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Alopecia : An unexpected effect of orthodontic treatment (교정치료시 병발된 탈모증)

  • Davidovitch, Ze'ev;Lee, Young-Jun;Chung, Kyu-Rhim;Park, Young-Guk;Matkovic, Velimir
    • The korean journal of orthodontics
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    • v.29 no.6 s.77
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    • pp.663-672
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    • 1999
  • A case is described, where an adolescent boy developed alopecia areata and alopecia totalis during the course of routine orthodontic treatment for the resolution of a dentoalveolar Class II division 1 malocclusion. The orthodontic treatment lasted 22 months, with a successful outcome. However, within eight months of the onset of treatment the patient lost all his hair Exhaustive medical tests and differential diagnosis determined that the etiolgy of the patient's alopecia was psychological stress evoked by the orthodontic treatment. Numerous reports suggest that psychological stress can cause alopecia by affecting the immune system. Therefore, it appears reasonable to assume that in the case of this patient, alopecia had resulted from stress effects on the immune system, leading to autoimmune disease-like conditions in tissues surrounding the scalp hair follicles. The alopecia condition was successfully reversed by daily oral and topical applications of vitamin D. It is concluded that the immune system plays a pivotal role in tissue remodeling around the teeth and elsewhere in the body, and that any conditions capable of affecting this system may cause unfavorable outcomes, such as alopecia.

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Presbyopic Spectacle and Monovision for Reading Performance Before Adaptation (노안안경과 모노비젼 콘택트렌즈 착용 후 적응 전 읽기 능력 평가)

  • Chu, Byoung Sun;Hwang, Jeong Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.263-268
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    • 2010
  • Purpose: Eye movements and fixation ability are an important procedure to obtain external information and essential means of clear vision. The purpose of this study was to determine the reading performance such as reading time and number of fixations when random text was viewed at varying distances. Methods: Twenty two presbyopes were participated. All subjects were screened for their suitability to participate in the study by clinical examination, and none of the participants had previously worn contact lenses and no previous experience of wearing any types of presbyopic vision correction except single vision. The reading time and number of fixations were recorded using eye tracker while each subjects was waring four vision corrections which included single vision for distance (SV), bifocal spectacle lenses (BIF), progressive addition lenses (PAL), and monovision (MV). The reading material was presented at distance and near distance. Results: Reading time and number of fixations for near stimulus were significantly different among vision correction used in this study (p<0.001). In particular, wearing SV required longer reading time and produced longer fixation duration for near text. However, reading distance text was similarity performed across vision corrections tested and there was no statistical difference found for either reading time and number of fixations. Conclusions: Wearing presbyopic vision correction is advantageous for reading task of near stimuli, but not having near correction such as wearing SV could result in longer reading time and higher number of fixation due to lacks of accommodative ability for near task. For the future studies, it would be interesting to examine the performance of reading both at adapted and unadapted stages as examining only unadapted wearers was limitation of this study.

Changes of root length and crestal bone height before and after the orthodontic treatment in nail biting patients (손톱 깨물기 습관을 가진 아동의 교정 치료 시 전치부 치근 길이와 치조골 높이의 변화)

  • Hwang, Chung-Ju;Yang, Jae-Hong
    • The korean journal of orthodontics
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    • v.34 no.1 s.102
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    • pp.47-61
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    • 2004
  • Although the purpose of orthodontic treatment is to increase the function and esthetics of the jaws along with increasing stability, there are many side effects during the treatment itself, such as root resorption and alveolar bone resorption. Such resorption of the apical root Is unpredictable, and may even proceed into the dentin layer. Once the process has begun, it is irreversible. By evaluating the effect of many oral habits, especially that of nail biting, in correlation with the root and the periodontal tissues, the appropriate biomechanics for orthodontic treatment can be taken into consideration, along with the possibility of root resorption and alveolar bone loss during orthodontic treatment, and any legal problems that might occur. Among the male and female patients of the ages $10\~15$ without skeletal deformity, 63 were chosen as the experiment group with known nail biting habits at time of examination, and within the same age group without nail biting habits as the control. After the orthodontic treatment, number of the experiment group was 31 and the control group was 22. The periapical radiographies of anterior teeth were taken and the assesment of the root length and alveolar bone level were taken before(T1) and after(T2) the orthodontic treatment. The results from this study were as follows : 1. Before the orthodontic treatment, average crown-to-root ratio of the experimental group showed noticeably high values in 4 maxillary incisors and mandibular right central incisor. 2. Before the orthodontic treatment, comparing the root length, maxillary and mandibular right central incisors and both mandibular incisors had a smaller value in the experimental group. 3. Before the orthodontic treatment, comparing and evaluating the alveolar bone loss measured from the cemento-enamel junction to the alveolar bone crest, some crestal bone of the experiment group showed greater loss than the control. 4. After the orthodontic treatment, there was shortening of the root length and loss of the crestal bone in both groups. 5. After the orthodontic treatment, the changes of C/R ratio and the shortening of root length were significantly high in the experimental group. 6. After the orthodontic treatment, the level of alveolar crestal bone showed greater loss in the experimental group.

THE EFFECTS OF EXTRACTIONS IN FACIAL VERTICAL CHANGES (발치가 안모의 수직변화에 미치는 영향)

  • Ma, Joon;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.27 no.6 s.65
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    • pp.905-916
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    • 1997
  • The purpose of this investigation were to evaluate facial vortical changes occurring in patients treated orthodontically with first premolar, second remolar and second molar extractions : to compare these changes with those occurring in patients treated orthodontically without extractions : and finally, to evaluate the effects of extractions in facial vortical changes. Cephalometric records of 50 male & female nonextraction patients and 88 male & female extraction patients were obtained from the department of orthodontics at Chosun University, College of Dentistry. The second molar fully erupted pPatients to have little variation according to growth were chosen as the sample for this investigation. For comparisons, the samples of 88 male & female extraction patients were subdivided into 42 first premolar extraction, 24 second premolar extraction, and 22 second molar extraction patients. Fourteen cephalometric measurements were selected to examine whether orthodontic extraction treatment led to vertical changes or not. The pretreatment and posttreatment lateral cephalographs were taken on the same radiographic unit. $SPSS/PC^+$ statistical program was used to compare and to analyze the changes between 'before & after' orthodontic treatment. The results of this study were as follows. 1. There were no statistical significances in any cephalometric measurements between 'before & after' orthodontic treatment regardless of orthodontic extractions for each group. 2. On average, the upper 6 to palatal Plane and the lower 6 to mandibular plane after orthodontic treatment were increased in all group. This means most of orthodontic mechanics are extrusive in nature. Especially, in orthodontic extraction. cases, it may be caused by orthodontic mechanics for space closure and alignments. 3. On average, in the second molar extraction group, the facial vertical dimension was increased after orthodontic treatment. It nay be induced as a result of moving the molars distally to gain enough space to correct the molar relationship and to simultaneously improve the deep bite. 4. There was no statistical significance between orthodontic extractions and facial vertical changes. This means that orthodontic extractions have no influence on facial vortical changes. 5. The cephalometric measurements with statistical significance in ficial vertical changes for each group were PP-MP, Op-MP, $\underline{1}$ to PP and $\overline{1}$ to MP.

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