• Title/Summary/Keyword: Malocclusion patients

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A STUDY ON CHANGES IN THE FORM AND DIMENSIONS OF DENTAL ARCHES RESULTING FROM ORTHODONTIC TREATMENT (교정치료(矯正治療)에 따르는 치열궁형태(齒列弓形態) 및 크기 변화(變化)에 관(關)한 연구(硏究))

  • Park, Nae Seob;Lee, Dong Joo
    • The korean journal of orthodontics
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    • v.17 no.2
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    • pp.235-246
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    • 1987
  • The purpose of this study was to detect out the changes occured during orthodontic treatment. The sample was consisted of 77 orthodontic patients. For this study 13 linear lengths and arch area were measured in maxilla, mandible respectively and were analyzed statistically. The results were as follows 1 The sequence of changes in the form and dimensions of dental arches following orthodontic treatment was as follows Class I malocclusion, Class III malocclusion, Class II malocclusion. 2 Changes in the form and dimensions of dental arches were greater in extraction cases than those of non-extraction cases 3 In comparison with maxilla and mandible on the amount of changes following orthodontic treatment in each malocclusion group, significant differences were greatest in class III malocclusion 4 In comparison with maxilla and mandible on the amount of changes following orthodontic treatment in extraction and non-extraction cases, significant differences were greater in extraction cases than those of non-extraction cases 5. The amount of changes during orthodontic treatment in extraction and non-extraction cases in male was not different from female's.

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The treatment of skeletal Class III growing patient using MTA(Modified Tandem Appliance) (성장기 III급 환자에서 MTA(modified Tandem Appliance)를 이용한 교정치료)

  • Moon, Cheol-Hyun;Nam, Ji-Seon
    • The Journal of the Korean dental association
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    • v.46 no.2 s.465
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    • pp.88-99
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    • 2008
  • In growing patients with Class III malocclusion and midfacial deficiency, the treatment protocol calls for orthopedic maxillary protraction and clinicians choose the facemask therapy generally. But facemask is not esthetic or comfortable to patients because it should be worn extraorally. Consequently it is difficult to obtain patients cooperation, and this often influences the treatment effects negatively. MTA (modified tandem appliance), that is a small intraoral appliance, is carried conveniently and esthetic relatively. So it seemed more patient-friendly than a facemask. While the treatment effect of this is similar to that of a facemask. This report presents skeletal Class III malocclusion two cases treated by MTA with good results.

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The orthopedic correction of mandibular protrusion with TTBA growing patients: Report of two cases (성장기 하악전돌 환자에서 TTBA를 이용한 교정치료:증례보고)

  • Kim, Byeong-Cheon;Mun, Cheol-Hyeon
    • The Journal of the Korean dental association
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    • v.41 no.10 s.413
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    • pp.720-727
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    • 2003
  • Clinicians generally agree that Class III malocclusion is one of the most difficult to treat. When the Class III malocclusion is characterized by maxillary retrusion in growing patients, the use of a face mask may be the treatment of choice. Although face mask can achieve excellent orthopedic effects. It demands special patient compliance because it is worn extraorally and is not as esthetic or comfortable as intraoral appliance. This report presents the clinical cases of mandibular protrusion correction in growing patients, who were treated by TTBA(Tandem Traction Bow Appliance) that's a intraoral appliance.

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The Distribution and Trend of Malocclusion Patients Visited at Department of Dentistry in Orthodontics (영남대학교 의과대학 부속병원 치과교정과에 내원한 부정교합 환자의 분포 및 변동추이)

  • Kim, Jong-Sup;Park, Jin-Ho;Yun, Hong-Sik;Yim, Nan-Hee;Chin, Byung-Rho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.323-331
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    • 1994
  • 1,050 patients who visited orthodontic dental department from 1983 to 1994, were surveyed on the yearly tendency of orthodontic patient distribution and state by means 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 61.4% in total visiting patients and over 20 age group was 18.5%, under 7 age group was 8.1% 3. Class I malocclusion was 42.2%, class II div 1 was 22.5%, class II-2 was 3.9%, class III was 29.1% and cleft lip & palate was 2.0% in total visiting patient. 4. As showed the living distribution, Namgu and Susunggu's patients were 43.7% of the total patients. 5. There was increased tendency for the number of the patient to be recieved orthognathic surgery.

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Quantitative evaluation of palatal bone thickness in patients with normal and open vertical skeletal configurations using cone-beam computed tomography

  • Suteerapongpun, Piyoros;Wattanachai, Tanapan;Janhom, Apirum;Tripuwabhrut, Polbhat;Jotikasthira, Dhirawat
    • Imaging Science in Dentistry
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    • v.48 no.1
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    • pp.51-57
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    • 2018
  • Purpose: To perform a comparative analysis of the palatal bone thickness in Thai patients exhibiting class I malocclusion according to whether they exhibited a normal or open vertical skeletal configuration using cone-beam computed tomography (CBCT). Materials and Methods: Thirty CBCT images of Thai orthodontic patients (15-30 years of age) exhibiting class I malocclusion with a normal or open vertical skeletal configuration were selected. Palatal bone thickness was measured in a 3.0-mm grid pattern on both the right and left sides. The palatal bone thickness of the normal-bite and open-bite groups was compared using the independent t-test. The level of significance was established at P<.05. Results: The palatal bone thickness in the normal-bite group ranged from $2.2{\pm}1.0mm$ to $12.6{\pm}4.1mm$. The palatal bone thickness in the open-bite group ranged from $1.9{\pm}1.1mm$ to $13.2{\pm}2.3mm$. The palatal bone thickness was lower at almost all sites in patients with open bite than in those with normal bite. Significant differences were found at almost all anteroposterior sites along the 3 most medial sections (3.0, 6.0, and 9.0 mm lateral to the midsagittal plane)(P<.05). Conclusion: Class I malocclusion with open vertical skeletal configuration may affect palatal bone thickness, so the placement of temporary anchorage devices or miniscrew implants in the palatal area in such patients should be performed with caution.

A STUDY ON MENARCHE AND SKELETAL MATURITY AMONG VARIOUS MALOCCLUSION GROUPS (부정교합 분류에 따른 초경시기와 골성숙도에 관한 연구)

  • Kim, Kyung-Ho;Baik, Hyoung-Seon;Son, Eun-Sue
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.581-589
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    • 1998
  • In order to correct a maxillofacial-skeletal disharmony successfully and achieve a favorable facial profile, orthodontic treatment must begin at pubertal growth spurt. Therefore predicting the pubertal growth pattern and evaluating the growth potential is very important. For an orthodontist, estimating skeletal maturity in relation to one's personal growth spurt is essential and it must be considered into the treatment. The objective of this study was to find out whether there was a difference in menacheal age among different malocclusion groups and to evaluate the skeletal maturity at menarche. The subjects were 64 Class I malocclusion patients, 51 Class II patients and 38 Class III patients. Skeletal maturity was estimated from handwrist radiographs of these patients. Handwrist radiographs were taken between 3 months before and after the menarche. The results were as follows. 1. The mean chronologic age of menarche was $12.50{\pm}1.01$ years. 2. For the Class I malocclusion group the mean age of menarche was $12.36{\pm}1.04$ years, for Class II $12.81{\pm}1.03$ years and for Class III $12.32{\pm}0.82$ years. According to these results Class II malocclusion patients started mensturation later than Class I and Class III malocclusion patients. 3. No difference was found considering the skeletal maturity at menarche among the malocclusion groups. 4. The skeletal maturity index at menarche was SMI 7 for $45.10\%$, SMI 8 for $27.25\%$, SMI 9 for $10.46\%$, SMI 6 for $7.84\%$, SMI 10 for $7.84\%$ and SMI 5 for $1.31\%$ patients. 5. Statistically there was a significant correlation between skeletal maturity estimated by handwrist radiographs and menacheal age(p<0.05, r=0.25430).

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Complications of the retromandibular transparotid approach for low condylar neck and subcondylar fractures: a retrospective study

  • Hevele, Jeroen Van;Nout, Erik
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.73-78
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    • 2018
  • Objectives: The goal of this study was to evaluate the rates of complications, morbidity, and safety with the transparotid approach. Materials and Methods: A retrospective study was conducted and consisted of 53 surgically treated patients in the past five years for low condylar neck and subcondylar fractures. Only patients with malocclusion and who underwent open reduction with internal fixation with the retromandibular transparotid approach were included. The examined parameters were postoperative suboptimal occlusion, deflection, saliva fistula, and facial nerve weakness. Results: Fifty-three patients had an open reduction with internal fixation on 55 sides (41 males, 77.4%; mean age, 42 years [range, 18-72 years]). Four patients (7.5%) experienced transient facial nerve weakness of the marginal mandibular branch, but none was permanent. Four patients had a salivary fistula, and 5 patients showed postoperative malocclusion, where one needed repeat surgery after one year. One patient showed long-term deflection. No other complications were observed. Conclusion: The retromandibular transparotid approach is a safe procedure for open reduction and internal fixation of low condylar neck and subcondylar fractures, and it has minimal complications.

Treatment for Class II Division I Malocclusion Using Cervical Headgear and Hotz Appliance: A Case Report (Cervical Headgear와 Hotz 장치를 이용한 II급 I류 부정교합의 치료 : 증례 보고)

  • Cho, Yongjae;Kim, Seonmi;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.70-78
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    • 2016
  • Many types of orthopedic appliances have been developed and used for the treatment of class II malocclusion in pediatric dentistry. Headgear is one of the extraoral appliances, which is used for the purpose of preventing the overgrowth of maxilla. Hotz appliance is used in couple with a cervical headgear for the expansion of maxilla and retraction of maxillary incisors. This case report is about the orthodontic treatment of three patients with class II division I malocclusion. These young patients were given orthopedic treatment in combination with a cervical headgear and Hotz appliance. After the treatment using these extraoral and intraoral appliances, succeeding treatments were practiced considering individual needs as follows: fixed orthodontic appliance for mandibular anterior crowding, Class II activator for retention and additory orthopedic treatment and the retention with Hotz appliance. Young patients with Class II division I malocclusion reported in this study received the orthodontic treatment using a cervical headgear and Hotz appliance as well as appropriate succeeding treatment afterward. All patients received improved convex profiles and lip protrusions by retracting maxilla and maxillary incisors.

Evaluation of craniofacial growth prediction method on Class III malocclusion patients (골격성 III급 부정교합자의 두개안모 성장예측에 대한 평가)

  • Son, Woo-Sung;Kang, Eun-Hee;Jung, Mi-Ra;Sung, Ji-Hyun
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.31-39
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    • 2003
  • This study was performed to evaluate whether growth Prediction method can be used to diagnose and make treatment plan in skeletal Class III malocclusion patients or not. The sample was consisted of 25 patients(13 males, 12 females) who had been diagnosed with skeletal Class III malocclusion at first visit and after that had returned to take ortognathic surgery. Growth prediction performed with Ricketts' growth prediction method from first cephaogram. was compared with actual growth of the second cephalogram. The findings of this study were as follows ; 1. There was significant difference between actual growth and growth prediction in Porion Location, Ramus Position, Facial Depth, Facial Axis, Mandibular Plane angle, Maxillary Convexity. So, for these items Ricketts' growth prediction method is not proper to predict growth. 2. Although the growth amount of mandibular body was similar to normal growth amount, mandible was positioned anteriorly because of Porion Location and Ramus Position. 3. In skeletal Class III malocclusion patients, the tendency of mandibular prognathism might be aggreviated because of anterior placement of ramus and anterosuperior rotation of Pogonion.

Evaluation of nasolabial angle in adult patients with skeletal Class III malocclusion (성인 골격성 III급 부정교합 환자의 올바른 비순각 평가에 관한 연구)

  • Chang, Jun-Ho;Lee, Shin-Jae;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.37 no.4
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    • pp.272-282
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    • 2007
  • The purposes of this study were to evaluate the nasolabial angle changes between closed lip position at centric occlusion and relaxed lip position at which the bite is open so that the lips do not touch and to elucidate the significance of the relaxed lip position for dentofacial diagnosis. Methods: The subjects consisted of 60 (35 Males, 25 Females) skeletal Class III malocclusion adult patients (mean age 23.3 years) with anterior crossbite. Results: In Class III malocclusion adult patients, there were significant differences in the nasolabial angle changes between closed lip position and relaxed lip position. Using the cluster analysis, the subjects were divided into three groups according to the pattern of nasolabial angle change: Group 1 (N = 27, 45%, $-8\;{\sim}\;1$), Group 2 (N = 30, 50%, $2^{\circ}\;{\sim}\;17$), and Group 3 (N = 3, 5%, over 18). Conclusion: The results showed that the pattern of the nasolabial angle change between closed lip position and relaxed lip position varies in skeletal Class III malocclusion patients. Thus, relaxed lip position should be taken into account when diagnostic records are obtained and analyzed to accurately to evaluate the facial soft tissues and predict facial esthetics after surgical-orthodontic treatment.