• 제목/요약/키워드: Orthodontic treatment planning

검색결과 113건 처리시간 0.024초

상악 측절치의 선척적 결손시 교정치료 (The orthodontic treatment of congenitally abscent maxillary lateral incisors: Case Report)

  • 지대경;임용규;이동렬
    • 대한치과의사협회지
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    • 제37권12호통권367호
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    • pp.1012-1018
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    • 1999
  • Whether congenitally abscent or lost as the of an accident or pathologic condition, missing lateral incisors present a problem. which complicates orthodontic treatment. The condition requires careful treatment planning and a consideration of the options and outcomes following either space closure or prosthetic replacement. Thos study prasents the clinical cases with maxillary lateral incisors missing. following optimal diagnosis and treatment planning , considerations in treatment in these cases.

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임상가를 위한 특집 3 - CBCT를 이용한 악교정수술 계획 수립 및 평가 (Planning and Evaluation of Orthognathic surgery using CBCT imaging)

  • 최정호
    • 대한치과의사협회지
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    • 제52권1호
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    • pp.27-36
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    • 2014
  • The introduction of cone-beam computed tomography(CBCT) and computer software in dentistry has allowed orthodontists and maxillofacial surgeons to provide more accurate diagnosis and treatment. In this article, a facial asymmetry patient who had orthodontic treatment combined with orthognathic surgery using CBCT imaging is introduced and the way how CBCT imaging could be applied in clinical orthodontics and orthognathic surgery is explained. Also, evaluation of treatment outcomes using CBCT is suggested. More accurate, predictable and efficient surgical orthodontic planning and treatment are expected in the near future through cutting edge medical imaging including CBCT and CAD/CAM technologies.

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

  • 유형석;김태균
    • 대한치과의사협회지
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    • 제38권1호통권368호
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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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양악 전돌증 환자에서 소구치 발치를 통한 교정치료시 입술 주위 연조직변화에 관한 연구 (LIP PROFILE CHANGES AFTER ORTHODONTIC TOOTH MOVEMENT IN FEMALE ADULT WITH BIMAXILLARY PROTRUSION)

  • 김태경;유영규
    • 대한치과교정학회지
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    • 제24권1호
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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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Conservative orthodontic treatment for severe pathologic migration following total glossectomy: A case report

  • Giap, Hai-Van;Jeon, Ji Yoon;Kim, Kee Deog;Lee, Kee-Joon
    • 대한치과교정학회지
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    • 제52권4호
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    • pp.298-307
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    • 2022
  • Glossectomy combined with radiotherapy causes different levels of tongue function disorders and leads to severe malocclusion, with poor periodontal status in cancer survivors. Although affected patients require regular access to orthodontic care, special considerations are crucial for treatment planning. This case report describes the satisfactory orthodontic management for the correction of severe dental crowding in a 43-year-old female 6 years after treatment for tongue cancer with total glossectomy combined with radiotherapy, to envision the possibility of orthodontic care for oral cancer survivors. Extraction was performed to correct dental crowding and establish proper occlusion following alignment, after considering the possibility of osteoradionecrosis. Orthodontic mini-implants were used to provide skeletal anchorage required for closure of the extraction space and intrusion of the anterior teeth. The dental crowding was corrected, and Class I occlusal relationship was established after 36 months of treatment. The treatment outcome was sustained after 15 months of retention, and long-term follow-up was recommended.

교정치료시 하악 전치부 치은퇴축의 고려 (Gingival recession of lower anterior incisors in orthodontic treatment)

  • 김윤상;조진형
    • Journal of Periodontal and Implant Science
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    • 제38권2호
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    • pp.215-224
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    • 2008
  • Purpose: These case reports show the orthodontic treatment of lower anterior incisors with gingival recession. Materials and Methods: Three cases were treated by an orthodontist and a periodontist. Each case had lingually tilted lower anterior incisors, anterior crossbite and skeletal Cl III pattern. Results: A variety of etiological factors were thought to cause gingival recession: aging, oral hygiene, tooth malpositioning, occlusal trauma. Conclusion: Due to the interaction among many possible contributing factors, it is difficult to predict whether further gingival recession may occur at a given site. The position and the movement of the lower anterior incisors with gingival recession are important factors in diagnosis and orthodontic treatment planning.

Teeth discoloration during orthodontic treatment

  • Baik, Un-Bong;Kim, Hoon;Chae, Hwa-Sung;Myung, Ji-Yun;Chun, Youn-Sic
    • 대한치과교정학회지
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    • 제47권5호
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    • pp.334-339
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    • 2017
  • Objective: Teeth discoloration is a rare orthodontic complication. The aim of this study was to report the clinical progression of discoloration during orthodontic treatment. Methods: Discolored teeth, detected during orthodontic treatment between January 2003 and December 2012 by a single dentist using similar techniques and appliances, were analyzed. Results: The total number of teeth that showed discoloration was 28. Progression of discoloration was evaluated in only 24 teeth that were observed without any treatment. During the observation period, the discoloration "improved" in 8 of the 24 teeth (33.3%) and was "maintained" in 16 (66.6%). The electric pulp test performed at the time of initial detection of discoloration showed 14.3% positivity, which improved to 21.4% at the final follow-up. None of the initial and final follow-up radiographic findings showed any abnormalities. Conclusions: When teeth discoloration is detected during orthodontic treatment, observation as an initial management is recommended over immediate treatments.

III급 부정교합의 수술-교정 치료시 상악 소구치 발치가 치열궁 폭경 변화에 미치는 영향 (Effect of maxillary premolar extraction on transverse arch dimension in Class III surgical-orthodontic treatment)

  • 이신재;홍성준;김영호;백승학;서정훈
    • 대한치과교정학회지
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    • 제35권1호
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    • pp.23-34
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    • 2005
  • 본 연구에서는 III급 수술-교정 치료 방법에 영향을 미치는 치열 상의 요소를 파악함으로써 술전 교정시 상악 소구치 발치와 비발치의 판단에 필요한 임상적 정보를 얻고자 골격성 III급 부정교합 환자의 수술-교정 치료시 흔히 선택되는 상악 제1소구치 발치로 치료된 군과 비발치로 치료된 군 간의 치료전/후 상/하악 개별 치아 이동 양상과 치열궁 폭경의 변화 양상을 비교 분석하였다 이를 위하여 비발치로 III급 수술-교정 치료를 마친 환자 (24명) 와 술전교정 치료시 상악 제1소구치가 발치된 환자 (31 명)의 치료 전/후 모형 상에서 개개 치아의 근원심/협설측 각도 변화와 상/하 치열궁 폭경의 변화를 측정한 후, 두 군 사이의 교정적 치아 이동 양상을 비교 분석한 후 상/하 치열궁의 조화를 이루는데 필요한 치열궁 폭경의 변화와 이에 기여하는 치아 변위와의 관계를 분석하기 위하여 상관 분석과 회귀 분석을 시행한 결과 발치 군은 비발치 군에 비하여 상악 치열궁 폭경의 감소가 컸으며 이는 상악 구치의 inclination 감소에 크게 영향 받은 것으로 관찰되었다. 하악 치열에서는 inclination의 증가와 폭경의 증가가 있었으나, 비발치/발치군간의 차이는 유의하지 않았다 본 연구의 결과 결론적으로 III급 수술-교정 치료시 술전 상악 소구치 발치는 상악 구치부 치열궁 폭경의 감소에 크게 영향을 미치므로, 상악 소구치 발치에 대한 판단은 상/하악 치열궁의 폭경 및 구치부 경사도 문제와 연계하여 고려해야 할 사항으로 생각되었다.

Prevalence of incidental maxillary sinus findings in Italian orthodontic patients: a retrospective cone-beam computed tomography study

  • Gracco, Antonio;Parenti, Serena Incerti;Ioele, Christian;Bonetti, Giulio Alessandri;Stellini, Edoardo
    • 대한치과교정학회지
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    • 제42권6호
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    • pp.329-334
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    • 2012
  • Objectives: To determine the prevalence of incidental maxillary sinus findings in a large sample of orthodontic patients by cone-beam computed tomography (CBCT) with a wide field of view and assess the relationships of such abnormalities with age and gender. Methods: Five hundred thirteen CBCT scans obtained for orthodontic diagnosis and treatment planning in a Northern Italian population (N = 513; 292 female and 221 male subjects; 1,026 maxillary sinuses) were studied. The frequencies of pseudocysts and mucosal thickening of the maxillary sinus were recorded. Logistic regression analysis was used to determine the influence of age and gender on these abnormalities. Results: Pseudocysts were detected in 52 patients (10.1%) and 59 sinuses (5.75%). Mucosal thickening was observed in 206 patients (40.1%) and 258 sinuses (25.1%). Gender and age were significantly associated with pseudocysts (p = 0.027) and mucosal thickening (p < 0.001), respectively. Conclusions: Half of the orthodontic patients had incidental maxillary sinus findings. Men were more likely to show pseudocysts, and older patients (aged 41 - 60 years) were more likely to show mucosal thickening.