• Title/Summary/Keyword: Skeletal Class III

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Correction of dental Class III with posterior open bite by simple biomechanics using an anterior C-tube miniplate

  • Ahn, Hyo-Won;Chung, Kyu-Rhim;Kang, Suk-Man;Lin, Lu;Nelson, Gerald;Kim, Seong-Hun
    • The korean journal of orthodontics
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    • v.42 no.5
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    • pp.270-278
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    • 2012
  • In the correction of dental Class III molar relationship in skeletal Class II patients, uprighting of the mandibular posterior segments without opening the mandible is an important treatment objective. In the case reported herein, a C-tube miniplate fixed to the lower labial symphysis and connected with a nickel-titanium reverse-curved archwire provided effective uprighting of the lower molars, without the need of orthodontic appliances on the mandibular anteriors. Using this approach, an appropriate magnitude of force is exerted on the molars while avoiding any negative effect on the mandibular anteriors.

A STUDY ON MENARCHE AND SKELETAL MATURITY AMONG VARIOUS MALOCCLUSION GROUPS (부정교합 분류에 따른 초경시기와 골성숙도에 관한 연구)

  • Kim, Kyung-Ho;Baik, Hyoung-Seon;Son, Eun-Sue
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.581-589
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    • 1998
  • In order to correct a maxillofacial-skeletal disharmony successfully and achieve a favorable facial profile, orthodontic treatment must begin at pubertal growth spurt. Therefore predicting the pubertal growth pattern and evaluating the growth potential is very important. For an orthodontist, estimating skeletal maturity in relation to one's personal growth spurt is essential and it must be considered into the treatment. The objective of this study was to find out whether there was a difference in menacheal age among different malocclusion groups and to evaluate the skeletal maturity at menarche. The subjects were 64 Class I malocclusion patients, 51 Class II patients and 38 Class III patients. Skeletal maturity was estimated from handwrist radiographs of these patients. Handwrist radiographs were taken between 3 months before and after the menarche. The results were as follows. 1. The mean chronologic age of menarche was $12.50{\pm}1.01$ years. 2. For the Class I malocclusion group the mean age of menarche was $12.36{\pm}1.04$ years, for Class II $12.81{\pm}1.03$ years and for Class III $12.32{\pm}0.82$ years. According to these results Class II malocclusion patients started mensturation later than Class I and Class III malocclusion patients. 3. No difference was found considering the skeletal maturity at menarche among the malocclusion groups. 4. The skeletal maturity index at menarche was SMI 7 for $45.10\%$, SMI 8 for $27.25\%$, SMI 9 for $10.46\%$, SMI 6 for $7.84\%$, SMI 10 for $7.84\%$ and SMI 5 for $1.31\%$ patients. 5. Statistically there was a significant correlation between skeletal maturity estimated by handwrist radiographs and menacheal age(p<0.05, r=0.25430).

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A STUDY ON THE MORPHOLOGICAL CHANGES IN CHILDREN WITH CLASS I AND III MALOCCLUSIONS: CEPHALOMETRIC ANALYSIS (I급과 III급 부정교합 어린이의 두개안면골 형태의 변화에 관한 연구)

  • Hong, Han-Young;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.599-612
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    • 2007
  • The present study was designed to compare the morphological and structural differences of craniofacial structures among 146 children with Class I and Class III malocclusions. The results below were obtained from the study. 1. Sphenoethmoidal synchondrosis continues to grow later in Class III. 2. Anteroposterior length of the nasomaxillary complex was significantly shorter in Class III, but the height of the nasomaxillary complex was similar. 3. Mandibular length and mandibular body length were longer in Class III, but had no statistical significance. Lower anterior facial height was shorter in Class III, but had no statistical significance. 4. Dentoalveolar height was similar between Class I and Class III. 5. In Class I, anterior cranial base took part in the anteroposterior length of the nasomaxillary complex and the mandible. 6. In Class III, anterior cranial base and middle cranial base had higher correlation with the mandible with aging. These results suggest that there exist a little differences between Class I and Class III malocclusions at age $7{\sim}11$, but growth patterns are mostly similar. Therefore it is necessary to correct Class III malocclusions at an early age before skeletal differences appear.

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Application of New Appliances for Management of Growing Class III Malocclusion Child: Comparazation Case Reports

  • An, So-Youn;Park, So-Young;Jeon, Eun-Young;Shim, Youn-Soo
    • Journal of dental hygiene science
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    • v.20 no.2
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    • pp.118-124
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    • 2020
  • The purpose of this comparison of case reports is to introduce the results of the application of new devices for the management of growing Class III malocclusions in children. Two 8-year-old boys had a chief complaint of anterior crossbite. Anterior crossbite correction using a tandem traction bow appliance (TTBA) or a Carriere Motion 3D Class III appliance with a Transforce appliance was planned. By comparing cephalometric radiographs before and after treatment, changes in skeletal growth and incisor inclination to the Frankfort horizontal (FH) plane could be measured. Both devices increased SNA and ANB angles, N-I Pg-A, U1 to SN, and U1 to FH. Both appliances improved facial features and resolution of anterior crossbite. The TTBA and Carriere Motion 3D Class III appliance had similar effects when applied as early treatment for growing mesio-occlusions and anterior crossbite in two boys. However, long-term outcome assessments and well-designed comparative studies are still required.

A study on the relationship of the mandibular symphysis and anterior alveolar and skeletal morphology according to the rotational growth pattern of mandible in skeletal Class III malocclusion (하악골 회전성장 양상에 따른 골격성 III급 부정교합자의 이부 및 상하악 절치부의 형태적 특성에 관한 연구)

  • Kim, Seok-Jun;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.303-315
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    • 1999
  • The aim of this study was to evaluate the morphology of the mandibular symphysis and anterior alveolar and skeletal relationship under the influence of the rotational growth pattern of mandible in skeletal Class III malocclusion. A total of U untreated adult subjects were divided into two groups-forward rotational growth pattern group, backward rotational growth pattern group-according to the suggestion of Skieller et al.. The antero-posterior position, vertical relationship, mandibular symphysis and anterior alveolar and skeletal relationship were assessed on lateral cephalometric radiographs. Mandibular symphysis and anterior alveolar and skeletal relationship in each subject were studied and the following conclusions were drawn : 1. Concerning the antero-posterior position, forward rotational growth pattern group showed significantly larger SNA, SNB. Conceming the vertical relationship, all measurements showed statistically significant differences. 2. Forward rotatioal growth pattern group showed significantly larger IMPA, MnAD, backward rotational growth pattern group showed significantly larger MxABH. 3. There was no statistically significant difference in symphysis ratio to mandibular plane between forward and backward rotational growth pattern group. 4. In the correlative analysis of rotational growth pattern of mandible and mandibular symphysis, anterior alveolar and skeletal relationship, statistically significant correlations in overbite, IMPA, MnAD, symphysis width were showed.

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Evaluation of Post-Treatment Outcome of Sagittal Split Ramus Osteotomy in Mandibular Prognathism Patients (하악 전돌자의 하악지 시상분할 골절단술 후의 안정성에 대한 평가)

  • Chung, Dong-Hwa
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.271-281
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    • 2006
  • Long term prediction of surgical result of skeletal class III has not been evaluated adequately because the stability of orthognathic surgery would be affected by not only set back amount of mandible but also many other factors like skeletal pattern, hyoid position, and airway size. The aimof this study is to discriminate the factors which affect the stability of post-treatment result of surgical outcome of sagittal split ramus osteotomy. We have collected 37 patients (male: 17, female: 20) from patients who have been treated at Orthodontic Department in Dankook University. The patients underwent 3 times Cephalometric X-ray taking at pre-, post-orthognathic surgery and after 12 months retention. The subjects were divided into 2 groups (Stable group: 21, Relapse group: 16) according to their relapse amount. We have taken following results from Students t-test and discriminant analysis. The discriminant factors which discern relapse and stable groupe among treatment change variables were BX and Ba-HY. Hyoid bone moved to posterior and inferior position due to surgery and repositioned superiorly and posteriorly during retention period. Skeletal patterns of the relapse group are smaller mandibular plane angle, anterior mandibular position, and greater distance from hyoid bone to cervical bone and mandible respectively.

Clustering of craniofacial patterns in Korean children with snoring

  • Anderson, Stephanie Maritza;Lim, Hoi-Jeong;Kim, Ki-Beom;Kim, Sung-Wan;Kim, Su-Jung
    • The korean journal of orthodontics
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    • v.47 no.4
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    • pp.248-255
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    • 2017
  • Objective: The purpose of this study was to investigate whether the craniofacial patterns of Korean children with snoring and adenotonsillar hypertrophy (ATH) could be categorized into characteristic clusters according to age. Methods: We enrolled 236 children with snoring and ATH (age range, 5-12 years) in this study. They were subdivided into four age groups: 5-6, 7-8, 9-10, and 11-12 years. Based on cephalometric analysis, the sagittal and vertical skeletal patterns of each individual were divided into Class I, II, and III, as well as the normodivergent, hypodivergent, and hyperdivergent patterns, respectively. Cluster analysis was performed using cephalometric principal components in addition to the age factor. Results: Three heterogeneous clusters of craniofacial patterns were obtained in relation to age: cluster 1 (41.9%) included patients aged 5-8 years with a skeletal Class I or mild Class II and hyperdivergent pattern; cluster 2 (45.3%) included patients aged 9-12 years with a Class II and hyperdivergent pattern; and cluster 3 (12.8%) included patients aged 7-8 years with a Class III and hyperdivergent pattern. Conclusions: This study found that the craniofacial patterns of Korean children with snoring and ATH could be categorized into three characteristic clusters according to age groups. Although no significantly dominant sagittal skeletal discrepancy was observed, hyperdivergent vertical discrepancy was consistently evident in all clusters.

Surgical orthodontic treatment of skeletal Class III malocclusion using mini-implant: correction of horizontal and vertical dental compensation (Mini-implant를 이용한 III급 부정교합의 수술교정치료: 수평, 수직적 치성 보상의 조절)

  • Im, Dong-Hyuk;Park, Hyun-Jung;Park, Jae-Woo;Kim, Jeong-Il;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.36 no.5
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    • pp.388-396
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    • 2006
  • Treatment of skeletal Class III malocclusion with mini-implant anchorage is discussed in relation to vertical control of the maxillary posterior dentoalveolar region and horizontal control of mandibular anterior teeth. A midpalatal mini-implant provided anchorage for intruding the maxillary posterior teeth. Mandibular mini-Implant implants were used to bring about labioversion of mandibular anterior teeth. After mandibular setback surgery, improvement of the facial profile was obtained both horizontally and vertically, Total treatment time was 11 months. Stable occlusion was maintained after 18 months of retention, The effectiveness and efficacy of mini-implants for the treatment of skeletal Class III malocclusion are also discussed.