• 대한치과교정학회지
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• 제18권1호
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• pp.227-234
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• 1988

To study diagnosis and treatment plan of malocclusion, comparison of race and nation and consideration of treatment technique, 885 orthodontic patients of the department of orthodontics, Infirmary of dental college, Chosun University were evaluated. The frequency and pattern of tooth extraction were studied according to malocclusion types and developmental stages of occlusion and sex. Thefollowingresultswereobtained. 1. Average frequency of tooth extraction for orthodontic treatment was $38.3\%$. 2. The frequency of tooth extraction was $43.7\%$ in class I malocclusion, $34.2\%$ in class II malocclusion and $32.1\%$ in class III malocclusion. 3. The drequency of tooth extraction was the highest in permanent dentition $(49.2\%)$. 4. The frequency of tooth extraction was not different between male and female. 5. The frequency of 3-4 premolars extraction was the highest $(57.5\%)$ and that of lower incisor extraction was the lowest $(2.9\%)$ in patterns of tooth extraction. 6. Both frequency of unilateral and single arch extraction were the highest in class III malocclusion.

• 대한치과교정학회지
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• 제48권2호
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• pp.113-124
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• 2018

The purpose of this case report was to introduce the concept of orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft. A 5-year-old boy patient with Tessier number 0 cleft presented congenitally missing maxillary central incisors (MXCI), a bony defect at the premaxilla, a constricted maxillary arch, an anterior openbite, and maxillary hypoplasia. His treatment was divided into three stages: management of the bony defect at the premaxilla and the congenitally missing MXCIs using a fan-type expansion plate, iliac bone grafting, and eruption guidance of the maxillary lateral incisors into the graft area for substitution of MXCIs; management of the maxillary hypoplasia using sequential facemask therapy with conventional and skeletal anchorage; and management of the remaining occlusal problems using fixed orthodontic treatment. The total treatment duration was 15 years and 10 months. Class I canine and Class II molar relationships and normal overbite and overjet were achieved at the end of treatment. Although the long-term use of facemask therapy resulted in significant protraction of the retrusive maxilla, the patient exhibited Class III profile because of continued mandibular growth. However, the treatment result was well maintained after 2 years of retention. The findings from this case suggest that interdisciplinary and customized approaches are mandatory for successful management of maxillary hypoplasia, bony defect, and dental problems in Tessier number 0 cleft. Moreover, considering the potential of orthognathic surgery or distraction osteogenesis, meticulous monitoring of mandibular growth until growth completion is important.

• 응용통계연구
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• 제27권7호
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• pp.1077-1095
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• 2014

관찰연구를 이용하여 인과관계를 추론할 경우 무작위 통제시험과는 달리 교란변수로 인한 편향을 제어하기 위한 통계적 전략이 필요하다. 최근에는 성향점수(propensity score) 를 이용한 짝짓기나 원인변수의 역확률을 가중치로 사용하는 주변구조모형이 제안되어 사용되고 있다. 이러한 인과관계 추론은 처치(treatment)가 명확히 주어진 경우에 교란변수를 통제하고 그 처치가 결과에 미치는 영향을 평가하는 방법에 초점이 맞추어져 있다. 하지만 기존의 방법의 경우 원인변수인 처치가 직접관측이 가능한 범주형 변수이고 결과변수 또한 직접관측이 가능한 변수인 경우에만 사용할 수 있는 한계를 갖고 있다. 본 연구에서는 원인변수인 처치와 결과변수의 결괏값의 직접적인 관측이 어려운 경우, 측정오차를 고려한 잠재범주모형(latent class analysis)의 변수로 모형화 함으로써 잠재범주 간의 원인적 영향력을 추정하는 방법을 제시하고자 한다. 그리고 미국의 The National Longitudinal Study of Adolescent Health 자료를 이용하여, 약물사용의 잠재범주에 대한 청소년기의 비행(delinquency)이라는 잠재범주의 원인적 영향력을 추정하였다.

• 대한치과교정학회지
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• 제27권2호
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• pp.197-208
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• 1997

제 III급 부정교합 환자의 치료를 위해서는 각 환자의 문제점들과 상태를 다양한 진단방법들을 동원하여 분석한 후에 가장 적절한 치료방법을 선택하여야 한다. 초진시에 치성 또는 기능성 또는 골격성인 원인들의 감별이 분명한 증례에서는 치료계획 수립이 큰 문제가 없지만, 감별이 모호한 증례에서는 많은 어려움을 경험하게 된다. 이에 저자는 각 치료방법을 적용하여 치료한 제III급 부정교합 환자 482명 (남;253,여 ;229)을 대상으로 치료방법에 따라 네 군으로 분류하였다. D군은 가철성 교정장치나 악기능장치를 사용하여 치료한 115명(남;64, 여;51), A군은 악정형장치로 치료한 210명 (남;111, 여 ;99), B군은 고정식 교정장치로 Camouflage 하여 치료한 63명 (남;30, 여 ;33), C군은 악교정 수술로 치료한 94명(남;48, 여;46)이었다. 초진시에 촬영한 측모두부방사선사진에서 전후방, 수직적, 치성, 악골의 형태학적인 계측항목들을 선정하여 각 군에서 측정한 계측치의 평균값 및 표준편차를 구하였고 네 군간의 유의성 여부를 검정하여 아래와 같은 결과를 얻었다. 1. SNA각과 Nasion Perpendicular Plane에서 A점까지의 거리는 네 군간에 유의한 차이가 없었으며, SNB, Wits, Nasion Perpendicular Plane에서 B점까지의 거리, Facial angle, Facial convexity, APDI의 값은 C,A,B,D군의 순이었지만 A군과 B군간에는 유의한 차이가 없었다. 2. 전안면고경, 후안면고경, 하전안면고경의 값이 남자에서는 C,B,A,D의 순으로 유의성 있는 차이를 나타냈으며, 여자에서는 C와 B군간에는 유의한 차이가 없게 나타났다. 3. 남자에서 전두개저에 대한 하악체 길이의 비율, 하악체의 길이와 Symphysis의 길이는 C,B,A,D순으로 나타났으나 B군과 A군사이에는 유의한 차이가 없었고, 여자에서는 Ramus height, 하악체 길이, 전두개저에 대한 하악체 길이의 비율이 네군에서 유의한 차이를 나타냈고 Symphysis의 길이는 C군과 B군 사이에서는 유의한 차이가 없었다. 4. 상악전치 치축은 C,B,A,D순으로 크게 나타났으며 네 군간에서 유의한 차이가 나타났다. 5. Nasolabial angle의 값은 C,A,B,D순으로 작게 나타났으나 유의한 차이는 C와 A,B,D군 간에서만 나타났다.

• 대한치과의사협회지
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• 제13권5호
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• pp.415-416
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• 1975

1. The author have had a case of class V and class Ⅲ combined carious lesion extended on to root surface of upper right lateral incisor. 2. The patient was 40 years old female. 3. After routine root canal treatment of the tooth, the gingival flap was made by vertical incision on gingival tissue between distal surface of upper right lateral incisor and mesial surface of upper right canine. 4. Cavity preparation and amalgam filling on the carious lesion were performed and the flap was sutured.

• 치위생과학회지
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• 제20권2호
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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.

• 대한치과교정학회지
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• 제49권6호
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• pp.349-359
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• 2019

Objective: The aim of this study was to analyze three-dimensional (3D) changes in maxillary dentition in Class II malocclusion treatment using arch wire with continuous tip-back bends or compensating curve, together with intermaxillary elastics by superimposing 3D virtual models. Methods: The subjects were 20 patients (2 men and 18 women; mean age 20 years 7 months ${\pm}$ 3 years 9 months) with Class II malocclusion treated using $0.016{\times}0.022-inch$ multiloop edgewise arch wire with continuous tip-back bends or titanium molybdenum alloy ideal arch wire with compensating curve, together with intermaxillary elastics. Linear and angular measurements were performed to investigate maxillary teeth displacement by superimposing pre- and post-treatment 3D virtual models using Rapidform 2006 and analyzing the results using paired t-tests. Results: There were posterior displacement of maxillary teeth (p < 0.01) with distal crown tipping of canine, second premolar and first molar (p < 0.05), expansion of maxillary arch (p < 0.05) with buccoversion of second premolar and first molar (p < 0.01), and distal-in rotation of first molar (p < 0.01). Reduced angular difference between anterior and posterior occlusal planes (p < 0.001), with extrusion of anterior teeth (p < 0.05) and intrusion of second premolar and first molar (p < 0.001) was observed. Conclusions: Class II treatment using an arch wire with continuous tip-back bends or a compensating curve, together with intermaxillary elastics, could retract and expand maxillary dentition, and reduce occlusal curvature. These results will help clinicians in understanding the mechanism of this Class II treatment.

• 대한치과교정학회지
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• 제35권6호
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• pp.420-432
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• 2005

Bolton 분석이 치아크기 부조화를 예측하기 위해 널리 사용되고 있지만 그 정확도에 대해서는 의문이 제기되어왔다. 이에 본 연구는 부정교합자를 대상으로 하여 실제 전치부 부조화가 나타나는 양상을 조사하고. 그것에 영향을 주는 요인에 대해서 평가하고자 하였다.. 연구대상은 다양한 부정교합(Class I. Class II, Class III. Class III surgery)을 가졌으며, 교정치료를 마친 80명의 환자들로 구성되었다. 치료 전 모형, 치료 후 모형으로부터 얻어진 셋업 모형 그리고 치료 전후 측모 두부 X-선 계측사진을 분석하였으며 다음과 같은 결과를 얻었다. 한국인 부정교합자의 전치부 Bolton ratio는 Bolton의 표본 및 한국인 정상교합자 표본과 비교해 보았을 때 평균, 표준편차범위가 다소 크게 나타났다. 실제 전치부 부조화는 상악의 부족(deficiency)을 보이는 경우가 상악의 과잉(excess)을 보이는 경우보다 많았다. 전치부 Bolton ratio로부터 예측한 전치부 부조화는 셋업 모형을 통해서 얻은 실제 전치부 부조화와 비교해 버았을 때 차이를 보였다 (p<0.05). 성별 및 부정교합군은 실제 전치부 부조화에 유의한 차이를 보이지 않았다 (p>005). 수직피개와 상악 치아 절단연 두께는 실제 전치부 부조화와 상관관계가 거의 없는 것으로 나타났다. 다중회귀분석 결과 실제 전치부 부조화에는 치료 전 모형의 전치부 Bolton ratio, 치료 후 상악 전치가 교합평면과 이루는 각, 치료 후 절치간각, 치료 전 상악 우측 측절치 폭경 등의 요인이 기여하는 것으로 나타났다.

• Journal of Chest Surgery
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• 제24권4호
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• pp.352-356
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• 1991

From April, 1981, to April, 1990, 20 male and 7 female patients ranging in age from 17 to 63, were operated on for aortic insufficiency with an aneurysm of the ascending aorta. Ten patients were in New York Heart Association functional class II, 7 in class III, and ten in class IV. The surgical treatment in all cases consisted of total replacement of the ascending aorta with composite graft containing a prosthetic aortic valve and reimplantation of the coronary arteries by an intermediate tube graft. In 15 patients an uncomplicated annulo-aortic ectasia existed, and in 12 an aortic dissection; three of the latter group were operated during the acute phase. 17 patients showed typical Marfan syndrome, and 3 patients showed severe ascending aortic aneurysm secondary to the aortic valve disease. The overall operative mortality was 7%[2 deaths]. Those 2 deaths occurred following emergency operation due to associated aortic dissection, but no death during elective operation. All survivors have been followed-up during a period ranging 1 to 108 month[average 34 months]. There was no late mortality. Among the survivors, clinical improvement is readily apparent[2,3 in class I, 2 in class II ]. In conclusion, the treatment of aortic insufficiency associated with an aneurysm of the ascending aorta by insertion of a composite graft and reimplantation of the coronary arteries through an intermediate Dacron tube is a reliable method with low mortality and excellent results.

• 대한치과의사협회지
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• 제45권8호통권459호
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• pp.483-490
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• 2007

The aim of this study was to investigate the relationship between the mandibular antegonial notch and the mandibular morphology, and the curve of Spee in anteroposterior skeletal relationship. Pre-treatment lateral cephalograms were obtained from 80(male 34, female 46) adult orthodontic patients and the samples were classified into 3 categories by ANB angle($0^{\circ}$$\leq$ANB< $4^{\circ}$ Class I, $4^{\circ}$$\leq$ANB Class II, ANB< $0^{\circ}$ Class III). The curve of Spee was measured directly from the pre-treatment mandibular study cast of each patient included in this study. Pearson correlation coefficient test and multiple regression analysis in each group revealed the following results; 1. Antegonial notch depth was positively correlated with hoth lower anterior facial height(ANS-Me) in skeletal Class I, II and III groups and Id-Me height in skeletal Class I and II groups. 2. A statistically significant negative correlation was found between the depth of the antegonial notch and the curve of Spee in the Class III group. 3. Significant relationship was not found between the antegonial notch depth and any of the other cephalometric variables such as mandibular body length(Go-Gn) and ramus height(Co-Go). As antegonial notch depth increased, more vertical growth of the mandible was observed. Antegonial notch can be used as a predictor of vertical mandibular growth in the diagnosis and treatment planning of malocclusion.