• Title/Summary/Keyword: Maxilla and mandible

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THE EFFECTS OF CLASS III INTERMAXILLARY TRACTION IN MIXED DENTITION WITH ANTERIOR CROSSBITES (혼합치열기 반대교합자에서 III급 악간견인력의 효과에 관한 연구)

  • Baek, Jong-Eun;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.21 no.2 s.34
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    • pp.419-432
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    • 1991
  • The purpose of this study is to observe how the Class III intermaxillary elastics act upon the craniofacial structures of mixed dentition with anterior crossbites. The cephalometric headplafes of 16 childrens treated only with Class III elastics (C III elastics group) and 23 childrens treated with Class III elastics and Reverse pull headgear simultaneously (C III elastics + RPHG group) were traced, digitized and statistically analyzed. The results were as follows. 1 . Anterior displacement of maxilla was observed in both groups. 2. Simultaneous Class III elastics and reverse pull headgear group showed the counterclockwise rotation of maxilla, however Class III elastics group manifested no rotational change of maxilla. 3. Simultaneous Class III elastics and reverse pull headgear group showed the downward and backward rotation of mandible, however Class III elastics group manifested no rotational change of mandible. 4. Counterclockwise canting of occlusal plane, labial tipping of upper incisor and lingual tipping of lower incisor and mesial displacement of upper molar to pterygoid root vertical were observed in both groups.

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DENTAL IMPLANT TREATMENT WITH ILIAC BONE GRAFT VIA TWO-STAGE APPROACH FOR AVULSED ALVEOLAR BONE DEFECTS; CASE REPORT (외상성 치조골 상실 후 장골 이식을 동반한 이회법 임플란트 치료; 증례보고)

  • Choi, Young-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.4
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    • pp.386-390
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    • 2007
  • This is about the case of loss of multiple teeth and alveolar bone caused by trauma, which needed alveolar bone augmentation before implant treatment. Alveolar bone was reconstructed using iliac bone graft, and thereafter first implant surgery was followed by consolidation period of 3 months. Iliac bone resorption was observed at the time of implant placement. And that resorption was more in the horizontal dimension than in the vertical. We conclude that additional treatment planning(e.g. using alveolar distraction osteogenesis or tissue expander) should be considered besides bone graft for vertical alveolar bone augmentation. For both maxilla and mandible, prosthodontic treatment was carried out $4{\sim}5$ months after implant placement. To compensate alveolar bone deficiency, partial hybrid overdenture on maxilla and implant-supported fixed bridge on mandible were fabricated, and the total treatment was finished.

ROENTGENOCEPHALOMETRIC STUDY ON ANGLE'S CLASS II, DIVISION 2 MALOCCLUSIONS (Angle II급 2류 부정교합의 두부방사선학적 연구)

  • Suhr, Cheong-Hoon
    • The Journal of the Korean dental association
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    • v.19 no.1 s.140
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    • pp.67-71
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    • 1981
  • This study was undertaken to find out the characteristic craniofacial morphology of Class II Division 2 malocclusions in children by means of roentgenocephalometry. The subjects consisted of twelve boys and thirteen girls with Class Ii, Division 2, thirty seven boys and fifty three girls with Class II, Division 1, and forty six boys and eighty one girls with normal occlusion, ranged from 10 years old to 18 years old. The following results were obtained; 1. The anteroposterior relationship of the maxilla to the cranium in the Class II, Division 2 malocclusion similar to the normal occlusion, but the mandible was the posterior position in th the cranial anatomy. 2. There were no significant differences in the anteroposterior relationship of the maxilla and the mandible between Class II, Division 1 and Class II, Division 2 malocclusions. 3. In Class II, Division 1 the axes of maxillary incisors showed labial inclination, but lingual inclination in Class II, Division 2 malocclusions. 4. Overbite was prominent one in Class II, Division 2, on the other hand overjet was distinguished in Class II, Division 1.

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CASE REPORTS ON THE MAGNETIC RETAINED OVERDENTURES (자석 유지장치를 이용한 Overdenture 수복에 관한 임상적 연구)

  • Vang Mong-Sook;Choi Chang-Hwan;Kim Young-Yi
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.1
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    • pp.88-97
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    • 2002
  • The purpose of this study was to evaluate a cases which was treated with magnetic attachments on the patients in edentulous mandible and maxilla. Author made magnetic overdenture for two patients and then clinical examination were used for evaluation of the function and change in retention during 30months. Patients showed difficulty in oral hygiene care at the beginning but they go used to it soon. It was effective in promotion of denture retention and stability and also gave patient emotionally uplifting psychologic state. This study suggest that magnetic attachment was effective for the treatment of patients presenting a few remaining teeth or teeth under severe caries or mobility.

Full mouth implant rehabilitation of a patient with ectodermal dysplasia after orthognathic surgery, sinus and ridge augmentation: a clinical report

  • Bayat, Mohammad;Khobyari, Mohammad Mohsen;Dalband, Mohsen;Momen-Heravi, Fatemeh
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.96-100
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    • 2011
  • An 18-year-old male presented severe hypodontia due to hypohidrotic ectodermal dysplasia was treated with Le Fort I maxillary osteotomy with simultaneous sinus floor augmentation using the mixture of cortical autogenous bone graft harvested from iliac crest and organic Bio-Oss to position the maxilla in a right occlusal plane with respect to the mandible, and to construct adequate bone volume at posterior maxilla allowing proper implant placement. Due to the poor bone quality at other sites, ridge augmentation with onlay graft was done to construct adequate bone volume allowing proper implant placement, using tissue harvested from the iliac bone. Seven implants were placed in the maxilla and 7 implants were inserted in the mandible and screw-retained metal ceramic FPDs were fabricated. The two year follow up data showed that dental implants should be considered as a good treatment modality for patients with ectodermal dysplasia.

STUDY OF DENTAL PLAQUE INDEX IN MIXED DENTITION (혼합치열(混合齒列)의 치구(齒垢)에 관(關)한 연구(硏究))

  • Kim, Jin-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.7 no.1
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    • pp.17-20
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    • 1980
  • The purpose of this investigation was to make a comprehensive study and evaluation of the oral hygiene status by considering dental plaque index in 60 children age 7-9. The obtained results were as follows 1) Average plaque index of total mandibular teeth was higher than that of maxillary teeth. (Mandible; 2.14, Maxilla; 1.98) 2) In average plaque index per tooth surface, plaque index of facial surface was higher than that of lingual surface in maxilla and lower in mandible. 3) In mixed dentition, dental plaque occur most frequently and in greater quantity on the buccal surfaces of the maxillary permanent 1st molars and the lingual surfaces of the mandibular anterior permanent incisors.

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Mandibular midline osteotomy for correction of bimaxillary transverse discrepancy: a technical note

  • Mrunalini Ramanathan;Rie Sonoyama-Osako;Yukiho Shimamura;Taro Okui;Takahiro Kanno
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.3
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    • pp.107-113
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    • 2023
  • Bimaxillary transverse width discrepancies are commonly encountered among patients with dentofacial deformities. Skeletal discrepancies should be diagnosed and managed appropriately with possible surgical corrections. Transverse width deficiencies can present in varieties of combinations involving the maxilla and mandible. We observed that in a significant proportion of cases, the maxilla is normal, and the mandible showed deficiency in the transverse dimension after pre-surgical orthodontics. We designed novel osteotomy techniques to enhance mandibular transverse width correction, as well as simultaneous genioplasty. Chin repositioning along any plane is applicable concomitant with mandibular midline arch widening. When there is a requirement for larger widening, gonial angle reduction may be necessary. This technical note focuses on key points in management of patients with transversely deficient mandible and the factors affecting the outcome and stability. Further research on the maximum amount of stable widening will be conducted. We believe that developing evidence-based additional modifications to existing conventional surgical procedures can aid precise correction of complex dentofacial deformities.

The influence of screw type and osseointegration ratio on stress distribution in two different endosseous implants

  • Han, Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.348-357
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    • 2000
  • The purpose of this study is to examine the effect of partial osseointegration situation on bone loading patterns around two different free-standing screw shaped implants (Nobel Biocare, Gothenburg, Sweden and Degussa-Huls, Hanau, German). Two dimensional axisymmetric Finite element models of two implants(10mm length and 4mm diameter) were created according to different bone quantity, quality and osseointegration ratio in maxilla and mandible bone. At the same time uni-cortical and hi-cortical fixation were analyzed. Generally, full bond case showed less stress than partial bond case in overall area and mandibular model showed less amount of stress than that of maxilla model. Maximum stress of the Branemark implant is higher than that of ANKYLOS regardless of bonding ratio at crestal and apex region. However, more stress concentration was noted in ANKYLOS implant at screw body area especially in mandible. The effect of bicortical fixation on crestal bone stress reduction is dramatical in mandible however, there was no significant effect in maxillary case. The effect of partial bond on stress distribution was more significant at screw body and apex region than in crestal region. Partial bond cases demonstrated greater stress accumulation in trabecular bone than cortical bone. It is concluded that the more accurate model of implant and bone which affects stress and strain distribution is needed to mimic in vivo behavior of implants.

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Residual bone height measured by panoramic radiography in older edentulous Korean patients

  • Liang, Xiang Hua;Kim, Young-Mi;Cho, In-Ho
    • The Journal of Advanced Prosthodontics
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    • v.6 no.1
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    • pp.53-59
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    • 2014
  • PURPOSE. The aim of this study was to obtain statistical data on the residual bone height at different natural tooth positions by panoramic radiography in edentulous Korean patients aged 60-90 years. MATERIALS AND METHODS. The study included the diagnostic panoramic radiographs of 180 randomly selected edentulous patients without systemic diseases affecting bone. The radiographic selection criteria included absence of obvious facial asymmetry, clearly visible anatomic structures, and no surgical and fracture history. The panoramic radiographs of 79 patients met these criteria and were used in the analysis. The same researcher processed all the radiographs by using a standardized method. The height of the residual bone was measured at 18 predetermined sites (7 in the maxilla and 11 in the mandible) on digitized and printed radiographs by using a Digimatic caliper, triangle, and ruler. Gender- and age-related differences were statistically analyzed by using the t-test and rank-sum test (${\alpha}=0.05$). RESULTS. The maxillary residual bone height did not show significant gender-related differences, but male patients had significantly higher residual bone in the mandible(P<.05). No significant height differences at the measured sites were noted among the 60s, 70s, and 80s age groups. CONCLUSION. Dentists should pay greater attention to older female edentulous patients because they are more prone to rapid residual bone resorption. Residual bone resorption may not be affected by age.

Evaluation of craniofacial morphology in short-statured children: growth hormone deficiency versus idiopathic short stature

  • Kim, Ki Bong;Kim, Eun-Kyong;Jang, Kyung Mi;Kim, Min Seon;Park, Eun Young
    • Journal of Yeungnam Medical Science
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    • v.38 no.1
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    • pp.47-52
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    • 2021
  • Background: Short stature is defined as a height below the 3rd percentile or more than two standard deviations below the mean for a given age, sex, and population. There have been inconsistent results regarding craniofacial morphology in short-statured children. This study aimed to analyze the differences between short-statured children with growth hormone deficiency, idiopathic short-statured children, and normal children. Methods: Thirty-one short-statured children with growth hormone deficiency, 32 idiopathic short-statured children, and 32 healthy children were enrolled in this study. The measurements of their craniofacial structures from lateral cephalograms were evaluated. Results: There were statistically significant differences among the three groups seven variables (anterior cranial base length, posterior cranial base length, total cranial base length, upper posterior facial height, posterior total facial height, mandibular ramus length, and overall mandibular length) in the linear measurement and five variables (saddle angle, gonial angle, mandibular plane angle, position of mandible, and maxilla versus mandible) in the angular measurement. Conclusion: Compared to the control group, many linear and angular measurements of the craniofacial structures were significantly different in the two short-statured groups (p <0.05). Treatment plans by orthodontists should include these craniofacial structure characteristics.