교합자의 다각적 교정치료)

  • Choi, Eun-Ah;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.669-679
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    • 1998
  • During diagnostic process of the orthodontic patients, it is not unusual to find canine impaction. Generally, the chief complaint of the patients is crowding or antetior crossbite which is not related with canine impaction, but sometimes they complainted delayed eruption of the canine or deviation of the adjacent teeth caused by canine impaction. Orthodondists have to make the proper treatment plan according to final treatment goals. On the following cases, two patients were diagnosed as a malocclusion with canine impaction, and were treated by different accesses, one by extraction, and the other by non-extraction each.

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THE DISTRIBUTION AND TREND OF MALOCCLUSION PATIENTS VISITED AT DEPATMENT OF ORTHODONTICS (경북대학교 병원 교정과에 내원한 부정교합 환자의 분포 및 변동추이)

  • Gokr, Duk-Boo;Park, Dong-Ok;Kyung, Hee-Moon;Kwon, Oh-Won;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.19 no.3
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    • pp.35-48
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    • 1989
  • 1795 patients who visited orthodontic department from 1979 to 1987, were surveyed on the yearly tendency of patient distribution and state of Angle's classification. The results were as follows; 1. There was increased visiting rate of patient per year and higher visiting rate in female than in male. 2. 8-15 age group was 70.3% in total visiting patients and over 20 age group was 10.8%, under 7 age group was 7.3%. 3. Class I malocclusion was 26.3%, Class II div 1 was 31.0%, Class II div 2 was 1.6% and Class III was 41.1% in total visiting patient. 4. There was increased tendency to be received preventive treatment than fixed treatment and increased extracting rate per year in fixed treatment. 5. There was increased tendency for the number of the patient to be received orthognathic surgery.

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