• Title/Summary/Keyword: 수직적 골격 성장

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THE DIFFERENCE OF THE SKELETAL MATURATION OF CERVICAL VERTEBRAE BETWEEN VERTICAL AND HORIZONTAL SKELETAL PATTERNS IN THE ADOLESCENTS (청소년기에서 수직적, 수평적 골격형태에 따른 경추골 성숙도 차이)

  • Ko, Tak-Gyun;Kang, Kyung-Hwa;Ra, Ji-Young;Chun, Sang-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.46-52
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    • 2009
  • The purpose of this study was to compare the skeletal maturation of cervical vertebrae according to vertical skeletal patterns in the adolescents. Lateral cephalograms of 198 subjects(10 years old), 216 subjects(12 years old), and 138 subjects(14 years old) were reviewed, and subjects were classified according to vertical skeletal patterns. The 30 subjects were selected with the greatest predominance of vertical growth, and the other 30 subjects, with the greatest predominance of horizontal growth; these subjects comprised the vertical and horizontal groups, respectively. For evaluating of skeletal maturation, the concavity of inferior border and verticohorizontal ratio of cervical vertebrae were observed and measured according to age. The measurements were analyzed statistically by SPSS computerized program. The results were as follows : In general, the concavity of the inferior border of the cervical vertebrae was greater in the horizontal group than the vertical group in all of the 10, 12, 14 year olds, but was not statistically significant. The vertico-horizontal ratio of the 3rd and 4th vertebra of the horizontal groups was a significantly larger than the vertical groups in 12 year olds but did not show any statistical significance in 10 and 14 year olds. There were a weak negative correlations between SUM, FMA and the vertico-horizontal ratio for each groups at 12 ages.

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Evaluation of Skeletal and Dental Maturity in Relation to Vertical Facial Types and the Sex of Growing Children (성장기 아동의 수직적 안모 형태와 성별에 따른 골격적 성숙도와 치아 성숙도 평가)

  • Jo, Seon-Gyeong;Kim, Byounghwa;Lee, Jewoo;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.4
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    • pp.414-424
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    • 2021
  • The purpose of this retrospective study was to evaluate the skeletal and dental maturity according to the vertical facial type and sex in Korean children in the developmental stage. In total, 184 participants aged 8 - 14 years were selected and divided into three groups based on the mandibular plane angle. For the comparison between the sexes, the three groups were each divided into male and female subgroups. The skeletal and dental maturity were assessed using lateral cephalograms, hand-wrist radiographs and panoramic radiographs. The vertical growth group showed significantly greater cervical vertebral and hand-wrist maturity than that in the horizontal growth group. Dental maturity was the highest in the vertical growth group. Girls showed greater skeletal maturity than boys, and no distinct difference was observed between the dental maturity of the sexes. Analysis of the vertical facial type in children can provide ancillary indicators that may help determine the optimal timing for orthodontic treatment initiation. Earlier initiation of orthodontic treatment may be considered for patients with vertical facial growth patterns.

구순 구개열 성장기 환자에서 임플란트 치료

  • 정필훈;강나라;홍종락;서병무;명훈;황순정;최진영;이종호;김명진
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.2
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    • pp.117-122
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    • 2002
  • 성장기 환자에서의 각 부위별 임플란트 식려 시기를 요약해보면 다음과 같다. 1) 상악전방부 : 외상이나 선천적 결손을 해결하는 방법으로 임플란트를 사용하는 술식이 권장하지만 성장이 완료되지 않았기 때문에 야기되는 문제를 해결하기 위해 성장이 완료될 때까지 연기하는 것이 좋다. 2)상악 후방부: 수직적인 성장량이 최고 1cm까지 일어날 수 있으면 상악동의 흡수로 조기에 임플란트 침강과 치근부의 노출을 야기할 수 있다. 그리고 동시에 보철에 의한 구개열의 횡적인 성장방해를 피해야한다. 3) 하악 전방부 : 무치증 아이에서 임플란트의 조기식립이 적응증이 되는 유일한 곳으로 치아가 없을 때는 치조골의 성장이 최소이며 초기에 횡적, 후방 성장이 대부분 완료된다. 그러나 단일 임플란트 식립은 권장되지 않는다. 4)하악후방부: 늦게까지 성장변화가 지속되기 때문에 전후방, 횡적, 수직적 성장의 많은 양이 일어난다. 하악의 회전성장의 영향을 많이 받아 하악 무치악에서 조기 임플란트 사용한 보고도 적고. 자연치아에 인접하여 임플란트를 식립한 기록은 있으나 골격성장이 완료될 때 까지는 식립하지 않는 것이 좋다.

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A study on the relationship of the mandibular symphysis and anterior alveolar and skeletal morphology according to the rotational growth pattern of mandible in skeletal Class III malocclusion (하악골 회전성장 양상에 따른 골격성 III급 부정교합자의 이부 및 상하악 절치부의 형태적 특성에 관한 연구)

  • Kim, Seok-Jun;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.303-315
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    • 1999
  • The aim of this study was to evaluate the morphology of the mandibular symphysis and anterior alveolar and skeletal relationship under the influence of the rotational growth pattern of mandible in skeletal Class III malocclusion. A total of U untreated adult subjects were divided into two groups-forward rotational growth pattern group, backward rotational growth pattern group-according to the suggestion of Skieller et al.. The antero-posterior position, vertical relationship, mandibular symphysis and anterior alveolar and skeletal relationship were assessed on lateral cephalometric radiographs. Mandibular symphysis and anterior alveolar and skeletal relationship in each subject were studied and the following conclusions were drawn : 1. Concerning the antero-posterior position, forward rotational growth pattern group showed significantly larger SNA, SNB. Conceming the vertical relationship, all measurements showed statistically significant differences. 2. Forward rotatioal growth pattern group showed significantly larger IMPA, MnAD, backward rotational growth pattern group showed significantly larger MxABH. 3. There was no statistically significant difference in symphysis ratio to mandibular plane between forward and backward rotational growth pattern group. 4. In the correlative analysis of rotational growth pattern of mandible and mandibular symphysis, anterior alveolar and skeletal relationship, statistically significant correlations in overbite, IMPA, MnAD, symphysis width were showed.

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Treatment effects of the Teuscher appliance in skeletal Class II division 1 malocclusion (골격성 II급 1류 부정교합에서 Teuscher 장치의 치료효과)

  • Mo, Sung-Seo;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.33 no.4 s.99
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    • pp.247-257
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    • 2003
  • Various methods have been used on patients with skeletal Class II division 1 malocclusion. The activator, Frankel appliance, headgear, Herbst appliance, and Twin-block appliance are some examples. The ideal treatment effect using these appliances would be to inhibit horizontal and vertical growth of the maxilla while promoting mandibular growth and obtaining optimum dentition. The Teuscher appliance has a simultaneous combined headgear effect with maxillary growth inhibition and an activator effect with mandibular growth promotion. The purpose of this study was to examine how well these effects were clinically obtained and the results are as follows. 1. The forward growth of the maxilla was effectively inhibited. 2. The downward-forward growth of the maxillary dentoalveolar complex was inhibited. 3. Growth promotion of the mandible was not observed. 4. The overjet, overbite, molar key were effectively improved. 5. The protruded upper lip and facial profile were unproved.

Effects of Facemask Therapy for Class III Malocclusions in Patients with Different Vertical Skeletal Patterns (3급 부정교합 환자의 수직적 골격 양상에 따른 facemask 치료 효과 비교)

  • Lee, Eunha;Park, Kitae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.2
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    • pp.126-135
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    • 2015
  • The purpose of this study was to evaluate the skeletal and dentoalveolar effects of facemask therapy and to compare the anchorage of a bonded expander in patients with Class III malocclusion and different vertical skeletal patterns. Twenty subjects with Class III malocclusion were included in this study and were treated with a facemask and bonded expander. Based on the FMA, subjects were divided into two groups of 10 patients each: a high vertical group (HV; mean FMA $33.56^{\circ}$) and an average vertical group (AV; mean FMA $24.88^{\circ}$). Lateral cephalograms were taken and evaluated before and after treatment. In both groups, forward movement of the maxilla and backward rotation of the mandible were observed after treatment, with no statistical differences between the groups. Vertical skeletal variables increased in both groups, but the increase of FMA was significantly larger in the HV group than the AV group. Mesial movement of maxillary molars and proclination of maxillary incisors which indicate anchorage loss of bonded expander were observed in both groups, with no significant differences between the groups. In conclusion, facemask therapy resulted in effective maxillary protraction in both HV and AV groups. However, the open bite tendency was increased more in the HV group.

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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ACTIVATOR-HEADGEAR COMBINATION THERAPY IN CASE WITH CLASS II MALOCCLUSION CHILDREN (성장기 아동에서 Activator-Headgear를 이용한 II급 부정교합의 치험례)

  • Cho, Young-Jun;Lee, Chang-Seop;Song, Gwang-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.496-503
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    • 2001
  • Maxilla overgrowth who diagnosis with skeletal Class II division 1 have transverse and also sagittal problem. If maxillary growth vector is direction to anterior inferior, mandible is rotation to clockwise pattern and it disturbance it's anterior growth. At this time, treatment goal is restrict of maxillary growth to accomplish ideal intermaxillary relation and one of treatment choice is the application of extraoral force. This report is 3 case treated by activator and headgear combination therapy, who diagnosed with skeletal Class II div. 1 malocclusion.

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Lateral Cephalometic Assessment in Patients with Condylar Resorption (과두흡수가 있는 환자의 측방 두부방사선 계측)

  • Hur, Yun-Kyung;Park, Hyo-Sang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.31 no.4
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    • pp.337-346
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    • 2006
  • Aims: The present study investigated the relationship between condylar resorption and craniofacial skeleton types(especially vertical relationships), the differences of craniofacial skeleton types between with open bite group and without open bite group, and the associations of anterior disc dislocation with or without reduction to condylar resorption with MRI. Patients selection and methods: Clinical examination, magnetic resonance imaging (MRI), panorama, lateral transcranial and lateral cephalometric radiographs in 34 patients with condylar resorption were used to investigate this relationship. Results and Conclusions: Patients with the following specific facial morphologic characteristics appear to be most susceptible to condylar resorption: (1) females were predominant, (2) patients' age ranged from 12 to 50 years old with a strong predominance for 2nd and 3rd decades, (3) patients had high mandibular plane angle and high gonial angle, (4) patients had decreased vertical height of the ramus, (5) patients had generally significant antegonial notch, (6) patients had predominance of Class I occlusal relationship with or without open bite but mandible was retruded as mean ANB 5.54 degrees, (7) condylar resorption rarely occurs in lower mandibular plane angle facial types, (8) although no statistically significant difference was found, the open bite group had a tendency more hyperdivergent skeletal pattern than the non open bite group, and (9) imaging demonstrates from small resorbing condyles to idiopathic condylar resorption and TMJ articular disc dislocations. Thus, morphologic features of patients with vertical discrepancies may represent a risk factor for the development of condylar resorption.