• Title/Summary/Keyword: 반대교합

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THE TREATMENT OF CLASS III MALOCCLUSION USING FR-III (FR-III를 이용한 3급 부정교합 환자의 치험례)

  • Kwak, Ah-Ram;Park, Jae-Hong;Choi, Sung-Chul;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.345-350
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    • 2008
  • In children with Class III malocclusion, it is important to identify whether the etiology is functional, dental, skeletal. FR-III developed by Rolf Frankel in 1970, has been used during deciduous, mixed, and early permanent dentition to correct class III malocclusion characterized by maxillary skeletal retrusion. According Frankel, the vestibular shields and upper labial pads act to counteract the forces of the surrounding musculature that restrict forward maxillary development and cause a retrusion in maxillary tooth position. This can achieve favorable developments with the basal bone, teeth and alveolar bone. We report FR-III that can be applicated in cases of early mixed dentition with mild maxillary deficiency and deepbite before the eruption of permanent maxillary incisor.

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EARLY TREATMENT OF THE POSTERIOR CROSS-BITE: A CASE REPORT (구치부 반대교합의 조기치료에 대한 치험례)

  • Lee, Eun-Mi;Kang, Dong-Kyun;Kim, Tae-Wan;Kim, Young-Jin;Nam, Sun-Hyun;Kim, Hyun-Jung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.357-366
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    • 2008
  • Posterior cross-bite is a relatively frequent malocclusion in primary and early mixed dentition and the reported prevalence of posterior cross-bite varies from 7% to 23%. It has been defined as a transverse discrepancy in arch relationship which the palatal cusp of the upper posterior teeth do not occlude in the central fossa of the opposing lower teeth, and can be manifested in a single tooth or in a group of teeth. Posterior cross-bite does not often self-correct and therefore immediate treatment is recommended. Occlusal adjustment to eliminate premature contact that causes mandibular deviation, expansion of narrow maxillary arch, arrangement of the individual teeth to treat asymmetry within the dental arch are the methods of treating cross-bite. In the present case, functional posterior cross-bite was observed in the primary and the early mixed dentition children. The children were treated by the slow maxillary expansion and occlusal adjustment. The outcome of periodic examinations after the correction of cross-bite was favorable.

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ANTERIOR CROSSBITE CORRECTION IN PRIMARY DENTITION USING INTRAORAL APPLIANCE AND CLASS III ELASTIC (구강 내 장치와 III급 고무줄을 이용한 유치열기 전치부 반대 교합 치료)

  • Choi, A-Mi;Choi, Byung-Jai;Choi, Hyung-Jun;Song, Je-Seon;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.306-313
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    • 2012
  • Class III malocclusion or anterior crossbite is commonly seen in Asian. This problem is easily recognized by dentists and parents. During the primary dentition period, anterior crossbite with functional shift and deep overbite could develop to skeletal protrusive mandible. So, early and proper diagnosis of anterior crossbite which needs prompt treatment is important. These cases showed the early management of crossbite with functional shift in primary dentition using intraoral removable appliance resulting in improvement of intermaxillary relationship. And I analyzed the positional change and the dimensional change during treatment with lateral cephalometric x-ray analysis. Our patients showed vertical dimensional change of lower anterior facial height and clockwise rotation which results crossbite correction in 1 year of treatment period.

Morphological differences between functional and skeletal anterior cross-bite patients (기능성 및 골격성 전치부 반대교합 환자의 형태학적 차이점에 관한 연구)

  • Yoo, Eem-Hak;Kim, Tae-Sun
    • The korean journal of orthodontics
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    • v.31 no.4 s.87
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    • pp.439-445
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    • 2001
  • The Purpose of this study was to compare the dento-skeletal characteristics between functional and skeletal anterior cross-bite patients. Twenty-eight functional anterior cross-bite patients and thirty-one skeletal anterior cross-bite patients were selected as a test and a control group. Mean ages of the test and the control group were $9.6{\pm}1.8$ and $9.9{\pm}1.9$, respectively. Lateral cephalograms were taken. Forty-nine cephalometric variables were measured and statistical analysis was performed to find the morphological differences between the groups. Statistically significant differences were found in the cephalometric variables of cranial deflection, maxillary depth, ANB, convexity, NPo-AB, APDI, Mx 1-SN, Mx 1-NA angle, Mx 1-NA, Md 1-NB angle and Md 1-NB. The test group showed more Class III growth potential, more protruded maxilla, lesser maxillo-mandibular difference, more uprighted and retruded maxillary central incisor, more labially tipped and protruded mandibular central incisor.

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Crowding with no posterior crossbite treatment by rapid Palatal expansion (구치부 반대교합이 없는 총생 증례의 급속구개확장에 의한 치료)

  • Kook, Yoon-Ah;Akhavan, Mojdah;Zernik, Joseph H.
    • The korean journal of orthodontics
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    • v.31 no.6 s.89
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    • pp.611-618
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    • 2001
  • This is a case report of a 12.5-year-old girl who presented with moderate to severe anterior dental crowding and rotations. Treatment involved no extraction, but expansion of both the maxillary and the mandibular arches. Maxillary expansion was assisted by rapid palatal expansion despite the fact that this patient did not present with posterior crossbite. Crowding and rotations in both arches were corrected and good occlusal function and improved facial esthetic were achieved, with acceptable overbite and overjet. The application of rapid maxillary expansion in cases with no posterior crossbite, which has increased in recent years, calls for re-evaluation of the diagnostic basis and indications for the use of this technique.

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TREATMENT OF CLASS III MALOCCLUSION BY ORTHOPEDIC & ORTHODONTIC APPLIANCE (III급 부정교합의 정형적.교정적 치료)

  • Yang, Kyu-Ho;Park, Mi-Ran;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.479-484
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    • 2000
  • The conventional treatment of skeletal class III malocclusion has been focused on the application of orthopedic forrce primarily to the mandible. Thus moderate Class III malocclusions can be corrected by the anterior displacement of the maxilla and maxillary dentition, possibly by restricting the growth of the mandible or by changing its direction. The patients having skeletal Class III malocclusion were treated with removable appliance & fixed appliance for detailed tooth movement and the following results were observed: 1. The anterior crossbite was corrected. 2. The forward and downward growth of the maxillary complex was obtained. 3. The lingual tipping of the mandiblar incisors was performed and the mandible was rotated in the clockwise direction.

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SHORT-TERM EFFECTS OF THE FUNCTIONAL REGULATOR III APPLIED TO ANTERIOR CROSSBITE PATIENTS IN EARLY MIXED DENTITION (기능성 반대교합을 가진 초기 혼합치열기 어린이에서 FR III를 단기간 장착했을 때의 효과)

  • Woo, Se-Eun;Nam, Soon-Hyeun;Kim, Young-Jin;Kim, Hyun-Jung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.293-300
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    • 2012
  • In case of treating the functional type of anterior cross bite, removing the cause in early stage prevents from turning to skeletal type, leads to perform normal function, and has improved facial appearance. Functional Regulator III (FR III), one kind of the Functional regulator(FR)s suggested by R$\ddot{o}$lf Fr$\ddot{a}$nkel in 1966, applied to patients with the functional and skeletal anterior crossbite in early mixed, and permanent dentition. This appliance improves unbalanced power condition by blocking abnormal muscle-power effect, so that normal growth can be expected. In this case report, favorable results were obtained by selecting clinical cases of children in their early mixed dentition with functional cross bite. 1. FR IIIs were applied to patients with anterior crossbite for 5~6 months. Anterior crossbite patients were corrected favorably, nevertheless they didn't show any horizontal skeletal-changes by buccal shields. 2. Normal occlusion and esthetic facial contour were achieved from dental movement of maxillary and mandibular anterior teeth while the mandible rotates to posterior and inferior direction.

PALATOGRAPHIC STUDY ON MALOCCLUSION PATIENTS IN FRICATIVE SOUNDS (구개도(口蓋圖)에 의(依)한 부정교합자(不正咬合者)의 마찰음(摩擦音)에 관(關)한 연구(硏究))

  • Im, Chul-Joong
    • The Journal of Korean Academy of Prosthodontics
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    • v.8 no.1
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    • pp.56-64
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    • 1968
  • 저자(著者)는 구개도(口蓋圖)에 의(依)하여 한국어(韓國語) 마찰음(摩擦音)의 라, 사, 자, 차 사행(四行), 도합(都合) 40음(音)에 대(對)한 정당교합자(正堂咬合者) 오인(五人)과 부정교합자(不正咬合者) 십칠인(十七人)의 발음(發音)을 조사(調査)하여 다음과 같은 결과(結果)를 얻었다. 1) 라, 사, 자, 차 사행(四行)의 구개도(口蓋圖)는 V, H 및 C형(型)을 나타낸다. 2) 라행(行)의 구개도(口蓋圖)는 교합군(咬合群)에 관계(關係)없이 주(主)로 H형(型)을 보인다. 라행(行)에 있어서 전치(前齒)와 접촉부위간(接觸部位間)의 거리는 과개교합군(過蓋咬合群)에서 크고, 반대교하군(反對咬合群)에서는 작다. 3) 사행(行)은 주(主)로 V형(型)을 보이며 반대교합군(反對咬合群)에서만 C형(型)이 1/3정도(程度) 나타난다. 반대교합군(反對咬合群)에서의 V형(型)은 그 접촉부위(接觸部位)가 구치부(臼齒部)로 갈수록 두터워 진다. 4) 자, 차행(行)의 구개도(口蓋圖)는 라, 사행(行)에 비(比)하여 변화(變化)가 많다. a) 과개교합군(過蓋咬合群)은 H형(型)이 67%이고 나머지는 C형(型). b) 반대교합군(反對咬合群)은 거의 모두가 C형(型). c) 과개교합군(寡蓋咬合群)에서는 반이상(半以上)이 C형(型), 나머지는 H형(型)이나 간혹 V형(型)도 출현(出現)한다. 5) 구치부(臼齒部)에서의 측방반대교합(側方反對咬合)의 경우는 반대교합(反對咬合)이 있는 반대(反對)쪽의 접촉부위(接觸部位)가 넓다. 6) 과개교합군(寡蓋咬合群)에서의 접촉부위(接觸部位)는 정상군(正常群)이나 과개교합군(過蓋咬合群)에서 보다 일반적(一般的)으로 넓게 나타난다.

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TREATMENT OF SKELETAL ANTERIOR CROSSBITE IN PRIMARY DENTITION USING FACEMASK (Face mask를 이용한 유치열기 골격성 반대교합의 치료)

  • Seo, Ju-Hee;Lee, Kwang-Hee;Kim, Dae-Eop;Lee, Ji-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.100-106
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    • 2002
  • The prevalence of Class III malocclusion is approximately 5% in the Caucasian population, rising to as mush as 50% in the Japanese and Korean population. Recent studies have suggested than 63% of this malocclusion display maxillary retrusion. If left untreated, the malocclusion tends to worsen. Consequently, early treatment is commonly indicated to obtain a more normal jaw relationship. This report is 2 cases treated patients who diagnosed as skelectal Class III malocclusion due to deficient maxilla using facemask.

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Rehabilitation of posterior support and vertical dimension in a class 3 malocclusion patient: A case report (III급 부정교합 환자에서 상악 가철성 국소 의치와 하악 임플란트 지지 고정성 보철물을 이용한 구강 회복 증례)

  • Oh, Ji-Hwan;Pyo, Se-Wook;Chang, Jae-Seung;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.175-186
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    • 2022
  • A crossed occlusion resulting from the presence of posterior teeth in one arch but no opposing teeth in the opposite arch results in collapse of the vertical dimension. In this case, the patient has a class III malocclusion with crossed occlusion and anterior crossbite. In order to evaluate the proper vertical dimension, provisional denture was used to stabilize the vertical occlusal dimension for 3 months. After, provisional fixed restoration was used for the stabilizing occlusal relationship and aesthetic improvement for lip support. Definitive prosthesis in implants in the mandible and abutments in the maxillary were using Porcelain-fused-to-metal crown (PFM) crown and the maxillary unilateral edentulous area was treated with removable partial dentures. Through this, proper support of the posterior region and normal anterior occlusal relationship were formed, and the patient was able to obtain aesthetically and functionally satisfactory treatment results.