• 대한소아치과학회지
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• 제28권3호
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• pp.412-420
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• 2001

정상교합아동과 비교적 조기치료가 요구되는 III급 부정교합을 갖는 성장기 아동에서 측모 두부 방사선 계측치의 평균치를 산출하여 진단 및 치료계획 수립에 도움이 되고자 전남대학교병원 소아치과에 내원한 7세에서 9세사이의 III급 부정교합 아동 83명과 안모가 단정하고 정상교합을 갖는 광주지역 초등학생 84명을 대상으로 측모 두부 방사선촬영을 하여 McNamara 분석법을 이용한 계측치를 비교 분석하여 다음과 같은 결론을 얻었다. 1. 남아에서 정상교합자와 III급 부정교합자간의 계측치에서 Effective maxillary length, Maxillomandibular differential, Facial axis, Nasion perp to pogonion, Point A perp to Mx 1, A-Pog line to Mn 1의 항목이 유의성 있는 차이를 나타내었다(p<0.01). 2. 여아에서 정상교합자와 III급 부정교합자간의 계측치에서 Nasion Perp. to Point A(p<0.05), Effective Mandibular length, Effective Maxillary length, Maxillomandibular differential, Mandibular plane angle, Point A perp to Mx 1, A-Pog line to Mn 1의 항목이 유의성 있는 차이를 나타내었다(p<0.01). 3. Effective Mandibular length는 남아에서 정상교합자와 III급 부정교합자간에 차이가 없었으나, 여아에서는 유의한 차이가 있었다(p<0.01). 그러나 Effective Maxillary length는 III급 부정교합자가 남녀 모두에서 정상교합자보다 유의성있게 짧았다(p<0.01). 4. Anterior lower facial height는 남녀 모두 정상교합자와 III급 부정교합자의 비교에서 유의한 차이가 없었다. 5. 남아와 여아의 계측치 비교에서 Anterior lower facial height와 Mandibular plane angle은 정상교합자와 III급 부정 교합자 모두에서 유의한 차이가 있었다(p<0.01).

• 대한치과교정학회지
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• 제26권1호
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• pp.65-82
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• 1996

본 연구는 II급 및 III급 부정교합자를 대상으로 activator사용에 따른 각 근육의 적응 및 변화양상을 알아보고자 시행되었다. 본 연구의 대상은 성장 발육기에 있는 아동중 II급 부정교합자 15명과 III급 부정교합자 17명으로 기능적 요인을 갖고있는 자로 선정하였고, 연구방법은 전측두근(T.A.), 교근(M.M.), 후측두근(T.P.), 악이복근 전복(D.A.)의 활성도를 알아보고자 $Biopak^{TM}$ program 과 쌍극표면전극을 이용하여 activator 치료 시작시기와 사용후 6-12개월 사이의 두차례에 걸쳐 안정위, 연하시, clenching등 세가지 조건에서 근활성도를 측정하여 비교해본 결과 다음과 같은 결론을 얻었다. II급 및 III급 부정교합자와 정상교합자의 근활성도를 비교한 결과 안정위시와 연하시 유의한 차이를 보이지 않았으나 clenching시 교근과 후측두근에서는 차이를 나타내었다. 치료전 근활성도가 정상보다 작은 군은 유의성 있는 증가를, 큰 군은 유의성 있는 감소를 보이는 등 대부분의 근육이 일정한 경향을 나타내었고, 이러한 경향은 III급 부정교합군에서 전측두근(연하시), 후측두근(clenching시), 악이복근 전복(연하시, clenching시)을 제외하고 모두에서 보였으며 II급 부정교합군에서는 전측두근(연하시), 교근(안정위, 연하시), 후측두근(clenching시)에서만 관찰되었다. 그러나 이러한 경향은 clenching시에서 감소되었다. II급 부정교합군과 III급 부정교합군과의 근활성도 비교에서 안정위시는 III급 부정교합군의 근활성도 증가율이 II급 부정교합군보다 우세했고, 연하시에는 교근을 제외하고 II급 부정교합군이, clenching시에는 역시 II급 부정교합군이 악이복근 전복을 제외하고 우세하게 나타났다.

• 대한치과교정학회지
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• 제10권1호
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• pp.65-70
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• 1980

The purpose of this study was giving some helpful datas in analysing the degree of anteroposterior jaw disharmony with the 'Wits' appraisal. The cephalograms of 105 Korean adults with normal occlusion ranging from 17 to 20 years of age and 76 Koreans with various malocclusion ranging from 12 to 24 years of age were studied and analyzed statistically. The results were as follows; 1. The mean value of 'Wits' appraisal in normal occlusion group was -0.82mm in males and -0.17mm in females. 2. There was no significant difference between the males and females in normal occlusion group. 3, The mean value of 'Wits' appraisal in Angles class II malocclusion group was 2.67mm and higher than normal group. 4. The mean value of 'Wits' appraisal in Angles class III malocclusion group was -8.11 mm and lower than normal group.

• 대한치과교정학회지
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• 제13권2호
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• pp.201-204
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• 1983

To study the calcification of second molars in Class I malocclusion with normal craniofacial structure, the author examined cephalograms, orthopantomograms, periapical films of 538 children from 7 y 0 m to 15y 11m old who had Class I malocclusion with normal craniofacial structure, and observed the calcification stage of upper and lower second molars. The results are as follows. 1. The mean ages of crown completion of upper and lower second molars are $8.82{\pm}1.14,\;8.72{\pm}0.75$ in boys, and $8.60{\pm}1.46,\;8.22{\pm}0.92$ in girls. 2. The mean ages of root completion of upper and lower second molars are $14.25{\pm}1.46,\;14.15{\pm}0.83$ in boys, and $14.12{\pm}0.93,\;14.15{\pm}0.83$ in girls. 3. There are no difference between the calcification stages of upper second molars and those of lower second molars in both sexes.

• 대한치과교정학회지
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• 제19권1호
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• pp.123-135
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• 1989

This study was undertaken to investigate the relationship between the depth of antegonial notch and the craniofacial morphology, and to predict the mandibular growth direction & potential in class III malocclusion. The computerized analyses were carried out on longitudinal lateral cephalometric radiographs of 50 children with class III malocclusion, divided into two groups ; 30 deep notch subjects (more than 2.6mm) and 20 shallow notch subjects (less than 1.5mm). The conclusions were as follows: 1. The mandibular growth direction in deep notch group was more vertically directed than in shallow notch group. 2. Deep notch group had shorter anterior & posterior cranial base than shallow notch group. 3. There was not significant difference between deep & shallow notch groups in the amount of mandibular growth during treatment period. 4. Notch depth increased in both deep & shallow notch groups during treatment period.

• 구강회복응용과학지
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• 제22권4호
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• pp.289-300
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• 2006

This study was performed to investigate the influence of orthognathic surgery on the temporomandibular dysfunction in skeletal class III malocclusion. The temporomandibular joint status in 22 patients(mean age: 23.7 years) who received orthognathic surgery such as mandibular BSSRO(14 patients), maxillary Le Fort I osteotomy with mandibular BSSRO(8 patients) was evaluated by craniomandibular index. All these patients received orthognathic surgery at least 6 months ago. The mean score and standard deviation was obtained and compared with that of 22 normal individuals(mean age: 24.8years) by Student's t-test. In mandibular movement, the score of orthognathic surgery group was higher than that of the normal group. All the items except mandibular movement did not show any differences between the two groups.

• 대한치과교정학회지
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• 제11권2호
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• pp.125-134
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• 1981

To study the calcification of second molars in skeletal class II malocclusion, the author examined cephalograms, orthopantomograms, periapical films of 391 children from 7y 0m to 15y 11 m years old who had skeletal class II malocclusion, and observed the difference in the calcification stage between upper and lower second molars. The result s are as follows. 1. The mean ages of crown completion of upper and lower second molars are $8.7{\pm}1.75$, $8.8{\pm}1.13$ in boys, and $8.4{\pm}0.81$, $8.5{\pm}0.91$ in girls. 2. The mean ages of root completion of upper and lower second molars are $14.0{\pm}1.09,\;14.5{\pm}0.52$ in boys, and $13.7{\pm}1.15,\;13.8{\pm}1.18$ in girls. 3. The calcification stages of upper second molars are more advanced than those of lower second molars at $5\%$ level in both sexes.

• 대한치과교정학회지
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• 제23권1호
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• pp.57-74
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• 1993

Anterior crossbite is a common malocclusion in the early deciduous dentition. Even today, many these malocclusion patients are not treated until the mixed or permanent dentition. And the purpose here is to emphasize the need for early diagnosis and possible treatment for these anterior crossbite malocclusions and their associated facial patterns. Case histories of 4 patients selected from the author's practice are presented. Different methods of treatment are evaluated. Some improvement was achieved in all patients from an early interceptive regimen, although ultimately corrective orthodontic treatment may still be needed in some. It is concluded that early interception of deciduous anterior crossbite malocclusion should by attempted in patients ; there should be no delemma in reaching such a decision. And it is essential for diagnosis and treatment to determine exact variations in growth when some appliance are used, it is recommended that growth-related records be made as early as possible.

• 대한치과교정학회지
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• 제5권1호
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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.

• 대한소아치과학회지
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• 제23권3호
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• pp.736-745
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• 1996

The conventional treatment of skeletal Class III malocclusion has been focused on application of orthopedic force primarily to the mandible. However, In Class III malocclusion with retrograde position or underdevelopment of Maxilla, this approach is not suitable treatment. These patients need an application of orthopedic forces via face-mask to the Maxilla to stimulate its growth and to change the direction of growth. In skeletal Class III patients who were treated by Face-Mask, the following results were obtained. 1. Forward growth of Maxilla was enhanced. 2. Labioversion of upper incisors and linguoversion of lower incisors were observed. 3. Mandible was rotated to clockwise direction and remodeling of B point was observed. 4. Anterior crossbite was corrected by combining of the above results.