• Title/Summary/Keyword: Maxillary growth

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A Lateral Cephalometric Study of Maxillofacial Morphologic Features in Class III Malocclusion Children (성장기 3급 부정교합 환자에서 악안면 형태에 대한 측모두부계측방사선학적 연구)

  • Sohn, Woo-Ill;Chang, Ic-Jun;Song, Jae-Chul;Chin, Byung-Rho
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.208-214
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    • 2001
  • Background: When we make treatment plan of class III malocclusion children, it is difficult to determine whether we treat it with orthognathic surgery or without orthognathic surgery. To determine that, we must consider many factors, such as cephalometric analysis, growth pattern, family history, and skeletal age. A Harvold cephalometric analysis is useful in determining the amount of discrepancy by comparing the maxillary unit length with mandibular, unit length. We tried this study to help the decision of treatment planning in class ill malocclusion children by comparison in class III malocclusion and normal occlusion children using a Harvold analysis. Materials and Methods: The materials for this study consisted of 20 class III malocclusion children. Cephalometric tracing and measurements were performed by one investigator. The control group consisted of 18 normal occlusion children and lateral cephalograms were obtained from 8.5 to 14.5 years old children biannually. The relationships between class III malocclusion group and normal occlusion group were evaluated statistically. Results: The lower anterior facial heights between two groups were not significantly different, although the lower anterior facial heights of class III malocclusion group was higher than those of normal occlusion group in all age groups. The Maxillary-mandibular unit length differences of class III malocclusion group were significantly higher than those of normal occlusion group(p<0.05). Conclusion: A Harvold analysis was useful to make treatment planning for class III malocclusion children.

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Effects of a Prefabricated Functional Orthodontic Appliance on Children with Class II Division 1 Malocclusion

  • So-Youn An;Eun-Hee Kim;Ho-Uk Lee;Sang-Ho Bak;Hyo-Jin Kang;Youn-Soo Shim
    • Journal of dental hygiene science
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    • v.23 no.2
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    • pp.112-122
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    • 2023
  • Background: This study aimed to evaluate the effect of a prefabricated functional appliance (Myobrace®) on skeletal, dental, and soft tissue components in children with Class II, division 1 malocclusion. Methods: Thirteen patients with Class II, division 1 malocclusion (9 girls and 4 boys; mean age, 8.2±0.9 years at the start and 9.3±1.0 years at the end of the treatment) were treated with Myobrace® for a mean period of 12.9±4.0 months. Patients were instructed to use the appliance daily for 1 hour and overnight while sleeping. A control group of 10 patients with untreated Class II, division 1 malocclusion (3 girls and 7 boys; mean age, 9.0±1.6 years at the start and 10.4±2.1 years at the end of the observation) was included to eliminate possible growth effects. The mean observation period for this group was 17.7±11.2 months. Lateral cephalograms were taken at the start and end of the treatment, and findings from 41 measurements were analyzed using the V-CephTM program. The mean and standard deviation of cephalometric measurements were analyzed using paired and independent sample t-tests. Results: The treatment group showed significant changes in SNB, ANB, maxillary protrusion, ramus height, proclination of upper anterior teeth, interincisal angle, overjet, and upper lip protrusion compared with the control group. However, only decrease in ANB, maxillary protrusion, overjet, upper lip protrusion, and increase in interincisal angle were significantly higher in the treatment group than in the control group. Conclusion: The prefabricated functional appliance induced skeletal, dentoalveolar, and soft tissue changes, resulting in a significant reduction in anteroposterior discrepancy.

Risk factors for orthodontic fixed retention failure: A retrospective controlled study

  • Kaat Verschueren;Amit Arvind Rajbhoj;Giacomo Begnoni;Guy Willems;Anna Verdonck;Maria Cadenas de Llano-Perula
    • The korean journal of orthodontics
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    • v.53 no.6
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    • pp.365-373
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    • 2023
  • Objective: To investigate the potential correlation between fixed orthodontic retention failure and several patient- and treatment-related factors. Methods: Patients finishing treatment with fixed appliances between 2016 and 2017 were retrospectively included in this study. Those not showing fixed retention failure were considered as control group. Patients with fixed retention failure were considered as the experimental group. Additionally, patients with failure of fixed retainers in the period of June 2019 to March 2021 were prospectively identified and included in the experimental group. The location of the first retention failure, sex, pretreatment dental occlusion, facial characteristics, posttreatment dental occlusion, treatment approach and presence of oral habits were compared between groups before and after treatment separately by using a Fisher exact test and a Mann-Whitney U test. Results: 206 patients with fixed retention failure were included, 169 in the mandibular and 74 in the maxillary jaws. Significant correlations were observed between retention failure in the mandibular jaws and mandibular arch length discrepancy (P = 0.010), post-treatment growth pattern (P = 0.041), nail biting (P < 0.001) and abnormal tongue function (P = 0.002). Retention failure in the maxillary jaws was more frequent in patients with IPR in the mandibular jaws (P = 0.005) and abnormal tongue function (P = 0.021). Conclusions: This study suggests a correlation between fixed retention failure and parafunctional habits, such as nail biting and abnormal tongue function. Prospective studies with larger study populations could further confirm these results.

Rehabilitation using endocrown for fracture of maxillary anterior teeth due to trauma in adolescence: a case report (청소년기 외상으로 인한 상악 전치부 파절 시 Endocrown을 이용한 수복: 증례 보고)

  • So-Yeon Lee;Sung-Ae Son;Jeong-Kil Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.1
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    • pp.24-30
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    • 2024
  • Complicated crown fractures of maxillary anterior teeth caused by trauma in adolescence can cause functional and aesthetic problems. For crown fractures with pulp exposure, various restorative methods can be considered depending on the amount of remaining tooth structure. Direct resin restorations are the most traditional and effective method, but they are likely to discolor and break over time. Fixed prosthesis have a high possibility of re-restoration due to marginal disharmony due to tooth movement during the growth period, and restorations using post which are mainly performed for extensive crown fractures increase the risk of root perforation and root fracture. However, endocrown is an integrated structure that gains retention force from the pulp space, enabling effective reconstruction from a biomechanical perspective and providing advantages in restoring function and aesthetics. Therefore, endocrown can be considered as a restoration method for complicated crown fractures caused by trauma in adolescence.

GROWTH CHANGES OF DENTAL ARCHES DURING THE DECIDUOUS DENTITION PERIOD (유치열기(乳齒列期) 아동(兒童)의 치궁발육(齒穹發育)에 관(關)한 연구(硏究))

  • Byun, In-Sook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.7 no.1
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    • pp.63-74
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    • 1980
  • The purpose of this study is to analyze the width and length changes of the dental arches during the deciduous dentition period. 600 stone models of maxillary and mandibular arches obtained from the children aged 3, 4, or 5 years were under measurement. The results were as follows ; Arch widths and lengths differed with age, sex and arch. 1. * Widths of dental archs increase with age both in males and in females. * Lengths of dental arches decrease with age in females, but remain somewhat stable in males. 2. * The dental arches of males were wider than those of females in both the ant. and the post. section. * The dental arches of males were longer than those of females: ant.arch lengths were almost same, but post. arch lengths were longer in males. 3. * Upper arches were definitely wider and longer than lower arches.

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Incomplete cleft palate related to Cornelia de Lange syndrome -A case report- (Cornelia de Lange syndrom 환아에서 발생한 Incomplete cleft palate의 치험례)

  • Yoon, Bo-Keun;Lee, Hwan-Soo;Shin, Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.3 no.1
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    • pp.33-36
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    • 2000
  • Cornelia de Lange syndrome is a disorder of unknown biochemical and geneic basis that is recognized on the basis of characteristic facies(low anterior hairline, synophrys, anteverted nares, maxillary prognathism, long philtrum, carp mouth) in association with prenatal and postnatal growth retardation, mental retardation and, in many cases, upper limb anomalies. We treated the patient with incomplete cleft palate related to Cornelia de Lange syndrome.

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Management of Alveolar Cleft

  • Kyung, Hyunwoo;Kang, Nakheon
    • Archives of Craniofacial Surgery
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    • v.16 no.2
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    • pp.49-52
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    • 2015
  • The alveolar cleft has not received as much attention as labial or palatal clefts, and the management of this cleft remains controversial. The management of alveolar cleft is varied, according to the timing of operation, surgical approach, and the choice of graft material. Gingivoperiosteoplasty does not yet have a clear concensus among surgeons. Primary bone graft is associated with maxillary retrusion, and because of this, secondary bone graft is the most widely adopted. However, a number of surgeons employ presurgical palatal appliance prior to primary alveolar bone graft and have found ways to minimize flap dissection, which is reported to decrease the rate of facial growth attenuation and crossbite. In this article, the authors wish to review the literature regarding various advantages and disadvantages of these approaches.

A Case of Paranasal Sinus Papilloma with Increased FDG Uptake (부비동 유두종에서의 FDG 섭취 증가를 보인 예)

  • An, Young-Sil;Park, Yong-Koo;Kim, Deog-Yoon
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.5
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    • pp.419-421
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    • 2008
  • The false-positive FDG uptakes on head and neck areas are common due to benign lesion, iatrogenic and physiologic changes. The Schneiderian papilloma is uncommon benign tumor arising from the mucosa of the paranasal sinuses and nasal cavity. The findings of paranasal papilloma on conventional modality such as CT and MRI are non-specific and they could be confused with inflammatory polyp or retention cyst. Despite of benign tumor, the papilloma usually shows locally aggressive growth with malignant potential, therefore the FDG can be actively accumulated in this lesion. We describe the case of 18F-FDG PET/CT finding in a 77-year-old woman who demonstrates oncocytic papilloma in maxillary sinus.

A swelling of the maxilla: a case report and differential diagnosis

  • Bhargava, Puneet;Khan, Saba;Sharma, Rohit;Agwani, Khalid;Gupta, Sahil
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.6
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    • pp.308-312
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    • 2014
  • Ossifying fibromas are benign fibro-osseous tumors of mesenchymal origin. Although ossifying fibromas have principally been found in the jaw, they have also been reported in the frontal, ethmoid, sphenoid, and temporal bones, as well as the orbit and anterior cranial fossa. Ossifying fibromas affecting the jaw exhibit variable behaviors ranging from slow growth to occasionally aggressive local destruction. In the present article, we discuss a differential diagnosis considered for maxillary swellings and report a rare case of ossifying fibroma occurring in the maxilla.

ORTHOPEDIC AND SURGICO-ORTHODONTIC TREATMENT IN THE LONG FACE (Long Face(open-bite) 환자의 수술 교정 치료)

  • Baik, Hyoung Seon
    • The korean journal of orthodontics
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    • v.19 no.3
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    • pp.147-160
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    • 1989
  • Long face patients are characterized by excessive anterior facial height, lip incompetence at rest, anterior open bite, and gummy smile. A major problem is an inferior rotation of the posterior maxilla and upper molars. Long face patients have been the most difficult for orthodontist to treat successfully. In growing patients, the methods for impeding excessive vertical growth have been used high pull head gear, functional appliance, and combined type of two. One significant improvement comes from using a full arch splint to deliver force to the maxilla more vertically. In adult patients, orthodontic camouflage treatment is biomechanically difficult and doesn't work when the problem is primarilly vertical. Surgical maxillary impaction provides a means for successfully treating most of problems. Also, superior reposition of the chin via a mandibular inferior border osteotomy is effective in decrease of lower anterior facial height and correction of the poor chin-lip balance. Post-surgical stability and the physiologic response are good. The coordinated orthodontic and surgical treatment is necessary for solution the difficult skeletal deformity.

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