Objective: To evaluate the effectiveness of the Frog appliance in three dimensions by using cone-beam computed tomography (CBCT) images. Methods: Forty patients (21 boys and 19 girls), averaged 11.7 years old, with an Angle Class II division 1 malocclusion were included in our study. They had either late mixed dentition or early permanent dentition, and the maxillary second molars had not yet erupted. All patients underwent CBCT before and after the treatment for measuring changes in the maxillary first molars, second premolars, central incisors, and profile. Paired-samples t-test was used to compare the mean difference in each variable before treatment and after the first phase of treatment. Results: The maxillary first molars were effectively distalized by 4.25 mm (p < 0.001) and 3.53 mm (p < 0.05) in the dental crown and root apex, respectively. The tipping increased by $2.25^{\circ}$, but the difference was not significant. Moreover the teeth moved buccally by 0.84 mm (p < 0.05) and 2.87 mm (p < 0.01) in the mesiobuccal and distobuccal cusps, respectively, whereas no significant changes occurred in the root apex. Regarding the anchorage parts, the angle of the maxillary central incisor's long axis to the sella-nasion plane increased by $2.76^{\circ}$ (p < 0.05) and the distance from the upper lip to the esthetic plane decreased by 0.52 mm (p = 0.01). Conclusions: The Frog appliance effectively distalized the maxillary molars with an acceptable degree of tipping, distobuccal rotation, and buccal crown torque, with only slight anchorage loss. Furthermore, CBCT image demonstrated that it is a simple and reliable method for three-dimensional analysis.
The Purpose of this study was to estimate relative importance among the causative factors o( arch length discrepancy(ALD) and Possibility of prediction of the ALD in the mixed dentition. The sample consisted of the casts of the 142 young adults who had no abnormal muscle function, no skeletal abnormalities and Class I molar relationship. We classified the sample by gender and the extent of ALD, and measured mesiodistal diameters of each tooth and the dimensions of the dental arch. The computerized statistical analyses was carried out with SPSS win program. The results were as follows ; 1. Most of the variables of spacing group and some variables of dental arch dimension of crowding group were significantly different between genders. But in normal group, there were few differences. 2. In male crowding and female spacing group, mainly measurements of tooth dimension were significantly different from those of normal group. 3. In male spacing and female crowding group, measurements of dental arch dimension were significantly different from those of normal group. 4. The measurements of dimension of dental arch were highly correlated with ALD in correlation analysis and factor analysis. 5. Prediction equations for adult's ALDs by means of what can be measured in the mixed dentition(mesiodistal dimensions of incisors and first molar, intermolar width and arch length) showed R square from $63\%$ to $80\%$.
TRAINER for Kids ($T4K^{TM}$, Myofunctional. Research Co, Australia) is a prefabricated myofunctional orthodontic appliance recommended to ClassII division1 malocclusion patients who have bad oral habits such as mouth breathing, tongue thrusting, inappropriate tongue position, thumb sucking and so on. Trainer has a soft texture and a small volume so that those advantages lead to an increase in the agreement rate of young patients of its use. This presentation is to analyze clinical efficacy of Trainer. The analysis is based on a result of regular follow-up on Class II division1 malocclusion patients who has been completely treated by Trainer in the Sanbon Dental Hospital of Wonkwang university. This case report is to present the satisfactory results gained by using Trainer on Class II patients. First, Trainer was applied in Class II malocclusion patients of mixed dentition with expected space insufficient to gain facial improvement. Second, excessive overjet, overbite were improved. Third, main effects are regarded to have been achieved by development of lingual slant of upper jaw, labial slant of lower jaw, and lower part of jaw bone.
Journal of the korean academy of Pediatric Dentistry
/
v.36
no.3
/
pp.412-419
/
2009
The purpose of this study was to provide the reference data evaluating the treatment effect of orthopedic appliances. The skeletal and dental growth increments were measured in 24 normal mixed dentition children (boys: 14, girls: 10) by three serial lateral cephalograms: initial mean age: 9${\pm}$1.3 years, mean observation period: 13${\pm}$1.3 months. Cephalometric changes were analysed. The results were as follows: 1. In boys, the maxilla showed forward and downward growth pattern and the mandible showed forward growth pattern (p<0.05). In girls, the maxilla and mandible showed forward and downward growth pattern(p<0.05). 2. Horizontal growth of both maxilla and mandible in girls was superior to those in boys (A point; girls: 2.39mm, boys: 1.26mm, with p<0.05), whereas vertical growth of both maxilla and mandible in boys was similar to those in girls. 3. The change in tooth axis showed labioversion of upper incisor (p<0.01) and comparatively stable lower incisor position.
Journal of the korean academy of Pediatric Dentistry
/
v.23
no.4
/
pp.788-799
/
1996
The purpose of this study was to determine the accuracy of the prediction methods which are frequently used in the clinic, such as Moyers', Tanaka and Johnston's, Song's Hixon and Oldfather's, Kaplan's, Smith's. These prediction methods were compared to the data, which were obtained from 100 Kyung-Hee University students (50 males and 50 females) with normal occlusion of permanent dentition, using a retrospective statistical analysis. The standard periapical radiopgraphs for the lower premolars using 16-inch long cone technique and the yellow stone dental casts were taken from each samples. The mesiodistal widths of 4 incisors, canine, premolars were measured on the dental casts, and those of premolars were measured on the radiographs. The correlation coefficients, paired samples t-tests, regression coefficients between the actual measuredments of the samples and the predicted measurements of each methods were analyzed. The results obtained were as follows: 1. The prediction methods using periapical radiographs tended to show a stronger correlation than the methods using dental casts; the correlation coefficients between the actual widths of the lower canine and premolars and the predicted widths of the tested methods were higher in Smith, Kaplan, Hixon & Oldfater, and Tanaka & Johnston (p<0.001). 2. The Moyers' probability chart at 65 % showed a tendency toward the least difference between the actual measurements and the predicted widths of the lower canine and the premolars, and the methods of Smith, Kaplan, Tanaka & Johnston also showed a less difference. 3. By means of evaluation in correlation coefficients and paired smaples t-tests, the Smith and Tanaka & Johnston in male, and the Moyers' 65 % and Song in female showed a high tendency toward accurate methods. 4. The regression equations by models that are derived from the study were as follows: Male(Lt.) :Y=10.799+0.475X Femle(Lt.) :Y= 7.427+0.609X (Rt.) :Y=11.043+0.462X (Rt.) :Y= 8.475+0.556X 5. The regression equations by radiographs that are dericed from the study were as follows: Male(Lt.) :Y=6.5651+0.9720X Femle(Lt.) :Y=4.8656+1.0632X (Rt.) :Y=7.8610+0.9060X (Rt.) :Y=4.5483+1.0843X
Journal of the korean academy of Pediatric Dentistry
/
v.29
no.1
/
pp.115-124
/
2002
The purpose of this study was to establish regression equations and probability charts for predicting the sum of mesiodistal crown diameters of unerupted unilateral canine and premolars from the sum of mesiodistal crown diameters of four mandibular incisors in Korean male and female. The plaster casts of 162 children(75 boys and 87 girls) among the contestees in 1994-2001 Healthy Dentition Contest in Seoul were measured. Sex differences are compared and the following results were obtained: 1. Bilateral comparison of sum of widths of permanent canine and premolars showed no significant differences for either sex(p>0.05). Sum of widths of permanent canine and premolars of male were significantly larger than that of female(p<0.01). 2. Regression equations for the prediction of sum of widths of permanent canine and premolars in each sex were as follows Male ${\Sigma}Maxillary$ 345 y= 10.45+0.53x Male ${\Sigma}Mandibular$ 345 : y= 10.07+0.51x Female ${\Sigma}Maxillary$ 345 : y=12.65+0.42x Female ${\Sigma}Mandibular$ 345 : y=11.70+0.42x Male+female ${\Sigma}Maxillary$ 345 y=11.01+0.50x Male+female ${\Sigma}Mandibular$ 345 : y=9.87+0.51x
Koh, Kyung Suck;Lee, Sung Wook;Choi, Jong Woo;Lee, Young Kyoo;Kwoun, Soon Man
Archives of Plastic Surgery
/
v.35
no.3
/
pp.273-278
/
2008
Purpose: The most widely accepted protocol for alveolar cleft reconstruction is to repair it during the mixed dentition stage. There were lower resorption rate (about 88%) at this stage. However we found some cases that need repeated bone grafting. Therefore we sought to analyze the cause of repeated alveolar bone grafting in connection with other factors. Methods: From January 2000 to January 2006, thirty-nine secondary alveolar bone grafts with iliac crest spongiosa were carried out. In 39 patients, 5 patients who had significant bone graft resorption received repeated alveolar bone graft. In all the cases, the causes of repeated bone grafts were dental root exposure(angulation), and the deficiency of the bony support for lateral incisor or canine eruption. In 3 cases, there was deficiency of the alveolar bone at the cleft side. There was the need of repeated bone grafts for orthodontic treatment in 2 cases and for application of dental implants in 1 case. Results: During the follow-up period, the clinical and radiologic examinations showed that repeated alveolar bone grafts were maintained successfully without any complications. The volume of the repeated bone graft was sufficient for orthodontic treatment and implantation. Conclusion: The essential conditions for successful alveolar bone grafting includes the status of cleft sided teeth, further treatment and planed schedule, as well as canine eruption. Alveolar bone grafting has to be performed with difference of each case in mind.
Journal of the korean academy of Pediatric Dentistry
/
v.34
no.4
/
pp.718-724
/
2007
A case of dentinal dysplasia type I is presented. Dentin dysplasia type I is a rare dental anomaly that is characterized by disturbance in dentin formation. It appears to be normal clinically, but, radiographically, it is characterized by obliteration of all pulp chambers and short, blunted, and malformed roots. Histological analysis shows whorls of tubular dentin and atypical osteodentin. In this case, features of dentin dysplasia type I in mixed dentition is presented. The clinical, radiographic, and histopathological findings of this condition are described along with its management.
The aims of this study were to investigate the differences in the early craniofacial morphology of Class III malocclusions with good, fair and poor occlusal stability and to elucidate a key determinant for distinguishing the cases. Lateral cephalograms of 30 subjects with Class III malocclusion in the mixed dentition were analyzed at the start of treatment (mean age of $8.58\pm1.47$). All subjects were reevaluated after a mean period of $7.50\pm1.94$ years comprising active treatment and retention. At this time, the samples were divided into three groups: good (10 subjects), fair (10 subjects) and poor (10 subjects) occlusal stability groups. According to the results of ANOVA, there were significant morphological differences in the early stage among the good, fair and poor occlusat stability groups, especially in variables that represented the vertical skeletal relationships. As well, there were already more dental compensations in the poor occlusal stability group. Stepwise discriminant analysis on the measurements at the time of first observation identified only one predictive variable: AB to mandibular plane angle(AB-MP). With this discriminant function, $83.3\%$of the original grouped cases were correctly classified and the canonical correlation coefficient was 0.857. In conclusion, AB-MP can be a possible predictor for the eventual prognosis of early Class III treatment. If it is below 60, the prognosis of early Class III treatment is expected to be poor, while if it is above 65, a good prognosis is expected.
Objectives : In order to provide basic data necessary for developing oral health education plane for school continued oral health education by understanding knowledge and activities of oral health. Methods : This study was performed against 324 students at 5th grade of 2 elementary schools in Iksan-si, Jellabuk-do selected through convenience sampling, who were in mixed dentition period that might experience dental caries of permanent tooth. Results : As results, For the knowledge level on oral health by questions, it was found that the case that the elementary school students had correct knowledge on oral health was 'chocolates, snacks, and candies were foods that might often cause dental caries' and 95.8% of the students recognized it well. It was found that for 'must do toothbrushing before going to bed', 'during toothbrushing, I clean my tongue', and 'Proper time necessary for toothbrushing is about 3 minutes', 89.3%, 93.2%, and 89.3% of the students knew the, respectively. When oral health knowledge level by groups was divided into 3 groups and observed, they were classified into Low (0-4 points), Mid (5-7 points), and High (8-10 points). It was found that the knowledge level of each group was High 64.1%, Mid 33.9%, and Low 2.0% and it was identified that the high group took the largest ratio. It was suggested also for oral health knowledge level depending on their father's academic background that there was a statistically significant difference in the group higher than university graduate(p<.05). It was found for oral health knowledge level depending on parents' dental condition that an answer that both parents were good was high and there was a statistically significant difference. But post-analysis resulted that there was no apparent difference among groups. It was found that the ratio of respondents who answered for toothbrushing method 'toothbrush should be moved and rotated downward for the upper teeth and upward for the lower teeth to clean the teeth and gum' were 33.2% of male students and 29.4% of female students and showed statistically significant difference (p<0.05). It was found also that the ratio of respondents who answered to use a toothbrush for about 3 months' were 29.4% of male students and 25.5% of female students and showed statistically significant difference (p<0.05). Conclusions : Oral health program through the elementary school students and their parents for the development of proper oral health care education programs continue to be made should be considered.
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