• Title/Summary/Keyword: 고정원 소실

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Noncompliance screw supported maxillary molar distalization in a parallel manner (미니스크류를 이용한 상악구치부 후방이동장치 효과)

  • Nalcaci, Ruhi;Bicakci, Ali Altug;Ozan, Fatih
    • The korean journal of orthodontics
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    • v.40 no.4
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    • pp.250-259
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    • 2010
  • Objective: Intraoral noncompliance upper molar distalization techniques have gained in popularity and have subsequently found to be successful in Class II correction. The aim of the present study was to introduce a screw supported intraoral distalization appliance and investigate its efficiency. Methods: Twenty-one subjects (11 females, 10 males; average age of 14.9 years) with Angle Class II malocclusion participated in this study. Two screws were inserted behind the incisive foramen and immediately loaded to distalize the upper first molars. An intraoral screw supported distalization appliance was used to distalize the upper molars in order to achieve a Class I molar relationship. Skeletal and dental changes were evaluated using cephalometric and three-dimensional (3D) model analysis. Results: Upper molars were distalized 3.95 mm on average and a Class I molar relationship was achieved without any anchorage loss. The upper molars were tipped only $1.49^{\circ}$ and the upper right and left molars were rotated only $0.54^{\circ}$ and $0.74^{\circ}$ respectively which were statistically non-significant (p > 0.05). Conclusions: The newly designed screw supported noncompliance distalization appliance was found to be an effective device for achieving bodily molar distalization without any anchorage loss.

Spatial changes of the upper dentition following en-masse space closure: A comparison between first and second premolar extraction (En-masse 견인에 의한 발치공간 폐쇄 후 상악치열의 이동양상 -제1소구치 및 제2소구치 발치 비교)

  • Kim, Hui-Jung;Chun, Youn-Sic;Jung, Sang-Hyuk
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.371-380
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    • 2005
  • The purpose of this experimental study was to evaluate aㅜd compare maxillary arch dimensional and positional changes between first and second premolar extraction groups. The Calorific Machine was used to illustrate tooth movement in three dimensions. The experimental teeth except the first or second premolars were embedded in artifical alveolar bone. The extraction space was closed using arch wires with bull loops into which 15 degree gable bends were placed. Before and after space closure, radiographs were taken in the sagittal and occlusal directions using occlusal films. The results showed greater mean maxillary incisor retraction and less anchorage loss in the maxillary first premolar extraction group than in the maxillary second premolar extraction group. Mesiopalatal rotation of anchor teeth was greater after extraction of a maxillary second premolar than a maxillary first premolar (P<.001).

Zygoma-gear appliance for intraoral upper molar distalization (Zygoma-gear를 이용한 구치부 후방이동을 통한 비발치 치험례)

  • Nur, Metin;Bayram, Mehmet;Pampu, Alper
    • The korean journal of orthodontics
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    • v.40 no.3
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    • pp.195-206
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    • 2010
  • The aim of this report is to present an intraoral upper molar distalization system supported with zygomatic anchorage plates (Zygoma-gear Appliance, ZGA). This system was used for a 16-year-old female patient with a Class II molar relationship requiring molar distalization. The system consisted of bilateral zygomatic anchorage plates, an inner-bow and heavy intraoral elastics. Distalization of the upper molars was achieved in 3 months and the treatment results were evaluated from lateral cephalometric radiographs. According to the results of the cephalometric analysis, the maxillary first molars showed a distalization of 4 mm, associated with a distal axial inclination of $4.5^{\circ}$. The results of this study show that an effective upper molar distalization without anchorage loss can be achieved in a short time using the ZGA. We suggest that this new system may be used in cases requiring molar distalization in place of extraoral appliances.

Severe bimaxillary protrusion with adult periodontitis treated by corticotomy and compression osteogenesis (치조골 소실과 심한 양악전돌을 동반한 성인환자에서의 피질골 절단술과 Compression osteogenesis를 이용한 교정치료)

  • Kim, Seong-Hun;Lee, Kye-Bok;Chung, Kyu-Rhim;Nelson, Gerald;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.39 no.1
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    • pp.54-65
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    • 2009
  • This paper describes the case of a 50-year-old female with a Class II malocclusion who presented with severe bimaxillary protrusion and generalized alveolar bone loss due to adult periodontitis. The treatment plan consisted of extracting both upper and lower first premolars and periodontal treatment. Anterior segmental osteotomy(ASO) of the mandible and upper anterior segment retraction using compression osteogenesis after peri-segmental corticotomy(Speedy orthodontics) was performed. Correct overbite and overjet, facial balance, and improvement of lip protrusion were obtained. However, a slight root resorption tendency was observed on the lower anterior dentition. The active treatment period was 9 months and the results were stable for 27 months after debonding. This new type of treatment mechanics can be an effective alternative to orthognathic surgery.

A study on the change of alveolar crest height following orthodontic treatment (교정치료와 관련된 치조골 높이 변화에 대한 연구)

  • Kang, Kyung-Hwa;Lee, Kyung-Won;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.599-611
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    • 2000
  • Alveolar crest is the section of interproximal alveolar bone which includes the free edge of the alveolar process. An increase of the normal forces within limits of tolerance leads to deposition of new bone. If forces are beyond the limits of tolerance, resorption of bone will result whether the force produces pressure or tension. This study was designed to evaluate changes of alveolar bone levels in mesial and distal surface of the left, right first molar, by using pre-treatment, post-treatment panorama films. Two hundreds sixteen subjects were divided into adolescent group of 104 subjects and adult group of 112 subjects, to which orthodontic treatment with a bicuspid extraction (adolescent group-50 subjects, adult group-50 subjects) or without a nonextraction (adolescent group-54 !subjects, adult group-62 subjects) was applied by fixed appliances. Pre- and post-treatment Panorama films were traced, and alveolar crest height was measured. Amounts of changes in alveolar crest height by treatment were calculated md compared in terms of side of tooth, extraction, age. The results were as follows ; 1. When pre-treatment alveolar crest bone levels were compared, levels of adult group were significantly lower than those of adolescent group. 2. Post-treatment alveolar crest bone levels were significantly lower than pre-treatment levels. 3. When changes of alveolar crest height were compared, between adolescent and adult group were not significantly. 4. When changes of alveolar crest height were compared, significantly larger changes were noticed in ex윤action than nonextraction cases. 5. When changes of alveolar crest height were compared, significantly larger changes were noticed in maxilla than mandible. 6. When mesio-distally compared, significantly larger changes were observed in the distal than mesial sides of adult group.

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THE EFFECT OF DISTAL MOVEMENT OF UPPER MOLAR USING THE PENDULUM APPLIANCE (Pendulum 장치의 상악대구치의 원심이동에 대한 효과)

  • Lee, Chang-Seop;Kim, Jae-Gwang;Kang, Dug-Il;Song, Kwang-Chul;Jung, Hyun-Ku;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.488-495
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    • 2001
  • Treatment of class II malocclusions require distalization of maxillary molars into class I relationship. Intraarch distal molar movement techniques have recently assumed an important role in young patients. In this study, the dental and skeletal effects of the pendulum appliance were evaluated by means of cephalometric radiographs. The samples were consisted of 19 patients: 11 females and 8 males, mean age $11.68{\pm}1.52$ years. Measurements were obtained from cephalometric prior to and the day of removal of the pendulum appliance. Treatment changes were analyzed. The following results were obtain. 1. The pendulum appliance produced $2.94{\pm}1.54mm$ distal molar movement with a mean intrusion of $1.17{\pm}0.97mm$, mean period $18.13{\pm}7.95$ weeks. 2. The anchor tooth was $1.34{\pm}1.40mm$ forward movement and $0.48{\pm}0.99mm$ extrusion, and labial tilting of incisors. 3. The angle between palatal plane and mandibular plane increased significantly. 4. There was no significant difference in according to 2nd molar position. 5. Total movement was consisted of 74% distal movement of 1st molar and 26% forward movement of the anchor tooth.

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Characterization of PET fiber containing coconut activated carbon (코코넛 활성탄소 함유 PET 원사의 특성연구)

  • Ko, Jung-An;Lim, Ji-Hye;Kim, Young-Un;Ryu, Jung-Jae;Park, Yong-Wan;Kim, Eui-Hwa
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2011.03a
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    • pp.82-82
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    • 2011
  • 최근 국내외 섬유시장은 생활패턴의 변화로 레저 활동 인구가 급증하고, 스포츠 및 케쥬얼 의류의 대한 수요가 증가하고 있어 다기능성을 발휘하는 소재에 대한 관심이 높아지고 기존의 기능성과 차별화된 신소재 및 기능성 소비자 needs가 증가되고 있다. 코코넛 활성탄소 함유 PET 원사는 최근 H사에서 코코넛 열매껍질을 원료로 탄화시켜 얻어진 활성탄소를 polyester에 혼입 방사하여 상용화 단계에 있는 원사로 우수한 흡한속건성, 항균, 소취성 그리고 UV 차단 기능성 등 최근 소비자의 needs에 맞는 고기능성 신섬유 소재로 기존의 유사 기능성 섬유(숯, 대나무, 기능성 무기물 혼입 원사 등)에 비해 물질의 표면적과 공극이 넓어 보다 탁월한 성능을 발휘하는 것으로 알려져 있지만 활성탄소를 함유한 원사로 짙은 원착색으로 인해 의복의 심미성이 크게 떨어지는 단점이 있어 이를 보완 할 필요성이 있다. 본 연구에서는 상용화 단계의 코코넛 활성탄소 함유 PET 원사의 심미성을 보완 할 수 있는 편직기술과 활성탄소 입자 소실을 방지하고 기능성 발현에 알맞은 염색 가공 공정을 확립하여 심미성과 기능성을 갖는 기능성 원단을 개발하였고 개발된 원단의 물성과 기능성을 평가하였다.

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Meniscus Allograft Transplantation; Surgical method (동종 반월상 연골 이식술의 술기)

  • Lee, B.S.;Chung, J.W.;Bin, Seong-Il
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.3
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    • pp.175-179
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    • 2010
  • 동종 반월상 연골 이식술은 불가피하게 반월상 연골이 소실된 환자에서 증상을 호전을 위한 매우 효과적인 치료이다. 관절연골의 보호 효과 등 장기적인 결과에 대해서는 아직까지는 많은 연구가 필요한 상태이지만, 이러한 환자에서 반월상 연골의 기능을 회복시키기 대안이 많아 점차 널리 시행되는 추세이다. 이식된 반월상 연골이 제 기능을 하기 위해서는 적절한 수술방법을 통하여 반월상 연골 이식물을 정확한 위치에 이식을 하는 것은 필수적일 것이다. 여러 저자들 마다 서로 다른 다양한 반월상 연골 이식술의 방법들을 사용하고 있지만, 어떤 방법을 선택하던지 간에 이식된 반월상 연골의 전각 및 후각을 해부학적인 위치에 견고하게 고정을 하는 것이 매우 중요하다. 술자의 선호도에 따라 다양한 방법중의 하나를 선택을 할 수 있지만, 어떤 방법이든 수술 술기상의 어려움이 있으므로, 철저한 준비와 노력이 필요할 것이다. 본 종설에서는 반월상 연골 이식술 중 개방적 방법에 대한 간단한 소개와 함께 저자들이 사용하는 관절경을 이용한 수술방법을 정리하였다.

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Use of corticotomy for canine and molar retraction (피질골 절제술을 응용한 견치 및 대구치의 후방 견인)

  • Kim, Sang-Cheol;Kim, Sun-Young;Kim, Hyun-Sook;Jung, Hye-Seung;Kim, Hyun-Tae;Jo, Jin-Woo
    • The korean journal of orthodontics
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    • v.35 no.2 s.109
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    • pp.153-161
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    • 2005
  • Tooth movement facilitated by corticotomy and distraction osteoseresis was discussed. In this study, a portion of cortical bone which can provide resistance to tooth movement in alveolar bone was removed Active bone deposition was thor Possible in the tension side. Teeth moved at such a speedy rate as we could not imagine from conventional orthodontic treatment. which lead to the reduction of the total treatment Period Posterior movement of the canine or molar teeth was possible without any side effects such as anchorage loss, root resorption or Periodontal breakdown.

Subcoracoid impingement After the Fixation of the Fractured Coracoid Process -A Case Report- (견관절 오구돌기 골절의 고정 후 발생한 오구돌기하 충돌증후군 - 증례 보고 -)

  • Ku, Jung-Hoei;Cho, Hyung-Lae;Cho, Su-Hyun;Hwang, Tae-Hyok;Park, Man-Jun;Choi, Jae-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.3
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    • pp.192-195
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    • 2010
  • Subcoracoid impingement resulting from abnormal contact between the anterosuperior humerus and the anterior coracoacromial arch represents an uncommon source of anterior shoulder pain. Certain operative procedures can also alter the relationship between the coracoid and the lesser tuberosity, leading to impingement of the interventing soft tissue, including the subscapularis and the bursa. We describe an unique case of subcoracoid impingement with the tear of subscapularis tendon after the internal fixation of the fractured coracoid process with cannulated screw due to crowding of the coracohumeral space. Arthroscopic removal of the screw and repair of the subscapularis in our patient resulted in successful resolution of his symptoms. Although subcoracoid impingement is a rare cause of shoulder pain, failure to diagnose and treat this condition may represent a significant cause of failed shoulder surgery.

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