• Title/Summary/Keyword: malocclusion

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A CEPHALOMETRIC STUDY ON THE AIRWAY SIZE ACCORDING TO THE TYPES OF THE MALOCCLUSION (부정교합 유형에 따른 기도의 크기)

  • Lee, Yong-Seung;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.25 no.1 s.48
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    • pp.19-29
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    • 1995
  • This study was performed to compare the size of soft palate, tongue and airway according to the types of the malocclusion and evaluate the correlation between the size of soft palate, tongue, airway and dentofacial skeleton respectively. The sample of this study was 98 malocclusion female patients between the ages 12 and 17 years. The lateral cephalometric radiographs were taken and the distance, angle, ratio and area of the dentofacial skeleton, soft palate, tongue and airway were measured and evaluated statistically. The results obtained were as follows: 1. There was significant difference in SNB, ANB, facial angle, facial convexity, A-B plane angel, Y axis to FH, SN-MP, Wits appraisal, ODI and APDI according to the types of malocclusion. 2. The hyoid bone was more posteriorly positioned in Class II malocclusion group than other two groups and superio-inferior position of the hyoid bone was not different according to the malocclusion types. 3. The nasopharyngeal area of Class II and Class III malocclusion group was smaller than that of Class I malocclusion group, and the pharyngeal area of Class II malocclusion group was smaller than that of Class I and Class III maocclusion group. There was no difference of the area of the soft palate, tongue, oropharynx and hypopharynx according to malocclusion types. 4. The ramal height and mandibular body length(Go-Me) showed positive correlation with the area of tongue, nasopharynx, oropharynx, and pharynx. SNA did not correlated with the area of tongue and airway but SNB showed positive correlation with the area of hypopharynx and pharynx. The anterior, posterior facial height, upper and lower central incisor position to facial plane showed positive correlation with tongue area.

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Evaluation of hyoid bone position and airway size in Class III malocclusion (골격성 III급 부정교합자의 설골 위치와 기도에 대한 평가)

  • Son, Woo-Sung;Choi, Yang-Sook
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.247-254
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    • 1996
  • This study was performed to evaluate the hyoid bone position and airway in skeletal class III malocclusion and to prove the correlation between airway, hyoid bone position and mandibular position. The sample, considered of 47 class III malocclusion patients for experimmtal group and 52 class I malocclusion students for control group. Twenty three linear and angular measurements about hyoid bone position, airway size, mandibular position were taken from the lateral cephalograms. The differences between skeletal class III malocclusion group and normal occlusion group were compared and the correlation were evaluated statistically. The results obtained were as follows, 1. There were significant difference in S-APH, A-APH, N-APH, LAH-PBR, AA-PNS, PNS-ad between class I and class III malocclusion groups. 2. The hyoid bone was more anteriorly positioned in class III malocclusion group than class I malocclusion group and skeletal airway size in class III malocclusion group was smaller than class I malocclusion group. 3. There were significant difference in several measurements especially vertical and angular measurements of hyoid bone position and airway size between male and female. Usually the measurements in male were larger than female. 4. There were no significant correlation between hyoid bone position and airway size also airway size, and didn't showe significant correlation with mandibular position, 5. S-APH showed negative correlation with Wits appraisal and A-APH, N-APH showed positive correlation with Wits appraisal. On the contrary vertical measurements of hyoid bone position showed positive correlation with lower facial height.

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MODALITY OF MALOCCLUSION ACCORDING TO REGIONAL DIFFERENCE USING HLD (HANDICAPPING LABIOLINGUAL DEVIATION), TPI(TREATMENT PRIORITY INDEX) AND HMAR(HANDICAPPED MALOCCLUSION ASSESSING RECORD) (HLD (Handicapping Labiolingual Deviation), TPI (Treatment Priority Index)와 HMAR (Handicapped Malocclusion Assessing Record)를 이용한 지역간 부정교합 양상에 관한 연구)

  • Sohn, Byung-Wha;Hwang, Chung-Ju;Hwang, Hyun-Sik
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.17-35
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    • 1993
  • We tried to evaluate frequencies and severities of malocclusion of various socioeconomic areas according to growth and development. To obtain objective validity, we used Handicapping Labiolingual Deviation (HLD) suggested by Draker, Treatment Priority Index (TPI) by Grainger, Handicapped Malocclusion Assessing Record (HMAR) by American Dental Association and American Association of Orthodontist. Seoul and Kwangju were selected as an urban group, Ahnyang as an middle socioeconomic group and Hwasun near the Kwangju area as an rural group. 140 (male 63, female 73) of 5th grade in 'E' elementary school students in Seoul, 202 (male 101, female 101) of 'S' elementary school students in Kwangju, 207(male 105, female 102) of 'H' elementary school students in Hwasun, and 100(male 49, female 51) of 'M' elementary school students of in Ahnyang of all the same grade were analyzed and we obtained the results as follows; 1. TPI, HLD, and HMAR showed high coincidence and reproducibility between different observer. (p<0.01) 2. In comparison of TPI, HLD, and HMAR according to clinical decision, there was statistically difference between each other. (p<0.01) 3. As the severity of malocclusion increases there was high correlation between TPI and HLD, and between HLD and HMAR (p<0.05) 4. With respect to differences between areas in TPI and HLD, there was statistically difference between Ahnyang and other areas. 5. In Seoul as an urban group there was a high incidence of periodic checkup and history of orthodontic treatment than other area. 6. Mode of feeding and posture during sleeping did not affect the severity of malocclusion. As a conclusion, TPI, HLD and HMAR are so reproducible and coincident that they can be used as a guide on evaluating the frequency and severity of malocclusion and determining the priority of orthodontic treatment to determine the need and supply of orthodontic treatment. Furthermore these indices can provide objectively valid data for establishing public health problem solution.

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A STUDY ON POSITIONAL CHANCE OF THE HYOID BONE BEFORE AND AFTER ACTIVATOR THERAPY IN ANGLE'S CLASS III MALOCCLUSION PATIENTS (Angle씨 III급 부정교합 환자중 Activator사용 전후의 설골의 위치 변화에 관한 연구)

  • Koh, Sang-Duk;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.24 no.4 s.47
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    • pp.827-839
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    • 1994
  • This study was conducted to assess the positional changes of hyoid bone following the use of activator in Angles class III malocclusion patients with functional factors. For this study, 40 Angle's class I patients and 40 Angle's class III patients, totally 80 subjects were used. They are all in Hellman's dental age IIIB-IIIC ranges. In lateral cephalogram to compare Angle's class I group and Angle's class III group, and the positional changes of the hyoid bone before and after the use of activator in Angle's class III malocclusion group. The results were obtained as follows; 1. Comparison of Angle's class I group and Angle's class III group. In comparison to Angle's class I group, hyoid bone is more anteriorly and superiorly positioned in Angle's class III group. The hyoid bone showed reverse inclination to the mandibular plane in Angle's class III malocclusion group. 2. Comparison of the hyoid positional change before and after use of Activator in Angle's class III malocclusion group. The hyoid bone is displaced posteriorly and inferiorly in vertical relationship. The hyoid bone also showed counter-clockwise rotation. 3. No statistical difference was found between after Activator use data of Angle's class m malocclusion group and Angle's class I group. It is concluded that the hyoid bone in Angle's class III malocclusion group changed its position, similar to Angle's class I malocclusion group.

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Effects of Occlusal Factors and Life Event Changes on Temporomandibular Disorders (측두하악장애에서 교합요인과 생활변화의 영향)

  • You-Me Lee;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.181-192
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    • 1994
  • There have been many different theories on the etiology of temporomandibular disorders(TMDs). The objective of the study was to investigate the effects of occlusal fctors and recent life event changes as prediposing fctor on the development of temporomandibjlar disorders. To evaluate the above predisposing factor, the author used T-scan system(Tekscan Co. U.S.A.) for quantitative occlusal analysis, clinical examination for occlusal state and Social Readjustment Rating Scale(SRRS) for recent life event change units (LCU). 63 patients with TMDs and 57 patients with malocclusion presented at Wonkwang University Dental Hospital participated in this study. The subjects were grouped by Angle's classification and presence of absence of TMDs and parafunctional oral habits. Data gained with regard to contact number, contact force, contact time, occlusal state(number of total teeth and occluding teeth, overjet, overbite) and occlusal interferences (protrusive posterior contact, nonworking side interference, and RCP-ICP slide) and recent life event changes. The data were processed and analysed by SAS statistical package program, The results of this study were as follows : 1. There were no significant differences on both quantitative occlusal contact analysis and occlusal state between TMDs group and Angle's malocclusion group. Also, there were no differences among the Angle's classifications. But amount of overjet in TMDs group were more greater than that of malocclusion group. 2. There was no difference on protrusive posterior contact, and balancing contact between TMDs group and Angle's malocclusion group. Premature contact was more frequent in malocclusion group, but RCP-ICP slide was more frequent in TMDs group. And RCP-ICP slide was more freqent in Angle's class II malocclusion than Angle's I or III malocclusion. 3. Life changes units in TMDs group were higher than those in malocclusion group. And recent life change units in group with parafunctional oral habit were higher than those in group without parafunctional oral habits. Clenching was the most common habit among parafunctional oral habits.

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Subclassification of Skeletal Class II Malocclusion of Korean Adults Using Cluster Analysis (군집분석을 통한 한국인 성인 골격성 제 II급 부정교합의 아분류)

  • Ahn, Kwang-Seok;Baik, Hyoung-Seon;Kim, Kyung-Ho;Kim, Baek-Il;Lee, Kee-Joon
    • Korean Journal of Cleft Lip And Palate
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    • v.14 no.1_2
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    • pp.1-18
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    • 2011
  • Skeletal malocclusion is the result of abnormal dimension and alignment of each skeletal component. Understanding on these mechanisms may help to elucidate the etiology of skeletal malocclusion and to establish population-oriented treatment plans. Attempts to subdivide the Angle's classification have been performed for Class III malocclusion, while few studies have been conducted for Class II malocclusion despite recent growing interests in Class II malocclusion. 200 adults (88 male, 112 female) with skeletal Class II malocclusion were collected and subdivided using cluster analysis, using the measurements representing the dimension and the alignment of each facial skeletal component. The properties of each cluster was grouped within the subjects and a comparison between the subjects and the control group (38 male, 35 female) with normal occlusion was performed. Six clusters were finally recognized in each male and female groups. The clusters in both genders were mainly characterized by the cranial base alignment, dimension of the posterior cranial base, dimension of the mandibular ramus and the degree of mandibular rotation. The results implicate that active treatment of mandible rather than the nasomaxillary complex may be primarily considered for the correction of Korean Class II skeletal pattern.

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The perception on the effects of malocclusion on employment (부정교합이 취업에 미치는 영향에 관한 인식)

  • Lee, Kyeong-Hee;Kim, Min-Ji;Kim, So-Ra;Na, Mi-Young;Eum, Hae-Jung;Lee, So-Ui;Han, Jung-Ah;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.4
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    • pp.577-588
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    • 2017
  • Objectives: This study investigated the perception on the effects of malocclusion on employment, and aimed to provide information to those who are seeking employment. Methods: The study examined 306 subjects aged 19 to 39 in Seoul and Gyeonggi-do during the month of December, 2016. The data obtained were analyzed using frequency analysis, t-test, one-way ANOVA, chi-square test and multiple regression analysis among others. Results: The most important factors in job success were education (35.9%), followed by appearance (23.8%), and major (22.1%). On whether there is a correlation between social life and malocclusion, 49.0% and 51.0% of the subjects answered 'Yes' and 'No', respectively. When the factors influencing the perception of the effects of malocclusion on employment were reviewed, it was found that for female(p<0.01) subjects, the perceived effect of malocclusion on life and on employment (p<.001), and the perceived effect of malocclusion on employment were lower in 20-24 year olds and 25-29 year - olds (p<0.01). Conclusions: Many people believe that malocclusion affects employment and that it is necessary to provide information on orthodontic treatment to those who are preparing for employment and ordinary. However, it is important to provide correct information about orthodontic treatments, including functional improvement, rather than simply focusing too much on aesthetic effects alone.

The correlation between symptoms of malocclusion in adults and their quality of life related to oral health (성인의 부정교합 자각증상과 구강건강관련 삶의 질과의 관련성)

  • Kim, Soo-Kyung;Park, So-Young;Ann, Jee-Hyun;Yang, Ji-Eun;Lee, Se-hyeon;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.2
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    • pp.225-234
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    • 2017
  • Objectives: The purpose of this study was to investigate the effect subjective symptoms of malocclusion has on the patient's quality of life related to oral health. Methods: A self-administered survey was conducted on adults aged 20 years, with a total of 308 copies of the response sheets analyzed. Results: The degree of subjective symptoms of malocclusion was highest in the group of those in their 20s when looked at across different age groups, and those who had a final education of middle school. In addition, the quality of life related to oral health was the highest in middle school graduates and among those in Gyeonggi province. The degree of malocclusion symptom according to oral health behavior was highest in 1-2 weeks of drinking when smoking in a smoking state, and quality of life related to oral health was higher in smokers than in non-smokers. The greater the subjective symptoms of malocclusion, the lower the quality of life related to oral health. Conclusions: It was found that the subjective symptoms of malocclusion decreased quality of life related to oral health. As such, quality of life related to oral health can be improved through aesthetic and functional improvement efforts to decrease the subjective symptoms of malocclusion.

The objective and quantitative analysis of malocclusion - Part 2. Influence of malocclusion components to treatment difficulty (부정교합의 객관적 정량분석: Part 2. 부정교합 요소들의 치료난이도에 미치는 영향)

  • Joo, Bo-Hoon;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.35 no.1 s.108
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    • pp.69-81
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    • 2005
  • As one of the variations in growth and development of the craniofacial complex. malocclusion shows lack of concordance In the recognition and severity of malocclusion for dentists as well as the acceptance and need of orthodontic treatment for the patient The purposes of this study were 1) to examine the relationships between objective malocclusion severity aid subjective treatment difficulty. 2) to evaluate the effect of malocclusion components to the subjective perceived difficulty of treatment. 3) to establish the weighted values of malocclusion components to reflect the treatment difficulty 100 pairs of dental casts with the general characteristics of malocclusion. were selected from the orthodontic departments of Kyunghee University and Samsuug Medical Center. The severity of malocclusion was evaluated by the author with the PAR index The perceived treatment difficulty and the estimated treatment duration on these dental models were evaluated by 8 experienced orthodontists. The relationships between the objective malocclusion severity and the subjective treatment difficulty were statistically evaluated. and the weighted values of malocclusion components to reflect treatment difficulty were statistically formulated. There were significant relationships between objective malocclusion severity and subjective treatment difficulty The malocclusion components which significantly affected the treatment difficulty and their weighted values in parentheses were as follows upper anterior alignment(1). overbite (2). buccal occlusion (3) middline (4), and overjet (5). This study Provides the fundamental principle to evaluate the objective malocclusion severity which is reflected by the subjective treatment difficulty of Korean orthodontists.

AN EXPERIMENTAL STUDY OF IDEAL ARCH FORM OF THE CLASS I MALOCCLUSION PATIENTS WITH FIRST PREMOLAR EXTRACTION (제 1 소구치 발치를 동반한 제 I 급 교정 치료 환자의 치료후 악궁의 형태에 관한 연구)

  • Park, Young-Chel;Kim, Hyung-Don
    • The korean journal of orthodontics
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    • v.24 no.4 s.47
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    • pp.819-826
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    • 1994
  • This study was designed to get the knowledges of the ideal arch form of the class I malocclusion patients of Koreans with first premolar extraction. The subjects consisted of 98 individuals with class I malocclusion with first premolar extraction. The results were as follows ; 1 Author found the ideal arch shape of the class I malocclusion patients with first premolar extraction. 2. Equations of ideal arch form of the class I malocclusion patients with first premolar extraction were obtained from SPSS.

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