• Title/Summary/Keyword: 반대교합

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TREATMENT OF CLASS Ⅲ MALOCCLUSION WITH HORSESHOE APPLIANCE : CASE REPORT (Horseshoe Appliance를 이용한 Ⅲ급 부정교합의 치험례)

  • Hong, Han-Young;Park, Jae-Hong;Choi, Yeong-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.376-381
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    • 2008
  • In mixed dentition there exists many empty spaces in the arch due to eruption of permanent teeth and exfoliation of primary teeth. The empty spaces makes it difficult to apply fixed orthodontic appliances. Horseshoe Appliance can be used effectively at this stage, holding the whole dentition in one piece. It covers every surface of erupted teeth and prevents extrusion and rotation of single tooth. By using intermaxillary elastic force, remodeling of the alveolar bone is opposite in each arch. In patients who were treated with horseshoe appliance, forward growth of maxilla, labioversion of maxillary incisors and linguoversion of mandibular incisors were obtained. Minimum downward and clockwise rotation of mandible was shown, so increasing anterior facial height was minimized.

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The correlation between dental compensation and craniofacial morphology in skeletal Class III malocclusion (골격성 III급 부정교합자의 치성보상과 두개안면골격의 상관관계에 관한 연구)

  • Jeon, Young-Jin;Park, Su-Byung;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.27 no.2
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    • pp.209-219
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    • 1997
  • This investigation was designed to analyze the degree of dental compensation according to horizontal components of craniofacial skeleton and to investigate correlation between dental compensation and craniofacial pattern in skeletal class III malocclusion. The material selected for this study consisted of standard lateral cephalogram of 59 subjects in normal occlusion group, 91 subjects in mild skeletal class III malocclusion group and 58 subjects in severe skeletal class III malocclusion group. The mild skeletal class III malocclusion group was divided into two groups, one was class III malocclusion without anterior crossbite group and the other was class III malocclusion with anterior crossbite group. The data were analyzed by Quick-ceph image program. The results were as follows. 1. Mild skeletal class III malocclusion without anterior crossbite group showed the most labial inclination of upper incisors, followed by severe skeletal class III malocclusion group and mild skeletal class III malocclusion with anterior crossbite group, the Latter showing the least. The amount of lingual inclination of lower incisors was the largest in severe skeletal class III malocclusion group, and there was no statistically significant difference between mild skeletal claw III malocclusion without anterior crossbite group and mild skeletal class III malocclusion with anterior crossbite group. 2. There were little differences in vertical skeletal structure between mild skeletal class III malocclusion without anterior crossbite group and mild skeletal class III malocclusion with anterior cwssbite group, they showed statistically significant differences in the upper incisors measurements. 3. The measurements of lower incisors in mild skeletal class III malocclusion without anterior crossbite group and upper incisors in mild skeletal class III malocclusion with anterior crossbite group represented a high correlation with skeletal structure. Especially, ∠IMPA and ∠FMIA of lower incisor measurements, and ∠U1-FH ∠U1-SN of upper incisor measurements showed high correlation with skeletal structure in each group. 4. ∠IMPA and ∠FMIA of lower incisor measurements showed high correlation with skeletal structure in all groups. ∠U1-FH, ∠U1-SN and U1-facial plane(mm) of upper incisor measurements represented higher correlation with skeletal structure than any other upper incisor measurements.

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Implant treatment on anterior cross-bite of a patient who had orthognathic surgery 20 years ago (20년전 악교정수술을 받았던 환자의 심한 전치부 반대교합의 해결을 위한 임플란트 치료 증례)

  • Park, Kwang Man;Leesungbok, Richard;Lee, Suk Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.245-253
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    • 2019
  • Orthognathic surgery of skeletal Class III malocclusion improves oral function and facial appearance. The greater amount of skeletal discrepancy, the greater amount of teeth movement required for decompensation, and this often causes pathological changes in periodontal tissue especially in lower anterior dentition. We made a Top-Down treatment plan with personalized analysis using Face Hunter, Plane System and ARCUS Digma II, in order to resolve severe mobility and cross-bite of lower anterior teeth for 49-year-old female patient who had undergone orthognathic surgery 20 years ago due to skeletal Class III malocclusion and mandibular prognathism. Lower anterior teeth were extracted and alveoloplasty was done. After healing of the wound, immediate loading was conducted immediately after implant placement. Final restorations were fabricated Zirconia using CAD/CAM, and inserted intraorally screw-retained type. During 6-month follow-up, no abnormal episodes of restorations were observed, and obtained satisfactorily both of functional and esthetic outcomes.

Prosthetic full mouth rehabilitation of patient with mandibular prognathism and asymmetry: a case report (하악의 전돌 및 비대칭을 가진 환자에서 보철적 전악 구강회복 증례)

  • Jaeyeong Lim;Hwa-Jeong Lee;Jong-Eun Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.28-37
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    • 2024
  • Severe cases of mandibular prognathism can be treated with orthodontic therapy or surgical correction, but there are situations where only prosthetic improvement is possible. An understanding of class III patients is needed, including a vertical chewing pattern and the absence of anterior guidance. Additionally, it is relatively easy to increase occlusal vertical dimension to correct the anterior crossbite, but this approach can sometimes lead to unfavorable results, necessitating careful diagnosis and treatment planning. In this case report, oral rehabilitation was conducted in a patient with mandibular prognathism and asymmetry, utilizing implants and fixed dental prosthesis. Through a step-by-step treatment approach, the existing occlusal vertical dimension was maintained, and the final fixed dental prosthesis restoration was completed. Accordingly, it shows functional and aesthetically appropriate results, and reports on the patient's diagnosis and treatment process.

A CLINICAL CONSIDERATION ON TREATMENT OF ANTERIOR CROSS-BITE IN GROWING CHILDREN (THE EFFECT OF CHIN CAP) (성장기아동(成長期兒童)의 반대교합치료(反對咬合治療)에 관(關)한 임상적(臨床的) 고찰(考察) (- 신모효과(?帽?果) -))

  • Sung, Jae Hyun
    • The korean journal of orthodontics
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    • v.12 no.2
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    • pp.117-126
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    • 1982
  • The author evaluated the effect of chin cap for the growing patient with cross-bite. The date were obtained from superimposition of pre and post-treatment lateral cephalograms. The results might be as follows; 1. increase ANB angle, Y-axis angle, SN-MP angle. 2. made anterior facial height more greater than posterior facial height. 3. as a results, rotate mandible backward.

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Prosthetic rehabilitation in a Class III malocclusion patient with increasing occlusal vertical dimension (3급 부정교합 환자의 교합수직고경 증가를 동반한 보철 수복)

  • Ha-Eun Choi;Han-Sol Song;Kyung-Ho Ko;Yoon-Hyuk Huh;Chan-Jin Park;Lee-Ra Cho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.133-145
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    • 2023
  • Class III malocclusion with mandibular protrusion can be divided into skeletal and pseudo malocclusion due to tooth displacement. For skeletal malocclusion, favorable treatment results can be obtained by establishing an appropriate vertical and horizontal intermaxillary relationship in order to secure a restoration space and obtain aesthetic and functional results. In this case, complete mouth rehabilitation was performed using an implant and a fixed prosthesis in a patient with mandibular protrusion and anterior teeth wear and reduced occlusal vertical dimension. After cast analysis and digital diagnosis, a provisional restoration with increased vertical dimension was fabricated to secure posterior support and evaluate stable centric occlusion. With the definitive prosthesis reflecting the provisional restoration, favorable function and aesthetics were obtained.

Maturation of the First Molars in Primary Dentition with Class III Malocclusion (유치열기 골격성과 비골격성 3급 부정교합 환아의 제1대구치 성숙도 비교)

  • Jung, Boram;Kim, Shin;Jeong, Taesung;Kim, Jiyeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.2
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    • pp.144-150
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    • 2015
  • Early treatment is recommended for class III malocclusion in the primary dentition, though it is difficult to diagnose correctly. It was recommended dental maturation can possibly be used to make a differential diagnosis of skeletal class III malocclusion. This study aimed to compare dental maturation of first molars in children with skeletal or non-skeletal class III malocclusion in the primary dentition and to determine if dental maturation could be used to make a differential diagnosis of class III malocclusion. Among the children visiting the department of pediatric dentistry in Pusan National University Dental Hospital for anterior crossbite in the primary dentition, 18 were categorized into the non-skeletal class III malocclusion and 34 into the skeletal class III malocclusion. Panoramic radiographs were used to make comparative analysis of dental age and the eruption rate of the first molars. The following results were obtained. No difference was found between chronologic and dental age by the skeletal features or gender, with the latter being older than the former (p < 0.05). The discrepancies in eruption rate of first molars were significantly different between skeletal (18.91%) and non-skeletal groups (16.53%) (p < 0.05). This result implies that maturation of the first molars might be used to make a differential diagnosis of class III malocclusion.

Trends in Malocclusion Patients of Yeungnam University Hospital (영남대학교병원 치과에 내원한 부정교합환자의 특성)

  • Chung, Sung-Ho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.23 no.1
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    • pp.71-81
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    • 2006
  • Background: This study was done to better understand patterns, trends and local distribution patterns of malocclusion so that we can provide adequate information to patients, to help make the appropriate diagnosis and therapeutic plans, and to assess the future directions of malocclusion treatment. Materials and Methods: Malocclusion patterns, distribution and trends of visiting patients were examined in 993 malocclusion patients who had been evaluated and diagnosed at the Department of Dentistry, Yeungnam University Hospital over a 10-year period from 1995 to 2004. Results: The number of visiting patients per year showed an increasing trend and the visit rate was 1.28 time-higher in females(56.1%) than in males(43.9%). 1) Age distribution showed that the 7-12 year-old group was the largest (36.7%). Geographic distribution showed the majority of patients were from the Dalseo district(28.2%). Angle's malocclusion classification revealed that class III was the largest(38.4%). Crowding was the chief complaint in the highest percentage of patients(33.9%). The therapeutic method used was the fixed appliance in 61% of cases and a combination with extraction in 30.8%. Conclusions: The availability of dental services can accommodate orthodontic needs adequately as well as obtain reliable quantitative information regarding the characteristics of orthodontic patients.

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CHARACTERISTICS OF ORTHODONTIC PATIENTS IN DEPARTMENT OF PEDIATRIC DENTISTRY, SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (서울대학교치과병원 소아치과를 내원한 교정환자의 분포양상에 대한 연구)

  • Koo, Yong-Han;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.550-555
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    • 2009
  • Distribution of orthodontic patients in pediatric dental clinics has increased recently. So it is worth to study about the present status of orthodontic patients in pediatric dental clinics. The purpose of this study was to recognize the characteristics and orthodontic patterns of orthodontic patients in pediatric dental clinics. The material consisted of distribution and orthodontic analysis records of 792 new patients in the department of pediatric dentistry, Seoul National University Dental Hospital, from 2006 to 2008. Results were as follows 1. In age distribution, 8-year-olds group comprised 22%, 7-year-olds 19%, 9-year-olds 16%, 10-year olds 15%, 11-year-olds 11%, and other age groups comprised 18%. 2. In skeletal patterns, skeletal class I patients comprised 52%, class II 29%, and class III 19%. 3. In vertical facial types mesofacial comprised 41%, brachyfacial 35%, and dolichofacial 24%. 4. Out of 792 patients 218 patients(28%) showed anterior cross-bite, and the occurrence ratio of anterior cross-bite increased as the age decreased.

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Wunder Activator를 이용한 기능형 전치부 반대교합 치료효과에 관한 임상적 고찰

  • Jeon, Yun-Sik
    • The Journal of the Korean dental association
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    • v.24 no.12 s.211
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    • pp.1049-1060
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    • 1986
  • The author evaluated the effect of wunderer activator for correction of functional enterior corss-bite. The Data were obtained from super-imposition of pre. and post -treatment lateral cephalo-grams. The results were as follows. 1. Correction of anterior crossbite and improvement of facial profile were occurred. 2. Axial inclination of maxillary and mandibular anterior teeth were improved. 3. Slightly down and backwakd rotation of mandible was occurred by the increment of Y-axis angle, anterior facial height and SN-MP angle.

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