• Title/Summary/Keyword: limit of orthodontic treatment

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Remote digital monitoring during the retention phase of orthodontic treatment: A prospective feasibility study

  • Sangalli, Linda;Savoldi, Fabio;Dalessandri, Domenico;Visconti, Luca;Massetti, Francesca;Bonetti, Stefano
    • The korean journal of orthodontics
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    • v.52 no.2
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    • pp.123-130
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    • 2022
  • Objective: To evaluate if a remote digital monitoring system added at the end of orthodontic treatment could positively influence the retention phase by reducing the occurrence of misfit of removable appliances, number of emergency appointments (EA), and orthodontic relapse. Methods: Twenty-seven patients who completed active orthodontic treatment were divided into the study and control groups. In addition to the standard chairside follow-up appointments at month 1 (T1), month 3 (T2), month 6 (T3), the study group patients were monitored using Dental Monitoring® with monthly intra-oral scans. Occurrence of misfit of removable retainers, number of EAs, and intercanine width change were recorded for both groups. Differences in EAs and retainer fit were assessed using the chi-square test. Intra-group and inter-group differences in the intercanine width were assessed with Friedman test and Mann-Whitney U test, respectively (α = 0.05). Results: The study group showed a significantly lower occurrence of misfit of removable retainers (p = 0.027) compared to the control group. No significant inter- and intra-group difference was found in the EAs and intercanine width change at each time-point. Conclusions: Integrating remote monitoring systems, such as Dental Monitoring®, to the retention phase of the orthodontic treatment may lower the occurrence of misfit of removable retainers. However, a small sample size and a short observation period limit the strength of this evidence. These preliminary results tentatively suggest that remote monitoring technologies may be beneficial, especially during the COVID-19 pandemic, when the regularity of in-office visits might be disrupted.

Orthopedic and Orthodontic Treatments of a Patient with Parry-Romberg Syndrome (Parry-Romberg Syndrome 환자에서 악정형 및 교정 치료)

  • You, Kug-Ho;Baik, Hyoung-Seon
    • Korean Journal of Cleft Lip And Palate
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    • v.15 no.1
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    • pp.1-10
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    • 2012
  • Parry-Romberg syndrome(PRS) is a degenerative disease characterized by progressive hemifacial atrophy. A 10-year-old girl who had been treated for linear scleroderma at the dermatologic department visited the orthodontic department. The frontal facial photograph showed mild facial asymmetry. On the left side, mild atrophy of soft tissue, enophthalmos, cheek depression, and dry skin with dark pigmentation were observed. The radiograph showed the hypoplasia of both the maxilla and mandible on the left side. This case report describes the treatment of a patient with PRS for 7 years. To minimize the effect of progressive atrophy on the facial growth, a hybrid appliance was used. The facial photos and radiographic records were periodically taken to analyze the progression of PRS. Although it is impossible to prevent the progression of facial asymmetry, it appears to be possible to limit the atrophic effect. After the stabilization of PRS, the orthodontic treatment by the fixed appliance was performed. Additionally, autologous fat graft was performed three times at 6 month intervals. After the treatment, the patient had a confident smile and facial asymmetry was improved.

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A study on the limit of orthodontic treatment (교정 치료의 한계에 관한 연구)

  • Kim, Sun-Ju;Park, So-Young;Woo, Hae-Hong;Park, Eun-Jie;Kim, Young-Ho;Lee, Shin-Jae;Moon, Seong-Cheol;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.34 no.2 s.103
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    • pp.165-175
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    • 2004
  • Information on the limits of treatment could allow for more rational treatment Planning and better results after treatment. From this point of view, this article has attempted to discuss the limits of orthodontic tooth movement. A relatively wider range of tooth movement is expected after Class III surgical-orthodontics than after conventional orthodontic treatment in general. The purposes of this Paper were: first, to evaluate the reliability of teeth position measuring gauge; and second, to elucidate the limits of orthodontic tooth movement. Dental casts of fifty-fine subjects were analyzed by using Set-up model checker (InVisitec Co., Korea) before and aster the Class III surgical-orthodontic treatment. The changes of maxillary and mandibular dental arch widths were also measured from the canines to the second molars. To test the inter-examiner reliability, randomly selected casts were measured by another examiner. Descriptive statistics and paired t tests were used to explain the tooth movement during treatment. The results showed a relatively good reliability of measuring instruments and a very diverse range of tooth movement. Collective changes by the orthodontic tooth movement evaluated in Class III surgical-orthodontics allowed for a suggestive interpretation of specific treatment patterns. Arch width changes during the inter-arch coordination were mainly the result of tipping in both buccal segments. Based on the results of this study, the possibility of a change in dentition as a result of orthodontic treatment should be understood in order to launch a well-organized plan of treatment.

THE LOAD DEFLECTION RATE OF LOOPED WIRE AND ITS CHANGE BY HEAT TREATMENT (looped wire의 하중변형도와 열처리에 의한 변화)

  • Lee, Yong-Kook
    • The korean journal of orthodontics
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    • v.16 no.1
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    • pp.133-144
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    • 1986
  • This study was conducted to evaluate the effects of loop formation and heat treatment upon the elastic properties of orthodontic wires. The specimens selected were .016', .018', .016x.022', and .018x.022' sized stainless steel (standard) and cobalt-chromium-nickel wires, and were divided into 7 groups as; 1. straight non-heat treated 2. U looped non-heat treated 3. L looped non-heat treated 4. Circle looped non-heat treated 5. U looped heat treated 6. L looped heat treated 7. Circle looped heat treated Heat treatment was performed in Big Jane furnace at 850' F for 3 minutes. The elastic limit and the elastic range of each specimen were determined by bending test, and load deflection rate was computed from those values. The findings were as follows; 1. The formation of loop resulted in increased load-deflection rate for both stainless steel and cobalt-chromium-nickel wires. 2. The heat treated group showed higher load-deflection rate than non-heat treated group, which was more apparent in cobalt-chromiumnickel wire than in stainless steel wire. 3. L loop had the highest load-deflection rate among 3 types of loops, followed by U loop and circle loop. 4. The specimens with greater diameter displayed the more increase in load-deflection rate by looping and heat treatment.

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A CASE REPORT ABOUT CORRECTION OF IMPLANT POSITION AT HORIZONTAL PLANE AFTER CORTICOTOMY (피질골 절단술을 이용한 수평면에서의 임플란트의 위치 교정에 대한 치험례)

  • Choi, Bin;Oh, Hae-Soo;Kim, Jin-Chul;Kil, Yong-Gab;Kim, Kyoung-Soo;Kim, Jwa-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.255-261
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    • 2007
  • Preface: Dental implant is important method that may solve the mastication, occlusion, esthetic, temporomandibular joint, and psychologic problem in oral and maxillofacial surgery. It is ideal that all of the implant are well positioned by adequate technique. By the way it‘s not always possible because of some anatomic, physiologic factor. In this case, If the implant can be moved to adequate position, it may be possible more esthetically and implanted patients more satisfied, but the majority of Implantists and orthodontists have thought that it is not possible. However, Implant, in fact, can be moved. and thus we can overcome the limit of implantation more. The aim of the present study was to evaluate the possibility of implant movement after corticotomy. Case report: Patient missed the upper right first molar. and implantation was done after completion of socket healing. We wait six months for osseointegration. Then, corticotomy was done under local anesthesia and close coil was used for orthodontic force. After traction during 3 weeks, we find the change of implant position at horizontal plane. we can not see the degenerative change on adjacent structure and tracted implant. there is a clinical mobility on upper right second premolar that used for anchorage but it subside spontaneously at the timing of prosthetic restoration without additional treatment. Discussion: As we could have some knowledge with this experiment, we report the case of implant movement after corticotomy and suggest a method about more esthetic implant treatment with a review of literature.

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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Restoration of Rotated and Discolored Maxillary Incisors with a Zirconia All-Ceramic System: A Case Report (지르코니아 완전도재 수복 방법을 사용한 회전되고 변색된 상악중절치의 수복)

  • Baek, Yeon-Wha;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.1
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    • pp.95-101
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    • 2013
  • Recently, the demand for esthetic improvement by a treatment neither time consuming nor invasive is increasing. The patient wanted the maxillary anterior teeth appearance to be improved by prosthetic treatment, not other treatments such as orthodontic, periodontal, and endodontic treatments, despite the limit of esthetic improvement. In this case, among the recent variety of all ceramic systems for the aesthetic prosthetic restoration, we selected the zirconia-based system as a method of restoration in order to conceal the discoloration of teeth. The patient was satisfied with the esthetic results.

Comparison of the fatigue limit of fiber-reinforced composites and stainless steel wires when attached to the tooth surface for anchorage reinforcement (고정원 강화를 위해 치면에 부착한 fiber-reinforced composite과 스테인리스강 와이어의 피로한도 비교)

  • Kim, Moon-Jung;Park, Soo-Byung
    • The korean journal of orthodontics
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    • v.35 no.4 s.111
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    • pp.302-311
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    • 2005
  • This study was performed to compare the fatigue limit of stainless steel wires and Fiber-reinforced composites (FRC) under conditions of permitting physiologic tooth movement. and to evaluate the clinical value of FRCs which was used to reinforce the anchorage unit. The stainless steel wire groups were divided into round and rectangular wire groups. The FRC groups were divided into uni-directional and woven groups, with resin coating and without resin coating in the Proximal area After the number of cycles to failure of each of the 6 groups were measured within the $5{\times}10^5\;cycle$ fatigue limit simulating the orthodontic treatment period. the fatigue limit of each group was compared with each other The findings of this study were as follows. In stainless steel wires, the fatigue limit of rectangular wires were higher than that of round wires. But there was no statistically significant difference (p>0.05). In FRCs with resin coating and without resin coating in the interproximal area, the fatigue limit of uni-directional type was higher than that of the woven type (p<0.05). In uni-directional and woven type FRCs, the fatigue limit of FRC with resin coating in the interproximal area was higher thar that of FRC without resin coating (P<0.05) As the FRCs and stainless steel wires did not fracture until the $5{\times}10^5\;cycle$ fatigue limit which clinically is useful. it is sufficient to use FRC and stainless steel wire for reinforcing anchorage. When esthetics is important and the attachment of additional devices are necessary. it seems sufficient to use FRC as anchorage reinforcement.

Autotransplantation of an impacted maxillary canine using Rapid Prototyping : A case report (Rapid Prototyping을 이용한 상악 매복 견치의 자가이식 치험례)

  • Cho, Nan-Ju;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.498-505
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    • 2007
  • Management options for impacted maxillary canines can include (1) continued observation, (2) extraction of the primary canine to aid spontaneous eruption, (3) uncovering and bonding of the impacted tooth and its eruption using orthodontic traction, (4) autotransplantation, and (5) extraction followed by prosthetic replacement. Autotransplantation should be considered when the degree of malposition is too severe to correct by orthodontic alignment. The present report describes the management of an ectopic eruption of the left maxillary canine in an 10-year-old girl. The treatment included the extraction of primary maxillary left canine and the autotransplantation using a Rapid Prototyping model. By using RP model to contour the recipient bone and check for fitting in the prepared socket, the extra-oral time can reduce. The autotransplanted canine showed mobility within normal limit, negative response to percussion and positive to electric pulp test after 6 months.

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LINGUAL FRENECTOMY UNDER ORAL SEDATION (경구 진정요법하에 시행한 설소대 절제술)

  • Jang, Yong-Gul;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.568-574
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    • 2009
  • Tongue-tie is a congenital anomaly characterized by an abnormally short lingual frenum, which may restrict tongue tip mobility, In the neonate and infant, tongue-tie was said to cause difficult breast-feeding, In the older infant, toddler and young child, poor speech has been frequently listed because movement of tongue tip is limit ed. Also as a abnormal tongue position, various orthodontic problems, later mechanical and social manifestations could be developed. Treatment options such as observation, speech therapy, frenotomy and frenectomy have been suggested. The optimal timing for the surgery has not been determined, but early intervention may be appropriate for the children with significant tongue-tie who has the significant potential to speech difficulties and later social and mechanical problems. Sedation is an effective method for incapable of cooperative and the handicapped children, necessary to early intervention. We report three cases, using oral sedation for the frenectomy in young children with severe tongue-tie. After treatments, we could find out sufficient tongue movement and improved speech ability.

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