• Title/Summary/Keyword: malocclusion

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THE RETROSPECTIVE STUDY ON THE RESPONSE TO THE CHINCAP THERAPY IN SKELETAL CLASS III CHILDREN (골격성 III급 부정교합환자의 이모장치에 대한 반응성 및 치료효과에 관한 연구)

  • Kim, Byoung-Ho;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.24 no.4 s.47
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    • pp.799-817
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    • 1994
  • The purpose of this study was to evaluate the initial skeletal pattern and growth change of whom had responsed well to chincap therapy. 93 patients seleted for this study were in mixed dentition and treated with chincap for more than 2 years. And 54 subjects were selected from these total samples and classified into two groups by the improvement of four measurements : ANB difference, APDI, Wits appraisal, and AF-BF. One was good response group which consisted of 26 children and the other was poor response group with 19 patients. Various measures of the craniofacial structure in the initial lateral cephalograms and the annual increments were calculated and analyzed by comparing two groups with t-test. The results were as follows : 1. Good response group had more horizontal growth pattern in initial stage of treatment than poor response group, and the contributing factors of this result were anterior posterior facial height ratio, gonial angle, lower genial angle and SN-mandibular plane angle. 2. The maxilla was positioned more anteriorly in good response group. 3. The amounts of vertical growth of maxilla was smaller but the horizontal growth of maxilla was larger in good response group. 4. The mandible rotated more infero-posteriorly in good response group. 5. The good response group had more vertical growth pattern of mandibular condyle.

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Conservative condylectomy alone for the correction of mandibular asymmetry caused by osteochondroma of the mandibular condyle: a report of five cases

  • Kim, Dong Sung;Kim, Jae-Young;Jeong, Chan-Woo;Park, Kwang-Ho;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.5
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    • pp.259-264
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    • 2015
  • We describe our experience with conservative condylectomy for the correction of facial asymmetry in five patients with osteochondroma of the mandibular condyle. All five patients presented with malocclusion and facial asymmetry, which are common clinical findings of osteochondroma involving the mandibular condyle. We performed conservative condylectomy without additional orthognathic surgery for all five patients, preserving the vertical height of the condylar process as much as possible. Following surgery, intermaxillary traction using a skeletal anchorage system with rubber elastics was performed on all patients to improve occlusion, and, when necessary, additional minimal orthodontic treatment was performed. The mean follow-up period was 42 months. At the last follow-up visit, all patients exhibited satisfactory facial symmetry and remodeling of the remaining condyle, with stable health and no signs of recurrence. In conclusion, conservative condylectomy alone, without subsequent orthognathic surgery, is adequate for the restoration of facial symmetry and the preservation of vertical condylar height in select patients with condylar osteochondroma.

External root resorption after orthodontic treatment: a study of contributing factors

  • Jung, Yun-Hoa;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.41 no.1
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    • pp.17-21
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    • 2011
  • Purpose : The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. Materials and Methods : This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatment lateral cephalometric radiographs. The root resorption of each tooth and the factors of malocclusion were analyzed with an analysis of variance. A paired t test was performed to compare the mean amount of root resorption between male and female, between extraction and non-extraction cases, and between surgery and non-surgery groups. Correlation coefficients were measured to assess the relationship between the amount of root resorption and the age in which the orthodontic treatment started, the degree of changes in overbite and overjet, and the duration of treatment. Results : Maxillary central incisor was the most resorbed tooth, followed by the maxillary lateral incisor, the mandibular central incisor, and the mandibular lateral incisor. The history of tooth extraction was significantly associated with the root resorption. The duration of orthodontic treatment was positively correlated with the amount of root resorption. Conclusion : These findings show that orthodontic treatment should be carefully performed in patients who need the treatment for a long period and with a pre-treatment extraction of teeth.

Facial nerve palsy after bilateral sagittal split ramus osteotomy: case report (양측 하악 상행지 시상분할 골절단술 후 발생한 안면신경 마비: 증례보고)

  • Kim, Hong-Seok;Kim, Su-Gwan;Oh, Ji-Su;You, Jae-Seek;Shin, Bo-Su;Jeong, Kyung-In
    • The Journal of the Korean dental association
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    • v.55 no.8
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    • pp.537-540
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    • 2017
  • BSSRO (bilateral sagittal split ramus osteotomy) is frequently performed to correct dentofacial deformity and malocclusion. Among its complications the incidence of post-operative facial nerve palsy is very rare, but it is one of the most serious complications. The case of a 21-year-old male patient who underwent facial nerve palsy after BSSRO is described. After surgical intervention and conservative therapy, the patient recovered his facial nerve function successfully.

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TREATIMENT OF ANKYLOGLOSSIA USING Z-PLASTY TECHNIQUE: A CASE REPORT (설유착증 환자에서의 Z-Plasty를 이용한 치료증례)

  • Lee, Ji-Young;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.697-705
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    • 1996
  • Ankyloglossia, or tongue-tie, is a congenital condition which occurs as a result of fusion between the tongue and the floor of the mouth. Ankyloglossia often results in malocclusion with an anterior "open bite" deformity, early prognathism, swallowing problem, speech disorder, and periodontal problem. Generally lingual frenectomy is used for treatment of ankyloglossia, but incomplete operation and simple frenectomy may produce a scar contracture resulting in a more deformed ankyloglossia than was present initially. The Z-plasty is used for the correction of scar contractures and the replacement of missing tissue and this procedure is ideally suited for the treatment of an ankylosed frenum. Most authors advise postponement of any decision for surgical correction of tongue-tie until the age of 4 years, unless the child is having much difficulty with sucking or swallowing. We treated 4 patients with ankyloglossia using Z-plasty technique. As a result, we found out that it was effective for correction of movement limitation of tongue, prevention of relapse. Further, periodic check ups are needed for evaluation of relapse, improvement of speech, and other functions of the tongue.

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Study on the Retraction of Anterior Teeth for the Lingual Orthodontics with the Three-Dimensional Finite Element Method (유한요소법을 이용한 설측 치아교정시 전치부 후방견인에 관한 연구)

  • Song Jung-Han;Huh Hoon;Park Hyun-Sang
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.28 no.8 s.227
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    • pp.1237-1244
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    • 2004
  • The orthodontic surgery including lingual orthodontics has recently attracted a person's attention due to its functional and esthetic appreciation. The skeletal anchorage with the miniscrew is newly adopted in the lingual orthodontics to assist the upholding ability. The appliciation needs to understand the mechanism of the orthodontic appliance and its related orthodontic correction for optimal orthodontic treatment. There is, however, few information about the qualitative and quantitative effect of the orthodontic appliance with the miniscrew has not been well identified. In this paper, three dimensional finite element analysis is introduced to the lingual orthodontics in order to investigate the effect of the anterior retraction force on the miniscrew and transpalatal arch wire. The analysis determines the adequate location of the miniscrew and the point of force application of the anchorage system in the lingual orthodontics. The analysis results demonstrate the effect of the position of the miniscrew and the transpalatal arch wire on the lingual orthodontics.

TREATMENT OF FACIAL ASYMMETRY : REPORT OF 2 CASES (비대칭 안모의 치험 2례)

  • Lee, Chul-Woo;Yeo, Hwan-Ho;Kim, Young-Gyun;Sul, In-Taek;Hyun, Yong-Hyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.4
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    • pp.305-313
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    • 1992
  • Facial asymmetry can be most distressing for the young child and parents. It can cause functional problems as a result of malocclusion. Classification of facial asymmetry has not been yet well-organized because of its varieties on etiologic factors, involved sites and clinical expressions. Even though, we don't know its causes definitely. It is generally believed that problems with aberrant pattern of condylar growth are related to facial asymmetry. This is a case report on surgical correction of the patients who had severe facial asymmetry. One patient was diagnosed as condylar hyperplasia and the other was diagnosed as a condylar hypoplasia related to trauma. We performed a simultaneous two-jaw surgery, condylar shaving, inferior border ostectomy of affected mandible in the former case, and a simultaneous two-jaw surgery, reverse-L osteotomy and alloplastic implantation with $Biocoral^{TM}$ in the latter case. The postoperative results of the two cases were excellent functionally and esthetically.

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ROENTGENOCEPHALOMETRIC STUDY OF CRANIOFACIAL SKELETON ON THE AGE OF PUBERTY WITH NORMAL OCCLUSION (청소년기의 정상교합자에 대한 두부방사선 계측학적 연구)

  • BAEK, IL SOO;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.12 no.2
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    • pp.177-191
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    • 1982
  • The study was performed to establish the cephalometric standards of Hellman dental age III B, IV A, IV C groups of the age of puberty and to aid for the case analysis and diagnosis of malocclusion. A roentgenocephalometric study was made from 365 subjects, that consist of 162 males, 203 females with normal occlusion, acceptable profile and no history of orthodontic and prosthodontic treatment. The results of this study were obtained as follows: 1. The tables of standards from the measurements by age, sex group were made. 2. All linear measurements of skeletal pattern in male were greater than in females. 3. The Bjork's sum was reduced gradually by aging in group I $396^{\circ}$, group II $395^{\circ}$, and group III $393^{\circ}$. 4. Posterior facial height to anterior facial height was 63% in group I, 64% group II, and 67% in group III. 5. The angulation of SNA and SNB were $81^{\circ}$ & $78^{\circ}$ in group I, $81^{\circ}$ & $78^{\circ}$ in group II, and $82^{\circ}$ & $79^{\circ}$ in group III.

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A STUDY OF THE CORRELATIONS BETWEEN THE TONGUE AND ORAL CAVITY VOLUME IN THE SKELETAL MANDIBULAR PROGNATHISM (골격성 하악전돌자의 혀와 구강용적의 상관관계에 대한 연구)

  • Choi, Yang-Sook;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.23 no.2 s.41
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    • pp.275-282
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    • 1993
  • When mandibular prognathic patients are operated orthognathic surgery which reduce the oral cavity volume, tongue volume should be harmonized with oral cavity volume to be changed because prevent the relapse of malocclusion. To decide the need for tongue resection, the author measured the tongue volume and oral cavity volume with stone model which were taken by impression method and study the difference between the ratio of tongue and oral cavity volume in mandibular prognathic group and normal group. The samples were consisted of four groups, the 40 subjects of the control group, 40 subjects of the experimental group. Each group was subdivided into male and female group respectively. The results were as follows : 1. The tongue volume and oral cavity volume measurements are $20.7cm^3,\;32.7cm^3$ in the control group respectively, and $24.9cm^3,\;42.9cm^3$ in the experimental group respectively. 2. There is no difference in the ratio of the tongue volume to oral cavity volume in control group and experimental group. 3. Correlation coefficients between the tongue volume and oral cavity volume are 0.11, 0.29 in experimental group and control group respectively, and 0.43 in gross total group. 4. The tongue volume of male is larger than female(p<0.05).

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A CLASS I DISCREPANCY CASE TREATED BY SERIAL EXTRACTION (연속발치에 의한 치험일례 (제1보))

  • Kim, Kwang Hyun;Choie, Mock Kyun
    • The korean journal of orthodontics
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    • v.2 no.1
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    • pp.47-52
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    • 1971
  • Serial extraction procedure, when cautiouly practiced in severe discrepancy case, can be a good clinical approach, but the treatment planning must always be based on accurate analysis of all conditions, especially patient's individual growth pattern and his family development. It is most difficult to determine the timing and selection of most effective sequence of deciduout extraction. It is the best candidate that patient is with class I malocclusion with harmony of the skeletal and muscular system and severe discrepancy of the tooth system. The authors have observed a female, who has complained of the malalignment of mandibular permanent incisor teeth. Serial extraction has been performed to relieve it through adequate various informations and resulted in a fairly good prognosis.

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