• Title/Summary/Keyword: Orthodontics patient

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Distraction osteogenesis in facial asymmetry patient (견인골 신장술을 이용한 안모 비대칭 환자 치험례)

  • Tae, Ki-Chul;Kang, Kyung-Hwa;Lee, Su-Haeng;You, Seck-Keen
    • The korean journal of orthodontics
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    • v.33 no.5 s.100
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    • pp.391-398
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    • 2003
  • Distraction osteogenesis is a well-estabilished procedure of membraneous bone formation and has been used to correct craniofacial deformities in dentofacial orthopedic-surgery area for decades. In this articale, distraction osteogenesis is used for treatment of facial asymmetry. The patient underwent procedures to lengthen the mandibular ramus and body. After distraction, orthodontic treatment was done for ooclusal settling.

TENS FOR CONTROLLING ORTHODONTIC PAIN (교정치료시 동통관리를 위한 TENS)

  • Oh, Hee-Myeong;Hong, Sung-Joon
    • The korean journal of orthodontics
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    • v.19 no.2
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    • pp.121-129
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    • 1989
  • Pain and pain management have long been items of central concern in dentistry. Although they are given little attention in orthodontics, virtually every patient wearing orthodontic appliances experiences and complains of some extent of pain, and someones have suffered from severe throbbing pain. A form of stimulation-produced analgesia, Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive, non-pharmacologic pain control techniques. The clinical application of TENS to orthodontic patients may lead to better patient compliance. And I want to discuss some basic knowledge of this TENS.

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A CASE REPORT ON CORRECTION OF ANGLE'S CLASS III MALOCCLUSION WITH MACROGLOSIA (거대설을 동반한 Angle씨 제3급 부정교합의 치료일례)

  • Choi, Hai Kyung;Nahm, Han Woo;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.5 no.1
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    • pp.69-73
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    • 1975
  • This is case report of true class III malocclusion with macroglossia is corrected by glossectomy in 13 years female patient. After orthodontic treatment, the patient is bound to glossectomy because the corrected condition is relapsed to the previous condition due to relatively enlarged tongue compared with the original dental arch. By the interpretation of the cephalogram and model analysis, it is approved that the growth pattern and direction are normal range and mandible is located anterioly to the cranium. The results are follows: 1. We could treat the true Cl III malocclusion. 2. We could prevent the relapse of the treated condition by the surgical intervention, such as partial glossectomy. 3. Sensory, speech, swallowing and so other functions after the operation have been with in normal limit without any serious complications or seguellae.

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Growth observation and orthodontic treatment of a hemifacial microsomia patient treated with distraction osteogenesis

  • Chung, Nam Hyung;Yang, So Jin;Kang, Jae Yoen;Jeon, Young-Mi;Kim, Jong Ghee
    • The korean journal of orthodontics
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    • v.50 no.2
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    • pp.136-144
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    • 2020
  • Hemifacial microsomia (HFM) patients may experience emotional withdrawal during their growth period due to their abnormal facial appearance. Distraction osteogenesis at an early age to improve their appearance can encourage these patients. Some abnormalities of the affected side can be overcome by distraction osteogenesis at an early age. However, differences in the growth rate between the affected and unaffected sides during the rest of the growth period are inevitable due to the characteristics of HFM. Therefore, re-evaluation should be performed after completion of growth in order to achieve stable occlusion through either orthognathic surgery or camouflage orthodontic treatment. An eight-year-old patient visited the clinic exhibiting features of HFM with slight mandibular involvement. He received phase I treatment with distraction osteogenesis and a functional appliance. Distraction osteogenesis was performed at the right ramus, which resulted in an open bite at the right posterior dentition. After distraction osteogenesis, a functional appliance and partial fixed appliance were used to achieve extrusion of the affected posterior dentition and settlement of the occlusion adjustment on the unaffected posterior dentition. The patient visited the clinic regularly for follow-up assessments, and at the age of 20 years, he showed facial asymmetry of the mandible, which had deviated to the right side. He received orthodontic treatment to improve the occlusion of his posterior dentition after the growth period. Without orthognathic surgery, stable occlusion and a satisfactory facial appearance were obtained through camouflage orthodontic treatment.

Autotransplantation: A biological treatment alternative for a patient after traumatic dental injury

  • Vishwanath, Meenakshi;Janakiraman, Nandakumar;Vaziri, Hamed;Nanda, Ravindra;Uribe, Flavio
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.125-130
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    • 2018
  • Traumatic dental injury is considered a public dental health problem because of a high childhood incidence, high treatment costs, and prolonged treatment time. Although management guidelines for traumatized teeth have been outlined, tooth loss following trauma is occasionally unavoidable. Here, we describe the successful interdisciplinary management of a traumatized central incisor in an 11-year old boy that was extracted because of a poor prognosis and restored by the autotransplantation of an immature donor tooth into the site. The patient underwent orthodontic treatment in order to close the donor site space and bring the autotransplanted tooth to an ideal position. Postorthodontic treatment radiographs and photographs revealed an esthetic and functional natural tooth replacing the lost tooth. The findings from this case suggest that autotransplantation offers unique advantages as a treatment modality for the restoration of missing teeth, particularly in growing children.

Maxillary Anterior Segmental Distraction with Rigid External Device: Case Report (구순구개열환자의 상악 전방분절 골신장술식을 이용한 교정 치험례)

  • Yoo, Seong-Hun;Choi, Hye-Young;Yu, Hyung-Seog;Baik, Hyoung-Seon;Cha, Jung-Yul
    • Korean Journal of Cleft Lip And Palate
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    • v.14 no.1_2
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    • pp.19-28
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    • 2011
  • Maxillary anterior segmental distraction osteogenesis (DO) has been the alternative treatment option for patients with midfacial retrusion. The patient showed unilateral cleft lip and palate, and premaxillary distraction with rigid external device (RED) was planned to solve midface deficiency and to create alveolar space. Significant advancement of A point was observed, but relapse of A point was detected during consolidation period. The vertical position of the ANS was found to have moved downward. Axis of upper incisor decreased after DO. Maxillary anterior segmental DO is effective for treatment of patient with cleft lip and palate. The alveolar space is regained successfully, and the facial profile is improved without velopharyngeal problems.

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USE OF COMPUTERS IN ORTHODONTICS (치과 교정학 분야에서 COMPUTER 이용에 관하여)

  • Bae, Se-Bok;Kyung, Hee-Moon;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.19 no.3
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    • pp.113-122
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    • 1989
  • About twenty years ago the computer was introduced into orthodontic, but not in clinics because it was inconvenient in cost, size, capacity and operation. But recent advances in the technology of electronics have produced a personal computer which is suitable for use in clinics. We have developed useful program for cephalometric Ax, model analysis and patient management. The computer program greatly aided in saving time & effort and performed well in the management & searching for patient data. But further studies about three dimensional analysis, S.T.O. and derivation of automatic treatment planning from analysis are needed.

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Successful treatment of growing skeletal class II children with Twin-Block appliance. (트윈블록을 이용한 성장기 II급 아동의 성공적인 하악골 성장 치료)

  • Kim, Seong Sik;Kim, Sung Hun;Kim, Yongil;Park, Soobyung;Son, Woosung
    • The Journal of the Korean dental association
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    • v.56 no.2
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    • pp.103-112
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    • 2018
  • The treatment of skeletal Class II growing patient is to move the mandible into the Class I molar positon via facilitating mandibular growth. The functional appliances are to be designed to exert three major functions such as palatal expansion, forward growth of mandible and increase of the posterior vertical dimension. One of the devices that can achieve both the palatal expansion and the eruption of the mandibular molar is the Twin-Block introduced by Clark in 1982. In this part, we present the treatment method with Twin-Block functional appliance for the correction of skeletal Class II growing patient.

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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.

Evaluation of anxiety level changes during the first three months of orthodontic treatment

  • Yildirim, Ersin;Karacay, Seniz
    • The korean journal of orthodontics
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    • v.42 no.4
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    • pp.201-206
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    • 2012
  • Objective: To determine the changes in dental anxiety, state anxiety, and trait anxiety levels of patients and their parents after 3 months of active orthodontic treatment. Methods: We evaluated 120 patients and one parent of each patient. State Anxiety (STAI-S), Trait Anxiety (STAI-T), and Corah's Dental Anxiety Scale (DAS) were administered before orthodontic treatment (T1) and after 3 months of treatment (T2). Differences in scores between T1 and T2 were compared using paired-sample t-tests and the relationship between the scores of the DAS and the STAI were analyzed using a bivariate two-tailed Pearson correlation test. Results: Dental anxiety and state anxiety levels decreased among the patients after adjustment to orthodontic treatment (p < 0.001). However, 3 months of treatment was not sufficient to decrease the anxiety levels of parents (p > 0.05). Patient trait anxiety affected patient state anxiety and dental anxiety (p < 0.01). Additionally, a significant correlation was found between patient dental anxiety and parent dental anxiety (p < 0.05). Conclusions: Dental anxiety and state anxiety levels decrease after patients become familiar with their orthodontist and they became accustomed to orthodontic treatment. However, 3 months is not a sufficient length of time to decrease parental anxiety levels.