• Title/Summary/Keyword: malocclusion

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MnBillnry protraction treatment of skeletal Class III children using miniplnte anchorage (Miniplate anchorage를 이용한 골격성 III급 부정교합 아동의 상악 전방견인 치료)

  • Cha, Bong-Kuen;Lee, Nam-Ki;Choi, Dong-Soon
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.73-84
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    • 2007
  • The maxillary protraction headgear has been widely used in the treatment of skeletal Class III children with maxillary deficiency. A variety of treatment objectives which allow dentoalveolar movements may be established, but when only maxillary protraction without dentoalveolar movement is needed, one of the limitations in maxillary protraction with conventional tooth-borne anchorage is the loss of dental anchorage. This is because a bone remodeling occurs not only at circummaxillary sutures but also within the periodontal tissues. During protraction treatment in the mixed dentition phase, in older children or for the patient with multiple congenitally missing teeth, it is not uncommon to observe undesirable mesial movement of maxillary teeth. Such a side effect can be eliminated or minimized using absolute anchorage such as skeletal anchorage. The purpose of this case report is to introduce a new technique of the maxillary protraction headgear treatment using surgical miniplates.

Development of Goals Tentative of Dental Health Education in the Elementary Schools (초등학교 구강보건교육의 목표 시안개발)

  • Lee, Hyung-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.1
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    • pp.43-61
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    • 2002
  • The purpose of this study was focus on development of educational objectives by using oral health education in the elementary school from now on. Based on the results of analysis compared with a model of educational objectives and contents by reflecting the programs for analysis were the oral health education programs of the Ministry of health and social Affairs in Korea, and the programs of two states in u.s. in order to construct goals and contents of oral health education in school. The results in this study can be arranged as follows: First, an analysis on the educational objectives of dental health education program resulted that, from a viewpoint of Bloom's taxonomy of educational objectives, in case of domestic, most learning objectives expressed in the handbook of Ministry of Health and social Welfare were given too much emphasis to the cognitive domain of 37 an items in all. Affective domain were appeared the lack of balance of the development domain. Second, the result of analysis for the programs of two states of America, the cognitive domain were the most abundant of 48 an items in all, and were not significantly different to those of Korea in the form of objectives domain or statement. However a big different was shown that they organized the same objectives domain as a pattern of repeating and deepening at every grade. Third, in this study, 10 educational objectives of dental health education were established, based on the result of analyzing those existing educational programs as central figure. Those are oral cavity, brushing, nutrition of teeth, fluoride, flossing, teeth injury, dental decay, periodontal disease, malocclusion, routine dental visits. And general objectives and specific objectives of each learning area were stated and arranged grade by grade.

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Analysis of the Dental Health in Primary School Textbooks (초등학교(國民學校) 교과서별(敎科書別) 구강보건(口腔保健)에 관(關)한 실태분석(實態分析))

  • Choi, Hee-Yeon;Chung, Yeon-Kang
    • Journal of the Korean Society of School Health
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    • v.6 no.2
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    • pp.56-68
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    • 1993
  • The primary school age are important period that the children exchange the deciduous teeth for permanent teeth, there are so many outbreak of dental caries which is major oral diseases periodontal disease begins, and malocclusion may be brought about. The purpose of this study is to suggest the fundamental data for enforcement of dental health in primary school age as analyzing the curriculum contents and amount on dental health in primary school course. The data were investigated from 103 volumes of 139 textbooks of second semester in 1992 and first semester i 1993 except some subjects that the quantitative analysis is impossible such as arithmetic a problem in arithmetic, observation, music, fine arts and so on. The contents of all textbooks were analyzed separating into paragraph and picture, the contents for dental health were classified into amount, item, teaching method. The results are as follows: 1) The paragraphs on public health were 3.992 among total paragraphs 69,789 as 5.72%. And the picture were 7.41% as 923 pieces of total 12,457 ones. 2) For dental health, there were 73 paragraphs of 69.789 ones (0.10%) and 42 pieces of 12.457 pictures (0.34%). 3) According to the investigation of curriculum that had the paragraphs related to dental health the most, it turned out to be in order of physical education nature. Right life story, and right life story, righ life, physical education for the picture. And for the grade, it appeared to be in order of sixth, third first grade for the paragraphs and first, third, sixth grade for the pictures. 4) In the attitude and knowledge of item for dental health by grade, it turned out that the paragraph was 76.71%, the behaviour was 23.29%. On the other hand, the knowledge was 35.17% and the attitude was 64.28% for the picture. 5) At the commentary of curriculum in primary school, the goal of health education by each grade was just keep clean and strong teeth, know the role of teeth and the cause of dacayed teeth, and prevent it in second and third grade.

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Outcomes of comprehensive fixed appliance orthodontic treatment: A systematic review with meta-analysis and methodological overview

  • Papageorgiou, Spyridon N.;Hochli, Damian;Eliades, Theodore
    • The korean journal of orthodontics
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    • v.47 no.6
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    • pp.401-413
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    • 2017
  • Objective: The aim of this systematic review was to assess the occlusal outcome and duration of fixed orthodontic therapy from clinical trials in humans with the Objective Grading System (OGS) proposed by the American Board of Orthodontics. Methods: Nine databases were searched up to October 2016 for prospective/retrospective clinical trials assessing the outcomes of orthodontic therapy with fixed appliances. After duplicate study selection, data extraction, and risk of bias assessment according to the Cochrane guidelines, random-effects meta-analyses of the mean OGS score and treatment duration were performed and 95% confidence intervals (CIs) were calculated. Results: A total of 34 relevant clinical trials including 6,207 patients (40% male, 60% female; average age, 18.4 years) were identified. The average OGS score after treatment was 27.9 points (95% CI, 25.3-30.6 points), while the average treatment duration was 24.9 months (95% CI, 24.6-25.1 months). There was no significant association between occlusal outcome and treatment duration, while considerable heterogeneity was identified. In addition, orthodontic treatment involving extraction of four premolars appeared to have an important effect on both outcomes and duration of treatment. Finally, only 10 (39%) of the identified studies matched compared groups by initial malocclusion severity, although meta-epidemiological evidence suggested that matching may have significantly influenced their results. Conclusions: The findings from this systematic review suggest that the occlusal outcomes of fixed appliance treatment vary considerably, with no significant association between treatment outcomes and duration. Prospective matched clinical studies that use the OGS tool are needed to compare the effectiveness of orthodontic appliances.

Translation and validation of the Turkish version of the Psychosocial Impact of Dental Aesthetics Questionnaire

  • Aglarci, Cahide;Baysal, Asli;Demirci, Kadir;Dikmen, Ferhan;Aglarci, Ali Vasfi
    • The korean journal of orthodontics
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    • v.46 no.4
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    • pp.220-227
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    • 2016
  • Objective: The aim of this study was to translate the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) into Turkish, validate the questionnaire, and provide a cross-cultural adaptation. Methods: The translation process included the following steps, which were performed by a translation committee: (1) translation into Turkish, (2) back translation into English, (3) pretesting, and (4) cross-cultural adaptation. The Turkish version of the PIDAQ was produced subsequent to the translation process. Validity and reliability were measured using the Perception of Occlusion Scale and the aesthetic component of the Index of Orthodontic Treatment Need. The questionnaire was administered to 260 individuals (age range, 18-30 years; mean age, $20.50{\pm}1.9$ years). Structural validity was assessed via factor analysis, and internal consistency was measured using Cronbach's alpha coefficient. Results: Factor analysis revealed a four-factor structure, with factor loadings for included items ranging from 0.380 to 0.868. Few questions were shuffled among domains various factor loadings. Cronbach's alphas for the Turkish version of the PIDAQ ranged from 0.534 to 0.904. Mean scores for the PIDAQ subscale and total scores differed significantly according to Index of Orthodontic Treatment Need and Perception of Occlusion Scale scores. Conclusions: This study provided a Turkish version of the PIDAQ, which could be a useful tool in the evaluation of the psychosocial impact of malocclusion in young Turkish adults.

Diagnosis and Treatment of Malocclusions using the Invisalign System (인비절라인 시스템을 이용한 부정교합의 진단 및 치료)

  • Kim, Hyungsoo;Ahn, Jae-Hyun;Boyd, Robert L.
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.21-29
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    • 2003
  • Recent developments in software technology have made it possible to create a virtual three-dimensional model of the dental arches from digitally scanned casts of a patient's dentition. This modelmay then be manipulated with software to produce stages of tooth movement from the initial malocclusion to the final desired occlusion. A sterolithograghic model is made for each stage of tooth movement which is the basis for construction of a series of clear and thin overlay appliances. These appliances are worn full time by the patient to move the teeth according to the programmed stages of movement. Malocclusions involving mild to moderate crowding and space closure have been proven to be successfully treated with this appliance. Experience with this appliance has demonstrated excellent patient compliance with less discomfort, improved esthetics and oral hygiene control, when compared with fixed orthodontic appliances. Orthodontic treatment with this appliance is a potentially useful alternative approach to fixed appliances for treatment of a variety of malocclusions in patients with fully erupted permanent teeth.

A STUDY ON THE MANDIBULAR GROWTH PREDICTION AND SIZE OF THE FRONTAL SINUS (전두동의 크기와 하악골 성장예측에 관한 연구)

  • Kyung, Seung-Hyun;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.27 no.3 s.62
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    • pp.473-479
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    • 1997
  • This author tried to find if the size of the frontal sinus can be used as a diagnostic aid to predict the manldibular growth pattern in growing Patients in lateral cephalogram utilizing the fact the the frontal sinus completes its growth in earlier stage but the mandible continues to grow until later. At this study, the 228 samples were divided into 3 groups as skeletal Class I, II, III malocclusions and three indicies(ANB, APDI, Wits) were measured which indicate the mandibular body length and the antero-posterior relationship of maxilla and mandible to evaluate their relations with frontal sinus. And results were obtained as followings 1. The size of frontal sinus is highly related to ANB, APDI, Wits and mandilar body length.(p<0.001) 2. the size of the frontal sinus of the Cl III malocclusion group was on the lateral cephalogram larger than Cl I and Cl II group.

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MICRODONTIA IN A CHILD TREATED WITH CHEMOTHERAPEUTIC AGENT (항암 화학치료를 받은 아동의 치아발육이상 : 증례 보고)

  • Kye, Hi-Ran;Lee, Jae-Ho;Kim, Seong-Oh;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.146-150
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    • 1999
  • With the improved cure rates for childhood malignant conditions in the past decade, late effects of cancer therapy must be recognized to minimize their impact on the quality of life in long-term survivors. Chemoradiation therapy is a major part of pediatric oncology treatment and is implicated in causing tooth agenesis, microdontia, root shortening, early apical closure, and coronal hypocalcification. Dental development may be affected by illness, trauma, chemotherapy, or radiation therapy at any point prior to complete maturation. Treatment given during the first 3.5 years of life was more likely to affect the dental lamina and crown formation and result in a small tooth. Dental treatment affected by chemoradiation damage to developing teeth includes orthodontic tooth movement, prosthetic abutment consideration, periodontal health, space maintenance, requirement for home fluoride regimens to protect hypomineralized teeth, and enodontic procedures. Dental abnormalities are common in patients treated for cancer, and these children require aggressive dental follow-up. Meticulous surveillance may facilitate detection of abnormalities, enabling the dental practitioner to intervene earlier in promoting a more aggressive regimen of oral care, thus reducing the morbidity associated with dental sequelae of oncotherapy, specifically periodontal disease and malocclusion. In this case, we report microdontia of all permanent second premolar and second molar in an 8 year old boy treated with chemotherapeutic agents during period of active dental development(14 months to 38 months of age).

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A CEPHALOMETRIC STUDY ON SUB-GROUPINGS IN KOREAN CHILDREN WITH CLASS I MALOCCLUSIONS : A COUNTERPART ANALYSIS (Angle 1급 부정교합 아동의 안면두개골 형태의 유형적 특징에 관한 연구)

  • Lee, Jeong-Ok;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.172-184
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    • 1999
  • The present study was performed to identify morphologic sub-groupings in Korean children with Class I malocclusions, and to find out anatomic differences between the sub-groups. Standardized lateral cephalometric radiographs of 152 Korean children, aged between 6 and 12 years, with Class I malocclusions were analyzed by the Counterpart Analysis. A statistical method, Ward's Minimum Variance Cluster Analysis, was employed to divide the sample into sub-groups those with similar morphologic characteristics. The results were as follows; 1. There appeared two facial types, Type I and Type II, in Korean children with Class I malocclusions, 48.7% and 51.3%, respectively. 2. In both sub-groups, there existed strong Class III skeletal patterns due to a counterclockwise rotation of the Middle Cranial Fossa alignment, and strong Class II skeletal patterns due to the long Posterior Maxillary vertical dimension and a clockwise rotation of the Ramus alignment. 3. There were no significant differences in Upper Anterior Facial Height between Type I and Type II, $52.6{\pm}2.92mm\;and\;52.8{\pm}3.23mm$, respectively. 4. The Lower Anterior Facial Height in Type II was longer ($66.0{\pm}4.03mm$) due to the long Posterior Maxillary vertical dimension, the clockwise rotation of the Ramus alignment, and a clockwise rotation of the Mandibular plane alignment than that of Type I ($64.2{\pm}4.15mm$).

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The Clinical Study of Maxillofacial Bone Fracture (안면골 골절에 관한 임상적 연구)

  • Cho, Byoung-Ouck;Lee, Yong-Chan;Nam, Jong-Hun;Kim, Tae-Young;Koh, Back-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.32-40
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    • 1989
  • This study is based on 247 patients(348 cases) with facial bone fracture who were admitted to the department of oral and maxillofacial surgery, Kangnam sacred heart Hospital during the period of Jan. 1983 through sep. 1988. The patients with mandible fracture were analysed with the following items such as complications with treatment method undertaken : Bicortical osteosynthesis vs Monocortical osteosynthesis, advantages and Disadvantages. The results obtained are as follows : 1) The most common age groups for the facial bone fracture were 20 years 2) The ratio of Men to women was 5 : 1 3) The most frequent location of facial bone fractures was the Mandible(76.7%), Maxillae(10.6%), Zygoma(9.5%), Nasal bone(3.2%) 4) The ratio of Mandible to Maxillae was 7.2 : 1 5) In mandible fractures, the most frequent fracture site was Symphysis(48.7%) 6) In maxilla fractures, the most frequent case was Le fort III fracture(51.4%), followed by Le fort I fracture(29.7%), Le fort II fracture(18.9%) 7) The main contributing causes of facial bone fractures were Traffic Accident(37.7%), Fight(31.6%), Accident(27.5%) 8) In open reduction methods of mandible fracture, the frequency of postop, malocclusion was 15% in interosseous wiring, 7% in Bicortical osteosynthesis, 3% in Monocortical osteosynthesis. The miniplates show advantages over other forms of fixation, in that they are malleable and easy to insert, they achieve rigid fixation and stability.

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