• 대한치과교정학회지
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• 제32권1호통권90호
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• pp.43-49
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• 2002

치아의 형태 이상, 선천결손 등에 의해 손상된 상하악 전치부 치열에서는 교정치료만으로는 적절한 기능 교합관계를 설정하지 못하는 경우가 많다. 치료후 상하악 전치부 치열에서 어떠한 치료가 필요할지를 미리 예측할 수 있다면 치료효율을 높일 수 있을 뿐 아니라, 타 분야와의 협진에도 보다 유리할 것이다. 이를 위해 이전의 연구에서는 한국인 정상 교합자를 이용한 견치간 폭경(intercanine width), 치열궁 장경(segment depth)과 치열궁 둘레(arch perimeter)간의 상관관계를 구했으며, 이번에는 이러한 관계를 이용한 컴퓨터 프로그램을 제작한 후 손상된 상하악 전치부 치열을 보이는 두 환자에게 이 프로그램을 치료 계획시 적용하여 보았다. 프로그램 적용 결과, 치료 계획시 필요한 변화량에 대한 정보와 각 변수간 변화(견치간 폭경, 치열궁 장경, 치열궁 둘레)에 따른 전치부 교합관계 변화를 보다 명확히 보여주었다. 추후 악안면 형태에 따른 전치부 치축변화와 치열궁 변화의 관계, 안정성 있는 견치간 폭경에 대한 정보를 제공한다면, 전치부에 대한 3차원 occlusogram의 제작이 가능할 것으로 기대된다.

• 대한심미치과학회지
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• 제31권1호
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• pp.4-10
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• 2022

하악 전치부에 임플란트를 이용한 수복시 몇가지 어려운 점이 있는데 그중 하나가 전 후방으로 공간이 부족하다는 것이다. 공간이 부족한 경우에 임플란트를 적절한 위치에 식립하는 것도 쉽지 않을뿐아니라 선택할 수 있는 임플란트도 제한될 수있다는 것이다. 적절한 위치에 적절한 임플란트를 식립한 경우에도 보철의 형태에따라 주변치아와 임플란트 주변골에 상당히 큰 영향을 미칠수 있는데 어떤 경우는 임플란트가 주변골을 손상시키는 위해로운 영향을 줄수도 있다. 이번 증례 발표에서는 비교적 양호한 증례와 불량한 증례를 통해서 치은하 형태(Subgingival cotour)의 차이가 임플란트 주위 Marginal bone과 인접치아의 Interproximal bone의 Biology에 다른 결과를 줄수도 있다는 것을 확인할 수있다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제43권2호
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• pp.94-99
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• 2017

Objectives: Idiopathic bone cavity (IBC) is an uncommon intra-osseous cavity of unknown etiology. Clinical features of IBC are not well known and treatment modalities of IBC are controversial. The purpose of this study was to investigate the clinical characteristics of 27 IBC patients who underwent surgical exploration. Materials and Methods: A total of 27 consecutive patients who underwent surgery due to a jaw bone cavity from April 2006 to February 2016 were included in this study. Nine male and 18 female patients were enrolled. Patients were examined retrospectively regarding primary site, history of trauma, graft material, radiographic size of the lesion, presence of interdental scalloping, erosion of the inferior border of the mandible, complications, results of bone graft, and recurrence. Results: Female dominance was found. Maxillary lesion was found in one patient, and bilateral posterior mandibular lesions were found in two patients. The other patients showed a single mandibular lesion. The posterior mandible (24 cases) was the most common site of IBC, followed by the anterior mandible (5 cases). Two patients with anterior mandibular lesion reported history of trauma due to car accident, while the others denied any trauma history. Radiographic cystic cavity length over 30 mm was found in 10 patients. Seven patients showed erosion of the mandibular inferior border. The operations performed were surgical exploration, curettage, and bone or collagen graft. One bilateral IBC patient showed recurrence of the lesion during follow-up. Grafted bone was integrated into the native mandibular bone without infection. One patient reported necrosis of the mandibular incisor pulp after operation. Conclusion: Differential diagnosis of IBC is difficult, and IBC is often confused with periapical cyst. Surgical exploration and bone graft are recommended for treating IBC. Endodontic treatment of involved teeth should be evaluated before operation. Bone graft is recommended to reduce the healing period.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권1호
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• pp.46-53
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• 2001

The prevalence of supernumerary teeth is between $1{\sim}3%$. Of these, $90{\sim}98%$ occur in the maxilla with particular predilection for the premaxilla, preceded by mandibular third premolars, mandibular forth molars and maxillary paramolars. The most common ones occur in the maxillary anterior region, they may occur singly between the central incisors(mesiodens), or they may be double(mesiodentes). Maxillary anterior supernumeraries may erupt into the oral cavity or remain unerupted. It is found that approximately 25% are erupted, while the rest are unerupted. They are usually a small tooth with a cone-shaped crown and a short root. They may cause delayed eruption, median diastema, bodily displacement or rotation of the adjacent permanent teeth. Occasionally they may lead to the developement of dentigerous cyst or primordial cyst, or eruption into nasal cavity. In this study, 109 supernumeraries surgically extracted from premaxilla in 84 patients are analysed. The results are as follows : 1. Sex distribution of male and female is 2.2 : 1. 2. Almost cases are in pediatric age from 5 to 12 years old (87%). 3. Problems with supernumeraries are tooth malpositon, diastema, delayed eruption, eruption to nasal cavity and cyst formation. 4. Of 109 supernumeraries, 16(15%) are erupted into oral cavity, 92(84%) are impacted, and 1(1%) is erupted into nasal cavity. 5. Of 84 patients, 59(70%) have one supernumeray while 25(30%) have two supernumeraries. 6. Of 109 supernumeraries, 96(88%) are found within the region of the central incisors. 7. Of 109 supernumeraries, 94(86%) are vertically impacted, 11(10%) are horizontally impacted, 3(3%) are labiopalatally impacted and 1(1%) is impacted in nasal cavity. 8. Of 84 patients, we used palatal flap in 67(80%), labial flap in 6(7%), both flaps in 4(5%) and no flap in 7(8%). And incisive nerve was cut in 33(49%) of 67 palatal flaps. 9. Extration with ostectomy was done in 72 supernumeraries(66%), without ostectomy in 37 teeth(34%). 10. Extraction with tooth sectioning was done in 21 supernumeraries(19%), without tooth sectioning was done in 88 teeth(81%). 11. We used local anesthesia in 70 patients(83%) and general anesthesia in 14 ones(17%).

• 대한치과보철학회지
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• 제51권3호
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• pp.221-225
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• 2013

임시 보철물의 적절한 관리는 보철의 성공에 있어서 중요한 요소이다. 상악 전치 결손부 임시 보철물은 장경간의 결손부가 존재하거나, 타원형의 악궁을 가진 환자에서 자주 탈락하게 된다. 이는 상악 전치부가 구치부에 비해서 수평적인 힘에 더 많이 노출되며, 부가적으로 전방 캔틸레버 효과가 임시 보철물의 유지를 저해하고, 상악 전치부 임시 보철물은 하악의 기능 운동시 적절한 전방 유도를 제공하여야 하기 때문이다. 또한 임시 보철물의 최대 감합위에서 교합접촉은 지점선의 반대편에 위치하게 되어 그 자체로 임시 보철물의 탈락을 야기한다. 본 증례에서는 임시 임플란트를 이용하여 상악 전치부 보철물에 대한 전술한 유해 작용을 피할 수 있었고, 발치 후 치유기간 동안 환자에게 편안함과 만족감을 부여하였으므로 이를 보고하는 바이다.

• Journal of Periodontal and Implant Science
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• 제33권2호
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• pp.215-223
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• 2003

The main goal of periodontal treatment is the long-term maintenance of teeth. Periodic maintenance program is need to prevent periodontal disease and maintain healthy periodontium. Hirschfeld and Wasserman(1978) studied 600 treated periodontal patients. This study categorized periodontal patients using well-maintained, downhill, extreme downhill groups. The purpose of our study is to evaluate effect of periodontal treatment and analyse tooth loss after periodontal treatment using this classification. The study population of j9 patients had been treated and maintained for mean 5.8 years. All patients were on a periodic maintenance program at 2-, 3-, 4, or 6-month intends. The avenge age of the patients at the time of original therapy was 49.6 years. To analyse tooth loss, modified classification was used on the basis of response to therapy using by Hirschfeld and Wasserman in 1978. The results were as follows : 1. 59 treated patients were lost mean 1.42 teeth per patient for 5.8 years of maintenance period. 2. Maxillary first molars were most frequently lost but mandibular lateral incisors were lost no tooth during maintenance period. 3. Tooth mortality received surgical treatment had similar to received nonsurgical treatment. 4. Tooth loss was more frequent in maxillary teeth than mandibular teeth, and posterior teeth than anterior teeth, and more frequent tendency in male than female.

• Journal of Oral Medicine and Pain
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• 제23권4호
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• pp.457-473
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• 1998

This study was performed to investigate the morophological and positional correlation between the upper cervical vertebra, the oral structures and the pharyngeal tissues, and the correlation of these anatomical structures with dental features, such as teeth wear area nad tooth contact status, etc. Seventy patients with temporamandibular disorders and sixty three dental students without any signs and symptoms in head and neck region were selected for this study. All they had natural dentition without any fixed and removable protheses. Teeth wear area and arch width wre measured from the upper dental cast, tooth contact status were observed by T-Scan system$^\textregistered$ and four cephaloradiograpohs were taken from four head postures, namely, natural(NHP), forward(FHP), upward(UHP), and downward head postiure(DHP). 22 cephalometric items were measured on the films and the data were processed with SAS statistical program. The result of this study were as follows : 1. In normal group, angle of cervical vertebra tangent and of between hard and soft palate were broader in female subjects than those in male subjacets, but distance from subocciput to axis, size of soft palate, and pharyngeal space width were larger in male subjects. 2. In normal group with natural head posture, the items correlated each others from the three anatomical regions were distance between first nad second vertebra in posterior part, distance from the lingual surface of lower anterior teeth to anterior surface of soft palate, and distance from the hyoid bone to third vertebra. 3. Three set of items showed significant correlation each other in the four head postures in normal group. First set was the angle between hard and soft palate and the idstance from subocciput to posterior arch of first vertebra, second set was the distance between first and second vertebra in posterior part and the teeth wear area, third set was number and force of tooth contact and length of soft palate and distance from anterior tip of hyoid bone to mandibular plane.

• 대한치과교정학회지
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• 제51권1호
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• pp.32-42
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• 2021

Objective: To investigate the three-dimensional forces created by clear aligners on mandibular teeth during differential activation with en-masse retraction and/or intrusion in vitro. Methods: Six sets of clear aligners were designed for differential en-masse retraction and/or intrusion procedures in a first premolar extraction model. Group A0 was a control group with no activation. Groups A1-5 underwent different degrees of retractions and/or intrusions. Each group consisted of 10 aligners. Aligner forces were measured on a multi-axis force/torque transducer measurement system in real-time. Results: In the en-masse retraction groups (A1 and A2), lingual and extrusive forces were observed on the incisors; the canines mainly received distal forces; intrusive forces were seen on the second premolars; and the molars received mesial forces. In the en-masse retraction and intrusion groups (A3, A4, and A5), incisors also received lingual and extrusive forces; canines received distal and intrusive forces; mesial and extrusive forces were seen on the second premolars; and the second molars received distal and intrusive forces. The vertical forces on the incisors did not differ significantly among groups A1, A3, and A5. However, the vertical forces on the second premolars reversed from intrusion in group A1 to extrusion in groups A3 and A5. Conclusions: With clear aligners, the "bowing effect" is seen during en-masse anterior teeth retraction and can be partially relieved by performing en-masse retraction accompanied by anterior teeth intrusion. Vertical control of incisors remained unsolved during en-masse retraction, even when intrusive activation was added to the anterior teeth.

• 대한치과교정학회지
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• 제17권2호
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• pp.165-183
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• 1987

The purpose of this study is to investigate the cephalo-facio-dental relationships in the craniofacial complex and their changes with age, and to use them for diagnostic and treatment purposes in the orthodontics The author studied on the changes of the cephalo-facio-dental relationships, using serial lateral cephalometric roentgenograms of 46 boys and 47 girls aged from 6 to 11 years of normal Korean children Following results were obtained 1 Means and Standard deviation of Korean children were obtained. 2 In the evaluation of the craniofacial vertical proportions, lower anterior face was larger than the upper, and upper posterior face was larger than the lower at all ages 3 The growth change was more prominent in the anterior craniofacial vertical proportion than in the posterior, and growth increment in the upper anterior facial height dimension was larger than m the lower anterior. 4 In the evaluation of the craniofacial horizontal proportion, ANS, Pog, Go and 6 were all situated posterior to their reference ares, and point B was always situated anterior to the arc passing by point A. 5. Anteroposterior growth change was the most prominent in the mandible, and there was no significant difference between the horizontal growth increment in the cranial base and that in the maxilla 6 Growth increment in the horizontal direction was larger in the mandibular apical base than in the maxillary apical base 7 The upper central incisor and the upper first molar were gradually anterior positioned against their reference ares with age increase 8 The length of mandibular corpus was larger than that of cranial base from the seven years old, and the difference was increased as the age increased 9 With age, there was slight difference in the angular relationships formed by craniofacial reference planes and axial inclinations of upper and lower permanent teeth.

• 대한치과교정학회지
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• 제5권1호
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• pp.57-63
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• 1975

For the purposes of augmentation of the aid for case analysis and diagnosis of malocclusion, a roentgenocephalometric study was made from 84 Korean adolescences. The Subjects consist of 42 males and 42 females aged from 17 to 20 years with normal occlusion and acceptable facial appearance. The author measured 18 angles and 14 linear distances as suggested by Jarabak. The following results were obtained. 1) Each linear measurement of the males' skull was greaten than that of the females. 2) The posterior to anterior facial height was $69.2\%$ in the males and $67.1\%$ in the females. 3) In the relationship of upper lip to esthetic line, the lip of females was more behind than that of males. 4) Saddle angle was $124.7^{\circ}$, articular angle was $148.7^{\circ}$, genial angle was $119.4^{\circ}$ and upper and lower genial angles were $45.1^{\circ}\;(N-Go-a^{\circ})$ and $74.2^{\circ}\;(N-Go-Me^{\circ})$. 5) The ratio of mandibular body to anterior cranial base was about 1:1. 1. 6) The angulations of $SNA^{\circ},\;SNB^{\circ}\;and\;SNP^{\circ}$ were as follows; $SNA^{\circ},\;80.3^{\circ},\;SNB^{\circ},\;79.8^{\circ},\;SNP^{\circ},\;81.1^{\circ}$. 7) The angle of the sella-nasion plane to the mandibular plane $(SNG^{\circ}Me^{\circ})$ was $32.0^{\circ}$ and that of the occlusal plane to the mandibular plane was $18.2^{\circ}$. 8) The angle of the maxillary central incisor to the sellanasion plane $(1-SN^{\circ})$ was $105.6^{\circ}$. That of the mandibular central incisor to the mandibular plane $(1-GoMe^{\circ})$ was $94.0^{\circ}$, and the interincisal angle $(1\;to\;1^{\circ})$ was $127.6^{\circ}$. 9) The linear distance from incisal edge of upper central incisor to facial plane was 8.0mm and that of lower central incisor was 4.6mm. 10) In the relationship of the lower lip to the esthetic line, the lower lip was 0.2mm front of the esthetic line.