• Title/Summary/Keyword: dental appliance

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Treatment of Snoring and Obstructive Apnea with Oral Appliance (코골이와 수면무호흡증의 구강내 장치 치료)

  • Tae, Il Ho
    • The Journal of the Korean dental association
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    • v.53 no.4
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    • pp.259-265
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    • 2015
  • Recently, oral appliances for treating snoring and obstructive sleep apnea are widely used. Among various appliances, mandibular advancement devices are most effective without serious side effects. Advancement of mandible keep airway open and decrease snoring and/or obstructive apnea events. They can be used as stand-alone therapy or an adjunct to continuous positive air pressure for lowering air pressure. Oral appliances should be applied by dentists who have knowledges and experiences on occlusion and temporomandibular disorders and manage of side effects.

The rationale for management of oral appliance in TMD patients (턱관절 질환 구강장치 치료의 원칙 : 그 부작용과 예방)

  • Lim, Hyun-Dae
    • The Journal of the Korean dental association
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    • v.57 no.4
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    • pp.241-247
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    • 2019
  • Etiology of temporomandibular disorders is multifactorial origin and complex. therefore, reversible and conservative treatment is recommended in the initial approach of TMD. oral appliances are widely used to manage TMDs, while their mechanisms of action and its effects remain controversial and unclear. The purpose of this paper was to review information regarding the types, designs, and materials of occlusal appliances and the rationale for the continued use of OS for the management of TMDs.

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Effectiveness of the Invisalign Mandibular Advancement Appliance in Children with Class II Division 1 Malocclusion

  • So-Youn An;Hyeon-Jin Kim;Ho-Uk Lee;Sang-Ho Bak;Hyo-Jin Kang;Youn-Soo Shim
    • Journal of dental hygiene science
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    • v.23 no.4
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    • pp.245-254
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    • 2023
  • Background: This study aimed to determine the skeletal and dental effects in pediatric and adolescent Korean patients with Class II Division 1 malocclusion treated using the Invisalign Mandibular Advancement (MA®) appliance. Methods: The study included patients aged 6 to 18 years who received orthodontic treatment with the MA® appliance for Class II Division 1 malocclusion at the Department of Pediatric Dentistry, Wonkwnag University Daejeon Dental Hospital, between July 1, 2018, and December 31, 2021. The treatment group consisted of 20 patients, 10 boys and 10 girls. The control participants were also 10 boys and 10 girls. Lateral cephalometric radiographs were taken before and after treatment, and 41 measurements of skeletal and dental changes were measured and analyzed using the V-CephTM 8.0 (Osstem Implant). All analyses were performed using SPSS software (IBM SPSS for Windows, ver 26.0; IBM Corp.), and statistical significance was tested using paired and independent samples t-tests for within-group and between-group comparisons, respectively. Results: The patients in the treatment group showed significant decreases in ANB (A point, Nasion, B point), maxillary protrusion, maxillary anterior incisor labial inclination, and maxillary protrusion after treatment. However, when compared with the growth changes observed in the control group, only ANB and maxillary protrusion decreased, with no significant differences in SNA, SNB, and mandibular length. Conclusion: Collectively, the results of this study confirm that the use of MA® appliance in pediatric and adolescent Korean patients with Class II Division 1 malocclusion results in a reduction of anteroposterior skeletal and dental disharmony.

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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Surgery-first Approach for Facial Asymmetry with Transverse Discrepancy Using Hyrax-type Palatal Expansion Appliance

  • Youn-Kyung Choi;Sung-Hun Kim;Yong-Il Kim
    • Journal of Korean Dental Science
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    • v.16 no.1
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    • pp.87-98
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    • 2023
  • This report presents a case of successful treatment of skeletal Class III malocclusion with transverse discrepancy in adult by surgery-first approach. Traditionally dental decompensation is necessary prior to surgery in 2-jaw surgery to correct transverse and rotational discrepancy. However, the hyrax-type palatal expansion appliance was used to improve maxillary expansion accuracy and postoperative stability in this surgery-first approach (segmental Le Fort I osteotomy and mandibular setback surgery). It was established to be an effective means of precisely predicting postoperative occlusion and achieving stable retention after surgery of skeletal Class III malocclusion with maxillary transverse discrepancy.

Digital Orthodontics using Customized Appliance System (개인 맞춤형 장치를 이용한 디지털 교정치료)

  • Kim, Yoon-Ji R.;Ha, Hye-Jung;Lee, Sung-Jong;Lee, Eon-Hwa;Ryu, Jae-Jun
    • The Journal of the Korean dental association
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    • v.54 no.2
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    • pp.134-141
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    • 2016
  • Use of ready-made orthodontic appliance can lead to inefficiencies in the final stages of the orthodontic treatment. Because patients' teeth have anatomic variations, brackets that have been designed to fit on average tooth surface may result in positional discrepancies when leveling and alignment is completed. As a result, additional steps such as rebonding, wire bending and use of auxiliaries may be needed. Even in patients who have normal tooth anatomy and proper tooth size relationships, precise bracket placement is crucial in order to efficiently control the tooth positions. Digital models can provide advantages in clinical orthodontics as virtual tooth setup could be performed, and clinicians can easily visualize the predicted final occlusion. Through this setup model, customized brackets with individualized prescription and archwires that optimally fit with the patients' dental arches can be produced using CAD/CAM technology. Also, the brackets can be accurately placed with an aid of 3D-printed jigs. The purpose of this article is to introduce the commonly used labial and lingual customized orthodontic appliance systems using digital technology.

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Bruxism and Oromandibular Dystonia after Brain Injury Treated with Botulinum Toxin A and Occlusal Appliance -A Case Report- (뇌손상 후 발생한 이갈이증과 근육긴장이상에 대한 보튤리눔 독소 A와 교합안정장치를 이용한 치료 증례 -증례 보고-)

  • Kim, Tae-Wan;Baek, Kwang-Woo;Song, Seung-Il
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.1
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    • pp.13-19
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    • 2010
  • Bruxism is nonfunctional jaw movement that includes clenching, grinding and gnashing of teeth. It usually occurs during sleep, but with functional abnormality of brain, it can be seen during consciousness. Oromandibular dystonia (OMD) can involve the masticatory, lower facial, and tongue muscles and may result in trismus, bruxism, involuntary jaw opening or closure, and involuntary tongue movement. Its prevalence in the general population is 21%, but its incidence after brain injury is unknown, Untreated, bruxism and OMD cause masseter hypertrophy, headache, temporomandibular joint destruction and total dental wear. We report a case of successful treatment of bruxism and OMD after brain injury treated with botulinum toxin A and occlusal appliance. The patient was a 59-year-old man with operation history of frontal craniotomy and removal of malformed vessel secondary to cerebral arteriovenous malfomation. We injected with a total 60 units of botulinum toxin A each masseteric muscle and took impression for occlusal appliance fabrication under general anesthesia. On follow up 2 weeks and 2 months, the patient remained almost free of bruxism. We propose that botulinum toxin A and occlusal appliances be considered as a treatment for bruxism and OMD after brain injury.