• Title/Summary/Keyword: Open Bite

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A CASE REPORT OF ANGLE'S CLASS III MALOCCLUSION WITH ASYMMETRIC MANDIBULAR PROGNATHISM (비대칭성 하악골 전돌증을 동반한 Angle씨 III급 부정교합의 치험 예)

  • Ryu, Young Kyu;Son, Byung Hwa;Park, Young Chel;Kim, Koan Sae
    • The korean journal of orthodontics
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    • v.12 no.1
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    • pp.31-36
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    • 1982
  • 20 years old female patient with asymmetric mandibular prognathism had anterior openbite, anterior cross-bite and mandibular shift. This patient was treated with both orthodontic and surgical method. Maxillary second molars were extracted to reduce the wedging effect and maxillary first molars moved to distal by straight pull head gear. After orthognathic surgery, open-bite was corrected with multiple shoe-loop arch wire.

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Treatment and posttreatment changes following intrusion of maxillary posterior teeth with miniscrew implants for open bite correction (Miniscrew implant를 이용한 상악 구치부 압하와 개방교합 치료의 효과 및 안정성)

  • Lee, Han-Ah;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.38 no.1
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    • pp.31-40
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    • 2008
  • Objective: This study investigated the skeletal and dentoalveolar changes after intrusion of maxillary posterior teeth using miniscrew implants during the treatment and posttreatment period. Method: The subjects consisted of 11 adults (1 male, 10 females) whose open bites were treated by posterior teeth intrusion with miniscrew. The lateral cephalometric x-rays of pre-treatment, post-treatment, and the retention period were evaluated. Results: The average intrusion of maxillary posterior teeth at the end of the treatment period was 2.22 mm (p < 0.001) and the average extrusion of maxillary posterior teeth at the end of the 17.4 month retention period was 0.23 mm (p = 0.359). The relapse rate was calculated at 10.36%. A decrease in overbite after the 17.4 month retention period was 0.99 mm (p < 0.05). The relapse rate was calculated at 18.10%. The skeletal changes and vertical height change of maxillary posterior teeth during the retention period was statistically insignificant, but there was a significant decrease in overbite (mean 0.99 mm, p < 0.05). The amount of intrusion and the overbite improvement from treatment significantly correlates to the degree of relapse. Conclusions: The results indicate that intrusion of the maxillary posterior teeth using miniscrews is an effective, non-surgical treatment modality which can reasonably be used to address adult open bite.

Implant impression using closed mouth impression technique: a case report (폐구인상채득법을 이용한 임플란트 인상채득 증례)

  • Kim, So-Yeun;Kim, Joo-Hyeun;Jung, Kyoung-Hwa;Jeon, Hye-Mi;Kang, Eun-Sook;Yun, Mi-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.3
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    • pp.223-229
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    • 2017
  • Closed mouth impression technique by using bite tray is preferred for single tooth impression taking. However, for implant impression taking, open mouth impression technique by using single arch tray is generally used whether it is for single implant or multiple implant. Closed mouth impression technique by using bite tray can save time and materials. It also decreases the chance of error occurrence when a model is mounted on an articulator. In this case report, we tried to show a satisfying result of fabricating single implant fixed prosthodontics after bite tray impression taking by using two different copings for closed mouth impression.

Accuracy of new implant impression technique using dual arch tray and bite impression coping

  • Lee, Shin-Eon;Yang, Sung-Eun;Lee, Cheol-Won;Lee, Won-Sup;Lee, Su Young
    • The Journal of Advanced Prosthodontics
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    • v.10 no.4
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    • pp.265-270
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    • 2018
  • PURPOSE. The purpose of this in vitro study was to evaluate the accuracy of a new implant impression technique using bite impression coping and a dual arch tray. MATERIALS AND METHODS. Two implant fixtures were placed on maxillary left second premolar and first molar area in dentoform model. The model with two fixtures was used as the reference. The impression was divided into 2 groups, n=10 each. In group 1, heavy/light body silicone impression was made with pick up impression copings and open tray. In group 2, putty/light body silicone impression was made with bite impression copings and dual arch tray. The reference model and the master casts with implant scan bodies were scanned by a laboratory scanner. Surface tessellation language (STL) datasets from test groups was superimposed with STL dataset of reference model using inspection software. The three-dimensional deviation between the reference model and impression models was calculated and illustrated as a color-map. Data was analyzed by independent samples T-test of variance at ${\alpha}=.05$. RESULTS. The mean 3D implant deviations of pick up impression group (group 1) and dual arch impression group (group 2) were 0.029 mm and 0.034 mm, respectively. The difference in 3D deviations between groups 1 and 2 was not statistically significant (P=.075). CONCLUSION. Within limitations of this study, the accuracy of implant impression using a bite impression coping and dual arch tray is comparable to that of conventional pick-up impression.

Automatic Defect Detection System for Ultra Fine Pattern Chip-on-Film (초미세 패턴 칩-온-필름을 위한 자동 결함 검출 시스템 개발)

  • Ryu, Jee-Youl;Noh, Seok-Ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.05a
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    • pp.775-778
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    • 2010
  • 본 논문에서는 초미세 패턴($24{\mu}m$ 이하의 선폭, $30{\mu}m$ 이하의 피치)을 가진 칩-온-필름(Chip-on-Film, COF)에 발생한 결함을 자동으로 검출할 수 있는 시스템을 제안한다. 개발된 시스템은 COF 패턴으로부터 대표적으로 발생하는 결함들, 즉 개방(open), 단락(hard short), mouse bite(near open) 및 near short(soft short)을 자동으로 신속히 검출할 수 있는 기술이 적용되어 있다. 특히 초미세 패턴의 경우, near open 및 near short과 같은 결함 검출이 불가능한 기존 검출시스템의 문제점을 극복한 기술이 제안되어 있다. 본 논문에서 제안하는 결함 검출 원리는 미세 선의 결함유무에 따른 저항 변화를 자동으로 검출하고, 그 미세한 변화를 좀 더 자세하게 판별하기 위해 고주파 공진기(resonator)를 적용하고 있다. 제안된 시스템은 미세 패턴을 가진 COF 제작 과정에서 발생한 결함을 신속히 검출할 수 있기 때문에 COF 불량 검사에 소요되는 많은 경비를 줄일 수 있으리라 기대한다.

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A STUDY ON THE IRREGULARITIES OF TEETH IN MALOCCLUSION (부정교합(不正咬合)의 치아부정양상(齒牙不正樣相)에 관(關)한 연구(硏究))

  • Roh, Tae Rae
    • The korean journal of orthodontics
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    • v.9 no.1
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    • pp.39-65
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    • 1979
  • The purpose of this study was to investigate the pattern of irregularities of teeth in various malocclusion groups. The subjects consist of 803 out-patients (355 males, and 448 females) in department of Orthodontics of S.N.U. Hospital, Yonsei University, and Kyunghi University Hospital. The results were as follows. 1. The proportions of subjects on the basis of Angle's Classification were 39.2% (42.2% male, and 57.8% fomale) in class I malocclusion, 29.0% (44.6% male, and 55.4% female) in class II. div. 1., 3.5%(46.4% male, and 53.6% female) in class II. div. 2., 28.3%(46.3% male, and 53.7% female) in class III. 2. Considering all the subjects, the percentage of teeth crowding was 67.8% (45.0% male, and 55.0% female). In class I malocclusion, the percentage of Crowding was 70.8%(43.5% male, and 56.5% female) with higher frequency in upper anterior teeth than in lower anterior. 3. The percentage of Maxillary anterior diastema was 25.6% (45.6% male, and 54.4% female) on the whole. In class II. div. 1. malocclusion, the percentage was 28.8% (46.3% male, and 53.7% female) and in class III, the percentage was 19.8% (46.7% male, and 53.3% female). Thus, frequency of maxillary anterior distema, was comparatively higher in class II. div. 1. than in class III. 4. The percentage of high canine was 25.1% (53.2% male, and 46.8% female) on the whole, and was 86.0% male and 76.6% female in right side, 73.0% male and 72.3% female in left side. In calss II. div. 2., the percentage was 53.6% (46.7% male, and 53.3% female ). In class II. div. 1., the percentage was 16.7% (46.2% male, and 53.8%) with higher frequency in class II. div.2. 5. The percentage of deep overbite was 23.0% (43. 2% male, and 56.8% female) on the whole. Ia class 11. div. 2., and in clas sll. div. 1., its were 89.3%(48.0% male and 52.0% female), 54.5% (40.9% male, and 59.1% female) respectively. This result can be considered as one of the characterics of Angle's class 11 malocclusion group. 6. The percentage of spacing was 23.0% (36.8% male, and 63.2% female) on the whole, In class II. div. 1., and in class II. div. 2., its were 26.1% (44.3% male, and 55. 7% female), 7.1% (50.0% male, and 50.0% female) respectively. 7. The percentage of open bite was 14.3% (42.6% male, and 57.4% female) on the whole with higher rate on the anterior part. It rated 17.6%(50. 0% male, and 50.0% female) in class III, but none in class II. div. 2. 8. The percentage of crossbite was 22.5% (55.8% male, and 44.2% female) on the whole, with higher frequency on the anterior part than on the posterior part. In Angle's class III, it rated as much as 55.1% (57.6% male, and 42.4% female). 9. The percentage of edge-to-edge bite was 20.4% (47.6% male, and 52.4% female) with higher frequency on anterior part than on posterior part. 10. The percentage of irregularities of teeth in various malocclusion groups, was 21.5% (24.8% maxillary, and 18.1% mandible) in crowding, 20.8% (23.5% maxillary, and 18.0% mandible) in rotation, 10.7% (10.6% maxillary, and 10.8% mandible) in cross bite, 9.5% (11.8% maxillary, and 7.3% mandible) in spacing, 8.5% (8.5% maxillary, and 8.5% mandible) in edge-to-edge bite, 8.1% (8.3% maxillary, 7.8% mandible) in open bite. Crowding teeth, spacing teeth, and rotating teeh were more prevalent in anterior part than in posterior part. Cross bite teeth and edge-to-edge bite teeth were more prevalent in class III malocclusion than in another.

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Restorative management using hybrid ceramic of a patient with severe tooth erosion from swimming: a clinical report

  • Peampring, Chaimongkon
    • The Journal of Advanced Prosthodontics
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    • v.6 no.5
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    • pp.423-426
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    • 2014
  • This clinical report presents the clinical appearance and treatment approach in a case of excessive anterior teeth erosion resulted from swimming in a poorly-chlorinated swimming pool. Clinical findings revealed tooth sensitivity, severe enamel erosion resembling veneer preparations, and the presence of anterior open bite. A novel hybrid ceramic (Vita Enamic) was chosen for fabricating full-coverage crowns for this patient. After 6-months follow-up, the tooth sensitivity disappeared and the patient was satisfied with esthetic outcome. The hybrid ceramic restorations can be recommended with no complications.

Clinical analysis of early reoperation cases after orthognathic surgery (악교정수술 후 조기 재수술 증례의 분석)

  • Lee, Ju-Hwan;Lee, In-Woo;Seo, Byoung-Moo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.1
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    • pp.28-38
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    • 2010
  • The factors influencing the relapse and recurrence of skeletal deformity after the orthognathic surgery include various factors such as condylar deviation, the amount of mandibular set-back, stretching force by the soft tissues and muscles around the facial skeleton. The purpose of this report is to recognize and analyze the possible factors of reoperation after orthognathic surgery, due to early relapses. Six patients underwent reoperation after the orthognathic surgeries out of 110 patients from 2006 to 2009 were included in this study. In most cases, clincal signs of the insufficient occlusal stability, anterior open bite, and unilateral shifting of the mandible were founded within 2 weeks postoperatively. Although elastic traction was initiated in every case, inadequate correction made reoperation for these cases inevitable. The chief complaints of five cases were the protruded mandible combined with some degree of asymmetric face and in the other one case, it was asymmetric face only. Various factors were considered as a major cause of post-operative instability such as condylar sagging, counter-clockwise rotation of the mandibular segment, soft tissue tension related with asymmetrical mandibular set-back, preoperatively existing temporomandibular disorder (TMD), poor fabrication of the final wafer, and dual bite tendency of the patients.

A NEW APPROACH TO USE OVERBITE DEPTH INDICATOR IN ORTHODONTIC DIAGNOSIS (교정 진단을 위한 피개교합심도지수 (Overbite Depth Indicator, ODI) 의 새로운 평가)

  • Yang, Won-Sik;Chang, Young-Il;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.22 no.1
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    • pp.17-30
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    • 1992
  • Since 1984, many patients have been treated with Multiloop Edgewise Archwire (MEAW) Technique and diagnosed with ODI (Overbite Depth Indicator) and APDI (Anteroposterior Dysplasia Indicator) by the authors. 234 samples of them were selected randomly for the statistical analysis (age, sex, Angle's classification, treatment period, extraction, ODI etc.). Especially, ODI was analysed statistically and its application methods were reviewed. The results and conclusions were as follows: 1. On the 150 patients with normal overbite, the mean values of Class I, II, III malocclusion were $67.5^{\circ}$, $72.2^{\circ}$ and $59.0^{\circ}$. They were significantly different on the level of p < 0.01. 2. In normal overbite samples, ODI decreased with the increase of APDI and the correlation coefficient was -0.54. It seems that this result reflects the characteristics of AB to mandibular plane angle. 3. The regression equation was Y = - 0.57X + 114.64, where X is APDI and Y is ODI. In cases of small or large APDI, it seems to be absurd that the patient's ODI is compared with the mean ODI to differentiate diagnostically the open bite or deep bite tendency from the normal.

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Orthodontic treatment in a patient with Moebius syndrome: A case report

  • Lee, Sanghee;Moon, Cheol-Hyun
    • The korean journal of orthodontics
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    • v.52 no.6
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    • pp.451-460
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    • 2022
  • Moebius syndrome (MBS) is a congenital neurologic disorder that causes cranio-facial abnormalities. It involves paralysis of the VI and VII cranial nerves and causes bilateral or unilateral facial paralysis, eye movement disorder, and deformation of the upper and lower limbs. The orofacial dysfunctions include microstomia, micrognathia, hypotonic mimetic and lip muscles, dental enamel hypoplasia, tongue deformity, open bite or deep overbite, maxillary hypoplasia, high arched palate, mandibular hyperplasia or features indicating mandibular hypoplasia. This case report presents a 7-year-old male patient who was diagnosed with MBS at the age 2 years. The patient displayed typical clinical symptoms and was diagnosed with Class II malocclusion with a large overjet/overbite, tongue deformity and motion limitation, and lip closure incompetency. Treatment was initiated using a removable appliance for left scissor bite correction. After permanent tooth eruption, fixed appliance treatment was performed for correction of the arch width discrepancy and deep overbite. A self-ligation system and wide-width arch form wire were used during the treatment to expand the arch width. After 30 months of phase II treatment, the alignment of the dental arch and stable molar occlusion was achieved. Function and occlusion remained stable with a Class I canine and molar relationship, and a normal overjet/overbite was maintained after 9.4 years of retainer use. In MBS patients, it is important to achieve an accurate early diagnosis, and implement a multidisciplinary treatment approach and long-term retention and follow-up.