• Title/Summary/Keyword: 비 교정환자

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COMBINED ORTHODONTIC-SURGICAL TREATMENT FOR CLASS III PATIENT WITH MIDFACIAL DEFICIENCY AND MANDIBULAR PROGNATHISM (중안면부 함몰과 하악전돌을 동반한 III 급 부정교합자의 교정-악교정수술 복합치료)

  • Cho, Eun-Jung;Kim, Jong-Tae;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.637-645
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    • 1996
  • In non-growing Class III malocclusion, the critical aspects which determine the need of orthognatic surgery are the severity of skeletal discrepancy, incisor inclination, overbile and soft tissue profile. Two-jaw surgery is more effective in correcting severe sagittal, vertical, transverse skeletal discrepancies and facial asymmetry. And more esthetic and stable profile can be achieved by two-jaw surgery Some midfacial deficiency Patients can be treated by Pyramidal Le Fort II osteotomy to maintain infraorbital rim and malar complex and to advance nasomaxillary complex. Others who require advancement of infraorbital rim and malar complex can be treated by quadrangular Le Fort II osteotomy. On the following cases, patients who had represented midfacial deficiency and mandibular prognathism were treated with combined orthodontic-surgical therapy by Le Fort II osteotomy and BSSRO.

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Psychosomatic Approach to Plastic Surgery (성형수술의 정신신체의학적 접근)

  • Hwang, Kun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.3-9
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    • 1999
  • Abnormal external appearance may cause psychiatric trauma or problem in social adaption. The plastic surgeons should consider the patient's quality of life, and their roles are correcting psychiatric and emotional trauma as well as external appearance which help the patient adapting social life. Because the patients in plastic surgery have higher level of expectation for the result of their operation, it is necessary for the surgeons to explain precisely the procedure and possible complications precisely at preoperative meeting and to maintain the good doctor-patient relationship at postoperative follow-up period. In case if the patient dissatisfy the postoperative result, it is recommended to listen the second opinion from another plastic surgeon. If the patient still dissatisfy, then the patient should be consulted to psychiatrist.

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Effect of Orthodontics Patients' Orthodontics Characteristics on the Living Quality Related to Oral Health (OHIP) (교정환자의 교정치료 특징이 구강건강관련 삶의 질(OHIP)에 미치는 영향)

  • Yoon, Sung-Uk;Oh, Na-Rae;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.250-258
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    • 2014
  • The purpose of this study was to promote effective health management of orthodontics patients by determining the effect that the factors related to orthodontics would have on the Oral Health Impact Profile (OHIP), and the subjects of this study was the local residents of Gangwon-do Province. The mean score of OHIP for the subjects was 2.97, while the mean score of physical factor was 3.01. The mean score of psychological factor was found to be 2.93. Thus, the orthodontics was found to have more influence on psychological factor. The item that had the greatest influence among the 10 items of Oral Health Impact Profile was found to be the question, "Have you ever felt shy due to your dental shape?" which had the mean score of 2.66. The characteristics that had significant effect on OHIP among general characteristics were found to be the age, religion, occupation, income, smoking or non-smoking status(p<0.05). In terms of the age, the age of 20 or less had the greatest effect with the mean score of 2.53. In relation to the occupation, the production/sales occupation had an influence with the mean score of 2.56 (p<0.05). Those with income exceeding KRW 4 million were found to have the mean score of 2.83 and 2.78. It turned out that the smokers had greater effect compared to the non-smokers in relation to the smoking/non-smoking status as the income was higher (p<0.05). The characteristics of orthodontics were manifested as the health perception in relation to Oral Health Impact Profile (OHIP) (p<0.05). Regarding the reason why they underwent the orthodontics, the 'uncomfortable feeling in chewing' was found to have the mean score of 2.69 and 2.67 (p<0.05). Regarding the orthodontics period, 1 to 2 years were found to have the mean score of 2.80 and 2.74, thus having an influence (p<0.05). In relation to the regret/non-regret over orthodontics, those who indicated that they regretted were found to have the mean score of 2.65 and 2.60 (p<0.05). Analysis of the relationship between Characteristics of orthodontic treatment and OHIP, orthodontic treatment reasons, oral health awareness, whether orthodontic treatment regret showed a statistically significant correlation. it is considered necessary to make constant efforts to help orthodontics patients, both physically and psychologically, in the course of treatment and improve their quality of lives.

Distribution and clinical features of patients with degenerative change of the mandibular condyle (측두하악장애 환자 중 하악과두의 퇴행성 골 변화를 보이는 환자의 분포 및 임상적 특징)

  • Lim, Yong-Kyu;Kim, Min-Ji;Kim, Youn-Joong;Song, Yun-Heon;Lee, Dong-Yul
    • The korean journal of orthodontics
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    • v.36 no.6
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    • pp.402-411
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    • 2006
  • Objective: This study was carried out to evaluate the distribution and clinical features of patients with degenerative change of the mandibular condyle. Methods: Six thousand and seventy patients with TMD (temporomandibular cisorder) were selected for this study, who had complete initial clinical records and radiographs. Panorama and TMJ panorama radiographs were used to screen the degenerative change in the condyle, and the patients were divided into DJD (degenerative joint disease) and non-DJD groups. Results: The distribution. and clinical features of the two groups were compared. Out of the total number of patients, 31.7% were in the DJD group, and 68.3% were in the non-DJD group. The portion of females was larger in the DJD group (80.8%) than in the non-DJD group (67.5%), and the DJD group had high prevalence in the second and third decades. Lack of incisal contact, retrusive chin, facial asymmetry, and mouth opening limitation were the chief complaints of the patients who had positive relation to DJD. Conclusion: Patients with an orthodontic treatment history, CO-CR discrepancy and crepitation were at possible risk of having DJD.

A comparative acoustic study before and after orthognathic surgery for correction of patients with Class III malocclusion (하악교정 수술환자의 술전후 음향음성학적 연구)

  • Kwon Kyung Hwan;Lee Sook-hyang;Ko Hyunju;Kim Soo Nam;Lee Dong Keun
    • Proceedings of the Acoustical Society of Korea Conference
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    • autumn
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    • pp.341-346
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    • 1999
  • 본 연구는 악교정 환자 중 9명의 골격성 3급 부정교합 환자를 대상으로 음향학적 분석을 통하여 술전, 술후에 나타나는 발음상의 차이를 살펴보았다. 술전, 술후간 모음 조음상의 차이는 술후 혀의 후방, 하방 이동과 동시에 목젖의 후상방 이동으로 인한 구강 내 조음 공간의 극대화로 요약할 수 있다. Long-term average 스펙트라 분석 결과, /ㅅ/의 조음상의 차이는 술전에서는 마찰소음 에너지가 전 주파수대에 걸쳐 고른 분포를 보이나 술후에는 정상인과 같이 고주파수대에 집중되는 경향을 보였다. 동시에 마찰소음의 peak frequency는 술후에서가 술전에 비해 높게 나타났다.

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ROENTGENOCEPHALOMETRIC STUDY ON FACIAL HEIGHT AND OCCLUSAL PLANE INCLINATION IN CLASS I MALOCCLUSION GROUP (I급 부정교합자의 안면수직고경 및 교합평면경사도에 관한 치료전후 두부X-선 계측학적 연구)

  • Kang, Sang-Hoon;Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.25 no.1 s.48
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    • pp.111-128
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    • 1995
  • This study was investigated to assess the difference of facial height and occlusal plane inclination between pre- and post-treatment in Class I malocclusion group The subjects consisted of 35 extraction patients and 30 nonextraction patient,;, and was subdivided into Group I(overbite<0mm), Group II(04mm) in reference to overbite, and adolescent group and adult group in reference to age. Lateral cephalogram was taken with standard method, traced, and digitized for each subject. The computerized statistical analysis was carried out with SAS program The results wolf as follows. 1. In both groups of extraction and nonextraction group the anterior facial height increased after orthodontic treatment but there was no significant difference(p>0.05) between each goup. 2. There was no statstical significance in change of occlusal plane inclination in adolescent group, but significant difference(p<0.05) among three subgroup in adult group. 3. In adolescent-extraction and adolescent-nonextraction group there was significant increase of anterior facial height and posterior facial height, and was superior to adult groups in posterior facial height increment. 4 In all groups upper and lower molars were uprighted to occlusal plane. This had statistically significant effect.

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Surgical Management of Petus Excavatum with Using Pectus Bar (Pectus Bar를 이용한 누두흉에서 수술적 치료)

  • 황정주;신화균;김도형;이두연
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.167-172
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    • 2001
  • 배경: 누두흉은 앞가슴 기형 중 가장 흔하며 Meyer 등이 1911년 수술적 교정을 시행한 이래로 많은 술식들이 개발되어 왔다. 이들의 대부분은 전흉벽에 상처를 내고 늑연골을 자르는 과정이 필요하였다. 그러나 Nuss 등에 의해서 상기 과정없이 작은 옆가슴의 상처와 stainless steel bar로 흉골의 기형을 교정하는 국소침습적 방법이 개발되었다. 대상 및 방법: 1999년 11월부터 2000년 7월까지 누두흉의 교정을 원하는 환자 14예를 대상으로 하였다. 수술은 15세미만에서는 pectus bar를 1개를 사용하였고 그 이상에서는 2개를 사용하여 교정하였다. 결과: 남자는 11예, 여자는 3예 였으며 나이는 2세에서 52세 사이였다. 누두흉 지표는 5.3$\pm$1.84였고 비대칭지표는 1.06$\pm$0.03이였다. 수술 후 2일째 모두 일반병실로 올라갔다. 평균 재원기간은 4.2일이였다. 술후 합병증으로 성인에서 기흉 1예, 혈흉 1예, 그리고 나중에 발생한 흉막액 1예가 있었다. 결론: 누두흉에서 Nuss 술식으로 좋은 결과를 얻었다. 성인에서도 bar 2개를 이용하여 교정이 가능하였으나 소아에 비하여 합병증이 많이 발생하였는데 이는 성인에서 근육이 발달되어 있고, 뼈의 골화가 다 진행되었기 때문이다.

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Midfacial distraction osteogenesis of Crouzon syndrome with RED(Rigid External Distraction) system (RED(Rigid External Distraction) system을 이용한 Crouzon syndrome환자의 distraction osteogenesis)

  • Lee, Yang-Ku;Choi, Jeong-Ho;Kim, Seok-Hwa;Baek, Seung-Hak;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.32 no.3 s.92
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    • pp.175-183
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    • 2002
  • Crouzon syndrome Is one of the craniofacial syndromes characterized by craniosynostosis, midfacial hypolpasia and ocular proptosis. Distraction osteogenesis is becoming Important technique to treat craniofacial dyplaisa. It has nuy advantages compared with standard orthognathic surgery. Maxillary distraction osteogenesis after Le Fort III osteotomy with the RED system presents successful maxillary protraction to Crouzon syndrome patient with severe maxillary deficiency. It also allows remarkable improvement of facial esthetics and respiratory functions.

Research on plaque removal by sonic toothbrush for patients with a fixed orthodontic appliance (고정식 교정장치 부착환자에서 음파칫솔의 치면세균막 제거 효과에 관한 연구)

  • Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.34 no.2 s.103
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    • pp.189-195
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    • 2004
  • The purpose of this research is to evaluate and compare the plaque removal ability of sonic brushing and manual brushing in order to present a method for continuous and effective oral hygiene control during orthodontic treatment. Nonextracted adolescent patients (male: 23 persons, female: 37 persons) and adult patients (male: 15 persons, female: 45 persons) outfitted with a fixed orthodontic appliance from their incisors to second molar, in both the maxilla and mandible, were divided into manual brushing and sonic brushing groups. A Philips oral healthcare HX-4401 sonic toothbrush was used, and the application of brushing for the two groups was standardized at two minutes. After brushing, the plaque score was measured with a modified Wilkin's PHP. The following results were achieved after comparing each group's plaque score. 1. In patients with a fixed orthodontic appliance when age was not accounted for, the application of sonic brushing exerted a beneficially decreased effect on the plaque score. (adolescents : p<0.01, adults: p<0.05) 2. When comparing the adolescent and adult groups in regard to plaque score, the adolescent group showed a more decreased effect. 3. When using the same toothbrush type, there was no difference between the adolescent and adult groups.