• 제목/요약/키워드: Orthodontic clinic

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Covariance patterns between ramus morphology and the rest of the face: A geometric morphometric study

  • Marietta Krusi;Demetrios J. Halazonetis;Theodore Eliades;Vasiliki Koretsi
    • 대한치과교정학회지
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    • 제53권3호
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    • pp.185-193
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    • 2023
  • Objective: The growth and development of the mandible strongly depend on modeling changes occurring at its ramus. Here, we investigated covariance patterns between the morphology of the ramus and the rest of the face. Methods: Lateral cephalograms of 159 adults (55 males and 104 females) with no history of orthodontic treatment were collected. Geometric morphometrics with sliding semi-landmarks was used. The covariance between the ramus and face was investigated using a two-block partial least squares analysis (PLS). Sexual dimorphism and allometry were also assessed. Results: Differences in the divergence of the face and anteroposterior relationship of the jaws accounted for 24.1% and 21.6% of shape variation in the sample, respectively. Shape variation was greater in the sagittal plane for males than for females (30.7% vs. 17.4%), whereas variation in the vertical plane was similar for both sexes (23.7% for males and 25.4% for females). Size-related allometric differences between the sexes accounted for the shape variation to a maximum of 6% regarding the face. Regarding the covariation between the shapes of the ramus and the rest of the face, wider and shorter rami were associated with a decreased lower anterior facial height as well as a prognathic mandible and maxilla (PLS 1, 45.5% of the covariance). Additionally, a more posteriorly inclined ramus in the lower region was correlated with a Class II pattern and flat mandibular plane. Conclusions: The width, height, and inclination of the ramus were correlated with facial shape changes in the vertical and sagittal planes.

교정치료시 전치부 후방견인에 이용하는 SAS의 효율성 (THE EFFICIENCY OF SAS USED RETRACTION OF THE ANTERIOR TEETH ON ORTHODONTIC TREATMENT)

  • 우순섭;정순태;허영성;황경균;유임학;심광섭
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권4호
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    • pp.245-248
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    • 2003
  • The retraction of anterior teeth could be performed more easier by inducing of skeletal anchorage system rather than by conventional method on orthodontic treatment. But, we wonder how effective the system draws well without anchorage loss and draws anterior teeth aside posteriorly, and if the system can reduce the time, in comparison with the anchorage of posterior teeth. For that reason we have studied on the subject of patients, who were required the maximum anchorage on orthodontic treatment and the cases without crowding. The subjects of the experimental group are 35 areas of 20 people who were inserted miniscrews after Mx or Mn 1st premolar extracted. Also, the subjects of the control group are 81 areas of 45 people who were not inserted miniscrews. Compared the anchorage loss of experimental group with control one, we could get the result that the anchorage loss of experimental group is $1.034{\pm}0.891mm$ and control group is $2.790{\pm}1.882mm$(P<0.01). Compared the space closing time of experimental group with control one, we could get the result that the space closing time of experimental group is $369.40{\pm}110.81$days and control group is $406.56{\pm}231.63$days. But the result of comparing space closing time has no significance in statistics. We recognized that the experimental group is more faster than the control group in the canine retraction velocity from the result ; the speed of a experimental group has as much as $0.60{\pm}0.23mm/30days$ while the speed of a control group has $0.44{\pm}0.35mm/30days$(P<0.05). So, we could convince that orthodontic miniscrew is used effectively in the cases required the maximum anchorage.

광중합기의 광원에 따른 브라켓 전단결합강도 비교 (Comparison of the shear bond strength of brackets in regards to the light curing source)

  • 차정열;이기준;박선형;김태원;유형석
    • 대한치과교정학회지
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    • 제36권3호
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    • pp.198-206
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    • 2006
  • 제논 플라즈마 아크 광중합기나 LED 광중합기가 치과영역에 소개된 이후로 기존의 텅스텐 할로겐 광중합기를 사용할 때에 비해 교정장치의 부착시간이 현저하게 줄어들 수 있게 되었다. 제논 플라즈마 아크 광중합기에 대한 중합시간과 전단강도에 대해서는 여러 연구가 있어왔던 반면, LED 광중합기를 이용하여 교정용장치의 부착을 위한 중합시간에 대한 연구는 미진하다. 본 연구의 목적은 LED 광중합기의 중합시간에 따른 결합강도를 플라즈마 아크 광중합기와 비교하여 적절한 브라켓의 부착강도를 얻기 위해 요구되는 중합시간을 알아보는데 있다. 120개의 발치된 사람의 소구치에 컴포짓 레진으로 브라켓을 부착시킨 후 4초, 6초, 8초 동안 플라즈마 아크 광원과 LED 광원으로 각각 중합시켰다. 그 후 결합강도를 만능시험기(Universal Testing Machine)로 계측한 결과, 플라즈마 아크 광중합기에서는 4초 이상에서, LED 광중합기에서는 8초 이상의 중합시간에서 기존의 할로겐 광원을 40초간 노출시켰을 때와 비슷한 전단결합강도를 나타내었다. 플라즈마 아크 광중합기와 LED 광중합기의 중합시간이 접착제 잔류지수 (adhesive remnant index) 수치에 대해 영향을 미치지 않았다.

치과병·의원 내원환자의 구강건강관리 및 진료특성별 구강위생용품 사용실태 비교 (Comparison study of oral health care and dental treatments about the use of oral hygiene devices among the patients)

  • 이형숙;김영선
    • 한국치위생학회지
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    • 제8권3호
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    • pp.149-160
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    • 2008
  • This study has been performed for patients who visited dental clinic in Daegu and kyungpook area. The oral health care, dental treatments about the use of oral hygiene devices were obtained through self-administering questionnaires from 1 to 30, August, 2006. The obtained results were as follows: 1. The average percent of using dental floss was 34.2%, followed by interproximal brush was 33.9%, mouthrinse was 33.5%, electric toothbrush was 19.6%, orthodontic brush was 10.6%, and tongue cleaner was 10.2%. 2. Poor to perceive oral health was 36.4% in the patients who perceived oral hygiene device, and there was statistically significant difference (p<0.05). Moderate to perceive oral health was 40.8% in the patients who using oral hygiene device, and there was also statistically significant difference (p<0.05). 3. In the patients who 3 or 4 times toothbrushing a day, the average percent of perceived oral hygiene device was 67.7%, and the average percent of using oral hygiene device was 59.8% (p<0.05). In the patients who had experience of toothbrush education, the average percent of perceived oral hygiene device was 81.8%, and the average percent of using oral hygiene device was 58.1% (p<0.05). 4. The average percent of perceived oral hygiene device was 67.9% in dental implant treated patient, and was 69.0% in patients with cold teeth (p<0.05). The average percent of using oral hygiene device was 64.2% in prosthesis treated patient, and was 83.3% in patients with cold teeth (p<0.05). The average percent of non-using oral hygiene device was 67.6% in orthodontic treated patient (p<0.05). 5. In patient with periodontal disease, the average percent of using interproximal brush was 44.3%, followed by dental floss was 35.4%, mouthrinse was 27.8%, and electric toothbrush was 21.5%. In prosthesis treated patient, the average percent of using interproximal brush was 31.6%, followed by dental floss was 28.9%, and mouthrinse was 23.7%. In orthodontic treated patient, the average percent of using orthodontic brush was 82.4%, followed by interproximal brush was 64.7%, and mouthrinse was 47.1%. In dental implant treated patient, the average percent of using interproximal brush was 50.0%, followed by mouthrinse was 46.4%, and dental floss was 25.0%.

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임상가를 위한 특집 2 - 하악골의 외과적 확장 (Mandibular Symphysis Transverse Widening)

  • 오승환
    • 대한치과의사협회지
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    • 제51권6호
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    • pp.313-321
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    • 2013
  • The most common orthodontic methods of treating mandibular transverse deficiencies is extractions, interdental stripping, and other dento-alveolar compensation but it can not addressesd about skeletal problem This study assessed the treatment outcomes after surgically assisted rapid tooth orthodontics using the symphysis osteotomy and dentoalveolar distraction osteogenesis technique. The applications of distraction osteogenesis in mandibular widening, by symphysis osteotomy, has emerged as a definitive, predictable and better stability. The most important factors in mandibular widening is performed with simple surgical technique and devices. As a results, these techniques are very useful and effective in cases of difficult tooth movement in adult orthodontics transverse problems There were few intraoperative or postoperative complications and were not clinically significant.

교정치료 영역에서 보툴리눔 독소의 적용 (Application of Botulinum toxin in orthodontics)

  • 이종석;김성택
    • 대한치과의사협회지
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    • 제48권12호
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    • pp.889-892
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    • 2010
  • Botulinum toxin type A (BTX-A), a potent neurotoxin that reversibly blocks presynaptic acetylcholine release, has been applied successfully to treat facial spastic conditions such as blepharospasm, strabismus and cervical dystonia. Since the first reported application in dentistry in 1994, BTX-A has been used with great success to used in the orofacial region to help treat masticatory and facial muscle spasm, severe bruxism, facial tics, and hypertrophy of the masticatory muscles. The clinician may be aware of the many courses becoming available and aimed at dentists to start using it in the cosmetic context. This article intends to provide a basic understanding of the many functional uses of the drug in the orofacial region that may be relevant to everyday practice, especially in orthodontic field.

계승치가 존재하는 유구치의 다발성 저위교합 : 증례 보고 (Multiple infroccluded primary molars with permanent successors : a case report)

  • 윤수미;이제우;라지영
    • 대한치과의사협회지
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    • 제58권4호
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    • pp.206-212
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    • 2020
  • The infraocclusion is defined as a condition, in which teeth are present with their occlusal surface below the neighboring teeth, and long after, they reach occlusion. The most common cause of infra-occlusion is thought to be ankylosis. The treatment options for patient with infraocclusion of primary molars are observation, restoration and surgical removal of the affected teeth. We report a case of 8 - year - old boy who visited our clinic for consultation of orthodontic treatment. The patient was diagnosed by multiple infraoccluded primary molars with permanent successors. Surgical extraction were performed on primary molars. After follow-up of 7 months period, #44, 45 were erupted and the degree of posterior open bite was decreased.

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결손치에서의 자가치아이식의 치험례 (AUTOTRANSPLANTATION OF THE MISSING TOOTH : THE REPORT OF CASES)

  • 박정훈;김우택;민병진;이원학;이정구
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권6호
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    • pp.480-483
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    • 2002
  • Treatments for restoring the function and esthetics of missing teeth include fixed bridge, partial denture, orthodontic movement, implantation and autotransplantation. However, there is no absolute indications for each techniques. Due to undevelopment of root and root resorption after autotransplantation, the success rate of autotransplantation over the past decades have been low. Recently. with the study on biological principles of the healing of periodontal ligament, the success rate of autotransplantation began to improve. We report the cases of successful autotransplantation which resulted in ideal healing of periodontal ligament, gingiva and alveolar bone.

부정교합환자에서 교합안정장치의 사용이 하악과두의 위치변화에 미치는 영향에 관한 연구 (THE EFFECT OF OCCLUSAL SPLINT THERAPY ON CONDYLAR POSITIONAL CHANGES IN MALOCCLUSION PATIENTS)

  • 김영복
    • 대한치과교정학회지
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    • 제21권2호
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    • pp.325-340
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    • 1991
  • There are evidences that occlusal splint therapy is critical to diagnose hidden akeleto-occlusal disharmonies in malocclusion patients and capable of enhancing stability after orthodontic treatment. In addition, evidences have implicated occlusal splint therapy in condylar positional changes during TMJ disorder treatment. In view of these evidences, this study was performed to investigate the effect of occlusal splint therapy on condylar positional changes in malocclusion patients and the possible clinical application of the occlusal splint as an additional orthodontic tool. For this study, 8 Angle's Class I malocclusion patients, who had centric occlusion-centric relation discrepancy within 1.0 mm and had no clinical symptoms of TMJ disorder, were selected as control group. And 22 malocclusion patients who had centric occlusion-centric relation discrepancy over 1.0 mm were selected and subdivided as Class I Malocclusion group, Class II div. 1 malocclusion group, Class II div. 2 malocclusion group, Open bite group, and Mandibular asymmetry group. For each subject the occlusal splint with mutually protected type of occlusal scheme was applied for 3 months. Condylar positions in centric relation and centric occlusion were measured using Panadent articulators and Panadent condylar position indicator (CPI) before and after occlusal splint therapy. On the basis of this study, the following conclusions might be drawn: 1, In control group, Class II div. 2 malocclusion group, and mandibular assymetry group, there were no significant differences in condylar positions before and after occlusal splint therapy. 2. In Class I malocclusion group, condyles were moved $0.27{\pm}0.45mm$ forward (p < 0.05) and $0.98{\pm}0.25mm$ upward (p < 0.01) after occlusal splint therapy. 3. In Class I malocclusion group, condyles were moved $0.24{\pm}0.21mm$ backward (p < 0.05) and $1.01{\pm}0.33mm$ upward (p < 0.01) after occlusal splint therapy. 4. In open bite group, condyles were moved $1.24{\pm}0.30mm$ upward (p < 0.01) after occlusal splint therapy. 5. In both control and experimental groups, there were no significant differences in lateral condylar positions before and after occlusal splint therapy.

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Pain perception among patients treated with passive self-ligating fixed appliances and Invisalign® aligners during the first week of orthodontic treatment

  • Almasoud, Naif N.
    • 대한치과교정학회지
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    • 제48권5호
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    • pp.326-332
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    • 2018
  • Objective: This study was performed to compare the perception of pain between patients treated with passive self-ligating fixed appliances and those treated with Invisalign aligners. Methods: This prospective study conducted in Saudi Arabia used an estimated sample of 64 patients from a private dental clinic. After obtaining written informed consent, the patients were divided into two groups; one group (n = 32) was treated using passive self-ligating fixed appliances and the other group (n = 32) using $Invisalign^{(R)}$ aligners. Immediately after fitting the appliances, the patients' perception of pain was evaluated through a close-ended and coded self-administrated questionnaire by using a visual analog scale (VAS). Their responses were recorded at 4 hours, 24 hours, day 3, and day 7. Mann-Whitney U-test, Kruskal-Wallis test, and Pearson's chi-square test were performed for statistical analysis. Results: A lower percentage of patients treated with Invisalign aligners reported pain than did patients treated with passive self-ligating fixed appliances, and these differences were statistically significant (p = 0.001). Similarly, the mean VAS score for the Invisalign group was significantly lower than that for the passive self-ligating fixed appliance group at different intervals during the first week of treatment. The intensity of pain with both appliances peaked at 24 hours (mean VAS score, 3.87) and was lowest (mean VAS score, 1.62) on day 7. Conclusions: During the first week of orthodontic treatment, patients treated with Invisalign aligners reported lower pain than did those treated with passive self-ligating fixed appliances.