• 대한치과교정학회지
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• 제22권3호
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• pp.627-646
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• 1992

The purpose of this study was to investigate the relationship among the activity of the craniofacial muscle and craniofacial form and occlusal state. In this study, subjects were consisted of 23 male adults with skeletal Class III malocclusion and 30 male adults with normal occlusion. The measurements in oral exam, lateral ceghalogram, and E.M.G. recordings of anterior temporal, masseter, and upper lip muscles at rest position, clenching in centric occlusion, chewing of gum, swallowing of juice, were analyzed with SPSS system. The results were as follows: 1. At rest position upper lip muscle activity of skeletal Class III group was significantly higher than that of normal group. 2. Both clenching and chewing masseter and temporal muscle activity of normal group were significantly higher than that of skeletal Class III group. 3. During swallowing of juice, upper lip muscle activity of skeletal Class III group were significantly higher than that of normal group. 4. The activities of masseter and anterior temporal muscle during clenching and chewing were significantly correlated with hypodivergent facial form and number of occluded teeth. 5. The activity of upper lip during swallowing had positive correlation with mandibular prognathism.

• 대한치과교정학회지
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• 제21권2호
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• pp.309-324
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• 1991

저자는 3명의 제1급 부정교합 환자를 소구치 발치를 동반하여 설측교정장치로 치료한 결과 비교적 만족할 만한 치료결과를 얻을 수 있었다. 설측교정장치에 의한 치료는 순측장치에 의한 치료보다는 적절한 치아이동에 어려움이 있으며 아직 해결해야 할 많은 문제점이 있으나 향후 재료 및 치료기술의 개발로 대부분의 문제점들이 해결될 수 있을 것으로 생각한다. 앞으로 설측교정장치는 교정치료동안 심미성인 문제로 교정치료를 포기하는 많은 사람들에게 교정치료에 대한 동기유발과 함께 기회를 제공해 줄 수 있는 미래의 교정치료장치라고 생각한다.

• 대한치과교정학회지
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• 제37권4호
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• pp.305-314
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• 2007

상악 우측 견치의 선천 결손과 전치부 반대교합을 보이는 III급 부정교합 환자의 문제중심의 치료계획 수립과 치료과정, 치료결과를 보이고자 한다. 상악 우측 견치와 상악 측절치 보철 공간을 위해 상악 우측 구치부 원심 이동을, 전치부 반대교합 해소를 위해 mini-implant를 적용하여 하악 전 치열의 원심 이동을 빠르고 쉽게 이루었다. 치료기간은 17개월이 소요되었으며, 치료 1년 후에도 교합은 안정적으로 유지되었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제11권1호
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• pp.69-77
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• 1989

This is a retrospective study on 219 patients with mandibular fracture. The patients were treated in the Dept. of Oral Maxillofacial Surgery of WON KWANG UNIV. HOSPITAL from Aug. 1, 1984 to Sept. 30. 1988. The results were as follows. 1. The mandibular fractures occured most frequently in the twenties(35%) and male were predominant (74.7%) than females. 2. The most frequent etiologic factor was traffic accident(34.3%). 3. The most common location of fracture was symphysis(37.1%). And angle(27.6%), condyle(25.7%), ramus(1.6%) were next in order of frequency. 4. In mandible fracture, they have an average 1.8 fracture line. 5. The use of plate & screw system were more increased in the comparison of each year. 6. Intermaxillary fixation period was more reduced from the concept of 6 weeks fixation, due to the use of Plate & screw system. 7. Postoperative acute wound infection was developed 9.6% in 219 mandibular fracture patients. The compression osteosynthesis was most common cause of acute wound infection than any other treatment method. 8. Postoperative malocclusion was developed 4% in 219 mandibular fracture. And the compression osteosynthesis was most common cause of malocclusion. 9. Acute wound infection was detailed by the approach method. The Intraoral & extraoral combination method was most common cause on acute infection and intraoral, extraoral approach method was next in order of frequency. 10. Normal mouth opening process was proportioned to IMF period. The short IMF period have a fast normal mouth opening process.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.18.1-18.9
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• 2016

Background: The aim of this study was to examine the relationship between improvements in lip asymmetry at rest and while smiling after orthognathic surgery in patients with skeletal class III malocclusion. Methods: This study included 21 patients with skeletal class III malocclusion and facial asymmetry. We used preoperative and postoperative CT data and photographs to measure the vertical distance of the lips when smiling. The photographs were calibrated based on these distances and the CT image. We compared preoperative and postoperative results with the t test and correlations between measurements at rest and when smiling by regression analyses. Results: There were significant correlations between the postoperative changes in canting of the mouth corners at rest, canting of the canines, canting of the first molars, the slope of the line connecting the canines, and the slope of the line connecting first molars. The magnitude of the postoperative lip line improvement while smiling was not significantly correlated with changes in the canting and slopes of the canines, molars, and lip lines at rest. Conclusions: It remains difficult to predict lip line changes while smiling compared with at rest after orthognathic surgery in patients with mandibular prognathism, accompanied by facial asymmetry.

• 대한치과교정학회지
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• 제13권2호
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• pp.131-146
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• 1983

Faces of normal occlusion, open bite and class III malocclusion were measured using cephalogram in 190 male and female subjects. Using M.K.G., types of mandibular movement, amount of horizontal and vertical movement were studied in relation to occlusal types, and were compared with each other. The following conclusions were obtained. 1. Movement of protrusion was most different in relation to occlusal type. 2. In normal occlusion, maximal protrusion were horizontal 7.66mm, vertical 3.01mm in male, 6.41, 2.92mm respectively in female and maximal inferior position were -24.32, 33.63mm in male,-23.48, 32.27mm respectively in female. 3. Angle between maximal inferior position and horizontal plane were $53.51^{\circ}$ in male, $53.84^{\circ}$ in female. 4. Generally, amount of mandibular movement was greater in male than female. 5. In open bite, path of protrusion was nearly straight without curve $69.2\%$ in male, $70.2\%$ in female. 6. In class III malocclusion, angle and amount of protrusion were smaller than normal occlusion and path was directed anterior-superiorly in $22.7\%$. 7. There was no correlation coefficient between measurement of face and mandibular movement.

• 대한치과교정학회지
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• 제19권1호
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• pp.219-243
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• 1989

The purpose of this study was to evaluate the effects of the chincap therapy on the craniofacial structure in persons with skeletal Class III malocclusion. The patients selected for this study were treated with extra-oral chincap therapy only. Both control and treatment samples were obtained from Seoul National University Hospital where these longitudinal data were gathered. 55 treated patients and 14 control patients were studied. The mean ages at the 1st evaluation was 8 years 3 months in the treatment sample and 9 years 4 months in the control sample. The duration of chincap therapy was variable but averaged 2 years of treatment. Post-treatment observation procedeeded for 1 year 2 months. Active treatment and post treatment effects were evaluated. The results were as follows: 1. Neither significant restraint nor acceleration of growth was found in the cranial base and maxilla during treatment. 2. A distal rotation of the mandibular complex was seen. 3. Some amount of restraint of growth was found in mandibular body length, ramus height, mandibular length during treatment. 4. The genial angle was reduced. 5. After removal of the chin-cap, forward displacement of the mandible took place.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권2호
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• pp.94-99
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• 2010

The purpose of this study was to examine the soft tissue changes in skeletal class II patients after mandibular advancement by bilateral sagittal split ramus osteotomy (BSSRO). In Asian population, the incidence of skeletal class II malocclusion is lower than that of skeletal class III malocclusion unlike the caucasians. This study was conducted to figure out the ratio at which hard tissue and soft tissue changes after mandibular advancement by analyzing cephalograms of 13 patients that have undergone the mandibular advancement surgery. As a result, change ratios of Li, B', Pog' according to the movement of li, B, Pog were found to be 0.59, 1.06, 0.82. Also, vertical height of vermilion zone (Si-Vb) and lower lip and chin (Si-Me') were measured to evaluate vertical changes. Vermilion zone showed tendency to decrease by 1.02 mm on the average postoperatively, whereas vertical length of lower lip and chin showed tendency to increase by 3.57 mm on the average.

• 구강회복응용과학지
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• 제22권4호
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• pp.283-288
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• 2006

There are several manners for surgical approaches to the mandibular condyle. With the retromandiular approach, the condyle and fracture are exposed directly and allow for good inspection and reduction. The retromandibular scar is very well camouflaged and practically invisible. The aim of this study was to evaluate clinical results of retromandibular approach for the reduction and fixation of fractured mandibular condyles. We described postoperative complications such as temporary facial nerve weakness involving the marginal mandibular branch, mouth opening limitation and malocclusion in 13 patients with mandubular condylar fractures; 11 subcondylar fractures and 2 condylar neck fractures. The follow-up period was longer than 6 months in all patients. The retromandibular approach was successful in all subcondylar fracture cases. 2 patients with condylar neck fracture had mouth opening limitation and temporary marginal nerve palsy longer than 3 months. But there were no cases of permanent nerve injury and malocclusion. Our findings indicate that retromandibular approach is an easy and safe technique for subcondylar fracture but not for condylar neck fracture.

• 대한기계학회논문집A
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• 제24권4호
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• pp.907-915
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• 2000

The movement of teeth and initial stress associated with the treatment of orthodontics have been successfully studied using the finite element method. To reduce the effort in preprocessing of finite element analysis, we developed two types of three-dimensional finite element models based on the standard teeth model. Individual malocclusions were incorporated in the finite element The movement of teeth and initial stress associated with the treatment of orthodontics have been successfully studied using the finite element method. To reduce the effort in preprocessing of finite element analysis, we developed two types of three-dimensional finite element models based on the standard teeth model. Individual malocclusions were incorporated in the finite element models by considering the measuring factors such as angulation, crown inclination, rotation and translations. The finite element analysis for the wire activation with a T-loop arch wire was carried out. Mechanical behavior on the movement and the initial stress for the malocclusion finite element model was shown to agree with the objectives of the actual treatment. Finite element models and procedures of analysis developed in this study would be suitably utilized for the design of initial shape of the wire and determination of activation displacements.