• Title/Summary/Keyword: 교정치료 수요

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Bruxism의 치료 -장치를 이용한 치료법을 중심으로-

  • Lee, Gi-Su
    • The Journal of the Korean dental association
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    • 제21권4호통권167호
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    • pp.293-297
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    • 1983
  • Bruxism이란, 일반적으로 기능이외의 목적으로 상하악 치아를 악물거나 갈음질 하는 것이라고 정의된다. 동일한 상태를 서술하는 용어로 neuralgia traumatica, Karolyi effect, occlusal habit neurosis, parafunction 등이 있으며, 수면중의 이갈음질을 bruxism, 주간의 습관성 이갈음질을 bruxomania로 구분하기로 한다. 또한 centric bruxism과 eccentric bruxism으로 분류하기도 한다. eccentric bruxism은 통상적 의미의 수면중의 bruxism이며, 하악의 측방운동중의 이갈음질이고 뽀드득하는 갈음질 소리를 냄, 저작근육의 긴장도가 증가되어 있으면서 등장성수축을 나타내고, 비중심위의(eccentric) 교합간섭이 주요 유발인자인 반면에 centric bruxism은 중심교합위에서 상하악 치아를 간헐적으로 악무는 것(clenching)은 의미하고 - 지속적으로 악무고 있는 것은 clamping이라고 함.- 주로 주간에 행하며 갈음질소리를 들을 수 없고, 역시 저자근육의 긴장도가 증가되어 있으며 등률성수축을 나타내고, 중심교합위에 근접하여 존재하는 교두간섭이 유발인자이다. bruxism이나 clenching과 부정교합의 관계는 bruxism과 clenching은 부정교합을 야기할 수 있고, 부정교합도 역시 bruxism과 clenching을 유발시키는 작용을 할 수 있는 악순환적 관계이다. 현저한 부정교합을 가지고 있는 bruxism환자의 교정치료는 그 목적이 bruxism의 치료라기보다는 오히려 부정교합의 치료이며 부차적으로 bruxism의 치료를 기대하게 된다. 그러나 bruxism이 장기간 지속되어 치아 및 그 주위조직, 악관절과 신경근계에 심한 손상을 주었을때의 교정치료는 일반적으로 제한을 받을 뿐만아니라 bruxism의 처치에는 거의 무의미한 치료가 될 수 있다. 따라서 거자는 bruxism 환자의 교정치료라는 제목의 원고 청탁을 받았으나 편집위원의 양해아래 장치를 이용한 bruxism의 치료에 관하여 서술하려 한다.

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The Study of Relationship Between Hyperopic Amblyopia, Anisometropic Power and Astigmatism (원시성약시와 굴절부등, 난시와의 관계 연구)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • 제12권3호
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    • pp.137-142
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    • 2007
  • The purpose of this study was to investigate sole effect of therapy of spectacles correction on the refractive amblyopia. Spectacles were prescribed to give the same effect as the occlusion therapy undercorrecting in the case of hyperopia, and effectiveness of the therapy was compared with occlusion therapy without additional prescription. The results can be summarized as follows: 1. The higher anisometropic power was the lower initial visual acuity was. 2. Anisometropic power did not influence final visual acuity. 3. The latter beginning time of therapy was the higher astigmatism was. 4. Therapy of spectacles correction on the hyperopic amblyopia was quite effective.

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Evaluation of orthodontic treatment outcomes and post-treatment changes by the PAR index (PAR 지수를 이용한 교정치료 결과의 평가에 관한 연구)

  • Cheong, Soo-Bong;Park, Young-Guk
    • The korean journal of orthodontics
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    • 제31권4호
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    • pp.393-401
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    • 2001
  • The purposes of this study were to assess the treatment results in orthodontic department, Kyung Hee University, to evaluate the occlusion at 2 year follow-up control, in relation to the original malocclusion, and changes occurring in the follow-up period, and to determine whether treatment and posttreatment changes of the PAR index were related to the original Angle classification Dental study casts of 25 patients in permanent dentition were evaluated using Peer Assessment Rating (PAR) index. The PAR index was measured at the pretreatment stage, immediately after treatment, and at 2 yews posttreatment. The following results were obtained : 1. The treatment reduced the PAR index by 85.05% and it indicates that KHDC clinic has a high standard of treatment 2. The follow-up result of 75.40% PAR score reduction implies a gain of 9.55% of posttreatment PAR score during follow-up period. 3. There is no relationship between the treatment changes of the PAR index and the orignal Angle classification.

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The Effects on Satisfaction and Recommendation according to Orthodontic Patients' Perception of Treatment (치열교정환자의 진료인식에 따른 만족과 추천에 미치는 영향)

  • Chun, Jong Ae
    • Journal of dental hygiene science
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    • 제13권1호
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    • pp.105-114
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    • 2013
  • The purpose of this study was to offer information to medical institution of specializing in orthodontic patients by surveying the influence of orthodontic patients' perception of treatment according to orthodontic treatment upon satisfaction and recommendation with orthodontic treatment, targeting patients with completion of orthodontics who have experience of having received orthodontic treatment. As a result of SAS ver. 9.1 analysis on what was surveyed from February 2010 to August, the following conclusions were obtained. In comparing perception of treatment on orthodontic treatment according to general characteristics, women compared to men were indicated to be higher (p<0.05) in inconvenience recognition (p<0.05) on orthodontic device and in inconvenience during orthodontic treatment (p<0.05). In perception of treatment on orthodontic treatment, the inconvenience of orthodontic device accounted for 79.3%, thereby having been recognized by the majority of subjects. Even the inconvenience during orthodontic treatment was being recognized by 69.8%. The orthodontic treatment expenses appeared enough to be expected by 61.6%. The frequency of visiting hospital during orthodontic treatment was indicated as saying of having been proper by 72.8%. The period of orthodontic treatment was indicated to be proper as well by 61.2%. Even understanding about treatment contents during orthodontic treatment was indicated to be understood by 62.6%. In the results of correlation among subjects' cooperation with dental treatment, satisfaction with treatment service, recommendation of this clinic, and satisfaction with the convenient facilities, the significantly positive correlation was shown (p<0.05) in all among items in each.

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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    • 제23권2호
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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.

Influence of Clinical Characteristics and Restriction Factors on Cooperation for Orthodontic Treatment in Adolescent Orthodontic Patients (청소년 교정환자의 임상적 특성과 통제소재가 교정치료 협조도에 미치는 영향)

  • Seong, Hye-Jin;Jeong, Ji-Hye;Lee, So-Young;Cho, Mi-Suk;Ryu, Hae-Gyum;Kwun, Hyeon-Sook;Yu, Byeng-chul
    • Journal of dental hygiene science
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    • 제16권1호
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    • pp.84-92
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    • 2016
  • Cooperation of the patients in orthodontic treatment is an essential element. This study examines the internal and external restriction factors and level of cooperation for orthodontic treatment of adolescent orthodontic treatment patients, and the factors that impart influence on the level of cooperation for orthodontic treatment. 'Form for students' among the indices of internal and external restrictions for orthodontics, which is an adaption of 'Orthodontic Locus of Control Scale' was used as survey tool, and 'Reliability and Stability of the Orthodontic Patient Cooperation Scale' was used as survey tool for the level of cooperation of orthodontic patients. As the result of examination of the effect of internal and external restriction factors on level of cooperation for orthodontic treatment by compensating the general characteristics in the multiple regression analysis, it was found that the level of cooperation for orthodontic treatment is higher for the patients who believe there is strong influence of external restrictions-patents-on the events that determines orthodontic treatment. In order to enhance the level of cooperation for orthodontic treatment of adolescent orthodontic patients, there is a need to assess the relationship between the patient and parents as well as the attitude or psychological state of the patients on orthodontic treatment.

Orthodontic correction of vertical problem

  • 최광철
    • 대한치과교정학회:학술대회논문집
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    • 대한치과교정학회 1998년도 제31회 학술대회
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    • pp.36-43
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    • 1998
  • 수직적인 문제의 치료는 진단이 매우 중요하다. 치료 방법이나 치아의 이동량도 수평적인 치아 이동과는 다르게 매우 제한되어 있으므로 구체적인 치료목표를 설정하여 이를 달상할 수 있는 적절한 생역학을 설계하는 것이 중요하다. 의원성에 의해서 발생하는 경우도 매우 빈번하므로 치료과정에 세심한 주의가 필요하다. 치료는 성장기 환자에서 성장을 적극적으로 이용해야 하며 성인의 경우에 부작용을 적절히 해소해주어야 성공적인 치료결과를 가져올 수 있다

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Effects of malocclusion and orthodontic treatment on the self-esteem of adolescents (부정교합과 교정치료가 청소년의 자존감에 미치는 영향)

  • Jung, Min-Ho
    • The korean journal of orthodontics
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    • 제37권1호통권120호
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    • pp.56-64
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    • 2007
  • Objective: The purpose of this study was to evaluate the effects of malocclusion and orthodontic treatment on the self-esteem of adolescents. Methods: The subjects were composed of 3509 female middle school students. Each subject was evaluated with Rosenberg's Self-esteem Scale to measure the level of self-esteem and also evaluated the degree of crowding and soft tissue profile. Results: Results showed that protrusion of lip area had no effects on self-esteem but crowding of upper anterior teeth had significant effects. The fixed orthodontic treatment group and the removable orthodontic treatment group reported no significant difference in self-esteem from the no orthodontic treatment experience group, but the debonding group showed significantly higher Self-esteem index. Conclusion: The results of this study suggest that anterior teeth alignment has influence on the self-esteem of female adolescents.

Oral Impact on Daily Performance and Happiness related to Orthodontic Treatment of Some Middle and High School Students with Malocclusion (부정교합을 가진 일부 중·고등학생들의 교정치료 여부에 따른 구강건강관련 삶의 질 및 행복감과 관련성)

  • Kang, You Ju;Seo, Ae-Rim;Kang, Yune-Sik;Jeong, Baek Geun;Park, Ki Soo
    • Journal of agricultural medicine and community health
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    • 제42권2호
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    • pp.69-78
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    • 2017
  • Objectives: This study investigated whether the impacts of orthodontic treatment of malocclusion on oral health-related quality of life and happiness are positive with middle and high school students Methods: Subjects were 157 orthodontic patients and 83 non-orthodontic in malocclusion patients. Questionnaires were collected with the self-administered method, and consisted of the general characteristics, self-esteem, social support appraisal scale(friends, family, teacher), Oral Impact on Daily Performance (OIDP) and oxford happiness questionnaire (OHQ). Results: A physical factor was lower in the orthodontic treatment group ($5.8{\pm}2.48$) than in the non-orthodontic treatment group ($7.7{\pm}2.10$)(p<0.001), and OIDP was lower in the orthodontic treatment group ($7.0{\pm}1.79$) than in the non-orthodontic treatment group ($7.8{\pm}1.80$)(p=0.002). A feeling of happiness was higher in the orthodontic treatment group($4.6{\pm}0.81$) than in the orthodontic treatment group ($4.3{\pm}0.89$) (p=0.009). As results of multiple regression analysis, OIDP was affected of orthodontic treatment(${\beta}=-0.0222$, p=0.001) and OHP was affected of orthodontic treatment(${\beta}=0.087$, p=0.030) and OIDP(${\beta}=0.116$, p=0.003). Conclusions: Orthodontic treatment of malocclusion may positively affects happiness in teenager. Support policy for orthodontic treatment of malocclusion is necessary for adolescents.

Orthodontic treatment using indirect bonding technique in periodontitis (치주염환자에서 Indirect Bonding Technique를 이용한 교정치료)

  • Lee, Young-Seok;Ko, Eun-Young;Kim, Chin-Dok;Kim, Song-Uk;Yum, Chang-Yup;Kim, Byung-Ock;Han, Kyung-Yoon
    • Journal of Periodontal and Implant Science
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    • 제28권1호
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    • pp.177-185
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    • 1998
  • Periodontal disease and/or loss of teeth brings pathologic tooth migration that can result in esthetic and occlusal problems. Diastema and general spacing of the teeth, particularly in the anterior segments of the dentition are frequently developed in individuals with advanced periodontal disease. Thus, the overall treatment plan for a patent with advanced periodontal disease often involves periodontal orthodontic combined therapy. Orthodontic treatment in adults with periodontal disease is restricted to tooth alignment with special caution. Indirect bonding can achieve accurate bracket placement. A 38 year old woman with adult periodontitis was treated by periodontal therapy. Subsequently, her diastema was orthodontically corrected by indirect bonding technique. It must be an appropriate case report of periodontal-orthodontic combined therapy.

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