• Title/Summary/Keyword: orthodontic treatment

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Predisposing factors for external apical root resorption associated with orthodontic treatment

  • Fernandes, Luciana Quintanilha Pires;Figueiredo, Natalia Couto;Antonucci, Carina Cristina Montalvany;Lages, Elizabeth Maria Bastos;Andrade, Ildeu Jr;Capelli, Jonas Junior
    • The korean journal of orthodontics
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    • v.49 no.5
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    • pp.310-318
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    • 2019
  • Objective: This study aimed to identify possible risk factors for external apical root resorption (EARR) in the maxillary incisors after orthodontic treatment. Methods: The root length of 2,173 maxillary incisors was measured on periapical radiographs of 564 patients who received orthodontic treatment. The Kappa test was performed to evaluate intraexaminer and interexaminer reproducibility. Multiple binary logistic regression was used to determine the association between EARR and various factors. Odds ratios and 95% confidence intervals were reported. Results: The risk of developing EARR was 70% higher in orthodontic treatment with maxillary premolar extraction (p = 0.004), 58% higher in patients with increased overjet (p = 0.012), 41% lower in two-phase orthodontic treatment (p = 0.037), and 33% lower in patients with deep bite (p = 0.039). The lateral incisors were 54% more likely to develop EARR (p < 0.001), dilacerated roots were 2.26 times more likely to develop EARR (p < 0.001), and for each additional millimeter of root length, the risk of EARR increased by 29% (p < 0.001). Conclusions: The potential risk factors for EARR after orthodontic treatment included treatment with maxillary premolar extraction, increased overjet at the beginning of treatment, and dilacerated roots.

Case report: Laminate prosthesis with orthodontic treatment for achieve anterior esthetics and functional occlusion (심미와 기능 회복을 위한 교정- 라미네이트 수복 치료 증례)

  • Lee, Han Na
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.80-85
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    • 2014
  • Orthodontic treatment is obviously the first choice to get aligned teeth cause of conservative treatment. But it is impossible to get highly esthetic result only orthodontic treatment in case of peg lateralis, discrepancy tooth size, discolored teeth or fractured teeth. As all treatment does, especially in esthetic treatment it is always required interdisciplinary diagnosis and treatment plan; orthodontics, periodontology, prothetics, implant therapy. As also, the treatment should be maintained long-term treatment with stable and harmonious state by esthetic satisfaction and functional occlusion those who needs various dental care as interdisciplinary treatment. This case is the laminate treatment with the orthodontic treatment on 37 ages/ Female patient who has cross bite at anteriors and premolar area and abrasion on centralis at right maxilla. By orthodontic treatment aligned teeth positions, it makes functional occlusion. As laminate treatment with minimum teeth preparation is able to release anterior esthetics. Follow up check for 2 years has been performed since the final prosthetics delivery to the patient. No sign of relapse, fracture of laminate were detected.

ORTHODONTIC TREATMENT TIMING (교정치료시기에 관한 연구)

  • Chang, Young-Il
    • The Journal of the Korean dental association
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    • v.22 no.12 s.187
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    • pp.1067-1073
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    • 1984
  • In the treatment of functional orthodontic problems, timing is not an issue. All orthodontists start as soon as the condition is recognized. However, there is an active dialogue concerning treatment timing for structure problems. The major points in contention center around the operator's ability is to control the growth of the facial bones and to maintain post-treatment tooth position through the maturation period (especially when this position was gained by techniques involving arch expansion or distal driving of posterior segments). Factors taken into account to determine the best time of orthodontic treatment include diagnosis, interception, growth rate, patient cooperation, eruptive state and treatment period. With those exceptions of all functional problems, mild dental discrepancies and skeletal deficiencies with a predictably excellent growth potential (early treatment), the period immediately following the eruption of the permanent second molars is the period during which most orthodontic treatment should be initiated. At this time the full volume of tooth substances is present, the individual growth pattern in well established, there are sufficient teeth to receive nearly any type of appliances and the patient can easily tolerate the wearing of appliances.

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A STUDY ON THE POSSIBILITY OF BACTEREMIA IN PATIENTS UNDERGOING ORTHODONTIC TREATMENT WITH FIXED APPLIANCE (고정식 교정장치에 의한 균혈증의 발생가능성에 관한 연구)

  • Yim, Sun-Mo;Ahn, Byoung-Keun;Kim, Sun-Hae;Park, Young-Ju;Han, Ho-Jin;Lee, Yun-Sang
    • The korean journal of orthodontics
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    • v.23 no.4 s.43
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    • pp.661-669
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    • 1993
  • The purpose of this study was to investigate a possibility of chronic or intermittent bacteremia in patients undergoing orthodontic treatment with fixed orthodontic appliance. Orthodontic patients who had been injured by orthodontic appliances and/or suffered from gingivitis were selected. They had not taken any antibiotics for 1 month. The number of subjects were 21 including 7 males and 14 females. Blood samples of the subjects were cultured and, IgG, IgA and IgM levels in the serum were quantified. The author found following results. 1. No bacterial growth was found in 7-day culture of all the samples. 2. The immunoglobulin levels in serum were confined in normal range. 3. This study could not deny the possibility of transient bacteremia episode undergoing orthodontic treatment.

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The influence of sleep quality of patients at initial stage of orthodontic treatment (치과교정치료 초기 환자들의 치료특성이 수면의 질에 미치는 영향)

  • Kim, Mi-Young;Park, Jung-Hyun;Jung, Nam-Yeong;Yoon, Jung-Ae;Lee, Su-Jin;Lee, So-Young;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.343-351
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    • 2014
  • Objectives : The purpose of the study is to investigate the influencing factors on the sleep quality in patients with fixed orthodontic appliances. This study intended to find out the improving measures of sleep quality in orthodontic patients. Methods : The subjects were 222 orthodontic patients in Busan. A self-reported questionnaire was filled out by the patients from June to August, 2012. Data were analyzed by SAS version 9.20 including frequency analysis, ANOVA, t-test, multiple regression analysis, and Duncan post-hoc test. Results : The quality of sleep in the patients at the initial stage of orthodontic treatment was influenced by ceramic orthodontic appliances, tooth extraction, Bite adjustment, disturbed sleep habits, and temporomandibular joint pain. Conclusions : The most important factors influencing on the sleep quality were the anxiety toward the treatment and tooth extraction at the initial stage of treatment. A more careful conversation and collaboration are needed in the orthodontic treatment.

Clinical considerations for successful results in FOS(Functional Orthognathic Surgery): Surgery first orthodontic treatment later (임상가를 위한 특집 1 - 성공적인 선 수술 교정 치료를 위한 고려사항)

  • Oh, Chang-Ok
    • The Journal of the Korean dental association
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    • v.50 no.2
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    • pp.58-63
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    • 2012
  • The fundamental principles and the role of surgeons and orthodontists to produce successful results in orthodontic treatment combined with orthognathic surgery is not different from those of conventional procedures and FOS: surgery-first-orthodontic-treatment-later approach. The communication and cooperation between surgeon and orthodontist is of crucial importance. In FOS, the pre-surgical orthodontic preparation is not carried out in the patient's mouth, but in the mounted stone model and in addition to the simulation of tooth movement, to get a precise surgical occlusion, the entire steps of treatment should be simulated on the articulator as well. Right after the surgery, due to the instability of the occlusion, appropriate post operational care should be given according to the surgical technique applied to the mandible by use of final surgical wafer about 8 weeks.

Orthodontic-prosthodontic interdisciplinary treatment for a patient with multiple missing posterior teeth and unilateral scissors bite (다수의 구치 상실과 편측성 가위교합을 갖는 환자의 보철 교정 협진 치료)

  • An, Kiyong
    • The Journal of the Korean dental association
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    • v.53 no.11
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    • pp.844-854
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    • 2015
  • This clinical report describes an orthodontic-prosthodontic interdisciplinary treatment for a patient with multiple missing teeth and unilateral scissors bite. A 47-year-old female presented with multiple missing posterior teeth, anterior large overjet, deep bite, and posterior scissors bite on the right premolar area. Periodontal therapy was performed and followed by orthodontic treatment. The maxillary anterior teeth were initially aligned, then two implants were placed for the left mandibular molars to increase occlusal vertical dimension. The scissors bite between the right maxillary and mandibular premolars were corrected using the miniscrews as an anchorage. Other implants were placed for the right maxillary and mandibular molars after the occlusal planes and occlusal relationship were harmonized. The patient adapted well to altered vertical dimension without any specific problems including peri-implant marginal bone loss. Interdisciplinary approach resolve the complex orthodontic-prosthodontic problems and concluded in successful results.

Orthodontic Treatment with Autotransplantation of Impacted Tooth (매복치의 자가치아이식과 교정치료를 통한 심미적 치험례)

  • Lee, Gye-Bok;Gang, Eun-Ha;Kim, Ga-Yeong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.2
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    • pp.9-14
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    • 2001
  • Autotransplantation of tooth has recently become a combined method with orthodontic therapy. With the use of autotransplantation, it has become possible for orthodontists to solve complicated problems in the dental arches. Autotransplanted teeth showed the same development as their contralaterals with respect to both eruption and root growth. This indicates that autotransplantation and orthodontic treatment is a method that should be considered in case of impacted, missing, or malformed teeth. In this report two cases are presented to demonstrate that orthodontic treatment with autotransplantation can contribute to more satisfactory solution to the problem for impacted teeth.

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Autogenous Transplantation of Impacted teeth : Indication and Case Report (매복치 자가이식술의 적응증과 치험례)

  • Yu, Hyung-Seog;Kim, Tae-Gyun
    • The Journal of the Korean dental association
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    • v.38 no.1 s.368
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    • pp.22-29
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    • 2000
  • The purpose of this paper is to discuss the indication. treatment procedure. prognosos and complication of autogenous transplantation in treating impacted teeth of orthodontic patient. Autogenous transplantation is indicated, in cases of rejecting orthodontic treatment due to the visible orthodontic appliance, the relatively long treatment time, unfavorable tooth position for orthodontic repositioning, unrestorable advanced detal caries. advanced periodontitis and ankylosed tooth. Most process related to the decision of the prognosis is dependent on the careful surgical technique. In comparison to other orthodontic and surgical procedure, the application of the autotransplantation is limited, although its success rate is markedly increased today. Therefore we must we must pay attention to the treatment planning and cooperation with other specialties is needed.

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Changes in maximum lip-closing force after extraction and nonextraction orthodontic treatments

  • Choi, Tae-Hyun;Kim, So-Hyun;Kim, Cheul;Kook, Yoon-Ah;Larson, Brent E.;Lee, Nam-Ki
    • The korean journal of orthodontics
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    • v.50 no.2
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    • pp.120-128
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    • 2020
  • Objective: The aims of the present study were to evaluate the changes in the maximum lip-closing force (MLF) after orthodontic treatment with or without premolar extractions and verify the correlation of these changes with dentoskeletal changes. Methods: In total, 17 women who underwent nonextraction orthodontic treatment and 15 women who underwent orthodontic treatment with extraction of all four first premolars were included in this retrospective study. For all patients, lateral cephalograms and dental models were measured before (T0) and after (T1) treatment. In addition, MLF was measured at both time points using the Lip De Cum LDC-110R® device. Statistical analyses were performed to evaluate changes in clinical variables and MLF and their correlations. Results: Both groups showed similar skeletal patterns, although the extraction group showed greater proclination of the maxillary and mandibular incisors and lip protrusion compared to the nonextraction group at T0. MLF at T0 was comparable between the two groups. The reduction in the arch width and depth and incisor retroclination from T0 to T1 were more pronounced in the extraction group than in the nonextraction group. MLF in the extraction group significantly increased during the treatment period, and this increase was significantly greater than that in the nonextraction group. The increase in MLF was found to be correlated with the increase in the interincisal angle and decrease in the intermolar width, arch depth, and incisor-mandibular plane angle. Conclusions: This study suggests that MLF increases to a greater extent during extraction orthodontic treatment than during nonextraction orthodontic treatment.