• Title/Summary/Keyword: Orthodontic diagnosis

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Orthodontic diagnosis rates based on panoramic radiographs in children aged 6-8 years: A retrospective study

  • You-Sun Lee;Ji-Yeon Lee
    • The korean journal of orthodontics
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    • v.54 no.3
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    • pp.185-195
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    • 2024
  • Objective: This study aimed to retrospectively analyze the prevalence of orthodontic problems and the proportion of patients who underwent orthodontic diagnosis among children aged 6 (n = 300), 7 (n = 400), and 8 (n = 400) years who had undergone panoramic radiography. Methods: Children were divided into five groups according to their chief complaint and consultation: conservative dentistry, oral and maxillofacial surgery, orthodontics, periodontics, and prosthodontics). Chief complaints investigated included first molar eruption, lack of space for incisor eruption, frequency of eruption problems, lack of space, impaction, supernumerary teeth (SNT), missing teeth, and ectropion eruption. The number of patients whose chief complaint was not related to orthodontics but had dental problems requiring orthodontic treatment was counted. The proportion of patients with orthodontic problems who received an orthodontic diagnosis was also examined. Results: Dental trauma and SNT were the most frequent chief complaints among the children. The proportion of patients with orthodontic problems increased with age. However, the orthodontic diagnosis rates based on panoramic radiographs among children aged 6, 7, 8 years were only 1.5% (6 years) and 23% (7 and 8 years). Conclusions: Accurate information should be provided to patient caregivers to correct misconceptions regarding the appropriateness of delaying orthodontic examination until permanent dentition is established.

Aggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment

  • Lopes, Sergio Lucio Pereira de Castro;Flores, Isadora Luana;Gamba, Thiago de Oliveira;Ferreira-Santos, Rivea Ines;Moraes, Mari Eli Leonelli de;Cabello, Aline Alvarez;Moutinho, Paula Nascimento
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.2
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    • pp.115-119
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    • 2017
  • Maxillofacial images must be examined to find pathologies not identified during clinical examination. Unicystic ameloblastoma (UA) extending to the mandibular body and ramus was neglected on initial panoramic radiographic examination. After orthodontic therapy, a huge lesion was observed clinically and through imaging exams. After the conservative surgery, no recurrence was observed during five years of follow-up. This case emphasized the need for careful evaluation of patient images focusing on the oral diagnosis before any dental treatment planning, including orthodontic therapy.

Cone-beam computed tomography-based diagnosis and treatment simulation for a patient with a protrusive profile and a gummy smile

  • Uesugi, Shunsuke;Imamura, Toshihiro;Kokai, Satoshi;Ono, Takashi
    • The korean journal of orthodontics
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    • v.48 no.3
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    • pp.189-199
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    • 2018
  • For patients with bimaxillary protrusion, significant retraction and intrusion of the anterior teeth are sometimes essential to improve the facial profile. However, severe root resorption of the maxillary incisors occasionally occurs after treatment because of various factors. For instance, it has been reported that approximation or invasion of the incisive canal by the anterior tooth roots during retraction may cause apical root damage. Thus, determination of the position of the maxillary incisors is key for orthodontic diagnosis and treatment planning in such cases. Cone-beam computed tomography (CBCT) may be useful for simulating the post-treatment position of the maxillary incisors and surrounding structures in order to ensure safe teeth movement. Here, we present a case of Class II malocclusion with bimaxillary protrusion, wherein apical root damage due to treatment was minimized by pretreatment evaluation of the anatomical structures and simulation of the maxillary central incisor movement using CBCT. Considerable retraction and intrusion of the maxillary incisors, which resulted in a significant improvement in the facial profile and smile, were achieved without severe root resorption. Our findings suggest that CBCT-based diagnosis and treatment simulation may facilitate safe and dynamic orthodontic tooth movement, particularly in patients requiring maximum anterior tooth retraction.

TREATMENT OF MALOCCLUSION USING REMOVABLE ORTHODONTIC APPLIANCE AND MEAW IN GROWING CHILDREN (성장기 아동에서 가철식 교정장치와 MEAW를 이용한 부정교합의 치험례)

  • Yang, Kyu-Ho;Choi, Eun-Jong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.637-649
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    • 1997
  • Early orthodontic treatment in growing children requires the removable orthodontic appliances. The removable orthodontic appliance can be used in the primary dentition and mixed dentition. The purposes of use of removable orthodontic appliance in prmary dentition or mixed dentition are the interception of skeletal or dental malocclusion, guiding the normal dentition, and retention after comprehensive orthodontic treatment. Therefore, it is needed to use the removable orthodontic appliance in children with malocclusion. This report presents cases of growing children with skeletal class II and III malocclusion treated with removable orthodontic appliance during mixed dentition and Multiloop Edgewise Arch Wire(MEAW) during permanent dentition. The results obtained through these cases were summarized as follows : 1. Removable orthodontic appliances guide normal dentition and skeletal growth in growing children. 2. Removable orthodontic appliances play an important role in intercepting malocclusion in mixed dentition before use of fixed orthodontic appliance. 3. MEAW can be applied to finishing stage of all cases and is effective in correction of occlusal plane, achievement of interdigitation, and control of dental inclination. 4. It is needed that removable appliances are used during mixed dentition through correct diagnosis and fixed appliance are used in permanent dentition.

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Clinical Application of Electromyography for Monitoring Procedure and Result of Orthodontic Treatment ; A of Three Cases (성장기 부정교합환자의 근신경계 부조화를 해소한 증례: 교정치료 과정과 결과를 모니터링하기 위한 근전도검사(EMG)의 임상적 응용)

  • Cha, Bong-Kuen;Lee, Nam-Ki;Choi, Dong-Soon;Kim, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.89-100
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    • 2006
  • Traditionally, goals of orthodontic treatment fall into four categories: good tooth alignment, improvement of skeletal profile and good soft tissue, and rehabilitation of the normal function. Electromyography (EMG) has proven as useful tool in evaluating masticatory function among the maxillomandibular relationship and could be useful in accompanying orthodontic treatment objectives. But in pursuit of clinical application, it is necceassry to systemize clinical guideline for diagnosis by EMG records in evaluating the effects of orthodontic, orthopedic, or surgical treatment. This study present 3 orthodontic cases, which treatment results, ie neuromuscular balances of masticatory muscle, could be moitered by EMG procedure.

DIFFERENTIAL DIAGNOSIS OF CLASS III PROFILE (III급 부정교합자의 연조직 측모 감별에 관한 연구)

  • Hwang, Byung-Nam;Rhee, Seung-Hoon;Lee, Jeong-Keun;Lee, Jai-Bong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.174-183
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    • 2000
  • This study was performed to investigate the characteristics of soft tissue profile of the class III malocclusion and to test the yardstick far differential diagnosis between surgical and orthodontic patients. Initial lateral cephalograms of orthodontic group(30 patients) that have acceptable occlusion and profile by orthodontic treatment alone and surgical group(30 patients) that have favorable occlusion and profile by combined surgical-orthodontic treatment were selected in Ajou university hospital. Powell and Burstone II analysis were made on the tracing. Descriptive, comparative, factor, cluster, and discriminant analysis were carried out with computer program. The results were as followings : 1. Patients who received surgery had a more concave profile and a longer lower facial height than patients who received orthodontic treatment alone. 2. Nasolabial angle, ratio of vertical height, and mentolabial sulcus were significantly different at the 5% level. And facial protuberance, upper lip protuberance, mentocervical angle, nasofrontal angle, nasomental angle, mandibular vertical height, angle between cervix and lower face, ratio of mandibular vertical height divided by cervical depth, ratio of vertical height between upper and lower lip, and maxillary protuberance were significantly different at the 1% level. 3. 8 factors were extracted and factor 2, 3, and 8 showed significant differences by factor analysis. 4. Orthodontic group (25) and surgical group (35) were classified by cluster analysis. 5. Discriminant function was D = 0.079Nasomental angle + 0.081Sn-Gn + 3.343Sn-Gn/C-Gn + 1.734Sn-St/St-Me' -26.460, and cutting score was 0, so we can discriminate that orthodontic group has the score above 0, and surgery group below 0. And 91.7% of original grouped cases were correctly classified.

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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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Clinical Applications of CBCT and 3D Digital Technology in Orthodontics (임상가를 위한 특집 1 - Digital Orthodontics를 이용한 진단과 치료 현황)

  • Park, Jae Hyun
    • The Journal of the Korean dental association
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    • v.52 no.1
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    • pp.8-16
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    • 2014
  • The introduction of cone-beam computed tomography(CBCT) and computer software in orthodontics has allowed orthodontists to provide more accurate diagnosis and treatment. The most common use of CBCT imaging allows orthodontists to visualize the precise position of supernumerary or impacted teeth, especially impacted canines. In doing so, the exact angulation of impaction and proximity of adjacent roots can be evaluated by orthodontists, allowing them to choose vector forces for tooth movement while minimizing root resorption. Even though 2-dimensional panoramic images can be used to view the position of the impacted canines, they have limitations because it is not possible to evaluate the impacted tooth position 3-dimensionally. An accurate knowledge of root position improves the determination of success in orthodontic treatment. Nowadays, considering the fast pace of technological development, a combination of intraoral scanning, digital setups, custommade brackets and wires, and indirect bonding may soon become the orthodontic standard. In this paper, this will be discussed along with the digital models.