• Title/Summary/Keyword: Orthodontic

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Locus of control of surgical-orthodontic patient (수술-교정 치료 환자의 통제 소재)

  • Lee, Shin-Jae;Ahn, Sug-Joon;Baek, Seung-Hak;Kim, Tae-Woo;Chang, Young-Il;Yang, Won-Sik;Suhr, Cheong-Hoon;Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.32 no.4 s.93
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    • pp.235-240
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    • 2002
  • Surgical-orthodontic treatment is an increasingly more common dental procedure whose unique psycho-social or psychological feature has not been fairly quantified objectively. Since the treatment of a surgical-orthodontic (or orthodontic) patient is part science and part art, a subjective recognition of a patient about his or her own treatment may be more important than technical success during and after treatment. Therefore, the knowledge of the patient's underlying psychological status could be useful in the prediction of patient's response to surgical-orthodontic (or orthodontic) treatment. The purpose of this study was to investigate and evaluate the psychological difference between conventional orthodontic patient and surgical-orthodontic patient by using locus of control (LOC) examination. Locus of control scale has been proven to be extremely useful in the prediction of a variety of human behaviors. Two types of locus of control data (I-score, Internal locus of control score : I-score, External locus of control score) were obtained for 42 surgical-orthodontic patients and randomly selected 42 conventional orthodontic patients (as a control group) matched for age and gender. No statistically significant difference was observed in the scale of internal and external locus of control between the groups of surgical-orthodontic patients and conventional orthodontic patients. However, in the group of surgical-orthodontic patients, males showed lower E-score (external locus of control score, higher internal locus of control tendency) than females. The results of this study suggested that the psychological background of surgical-orthodontic patients, in contrast with that of cosmetic surgery patients, has a similar disposition with that of orthodontic patients.

Clinical considerations for successful results in FOS(Functional Orthognathic Surgery): Surgery first orthodontic treatment later (임상가를 위한 특집 1 - 성공적인 선 수술 교정 치료를 위한 고려사항)

  • Oh, Chang-Ok
    • The Journal of the Korean dental association
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    • v.50 no.2
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    • pp.58-63
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    • 2012
  • The fundamental principles and the role of surgeons and orthodontists to produce successful results in orthodontic treatment combined with orthognathic surgery is not different from those of conventional procedures and FOS: surgery-first-orthodontic-treatment-later approach. The communication and cooperation between surgeon and orthodontist is of crucial importance. In FOS, the pre-surgical orthodontic preparation is not carried out in the patient's mouth, but in the mounted stone model and in addition to the simulation of tooth movement, to get a precise surgical occlusion, the entire steps of treatment should be simulated on the articulator as well. Right after the surgery, due to the instability of the occlusion, appropriate post operational care should be given according to the surgical technique applied to the mandible by use of final surgical wafer about 8 weeks.

Orthodontic-prosthodontic interdisciplinary treatment for a patient with multiple missing posterior teeth and unilateral scissors bite (다수의 구치 상실과 편측성 가위교합을 갖는 환자의 보철 교정 협진 치료)

  • An, Kiyong
    • The Journal of the Korean dental association
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    • v.53 no.11
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    • pp.844-854
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    • 2015
  • This clinical report describes an orthodontic-prosthodontic interdisciplinary treatment for a patient with multiple missing teeth and unilateral scissors bite. A 47-year-old female presented with multiple missing posterior teeth, anterior large overjet, deep bite, and posterior scissors bite on the right premolar area. Periodontal therapy was performed and followed by orthodontic treatment. The maxillary anterior teeth were initially aligned, then two implants were placed for the left mandibular molars to increase occlusal vertical dimension. The scissors bite between the right maxillary and mandibular premolars were corrected using the miniscrews as an anchorage. Other implants were placed for the right maxillary and mandibular molars after the occlusal planes and occlusal relationship were harmonized. The patient adapted well to altered vertical dimension without any specific problems including peri-implant marginal bone loss. Interdisciplinary approach resolve the complex orthodontic-prosthodontic problems and concluded in successful results.

An alternative approach to extruding a vertically impacted lower third molar using an orthodontic miniscrew: A case report with cone-beam CT follow-up

  • Cortes, Arthur Rodriguez Gonzalez;No-Cortes, Juliana;Cavalcanti, Marcelo Gusmao Paraiso;Arita, Emiko Saito
    • Imaging Science in Dentistry
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    • v.44 no.2
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    • pp.171-175
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    • 2014
  • One of the most common oral surgical procedures is the extraction of the lower third molar (LTM). Postoperative complications such as paresthesia due to inferior alveolar nerve (IAN) injury are commonly observed in cases of horizontal and vertical impaction. The present report discusses a case of a vertically impacted LTM associated with a dentigerous cyst. An intimate contact between the LTM roots and the mandibular canal was observed on a panoramic radiograph and confirmed with cone-beam computed tomographic (CBCT) cross-sectional cuts. An orthodontic miniscrew was then used to extrude the LTM prior to its surgical removal in order to avoid the risk of inferior alveolar nerve injury. CBCT imaging follow-up confirmed the success of the LTM orthodontic extrusion.

CASE REPORTS OF SURGICAL EXPOSURE AND ORTHODONTIC TREATMENT OF IMPACTED PERMANENT TEETH (매복된 미맹출 영구치의 외과적 노출후 교정력을 이용한 치험례)

  • Kim, Chang-Bum;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.628-636
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    • 1997
  • Impacted or unerupted permanent teeth have many problems in making a diagnosis and treatment plan in dental clinic. There are several methods to treat impacted teeth. The combination of surgical exposure and orthodontic traction is usually the treatment of choice in cases with impacted teeth. Two cases are reported, which were treated with surgical intervention and orthodontic movement. and one case is treated with orthodontic movement alone. To improve esthetic problem and maintain periodontal health, We should avoid loss of attached gingiva in surgical exposure, and excessive orthodontic force during the traction of the impacted tooth.

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Orthodontic Treatment with Autotransplantation of Impacted Tooth (매복치의 자가치아이식과 교정치료를 통한 심미적 치험례)

  • Lee, Gye-Bok;Gang, Eun-Ha;Kim, Ga-Yeong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.2
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    • pp.9-14
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    • 2001
  • Autotransplantation of tooth has recently become a combined method with orthodontic therapy. With the use of autotransplantation, it has become possible for orthodontists to solve complicated problems in the dental arches. Autotransplanted teeth showed the same development as their contralaterals with respect to both eruption and root growth. This indicates that autotransplantation and orthodontic treatment is a method that should be considered in case of impacted, missing, or malformed teeth. In this report two cases are presented to demonstrate that orthodontic treatment with autotransplantation can contribute to more satisfactory solution to the problem for impacted teeth.

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Autogenous Transplantation of Impacted teeth : Indication and Case Report (매복치 자가이식술의 적응증과 치험례)

  • Yu, Hyung-Seog;Kim, Tae-Gyun
    • The Journal of the Korean dental association
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    • v.38 no.1 s.368
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    • pp.22-29
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    • 2000
  • The purpose of this paper is to discuss the indication. treatment procedure. prognosos and complication of autogenous transplantation in treating impacted teeth of orthodontic patient. Autogenous transplantation is indicated, in cases of rejecting orthodontic treatment due to the visible orthodontic appliance, the relatively long treatment time, unfavorable tooth position for orthodontic repositioning, unrestorable advanced detal caries. advanced periodontitis and ankylosed tooth. Most process related to the decision of the prognosis is dependent on the careful surgical technique. In comparison to other orthodontic and surgical procedure, the application of the autotransplantation is limited, although its success rate is markedly increased today. Therefore we must we must pay attention to the treatment planning and cooperation with other specialties is needed.

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Corticotomy for orthodontic tooth movement

  • Lee, Won
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.6
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    • pp.251-258
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    • 2018
  • Corticotomy was introduced as a surgical procedure to shorten orthodontic treatment time. Corticotomy removes the cortical bone that strongly resists orthodontic force in the jaw and keeps the marrow bone to maintain blood circulation and continuity of bone tissues to reduce risk of necrosis and facilitate tooth movement. In the 21st century, the concept of regional acceleratory phenomenon was introduced and the development of the skeletal anchorage system using screw and plate enabled application of orthopedic force beyond conventional orthodontic force, so corticotomy has been applied to more cases. Also, various modified methods of minimally invasive techniques have been introduced to reduce the patient's discomfort due to surgical intervention and complications after surgery. We will review the history of corticotomy, its mechanism of action, and various modified procedures and indications.

LIP PROFILE CHANGES AFTER ORTHODONTIC TOOTH MOVEMENT IN FEMALE ADULT WITH BIMAXILLARY PROTRUSION (양악 전돌증 환자에서 소구치 발치를 통한 교정치료시 입술 주위 연조직변화에 관한 연구)

  • Kim, Tae-Kyung;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.135-147
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    • 1994
  • Facial esthetics is one of the most important goal of the orthodontic treatment and main concern of many patients. Facial esthetics should be considered in orthodontic diagnosis and treatment planning. Prediction of soft tissue profile changes after orthodontic tooth movement should be considered as well. The purpose of this study was to find out the effect of orthodontic treatment on lip profile in adult patient. The pre and post treatment cephalometric roentgenograms of 87 female adult with bimaxillary protrusion were used to analyze lip profile change. All subjects were treated with four bicuspids extraction. Obtained results were as follows . 1. Lip thickness changes after incisor retraction showed different patterns according to areas of the lip. The thickness of the red lip area showed 2.78 mm increase in average. In contrast the thickness of the cutaneous area showed 0.65 - 0.7 mm decrease according to the different cutaneous areas. 2. The length of the red lip area decreased(1.3mm) after incisor retraction. 3. The length of the cutaneous lip area increased(2.9mm) after incisor retraction.

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A ROENTGENOCEPHALOMETRIC STUDY OF PROFILE CHANCES IN ORTHODONTICALLY TREATED PATIENTS (교정치료환자의 측모변화에 관한 두부방사선 계측학적 연구)

  • Choi, Sun Woong
    • The korean journal of orthodontics
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    • v.4 no.1
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    • pp.21-29
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    • 1974
  • The purpose of the present study is to evaluate changes of the soft tissue relative to underlying skeletal elements during orthodontic treatment, and the influence of orthodontic treatment quantitatively on various regions of the facial profile. 59 Korean young women were selected, whose Hellman dental age was IV A, IV C and V A. Lateral cephalometric head films were taken before and after orthodontic treatment. From tracings, landmarks on skeletal and soft tissue profile were located, and then their linear and angular measurements were made directly. The results were obtained as follow: 1) Soft tissues of the facial profile were closely related and dependent on the underlying dentoskeletal frameworks. Orthodontic treament resulted in the reduction of dentofacial protrusion with both upper and lower lips becoming less procumbent during treament. 2) Thickness of the upper lip increased considerably during orthodontic treatment, and this change was related to maxillary incisor retraction. The ratio between the amount of maxillary incisor retraction and that of increment of upper lip thickness was approximately 5:3. 3) Soft tissue thickness overlying Downs' point A, point B and pogonion was not modified by orthodontic treatment. 4) Holdaway's H line, relating facial profile to the underlying dentoskeletal framework, seemed to be the most practical approach to soft tissue analysis.

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