• Title/Summary/Keyword: malocclusion

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A LONGITUDINAL STUDY ON PREDICTION OF ERUPTIVE PATH AND IMPACTION OF MAXILLARY CANINE (상악견치(上顎犬齒)의 맹출로예측(萌出路豫測) 및 매복(埋伏)에 관(關)한 누년적(累年的) 연구(硏究))

  • Son, Tae-Won;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.22 no.1
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    • pp.159-168
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    • 1992
  • To predict eruptive path of maxillary canine, 13 male and 11 female malocclusions were longitudinally studied for 4 years. And to study frequency and distribution of impaction of maxillary canine, 1500 malocclusions were studied. The path, velocity and duration of maxillary canine eruption were determined by periodic angular and linear measurement using periodic orthopantomograms and cephalograms. The following results were obtained. 1. Maxillary canine was erupted with $14.5^{\circ}$ distal tipping from initial stage $98.1^{\circ}$ to final stage $83.6^{\circ}$ of axial inclination on orthopantomogram. 2. Eruptive velocity of maxillary canine was fastest on stage 4, and mean eruptive velocity was 10.5mm per year on stage 4. 3. Eruption of maxillary canine was completed 12 year 5 months in male and 11 years 8 months in female. 4. To predict the duration for eruption completion by position of maxillary canine on cephalogram, regression equation was obtained. 5. Frequency of impaction of maxillary canine was 1.47% in malocclusion and more frequent in male. Distribution of buccal and palatal, right and left impaction was no different, but unilateral impaction was more frequent.

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A NEW APPROACH TO USE OVERBITE DEPTH INDICATOR IN ORTHODONTIC DIAGNOSIS (교정 진단을 위한 피개교합심도지수 (Overbite Depth Indicator, ODI) 의 새로운 평가)

  • Yang, Won-Sik;Chang, Young-Il;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.22 no.1
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    • pp.17-30
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    • 1992
  • Since 1984, many patients have been treated with Multiloop Edgewise Archwire (MEAW) Technique and diagnosed with ODI (Overbite Depth Indicator) and APDI (Anteroposterior Dysplasia Indicator) by the authors. 234 samples of them were selected randomly for the statistical analysis (age, sex, Angle's classification, treatment period, extraction, ODI etc.). Especially, ODI was analysed statistically and its application methods were reviewed. The results and conclusions were as follows: 1. On the 150 patients with normal overbite, the mean values of Class I, II, III malocclusion were $67.5^{\circ}$, $72.2^{\circ}$ and $59.0^{\circ}$. They were significantly different on the level of p < 0.01. 2. In normal overbite samples, ODI decreased with the increase of APDI and the correlation coefficient was -0.54. It seems that this result reflects the characteristics of AB to mandibular plane angle. 3. The regression equation was Y = - 0.57X + 114.64, where X is APDI and Y is ODI. In cases of small or large APDI, it seems to be absurd that the patient's ODI is compared with the mean ODI to differentiate diagnostically the open bite or deep bite tendency from the normal.

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Application of genioplasty in malocclusion with chin deformity (이부기형을 동반한 부교교합에서의 이부골성형술의 응용)

  • Chang, Young-Il;Suhr, Cheong-Hoon;Nahm, Dong-Seok;Lee, Ha-jin
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.241-246
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    • 1996
  • The chin is one of the factors which express human character, and appropriately protruding chin is very important to harmonious profile, the purpose of genioplasty is to reshape the chin and improve the facial esthetics which is one of the purposes of orthodontic treatment. It can be classified as augmentation genioplasty which enlarge the chin vertico-horizontally and reduction genioplasty which smallen it. The examples to apply this procedure are as follows. 1. advancement of retruded chin 2. reduction of chin prominence 3. control of chin vertical dimension 4. correction of asymmetry

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Three-dimensional assessment of nasal changes after maxillary advancement with impaction using stereophotogrammetry

  • Coban, Gokhan;Yavuz, Ibrahim;Karadas, Busra;Demirbas, Ahmet Emin
    • The korean journal of orthodontics
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    • v.50 no.4
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    • pp.249-257
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    • 2020
  • Objective: To evaluate the changes in the nose in three dimensions after Le Fort I osteotomy in patients with skeletal Class III malocclusion. Methods: The subjects were 40 adult patients (20 females and 20 males; mean age, 20.3 ± 3.0 years; range, 17.0 to 31.1 years) who underwent one-piece Le Fort I osteotomy with maxillary advancement and impaction treatment for maxillary hypoplasia. The mean maxillary advancement was 4.56 ± 1.34 mm, and the mean maxillary impaction was 2.03 ± 1.04 mm. Stereophotogrammetry was used to acquire three-dimensional images before and at least 6 months after surgery. Results: Alare (Al) and alare curvature (Ac) points had moved vertically and anterolaterally postoperatively. A significant increase was observed in the nasal ala width and alar base width, and no changes were noted in the columellar length, nasolabial angle, and nasal area. There was a significant relationship between maxillary impaction and nasal ala width and horizontal and sagittal positions of the bilateral Al and Ac. The only relationship found was between maxillary advancement and postoperative sagittal location of the subnasale and pronasale. Conclusions: Nasal soft tissues were highly affected by the vertical movement of the maxilla; however, the soft tissue responses were individual-dependent.

Case Report of Exophytic Lesion on TMJ ; Synovial Chondromatosis, Osteochondroma (측두하악관절에 발생한 양성 외방성 증식병소의 증례보고 : 활액성 연골종증, 골연골종)

  • Lim, Hyun-Dae;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.35 no.2
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    • pp.149-154
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    • 2010
  • In benign exophytic lesion in TMJ such as osteoma, chondroma, osteochondroma, synovial chondromatosis etc, symptom such as pain, mouth opening limitation, Most case of condylar exophytic lesion manifest with facial asymmetry, malocclusion, mandibular midline deviation. An osteochondroma and synovial chondromatosis are most commom benign condylar tumor. However this tumor is most frequently found on long bone and flat bone and is unusual on the skull. We report cases of osteochondroma, synovial chondromatosis of TMJ and review literatures.

Clinical Assessment of Temporomandibular Joint Dysfunction (측두하악 관절 장애의 평가)

  • Ryoo, Jae-Kwan;Kim, Jong-Soon
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.717-728
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    • 1998
  • The Temporomandibural joint(TMJ) is one of the most frequently used joint in the body as $1,500{\sim}2,000$ times per day for the activities of chewing, swallowing, talking, yawing and sneezing. The TMJ are formed by condylar process of mandible and mandible fossa of temporal bone, separated by an articular disc. This articular disc divides into two cavities as upper cavity and lower cavity. The gliding movement occurs in the upper cavity of the joint, whereas hinge movement occurs in the lower cavity. The movements that are allowed at the TMJ are opening, closing, protrusion, retraction and lateral movement. A cause of TMJ dysfunction are capsulitis, internal derangement, osteoarthritis, rheumatoid arthritis, infection and inflammation near the joint, trauma on joint, ankylosis, subluxation or dislocation of joint, injury of articular disc, myositis, muscle contracture or spasm, myofascial pain dysfunction syndrome, dyskinesia of masticatory muscles, developmental abnormality, tumor, connective tissue disease, fibrosis, malocclusion, swallowing abnormality, wrong habits such as bite nail or hair, bruxism, psycological stress and Costen syndrome etc. Assessment of TMJ dysfunction consist of interview, observation, functional examination, palpation, reflex test, joint play test, electromyography and radiologic examination and behavioral and psycological assessment etc.

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Outcome of Open Reduction Via Retromandibular Approach for Mandibular Subcondyle Fracture (하악골 과두경부 골절에 있어서 후하악부 절개법을 이용한 관혈적 정복술의 유용성)

  • Lee, Hyung Chul;Kang, Dong Hee;Koo, Sang Hwan;Park, Seung Ha
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.739-743
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    • 2005
  • Subcondylar fractures have generally been treated by intermaxillary fixation except in cases where there is an absolute indication for open reduction. The reason behind a less aggressive surgical approach lies on the inherent difficulties in manipulating fragments in such a small area at the risk of damaging facial nerves or vessels such as the internal maxillary artery. However, long-term follow-up studies showed that conservative treatment of subcondylar fractures results in disturbances of occlusal function, deviation of the mandible, internal derangement of the temporomandibular joint, and ankylosis of the joint. We carried out open reduction of dislocated subcondylar fractures in 14 patients from 2000 to 2004 by a retromandibular approach. After the reduction of fractured bone, two H-shaped miniplates with 6 holes were fixed with screws at the anterior and posterior surfaces of the subcondyle. The retromandibular approach allowed good access and easy manipulation of the subcondyle. Immediate relief from malocclusion and correction of mandibular midline shifting were observed in all patients. Late temporomandibular dysfunction and ankylosis were not observed. Open reduction with plate osteosynthesis made it possible to avoid IMF in 7 of the 14 patients. The present study shows that open reduction through this retromandibular approach can produce good outcome in adult patients with subcondylar fracture.

Current Concepts in the Mandibular Condyle Fracture Management Part I: Overview of Condylar Fracture

  • Choi, Kang-Young;Yang, Jung-Dug;Chung, Ho-Yun;Cho, Byung-Chae
    • Archives of Plastic Surgery
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    • v.39 no.4
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    • pp.291-300
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    • 2012
  • The incidence of condylar fractures is high,but the management of fractures of the mandibular condyle continues to be controversial. Historically, maxillomandibular fixation, external fixation, and surgical splints with internal fixation systems were the techniques commonly used in the treatment of the fractured mandible. Condylar fractures can be extracapsular or intracapsular, undisplaced, deviated, displaced, or dislocated. Treatment depends on the age of the patient, the co-existence of other mandibular or maxillary fractures, whether the condylar fracture is unilateral or bilateral, the level and displacement of the fracture, the state of dentition and dental occlusion, and the surgeonnds on the age of the patient, the co-existence of othefrom which it is difficult to recover aesthetically and functionally;an appropriate treatment is required to reconstruct the shape and achieve the function ofthe uninjured status. To do this, accurate diagnosis, appropriate reduction and rigid fixation, and complication prevention are required. In particular, as mandibular condyle fracture may cause long-term complications such as malocclusion, particularly open bite, reduced posterior facial height, and facial asymmetry in addition to chronic pain and mobility limitation, great caution should be taken. Accordingly, the authors review a general overview of condyle fracture.

Clinical Applications of Endoscopic-Assisted Open Reduction and Internal Fixation of Subcondylar Fractures (아래턱뼈 관절돌기밑 골절에서 내시경을 이용한 관혈적 정복술 및 내부고정술의 임상적 적용)

  • Han, Seung Youl;Kang, Seok Joo;Park, Jin Hyung
    • Archives of Plastic Surgery
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    • v.36 no.6
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    • pp.735-742
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    • 2009
  • Purpose: The management of fractures of mandibular subcondyle continues to be controversial between open and closed treatment. The purpose of this article is to explain the endoscopic assisted open reduction and internal fixation and minimize the controversy. Methods: Nine patients of mandibular subcondylar fracture were reduced and fixed by using intraoral endoscopic - assisted open reduction and internal fixation and were followed up for 14 ~ 24 months after surgery. Results: Eight patients of mandibular subcondylar fracture had been treated without significant complications. One patient, whose malocclusion had been remained, was recovered normal occlusion by maxillomandibular fixation using intermaxillary screws for 3 weeks. Conclusion: The advantages of endoscopic - assisted open reduction and internal fixation are direct visualization, accurate fracture repair, minimized scar, decreased morbidity. And maxillomandibular fixation is not needed when it is done by accurate reduction and rigid fixation with one miniplate in the region of subcondylar fracture. With the above consideration, endoscopic - assisted open reduction and internal fixation can be considered as one of the best treament for subcondylar fracture of the mandible.

Correlation between self-esteem and stress after orthodontic treatment in the adolescents (청소년의 치아교정치료 진단군과 비진단군의 자아존중감 및 스트레스간의 상관관계)

  • Lee, Kyung Hee;Lee, Hea Shoon
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.471-478
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    • 2014
  • Objectives : The purpose of the study was to investigate the correlation between self-esteem and stress after orthodontic treatment in the adolescents. Methods : A self-reported questionnaires was filled out by 347 high school students from September 23 to October 11, 2013. Data were analyzed using descriptive statistics, $x^2$-test, Fisher's exact test, t-test and Pearson correlation coefficient by SPSS 20.0 program. Results : Among 347 students, 25.4% of the students experienced orthodontic treatment. Significant differences existed in gender, satisfaction with dental appearance, uncomfortable level of biting and chewing, recognition of orthodontic treatment in orthodontic treatment group and non-treatment group. Self esteem was lower in orthodontic treatment group and stress was higher in orthodontic group. Self esteem had a negative correlation with stress. Conclusions : There existed the close relationship between self-esteem, stress, and dental malocclusion in the adolescents.