• Title/Summary/Keyword: class 2 malocclusion

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The treatment of skeletal Class III growing patient using MTA(Modified Tandem Appliance) (성장기 III급 환자에서 MTA(modified Tandem Appliance)를 이용한 교정치료)

  • Moon, Cheol-Hyun;Nam, Ji-Seon
    • The Journal of the Korean dental association
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    • v.46 no.2 s.465
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    • pp.88-99
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    • 2008
  • In growing patients with Class III malocclusion and midfacial deficiency, the treatment protocol calls for orthopedic maxillary protraction and clinicians choose the facemask therapy generally. But facemask is not esthetic or comfortable to patients because it should be worn extraorally. Consequently it is difficult to obtain patients cooperation, and this often influences the treatment effects negatively. MTA (modified tandem appliance), that is a small intraoral appliance, is carried conveniently and esthetic relatively. So it seemed more patient-friendly than a facemask. While the treatment effect of this is similar to that of a facemask. This report presents skeletal Class III malocclusion two cases treated by MTA with good results.

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A ROENTGENOCEPHALOMETRIC DESCRIPTION OF CLASS I MALOCCLUSION (1급부정교합(一級不正咬合)에 관(關)한 두부방사선계측학적(頭部放射線計測學的) 연구(硏究))

  • Whang, Sun-moon
    • The korean journal of orthodontics
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    • v.9 no.1
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    • pp.105-110
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    • 1979
  • In order to define what the average Class I malocclusion looks like, 72 Class I malocclusions were compared with corresponding measurements from 90 cases of normal occlusion sample. This sample was obtained from the Department of Orthodontics, Infirmary of Seoul National University. 1. SNA, Fac(NP) to SN measurements were significantly different from the normal occlusions and smaller than the normal occlusion means. 2. 'Y' axis to SN, Mandibular plane to SN, $\underline{1}$ to Occlusal plane, $\bar{1}$ to NB(linear) measurements were significantly different from the normal occlusions and larger than the normal occlusions. 3. ANB, Occlusal plane to SN, AB to Occlusal plane, $\underline{1}$ to SN, $\bar{1}$ to SN, $\bar{1}$ to Occlusal plane measurements showed no significant difference between the means.

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CHARACTERISTICS OF CRANIOFACIAL STRUCTURES IN SEVERE ADULT CLASS III MALOCCLUSION (심한 골격성 III급 부정교합을 가진 성인 두개안면골격의 특성)

  • Park, Chang-Jin;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.219-229
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    • 1998
  • The purpose of this study is to define the characteristics of the skeleton and soft tissues of severe adult class III malocclusion. The materials selected for this study were lateral cephalograms of 112 adult class III malocclusion patients with ANB difference below -2 degrees. and the mean age was 22.9 years old. The normal control sampler consisted of lateral cephalograms of 50 adults in normal occlusion and the mean age was 22.1 years old. The Horizontal reference line was FH line and the vertical reference line was nasion perpendicular to FH line. The skeletal and soft tissue characteristics of Class III malocclusion are as follows : 1. In the skeletal profile evaluated by vertical reference line (Nasion perpendicular to FH), the forehead and maxilla was similar to normal, but the mandible was protruded significantly. 2. The soft tissue profile is concave. The thickness of soft tissue covering forehead area and nose is within normal range. but the upper lip is thicker and the nasolabial angle is smaller than normal. The lower lip and inferior labial sulcus is thinner than normal. The degree of eversion of lower lip is lesser than normal. 3. The cranial base of class III malocclusion is shorter and saddle angle is smaller than normal. 4. The location of midface evaluated in relations to cranial base is within normal range but, the length of midface is shorter than normal when compared from the deep portion of the facial skeleton. 5. The location of maxilla in reference to cranial base is within normal range but the length of maxilla was shorter in class III malocclusion. 6. The mandible was protruded, ramus height and body length, gonial angle were greater than normal, and the chin angle was smaller. 7. Upper incisor was proclined, lower incisor was retroclined.

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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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The effects and follow-up of early preorthdontic trainer treatment on class II malocclusions (2급 부정교합에서 교정 전 Trainer를 이용한 조기치료 효과와 예후관찰)

  • Shim, Youn-Soo;Kim, Ah-Hyeon;An, So-Youn
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.303-309
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    • 2013
  • TRAINER for Kids ($T4K^{TM}$, Myofunctional. Research Co, Australia) is a prefabricated myofunctional orthodontic appliance recommended to ClassII division1 malocclusion patients who have bad oral habits such as mouth breathing, tongue thrusting, inappropriate tongue position, thumb sucking and so on. Trainer has a soft texture and a small volume so that those advantages lead to an increase in the agreement rate of young patients of its use. This presentation is to analyze clinical efficacy of Trainer. The analysis is based on a result of regular follow-up on Class II division1 malocclusion patients who has been completely treated by Trainer in the Sanbon Dental Hospital of Wonkwang university. This case report is to present the satisfactory results gained by using Trainer on Class II patients. First, Trainer was applied in Class II malocclusion patients of mixed dentition with expected space insufficient to gain facial improvement. Second, excessive overjet, overbite were improved. Third, main effects are regarded to have been achieved by development of lingual slant of upper jaw, labial slant of lower jaw, and lower part of jaw bone.

Maxillary protraction using skeletal anchorage and intermaxillary elastics in Skeletal Class III patients

  • Esenlik, Elcin;Aglarci, Cahide;Albayrak, Gayem Eroglu;Findik, Yavuz
    • The korean journal of orthodontics
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    • v.45 no.2
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    • pp.95-101
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    • 2015
  • The aim of this case report is to describe the treatment of a patient with skeletal Class III malocclusion with maxillary retrognathia using skeletal anchorage devices and intermaxillary elastics. Miniplates were inserted between the mandibular lateral incisor and canine teeth on both sides in a male patient aged 14 years 5 months. Self-drilling mini-implants (1.6 mm diameter, 10 mm length) were installed between the maxillary second premolar and molar teeth, and Class III elastics were used between the miniplates and miniscrews. On treatment completion, an increase in the projection of the maxilla relative to the cranial base (2.7 mm) and significant improvement of the facial profile were observed. Slight maxillary counterclockwise ($1^{\circ}$) and mandibular clockwise ($3.3^{\circ}$) rotations were also observed. Maxillary protraction with skeletal anchorage and intermaxillary elastics was effective in correcting a case of Skeletal Class III malocclusion without dentoalveolar side effects.

ROENTGENOCEPHALOMETRIC STUDY ON ANGLE'S CLASS II, DIVISION 2 MALOCCLUSIONS (Angle II급 2류 부정교합의 두부방사선학적 연구)

  • Suhr, Cheong-Hoon
    • The Journal of the Korean dental association
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    • v.19 no.1 s.140
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    • pp.67-71
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    • 1981
  • This study was undertaken to find out the characteristic craniofacial morphology of Class II Division 2 malocclusions in children by means of roentgenocephalometry. The subjects consisted of twelve boys and thirteen girls with Class Ii, Division 2, thirty seven boys and fifty three girls with Class II, Division 1, and forty six boys and eighty one girls with normal occlusion, ranged from 10 years old to 18 years old. The following results were obtained; 1. The anteroposterior relationship of the maxilla to the cranium in the Class II, Division 2 malocclusion similar to the normal occlusion, but the mandible was the posterior position in th the cranial anatomy. 2. There were no significant differences in the anteroposterior relationship of the maxilla and the mandible between Class II, Division 1 and Class II, Division 2 malocclusions. 3. In Class II, Division 1 the axes of maxillary incisors showed labial inclination, but lingual inclination in Class II, Division 2 malocclusions. 4. Overbite was prominent one in Class II, Division 2, on the other hand overjet was distinguished in Class II, Division 1.

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Dilemma of gonial angle measurement: Panoramic radiograph or lateral cephalogram

  • Radhakrishnan, Pillai Devu;Varma, Nilambur Kovilakam Sapna;Ajith, Vallikat Velath
    • Imaging Science in Dentistry
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    • v.47 no.2
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    • pp.93-97
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    • 2017
  • Purpose: The purpose of this study was to evaluate the accuracy of panoramic imaging in measuring the right and left gonial angles by comparing the measured angles with the angles determined using a lateral cephalogram of adult patients with class I malocclusion. Materials and Methods: The gonial angles of 50 class I malocclusion patients (25 males and 25 females; mean age: 23 years) were measured using both a lateral cephalogram and a panoramic radiograph. In the lateral cephalograms, the gonial angle was measured at the point of intersection of the ramus plane and the mandibular plane. In the panoramic radiographs, the gonial angle was measured by drawing a line tangent to the lower border of the mandible and another line tangent to the distal border of the ascending ramus and the condyle on both sides. The data obtained from both radiographs were statistically compared. Results: No statistically significant difference was observed between the gonial angle measured using the lateral cephalograms and that determined using the panoramic radiographs. Further, there was no statistically significant difference in the measured gonial angle with respect to gender. The results also showed a statistically insignificant difference in the mean of the right and the left gonial angles measured using the panoramic radiographs. Conclusion: As the gonial angle measurements using panoramic radiographs and lateral cephalograms showed no statistically significant difference, panoramic radiography can be considered in orthodontics for measuring the gonial angle without any interference due to superimposed images.

Current trends in orthodontic patients in private orthodontic clinics (교정전문치과에 내원한 부정교합환자의 최근 경향)

  • Jung, Min-Ho
    • The korean journal of orthodontics
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    • v.39 no.1
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    • pp.36-42
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    • 2009
  • Objective: The purposes of this study were to provide an epidemiologic data base related to the orthodontic treatment need and to know the changing trends about treatment modality of private orthodontic clinics. Methods: Distribution, trends and orthodontic treatment plan of malocclusion patients were investigated in 1,620 consecutive patients who had been visited and examined in 4 private orthodontic clinics located in Seoul from 2003-2006. Results: Percentage of male and female patients was 26.9% and 73.1% respectively Age distribution had shown that percentage of the patients above 13 years was 78.9%, and above 19 years was 59.0%. Average age of whole patients was 20.5 years. With regard to Angle classification, each percentage of Class I, Class II division 1, Class II division 2 and Class III malocclusion was 38.9%, 34.8%, 2.3% and 24.0%. The percentage of extraction cases(00.9%) outnumbered nonextraction cases(39.1%) and 46% of extraction cases were upper and lower 1st premolar extraction cases. Patients who had chose treatment with fixed appliance and orthognathic surgery was 10.2%. Conclusions: Because the high percentage of adult, Class II malocclusion and orthognathic surgery cases in patients of private orthodontic clinics were shown in this study, orthodontic education program and national health policy in Korea need reformation.