• 제목/요약/키워드: Maxilla and mandible

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Changes in periodontal tissue and denture around the implants in the mandibular milled-bar implant overdenture: A 12-year follow-up (하악 Milled Bar 임플란트 피개의치에서 12년 간의 임플란트 주변 치주조직 및 의치의 변화)

  • Choi, Hyun-Suk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.55-62
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    • 2021
  • The mandible has a smaller support area than the maxilla, and in particular, in patients with generalized alveolar bone resorption, the stability of the denture and the masticatory efficiency are significantly low in the case of conventional complete denture, due to the movement of the tongue and mandible. In these patients, implant overdenture is evaluated as a highly predictable treatment method with high retention and stability, and excellent pronunciation and masticatory force. In this clinical case, patient had an edentulous maxilla and generalized alveolar bone resorption in mandible. Therefore, complete denture was placed in the maxilla and implant overdenture using milled bar attachment on 4 implants was placed in the mandible. During the 12-year follow-up period, changes in periodontal tissue and denture around the implants were periodically managed and observed.

TREATMENT OF ANTERIOR CROSSBITE IN MIXED DENTITION USING MAXILLARY PROTRACTION APPLIANCE : A CASE REPORT (혼합치열기 반대교합자에서 상악골 전방견인장치를 이용한 치료증례)

  • Kim, Eun-Young;Choi, Hyung-Jun;Lee, Jae-Ho;Choi, Byung-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.667-673
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    • 1996
  • The prevalence of class III malocclusion is approximately 5$\sim$9%, and about one fourth of this malocclusion is due to underdeveloped maxilla. Maxillary protraction appliance is an orthopedic device which promote the growth of a deficient maxilla by applying extraoral force to actively growing patients. The object of using maxillary protraction appliance is to guide a normal growth of maxilla and mandible and improve the occlusal relationship and also improve the facial profile. The author treated three patients whom were diagnosed as a class III malocclusion due to deficient maxilla using maxillary protraction appliance and the followings are the conclusions : 1. In these cases, anterior crossbite was corrected by anterior movement of maxilla and downward backward rotation of mandible and simultaneously, anterior facial height was increased. 2. The amount of dental change compare to skeletal change was greater as the patients got older. 3. When 500gm of force to each side was applied, the treatment period has been decreased. 4. As a result of applying the force between maxillary first primary molar and canine, there was a small degree of changes in palatal plane. So, it can be concluded that the maxillary protraction appliance is effective in treating growing patients with a deficient maxilla.

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SEMI-LONGITUDINAL STUDY OF GROWTH AND DEVELOPMENT OF CHILDREN AGED 6 TO 17 Part I :GROWTH AND DEVELOPMENT OF ARCH FORM (한국인 6-17세 아동의 성장과 발육에 관한 준종단적 연구 제 1 세부 과제 : 치열궁의 성장 변화)

  • Sohn, Byung-Wha;Lee, Jung-Goo;Kim, Hyun-Suk;Kim, Hyoung-Soon
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.225-239
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    • 1996
  • This study was carried out as a part of the semi-longitudinal study on growth and development of Korean children, with purpose of observing the growth change in arch form., 736 pairs, of study models were taken for 3 years. Mesio-distal diameter of each tooth, intercanine width, intermolar width, canine arch depth, molar arch depth and arch perimeters were measured. Afterwards, mean value and each standard deviation of each age group and each gender were obtained, and corresponding graphs were drawn. The following conclusions were obtained : 1. Mesio-distal diameters of maxillary central incisor, maxillary 2nd molar, mandibular canine, and mandibular 2nd molar showed statistical difierences between boys and girls. 2. Intercanine width shows a gradual increase until age of 11. 3. Intermolar width in maxilla shows continuous increase, and the tendency of increase is more apparent between age of 9 and 14. In mandible, various pattern was shown until age of 9, and after, a slight increase. 4. Canine arch depth shows the increasing tendency until age of 13 in maxilla and 11 in mandible. 5. Molar arch depth shows the pattern of increase until age of 10 in male and 9 in female, which is more apparent in maxilla. After age of 9 or 10,dereasing pattrn was significantly shown until age of 15 in maxilla and age of 12 in mandible. 6. Arch perimeters in maxilla and mandible showed gradual increase until age of 10, and the tendency of increase was more apparent in maxilla; however, between the age of 10 and 14, arch perimeters of maxilla and mandible showed gradual decrease which was more apparent in mandible.

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TREATMENT OF TRANSVERSE DEFICIENCY OF MAXILLA WITH SARPE IN CLEFT PALATE (구개열 환자의 SARPE를 통한 횡적 부조화의 치험례)

  • Lee, Kyu-Hong;Hong, Soon-Min;Park, Jun-Woo;Cheon, Se-Hwan;Park, Yang-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.2
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    • pp.207-215
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    • 2008
  • Patients who have repaired cleft lip and palate generally undergo restriction of maxillary growth. Concave facial profile is often exhibited with relatively normalized mandible. Horizontal and sagittal deficiency of the maxilla could cause anterior and posterior crossbites. In growing patients, ortho-dontic and orthopedic treatment is acceptable with maxillary expansion and protraction. However, surgical approach has to be accompanied with orthodontic treatment in skeletally matured patients. We used SARPE and BSSRO to expand the constricted maxilla and retract the mandible in a patient who had cleft palate repaired in infancy. Through SARPE, orthodontic treatment and BSSRO, we sufficiently expanded the maxillla and improved facial profile.

Maxillary sinus haziness and facial swelling following suction drainage in the maxilla after orthognathic surgery

  • Lee, Jung-Soo;Kim, Moon-Key;Kang, Sang-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.33.1-33.8
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    • 2020
  • Background: We investigated the efficacy of a maxillary Jackson-Pratt (J-P) suction drain for preventing maxillary sinus hematoma and facial swelling after maxillary Le Fort I osteotomy (LF1). Methods: We retrospectively evaluated 66 patients who underwent LF1 at a single institution. Of these, 41 had a J-P suction tube inserted in the mandible and maxilla (maxillary insertion), and 25 had a J-P drain inserted in the mandible only (no maxillary insertion). Facial CT was obtained before and 4 days after surgery. We compared mean midfacial swelling and maxillary sinus haziness by t test and examined correlations between bleeding amount and body mass index (BMI). Results: For the maxillary-insertion group, the ratio of total maxillary sinus volume to haziness (57.5 ± 24.2%) was significantly lower than in the group without maxillary drain insertion (65.5% ± 20.3; P = .043). This latter group, however, did not have a significantly greater midfacial soft tissue volume (7575 mm3) than the maxillary-insertion group (7250 mm3; P = .728). BMI did not correlate significantly with bleeding amount or facial swelling. Conclusions: Suction drainage in the maxilla reduced maxillary sinus haziness after orthognathic surgery but did not significantly reduce midfacial swelling.

Bony fusion of the maxilla and mandible as a sequelae of noma: A rare case report

  • Bagewadi, Shivanand B.;Awasthi, Ujjwala Rastogi;Mody, Bharat M.;Suma, Gundareddy N.;Garg, Shruti
    • Imaging Science in Dentistry
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    • v.45 no.3
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    • pp.193-198
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    • 2015
  • Noma is a gangrenous disease of the orofacial region that leads to severe facial tissue destruction and is a significant cause of death among children. With the advent of modern antibiotics and improved nutrition, children with noma may survive into adulthood, but must face the challenge of undergoing repair of the sequelae of noma. This report describes a case of bony fusion of the maxilla and mandible in a 28-year-old female patient, which was a sequelae of a childhood case of noma.

THE STUDY OF IMPACTED AND SUPERNUMERARY TEETH IN YOUNG MAN BY THE FULL MOUTH ROENTGENOGRAMS (청년 전악X선사진에 있어서 매복치 및 과잉치에 관한 연구)

  • Ahn Hyung Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.7 no.1
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    • pp.5-8
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    • 1977
  • The author has observed 906 full mouth roentgenograms in Korean young man who had the impacted and supernumerary teeth. Impacted and supernumerary teeth were analysed upon several items, such as incidences and positions in the dental arch. The result were as follows; 1. The incidences of impacted teeth were 59.05% and the ratio of upper jaw to lower one was 1:3. 2. The frequency of the supernumerary teeth were 5.52% and the ratio of maxilla to mandible was 49:1. 3. No significant differences between right and left side in both jaws, but incidence rate of the supernumerary teeth was 74% in the maxillary central incisor area. 4. The positions of impacted and supernumerary teeth were vertical and inverted shapes in maxilla, whereas horizontal and mesio-angular forms in mandible.

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Solitary peripheral osteomas of the jaws

  • Franca, Talita Ribeiro Tenorio De;Gueiros, Luiz Alcino Monteiro;Castro, Jurema Freire Lisboa De;Catunda, Ivson;Leao, Jair Carneiro;Perez, Danyel Elias Da Cruz
    • Imaging Science in Dentistry
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    • v.42 no.2
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    • pp.99-103
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    • 2012
  • Osteoma is a benign osteogenic tumor composed of cancellous or compact bone, classified as peripheral, central, or extraskeletal. Peripheral osteomas are uncommon. Excluding the maxillary sinuses, the maxilla is a rare site for osteomas. The purpose of this report was to describe clinicopathological and radiological features of two peripheral osteomas occurring in the jaws, one located in the mandible and another in the edentulous maxillary alveolar ridge. The tumors were asymptomatic and were fully excised without any complications or recurrence. The lesions were submitted to histopathological analysis and diagnosed as peripheral osteoma, compact type.

Multiple brown tumors of the jaws in primary hyperparathyroidism (원발성 부갑상선항진증에 의한 악골의 다발성 갈색종양)

  • Kim, Kyoung-A;Koh, Kwang-Joon
    • Imaging Science in Dentistry
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    • v.40 no.3
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    • pp.149-153
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    • 2010
  • Brown tumor is usually diagnosed at the terminal stage of hyperparathyroidism. Diagnosis of this tumor is confirmed by endocrinologic investigations along with clinical and radiographic examination. Radiographical differential diagnosis of this tumor includes central giant cell granuloma, aneurysmal bone cyst, metastatic tumor, multiple myeloma, and Paget disease. This report presents a rare case of multiple brown tumors occurring at the maxilla and mandible, which was initially misdiagnosed as central giant cell granuloma. Plain radiographs demonstrated multiple well-defined multilocular radiolucency. CT images showed soft tissue mass with low attenuated lesions, perforation of the lingual cortical plate, and a heterogeneous mass at the right thyroid lobe. These findings were consistent with parathyroid adenoma. The patient had hypercalcemia, hypophosphatemia, and elevated alkaline phosphatase level. Surgical excision of the tumor was performed. No recurrence was observed during a 28-month follow-up.