• Title/Summary/Keyword: Mandible position

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Central giant cell lesion of the mandible in a 2-year old girl

  • Oda, Takaaki;Sue, Mikiko;Okada, Yasuo;Kanri, Yoriaki;Ono, Junya;Ogura, Ichiro
    • Imaging Science in Dentistry
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    • v.47 no.3
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    • pp.209-213
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    • 2017
  • Central giant cell lesions are rare, benign, osteolytic, pseudocystic, solitary, localized lesions that are common in the skeletal structure, but less so in the maxillofacial region. Furthermore, to perform panoramic radiography and cone-beam computed tomography, it is necessary to prepare patients properly and to position their heads carefully. However, this can be difficult in pediatric patients, who may be anxious. In this report, we describe the case of a central giant cell lesion of the mandible in a 2-year-old girl that was evaluated with multidetector computed tomography.

Evaluation of Post-Treatment Outcome of Sagittal Split Ramus Osteotomy in Mandibular Prognathism Patients (하악 전돌자의 하악지 시상분할 골절단술 후의 안정성에 대한 평가)

  • Chung, Dong-Hwa
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.271-281
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    • 2006
  • Long term prediction of surgical result of skeletal class III has not been evaluated adequately because the stability of orthognathic surgery would be affected by not only set back amount of mandible but also many other factors like skeletal pattern, hyoid position, and airway size. The aimof this study is to discriminate the factors which affect the stability of post-treatment result of surgical outcome of sagittal split ramus osteotomy. We have collected 37 patients (male: 17, female: 20) from patients who have been treated at Orthodontic Department in Dankook University. The patients underwent 3 times Cephalometric X-ray taking at pre-, post-orthognathic surgery and after 12 months retention. The subjects were divided into 2 groups (Stable group: 21, Relapse group: 16) according to their relapse amount. We have taken following results from Students t-test and discriminant analysis. The discriminant factors which discern relapse and stable groupe among treatment change variables were BX and Ba-HY. Hyoid bone moved to posterior and inferior position due to surgery and repositioned superiorly and posteriorly during retention period. Skeletal patterns of the relapse group are smaller mandibular plane angle, anterior mandibular position, and greater distance from hyoid bone to cervical bone and mandible respectively.

The bone density of mandible as the aging process in Koreans (한국인 연령에 따른 하악 치조골 골밀도)

  • Lee, Chul-Won;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.496-504
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    • 2011
  • Introduction: This study compared the alveolar bone density of the mandible according to gender, age and position using Cone-beam computed tomography (CT). Materials and Methods: The maxillofacial CT scan data was obtained from 60 Korean patients. In addition, the alveloar bone density of 5 males and 5 females with normal occlusion aged from 10 to 70 years was measured at the buccal cortical bone, cancellous bone and lingual cortical bone, as well as at the position of the incisors, canines, premolars and molars. Results: The age-specific mean bone density was highest in patients in their third decade. The buccal cortical bone of the molars showed the highest bone density. Males in their fifties and sixties had a higher bone density in the cancellous bone in the region of the premolars and the buccal cortical bone of the molars, respectively, than females but there was no significant difference between males and females in the other parts. The cancellous bone density was highest in those in their twenties and thirties, and tended to decline up to their seventh decade. Conclusion: These results revealed a significantly different bone density according to gender, age and position in the Korean population. In addition, it is possible to predict the bone density based on these results.

The Effect of Mandibular Protrusion on Dynamic Changes in Oropharyngeal Caliber (하악의 전방이동이 구인두 내경의 동적 변화에 미치는 영향)

  • Jung, Jae-Kwang;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.35 no.3
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    • pp.193-202
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    • 2010
  • The purpose of this study was to determine the sites of narrowing/obstruction and to measure the regional severity of narrowing through the evaluation of dynamic changes in upper-airway of healthy subjects. The selected 9 subjects were proved not to have any sleep-related disorder such as snoring or obstructive sleep apnea through clinical examination, radiological examination, sleep study with a portable recording system. Afterward, the Electron Beam Tomography was performed during the waking and sleeping state of subjects, with their mandible in resting and protruded position. Intravenous injection of Dormicum$^{(R)}$ was used for the induction of sleep. The maximum and minimum cross-sectional areas at each airway level during tidal ventilation were measured and the Collapsibility Index for each level of cross-section was also computed. In a comparison with results under variable conditions, the result was showed that the significant difference between each airway level divided with upper, middle, lower region of upper airway is not observed in the average minimum cross-sectional areas and Collapsibility Index. The significant difference only between in wake and sleep state was observed in the average minimum cross-sectional area at the lower region. Also, in wake state, the significant difference between resting and protrusive position of mandible for the average minimum was also observed in cross-sectional area at middle region. In sleep state, no significant difference between resting and protrusive position of mandible was observed in cross-sectional area and the Collapsibility Index.

THE POSTOPERATIVE CONDYLAR POSITION RELATED TO TEMPOROMANDIBULAR DISCOMFORT IN SAGITTAL SPLIT RAMUS OSTEOTOMY (하악지 시상 분할술에 있어 술후 하악과두의 위치와 측두 하악관절장애)

  • You, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.2
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    • pp.130-134
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    • 1997
  • The sagittal split ramus osteotomy(SSRO) of the mandible has used one of the most popula methods for the correction of various dentofacial deformities, especially mandibular prognathism. In SSRO, there are produced bony gap following mandible setback because of mandibular flaring. For this reason, the condylar axis may be changed due to bony approximation both segment in three dimension more mesio-laterally. According to change of condylar position, the condition of TMJ structure are changed and change of TMJ symptoms are suggested theoretically, and the correction of malocclusion by SSRO may improve the TMJ symptoms by improvement of feeding difficulties. The pupose of this study was to determine relationship between expected alterations in condylar position and suggested TMJ symptoms produced by change of condylar position. TMJ symptoms of 15patients who had operated SSRO are checked at about postoperative 6 month ranging $5{\sim}11$ month. Anterior-posterior position of condyle which was comparison preoperative with postoperative position, was classified 5 groups. The author tried to identify relationship between positional change of condyle and TMJ discomfort.

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HYOID BONE POSITION IN CLASS I, II AND III MALOCCLUSIONS (I급.II급.III급 부정교합환아에서의 설골의 위치)

  • Song, Yun-Ju;Kim, Hyun-Jung;Nam, Soon-Hyeun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.564-571
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    • 1999
  • The importance of the hyoid bone lies in its unique anatomic relationships. It has no bony articulations but provides attachment for muscles, ligaments, and fascia of the pharynx, mandible, and cranium. Various studies have documented a variability of hyoid bone position in relation to changed mandibular position or head posture. The aim of this study is to investigate the hyoid bone position and inclination on cephalometric radiographs of three groups of patients exhibiting Class I, II, and III malocclusions. The conclusions obtained from this study can be summarized as follows ; 1. Class III malocclusion patients show a more anterior position of the hyoid bone and also less steep inclination of the hyoid bone. 2. The anteroposterior position of the hyoid bone relative to the cervical vertebra and mandible was very constant. 3. The hyoid bone represented the anterior bony boundary of the pharynx at a lower level than PNS.

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Effect of Body Posture on the Rest Position and the Rotational Torque Movement of the Mandible (신체 자세의 변화가 하악의 안정위와 비틀림 회전운동에 미치는 영향)

  • Jung, Seung-Ah;Han, Kyung-Soo;Park, Mi-Sung;Yang, Keun-Young
    • Journal of Oral Medicine and Pain
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    • v.25 no.4
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    • pp.383-394
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    • 2000
  • This study was performed to investigate the effect of change of body posture on the rest position and the rotational torque movement of the mandible. Thirty dental students without any signs and symptoms of temporomandibular disorders and with natural dentition were selected for this study. Cervical inclination and the amount of the mandibular movement on protrusion, on left and right excursion, and on tapping in three body postures such as sitting position, supine position without pillow, and supine position with pillow were measured by goniometer, Cervical-Range-of-$Motion^{(R)}$, and mandibular tracking device, $BioEGN^{(R)}$ with $Rotate!^{(R)}$ program. The data obtained were classified and processed according to body posture and type of lateral guidance with SPSS windows program and the results were as follows: 1. There was significant difference among the three cervical inclinations by body postures. 2. Comparison of mandibular rest positions among body postures showed significant difference only for lateral distance in frontal plane, but comparison between before and after swallowing showed significant difference except for the lateral distance, vice versa. 3. Distance and amount of the rotational torque movement on protrusion and/or lateral excursions didn't show any difference by body posture. But by both body posture and lateral guidance type, there were slightly significant difference for some items. 4. A significant difference was shown for the rotational torque movement in frontal plane on tapping by body postures, for the lateral distance in frontal plane on sitting position by lateral guidance type, and for the rotational torque movement in frontal plane by both body posture and lateral guidance type.

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A Study on Position of the Mental Foramen in Children Using Panorama (파노라마를 이용한 어린이의 이공 위치에 관한 연구)

  • Jo, Eunjeong;Lee, Jewoo;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.183-189
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    • 2019
  • The purpose of this study was to investigate the changes of the position of the mental foramen according to age by using panorama of children with mixed and early permanent dentition. 180 panorama of 6 to 13-year-old boys and girls were analyzed and PiView(Infinitt, Korea) program was used. The horizontal position of the mental foramen was evaluated by the relative position of the teeth. The vertical position of the mental foramen was evaluated by the ratios between the distance from the center of the mental foramen to the inferior border of the mandible and the distance from to the alveolar crest to the inferior border of the mandible. The mental foramen was horizontally located in the anterior aspect of the second primary molar(premolar), and vertically slight below the half of mandibular body. As the age increased, it moved to the posterior and the downward and showed a significant correlation with age.

A RADIOGRAPHIC STUDY OF MANDIBULAR CANAL (하악관에 관한 방사선학적 연구)

  • Kim Won Chull;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.17 no.1
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    • pp.209-222
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    • 1987
  • The author invested the gonial angle, the angle of mandibular and mental canal to the lower border of the mandible, and a relationship of the position of the mandibular canal to the root apex of the posterior teeth and the cortical plate of the lower of the mandible. The materials consisted of 458 pantomograms in male and female aged 11-40 and divided into 5 groups at 5 year intervals and subdivided into 3 groups by gonial angle. The results were as follows; 1. The gonial angle decreased with age, but slight increase occurred over 26-30 years. 2. The average angle of the mandibular canal to the lower border of the mandible was 151.6° and did not correlate with age. 3. The average angle of the mental canal to the lower border of the mandible was 36.9° and didn't correlate with age. 4. The angles of mandibular and mental canal to the lower border of the mandible correlated with gonial angle. 5. The distance from the root apex of the posterior teeth to the upper wall of the mandibular canal was most short at the region of the distal root of the mandibular second molar and increased with age at the region of the mandibular second molar. 6. The distance from the lower wall of the mandibular canal to the cortical plate of the lower border of the mandible was most short at the region of the mesial root of the mandibular first molar and didn't correlate with age.

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A STUDY OF POSITION AND SIZE OF CRANIAL BASE, MAXILLA, AND MANDIBLE IN TRUE SKELETAL CLASS III PATIENTS (진성 골격성 III급 부정교합에서 두개저, 상악, 하악의 위치 및 크기에 관한 연구)

  • Woo, Soon-Seop;Choi, Yong-Soo;Park, Won-Hee;Yoo, Im-Hag;Lee, Young-Soo;Shim, Kwang-Sup
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.1
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    • pp.24-30
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    • 2002
  • The facial patterns were expressed by the interrelation of variable factors such as heredity, function and environment. Such variable factors have an effect on the growth and development of maxillofacial bones. The malocclusions with skeletal discrepancies are caused by abnormal forms, sizes and positions of cranial base, maxilla and mandible. For the proper diagnosis and treatment planning, the analysis of such structures is necessary. Lateral cephalograms of 54 adults with class III malocclusion patients (test group) and 61 adults with normal occlusion (control group) were analyzed. Anteroposterior relations and sizes of cranial base, maxilla, mandible were estimated to compare with those of normal ones. In test group, the anterior cranial base length was within normal range, but posterior cranial base, maxilla and mandibular body were longer than those in control group, significantly. Based on the cranial base, the location of maxilla in test group was normal, but the location of mandible was more anterior than that in control. Based on the maxilla, the location of mandible was more anterior in test group than that in control. Both mandibular body and ramus anteroposterior lengths in test group were larger than those in control. Both mandibular plane angle and upper gonial angle were within normal range, but lower gonial angle was significantly high in test group.