• Title/Summary/Keyword: Orthodontic

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Study on the Retraction of Anterior Teeth for the Lingual Orthodontics with the Three-Dimensional Finite Element Method (유한요소법을 이용한 설측 치아교정시 전치부 후방견인에 관한 연구)

  • Song Jung-Han;Huh Hoon;Park Hyun-Sang
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.28 no.8 s.227
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    • pp.1237-1244
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    • 2004
  • The orthodontic surgery including lingual orthodontics has recently attracted a person's attention due to its functional and esthetic appreciation. The skeletal anchorage with the miniscrew is newly adopted in the lingual orthodontics to assist the upholding ability. The appliciation needs to understand the mechanism of the orthodontic appliance and its related orthodontic correction for optimal orthodontic treatment. There is, however, few information about the qualitative and quantitative effect of the orthodontic appliance with the miniscrew has not been well identified. In this paper, three dimensional finite element analysis is introduced to the lingual orthodontics in order to investigate the effect of the anterior retraction force on the miniscrew and transpalatal arch wire. The analysis determines the adequate location of the miniscrew and the point of force application of the anchorage system in the lingual orthodontics. The analysis results demonstrate the effect of the position of the miniscrew and the transpalatal arch wire on the lingual orthodontics.

Knowledge and self care behaviors of orthodontic patients using clear aligner (치열교정환자의 투명 교정장치에 대한 지식 및 자가관리행태)

  • Hwang, Da-Hey;Yun, Hyun-Kyung;Hwang, Tae-Yoon
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.539-545
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    • 2014
  • Objectives : The purpose of the study is to investigate the knowledge and self care behaviors of orthodontic patients using clear aligner. Methods : A total of 181 orthodontic patients using clear aligner in Daegu filled out the self-reported questionnaire from September 6 to October 18, 2010. and 162 subjects completed orthodontic treatment. Results : There existed a significant difference in knowledge and self care behaviors between gender and wearing duration of clear aligner(p<0.01). Treatment duration influenced significantly on the score of self care behaviors(p<0.01) and the high score of self care behavior showed in short duration of treatment. Conclusions : Self care behaviors were closely correlated with treatment duration. An information for the clear aligner will be helpful to improve the knowledge and self care behaviors.

Comprehensive orthodontic treatment of a young girl with an odontogenic keratocyst and impacted teeth in the mandible

  • Baik, Won-Kyeong;Baik, Hyoung-Seon;Choi, Sung-Hwan
    • The korean journal of orthodontics
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    • v.50 no.1
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    • pp.63-71
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    • 2020
  • Odontogenic keratocysts (OKCs) are one of the most aggressive cysts in the oral and maxillofacial area because of their high recurrence rate and infiltrative behavior. In growing patients with OKCs, a radical treatment approach might cause numerous complications, including the disturbance of jaw growth and loss of the involved tooth. This case report describes successful comprehensive orthodontic treatment combined with marsupialization of the cyst in a young girl who exhibited an OKC with impacted teeth. The 10-year-old girl presented with an OKC extending from the mandibular symphysis through the left mandibular body, with ectopic impaction of the mandibular left canine and first premolar, as well as congenitally missing bilateral mandibular second premolars. Interestingly, spontaneous improvement of the positions of the ectopic impacted teeth, along with a reduction in the size of the cyst, occurred during marsupialization. The sequential use of removable and fixed appliances enabled orthodontic traction of the impacted teeth. The treatment outcome was stable at 2.5 years after the end of the treatment. We speculate that comprehensive orthodontic treatment combined with marsupialization can be an effective treatment strategy for patients with OKCs, especially when they are encountered in young, growing patients with impacted teeth.

Effective dose of cone-beam computed tomography for orthodontic analysis in pediatric patient (소아환자에서 교정분석을 위한 콘빔CT 촬영시 유효선량에 관한 연구)

  • Kim, Eun-Kyung
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.558-568
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    • 2015
  • Objective: The objectives of this study were to measure pediatric organ and effective doses of cone-beam computed tomography (CBCT) for orthodontic analysis and to compare them to those of panoramic and lateral cephalometric radiography, the conventional radiography for orthodontic analysis. Materials and Methods: Alphard VEGA for CBCT, Planmeca Proline XC for panoramic radiography and Orthophos CD for cephalometric radiography were used for this study. Thermoluminescent dosimeter (TLD) chips were located at 24 anatomic sites of 10-year-old anthropomorphic phantom and exposed during CBCT (C-mode; $200{\times}179mm$ FOV), panoramic and lateral cephalometric radiographic procedures at the clinical exposure settings for 10-year-old patient. Pediatric organ and effective doses were measured and calculated using ICRP 2007 tissue weighting factors. Results: Effective doses of CBCT, panoramic radiography and lateral cephlometric radiography in pediatric clinical exposure settings were $292.5{\mu}Sv$, $19.3{\mu}Sv$, and $4.4{\mu}Sv$ respectively. The thyroid gland contributed most significantly to the effective dose in all the radiographic procedures. Conclusion: Effective dose of CBCT was about 12 times to conventional radiographic procedures for orthodontic analysis in pediatric patient. The use of CBCT for orthodontic analysis should be fully justified over conventional radiography and dose optimization to decrease thyroid dose is needed in pediatric patients.

Fluoride penetration from three orthodontic adhesives: an experimental study

  • Wagner, Leopold;Szepietowska, Magdalena
    • The korean journal of orthodontics
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    • v.43 no.1
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    • pp.29-34
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    • 2013
  • Objective: To examine the prophylactic potential of 3 orthodontic bonding adhesives: Fuji Ortho SC, Illuminate, and Resilience. Methods: Thirty-six Wistar Wag rats were randomly divided into 4 groups consisting of 9 rats each. One of the groups received no treatment and was used as a control. In the other groups, individual bands coated with one of the 3 adhesives were cemented to the lower incisors. Enamel samples were obtained after 6 and 12 weeks and analyzed using scanning electron microscopy in combination with energy dispersive spectrometry. Results: Six weeks after band cementation, no fluoride was found in the enamel of the lower incisors. After 12 weeks, there was no fluoride in the enamel of teeth coated with the Resilience composite. However, in the case of the Illuminate composite and the resin-modified glass ionomer Fuji Ortho SC cement, the depth of fluoride penetration reached $2{\mu}m$ and $4.8-5.7{\mu}m$, respectively. Conclusions: Fluoride ions from orthodontic adhesives can be incorporated into the surface layer of the enamel. Orthodontists may apply orthodontic adhesives, such as the Fuji Ortho SC, to reduce the occurrence of caries during orthodontic treatment with fixed appliances.

Surgical exposure of impacted tooth for orthodontic forced eruption : case report (교정적 견인을 위한 매복치의 수술적 노출 방법에 관한 증례보고)

  • Choi, Yongkwan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.2
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    • pp.86-94
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    • 2019
  • Tooth impaction make various problems which are pathologic changes, functional defect and esthetic troubles. Sometimes impacted tooth are extracted. But surgical exposure of impacted tooth and orthodontic forced eruption are usually used a lot to solve these problems. Impacted tooth for orthodontic treatment has two impacted patterns 1) Simple impaction outside alveolar bone covered soft tissue, 2) Fully impaction under alveloar bone. So I introduce way to exposure of impacted tooth for orthodontic treatment with various cases and literatures.

Anterior Open Bite with Temporomandibular Joint Osteoarthritis Treated with Skeletal Anchorage Device: A Case Report

  • Seo-Rin Jeong;So-Yoon Lee;Sung-Hoon Lim;Hye-Min Kim;Shin-Gu Kang;Hyun-Jeong Park
    • Journal of Oral Medicine and Pain
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    • v.48 no.3
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    • pp.123-130
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    • 2023
  • This case report describes the orthodontic treatment of a patient with severe anterior open bite and skeletal class II malocclusion with temporomandibular joint (TMJ) osteoarthritis (OA) of the left condyle. The 21-year-old male patient had open-bite malocclusion, mild crowding, and protrusion of the anterior teeth. Mild erosive changes were detected in the anterior part of the left mandibular condyle on cone-beam computed tomography; however, because no clinical symptoms were present, orthodontic treatment was performed. It is imperative to consider the potential implications of orthodontic treatment on the stability of the TMJ throughout the duration of treatment, as any instability can exacerbate TMJ OA. Hence, it is crucial to opt for the least invasive treatment modality available. In this regard, orthodontic treatment using a skeletal anchorage system as an alternative to conventional orthognathic surgery for patients with open bite holds great promise, as it not only ensures mandibular stability but also significantly ameliorates the open-bite condition.

Cuff tear of endotracheal tube induced by a palatal orthodontic device during nasotracheal intubation: a case report

  • Kyung Nam Park;Seung-Hwa Ryoo;Kwang-Suk Seo;Hyun Jeong Kim;Myong-Hwan Karm
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.5
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    • pp.361-366
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    • 2024
  • Orthognathic surgery often requires intraoral orthodontic appliances that are fixed directly to the bone, which can complicate nasotracheal intubation if the devices protrude into the nasal cavity. This case report describes a 19-year-old man scheduled for elective orthognathic surgery who experienced recurrent cuff tears of the endotracheal tube during nasotracheal intubation due to protruding orthodontic screws in the palate. Despite initial attempts at nasotracheal intubation through the left nostril, the cuff of the 7.0 mm internal diameter (ID) Ring, Adair & Elwyn (RAE) tube repeatedly ruptured, with identical rupture patterns observed. Facial CT revealed that the orthodontic screws had protruded into both nasal cavities with significant visibility in the sagittal, coronal, and transverse views. Fiberoptic examination of the left nasal passage identified a firm protrusion below the inferior turbinate, corresponding to the location of the screw, which likely caused the cuff tears. Intubation was successfully performed via the right nostril during the fiberoptic examination. This case highlights the critical importance of evaluating intraoral corrective devices using comprehensive craniofacial imaging before anesthesia induction, as well as conducting fiberoptic examinations during intubation to avoid complications and ensure patient safety.

Extensive Adenomatoid Odontogenic Tumor of the Maxilla: A Case Report of Conservative Surgical Excision and Orthodontic Alignment of Impacted Canine

  • Moon, Jee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.4
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    • pp.173-177
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    • 2014
  • The present report describe the surgical therapy, clinical course, orthodontic treatment and morphological characteristics of an adenomatoid odontogenic tumor in the maxilla of an 11-year-old patient. The cystic tumor filled the maxillary sinus and involved a tooth. Marsupialization was accompanied by partial enucleation and applied traction to the affected tooth by a fixed orthodontic appliance. Healing was uneventful and no local recurrence was observed during a 1-year period of follow-up control.

The Orthodontic Treatment of Mnalocclusion Including Fused Teeth (유합치를 포함한 부정교합의 교정치료)

  • Lee, Yong-Kook;Nahm, Dong-Seok;Yang, Won-Sik
    • The Journal of the Korean dental association
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    • v.25 no.2 s.213
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    • pp.171-176
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    • 1987
  • Fused teeth, with all its lower prevalence, produce many problems in orthodontic treatment because of their altered form, large root, and unbalance of teeth numbers between upper and lower jaws. The authors have reviewed on its etiology, differential diagnosis, prevalence, clinical features and complications. Orthodontic treatment cases of 2 sisters with malocclusion including fused teeth were presented, in which asymmetrical extractions were performed and edgewise appliances were utilized.

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