• The korean journal of orthodontics
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• v.34 no.2 s.103
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• pp.121-129
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• 2004

The purpose of this study was to photoelastically visualize 4he distribution of fortes transmitted to the alveolus and surrounding structures using three different types of headgear for the distal movement of the upper molars. A photoelastic maxillary model was made and three different directional forces applied, which were high-pull, straight-pull, and cervical-pull. Stress distribution was recorded through circular polariscope, and two-dimensional photoelastic stress analysis was performed according to isochromatic fringe characteristics. The results were as follows: 1. In the case of high-pull headgear bodily movement occurred in the medium- length outer bow, stress distribution in the apical region was 1st molar, 2nd premolar, lst premolar in sequence and there was no apparent difference. 2. In the case of straight-pull headgear, bodily movement occurred in the long outer bow and stress distribution in the apical region was heavy in the 1st molar, 2nd premolar, 1st premolar in sequence. But. there were no apparent differences according to the length of the outer bow. 3. In the case of cervical- pull headgear, bodily movement also occulted in 4he long outer bow, and apical stress of the premolar region was heaviest among other cases and apical stress of the 2nd premolar was heaviest in the short outer bow. In clinical situations, to achieve bodily movement of the upper 1st molars without modifying outer bow height, applying an outer bow length as long as the inner bow length in high-pull headgear and applying an outer bow length longer than the inner bow length in straight-pull, cervical-pull headgear are recommended.

• The korean journal of orthodontics
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• v.34 no.2 s.103
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• pp.197-203
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• 2004

Tweed-Merrifield directional force technology is a very useful concept, especially for the treatment of Glass II malocclusion. It has contributed to treating a favorable counter-clockwise skeletal change and balanced face, while head gear force using high pull J-hook (HPJH) in an appropriate direction is also essential to influence such results. Clinicians have encountered some problems concerning patients' compliance; however skeletal anchorage has been used widely of late because it does not necessitate patients' compliance, yet produces absolute anchorage. In this case, a good facial balance was obtained by Tweed-Merrifield directional force technology using HPJH together with skeletal anchorage, which provided anchorage control in the maxillary posterior area, torque control in the maxillary anterior area, and mandibular response. This indicates 4hat skeletal anchorage can be used to reinforce sagittal and vortical anchorage in the maxillary posterior area during the retraction of anterior teeth. The author used HPJH for torque control, Intrusion, and the bodily movement of maxillary anterior teeth during on masse movement. However, it is thought that such a result nay also be achieved by substituting mini- or microscrews for HPJH. Consequently, Tweed-Merrifield directional force technology using skeletal anchorage for the treatment of Class II malocclusion not only maximiaes the result of treatment but can also minimize patients' compliance.

• The korean journal of orthodontics
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• v.32 no.1 s.90
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• pp.59-69
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• 2002

The purpose of this study was to evaluate the reproducibility of lateral cephalometric landmarks according to radiographic image enhancement, and to contribute to the identification of cephalometric landmarks. Lateral cephalograms of ten individuals were taken and stored into computer. The images were then enhanced up to four grades by Quick Ceph Image Pro$^{TM}$ on condition that the gray-scale equalization number was 50 and the detail enhancement number was 50. After thirty two landmarks were identified on monitor images by five observers, the deviations from the mean, the distances estimated between identified points and the mean point of five identified points, were evaluated for each landmark at each enhancement grade. Through the statistical analysis, following results were obtained. 1. In case of unenhanced radiographic images, the inter-observer reproducibility of the landmarks showed a large variation. 2. The comparison of deviation from the mean according to the degree of radiographic image enhancement for each landmark showed that the inter-observer reproducibility was significantly different at 5 landmarks. 3. The landmark of pterygomaxillary fissure showed higher reproducibility at enhancement grade 1 and 2 images than at unenhanced images. So did the landmark of posterior nasal spine at enhancement grade 1 images, and the landmark of menton at enhancement grade 2, 3 and 4 images respectively. The above results suggest that the reproducibility of some landmarks can be increased by radiographic image enhancement during the identification of the lateral cephalometric landmarks on the monitor.

• The korean journal of orthodontics
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• v.32 no.1 s.90
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• pp.1-7
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• 2002

The purposes of this study were to observe the compensation pattern of human female adults with openbite tendency and to provide the decision criteria of the diagnosis and treatment planning for those patients. Fifty patients with anterior openbite and fifty-five Patients without anterior openbite patients were selected as a control and a test group. ODI of the all patients was below 66. Mean ages of the control and the test group were 23.88 ${\pm}$ 4.53 and 24.7 ${\pm}$ 6.20 years, respectively. Lateral cephalograms were taken and forty-one variables were measured. To identify the morphological differences between the groups, statistical analyses were performed. Statistically significant differences were found in the measured variables of lower face height, N-Me, ANS-Me, ANS-Me/N-Me ratio, Mx1-SN, Mx1-FH, Mx1-NA(mm), Mx1-APo, PP to Mx6, Mn1-NB(degree), Mn1-NB(mm). The test group showed decreased lower face height, N-Me, ANS-Me, ANS-Me/N-Me ratio, more uprighted and retruded maxillo-mandibular incisors. Overeruption of the maxillary first molar was found in the control group.

• The korean journal of orthodontics
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• v.32 no.1 s.90
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• pp.51-57
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• 2002

The purpose of this study was to compare in vitro shear bonding strength with three different enamel surface preparations (1) 30% sulfated polyacrylic acid with 0.3M lithium sulfate (2) 40% sulfated polyacrylic acid with 0.3M lithium sulfate (3) 37% phosphoric acid. 105 extracted human premolar teeth were divided into each three groups of 35. Metal brackets were bonded to teeth in the three groups. The same self curing resin was used for all groups. A shearing force was applied to the teeth. After debonding, bases of bracket and enamel surfaces were examined under steroscopic microscope to determine the failure modes. Statistical analysis of the data was carried out with one way ANOVA and Student t- test. The results were as follows. 1. Shear bond strength values for the 30% polyacrylic acid and 40% polyacrylic acid group were approximately two thirds of the phosphoric acid group. It maintains clinically acceptable but not enough bond strength. 2. There was no statistically significant difference in shear bond strengths between 30% and 40% polyacrylic acid group. 3. The failure modes of brackets had some differences. In polyacrylic acid groups, the percentage of adhesive/enamel failure was higher than that of adhesive/ bracket interface failure. On the contrary in phosphoric acid groups, the results were reversed. Further study of bond strength could be required. If polyacrylic acid enamel conditioning is used clinically.

• The korean journal of orthodontics
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• v.24 no.2
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• pp.331-348
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• 1994

The purpose of this study was to investigate changes in the shape and ultrastructure of the articular disc of the rat mandibular joint with aging. Mechanical stress applied to the articular disc changes during neonatal, suckling, juvenile, adult and senile stages. Mandibular joints of 6 groups of rats(1-, 7-, 17-, 27-, 55-day and over-1-year groups) were removed en bloc and processed for light and electro microscopic study. The changes in the shape of articular disc were examined by light microscope in each group. Structural and ultrastructural changes in the articular disc were examined by light and electron microscope in each group. The results were as follows : In the 1-day and 7-day groups, the articular disc was long and slender in shape and the articular disc was not fitted with the shape of the mandibular fossa and condyle. However' after that time, the anterior and posterior portions of the articular disc were more bulged and the middle portion was shorter and biconcave. Thus the articular disc was well fitted with the shape of the mandibular fossa and condyle. The cell density decreased with aging. In the l -day and 7-day groups, the Golgi apparatus, rough endoplasmic reticulum and free ribosome, which are involved in the synthesis of intracellular and extracellular matrix, were developed. In the 17-day, 27-day and 55-day groups, not only the cell organelles involved in the synthesis of the intracellular and extracellular matrix but also the cell organelles involved in the remodeling of the extracellular matrix(i.e., finger-like cell process, lysosome and mitochondria)were well developed. With advancing age, intracytoplasmic microfilaments were more accumulated and condroid cells increased. In the over-1-year group, the majority of cells of the articular disc were chondroid cells. The majority of cytoplasmic compartment were filled with intracytoplasmic microfilaments and cell organelles were not developed. Therefore, metabolic activities of the cell was markedly reduced and cells contained structures enduring mechanical stress, and cells which were in the process of degeneration were observed occasionally.

• The korean journal of orthodontics
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• v.24 no.2
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• pp.275-294
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• 1994

The occlusal interference during adolescent period makes some effects on growth and development and morphological changes. And so, if we could predict the the timing and results of orthodontic treatment who have occlusal interference during adolescent period, it may be helpful for diagnosis and treatment planning of orthodontic treatment. For about those, the purpose of this study was to evaluate the effects of the posterolateral displacement by the metal casting crown with inclined pathway on the mandibular condyle and morphologic changes of mandible in the rat. The experimental animals were thirty six Sprague-Dawley male rats of 8 weeks old. Eight of them was used as control group, and experimental group 1 ( continuous appliance wearing group ) was composed of sixteen and experimental group 2 ( appliance removal group after worn the appliances during 3 months ) was composed of remaining twelve. The animals of experimental grouop 1 were sacrificed after 1, 2, 3, 6 months from beginning of the experiment and experimental group 2 were sacrificed 1, 2, 3 months after removal of the appliance from worn the appliance during 3 months. Both of mandible and temporomandibular joint were observed histologically and radiologically. The results were as follows : 1. In experimental group 1, the mandibular length and lower posterior height were decreased with experimental period, while the lower anterior height was increased, and the curvature of lower incisors and lingual inclination of anterior alveolar bone were profound as compared with control group. 2. In experimental group 1, both of the thickness of the condylar cartilage were thinned in the posterosuperior region, and this phenomenon was more prominent on right than left in 3-Mo experimental period and both sides were marked thinned in 6-Mo experimental period. 3. In experimental group 2, the lower anterior height was low and lower posterior height was high as compared with experimental group 1, and the curvature of lower incisors and lingual inclination of anterior alveolar bone were recovered to control group. 4. In experimental group 2, both of the thickness of the condylar cartilage were thickened in the posterosuperior region, and this phenomenon was more prominent with experimental period. 5. In experimental group 2, the mandibular length was short, lower anterior height was hight, the curvature of lower incisors were profound, and in histologically, both of the thickness of the condylar cartilage were thickened in the posterosuperior region as compared with control group. As shown above, the occlusal interfemce affected the condylar cartilage, curvature of lower incisor, inclination of anterior alveolar bone, mandibular length, and anterior and posterior height. When the interference was removed, significant recover was found in condylar cartilage, mandibular length, and posterior height. Although no significance was found, other items of measurement showed trends for recovery.

• The korean journal of orthodontics
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• v.24 no.2
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• pp.233-246
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• 1994

The purpose of the present study was to investigate the difference of muscular activities of the tongue and lip muscles between anterior open-bite and normal occlusion during various function. Thirty eight subjects of 12.1-39.6 years were employed in this study : Eighteen subjects were anterior open-bites and tweenty subjects were normal occlusions. During rest position, maximum effort of lip sealing, command swallow of saliva and sucking & swallowing of juice, the electromyographic datas of the genioglossus, superior longitudinal muscle of tongue, upper and lower orbicularis oris were recorded and integrated with Medelec MS 25 electromyographic machine. Lateral cephalometric radiographs were taken on all subjects for the analysis of tongue posture and size. All data were recored and statistically processed. The findings of this study can be summerized as follows : 1. During the rest position, muscular activity of tongue was higher than that of lip muscle in open-bite, but no difference in normal occlusion group. 2. During the swallowing of juice, the activity of orbicularis oris was higher than that of genioglossus in open-bite. But the normal occusion was showed higher activity of tongue during the swallowing of juice. 3. The open-bite, compared to the normal occlusion, had higher value of tongue muscle activity during the rest position. 4. Compared to normal occlusion group, the open-bite had higher value of lip muscle activity during the sucking and swallowing of juice. 5. During the command swallow of saliva, the normal occlusion was showed harmonious swallowing pattern, but the open-bite showed much variation and disharmony in muscular contraction sequence, tended to absent of lip muscle activity. 6. At the lateral cephalometric radiographs, compared to the normal occlusion, the open-bite was showed lower tongue posture. But no difference was found in intermaxillary space. It is suggested that the open-bite, compared to the normal occlusion, had higher muscular activity of tongue during the rest position and various functions, showed lower tongue posture on the lateral cephalogram. In the development of anterior open-bite malocclusion, these factors may be an etiologic factor.

• The korean journal of orthodontics
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• v.38 no.1
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• pp.13-30
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• 2008

Objective: The objective of this study was to evaluate the displacement pattern and the stress distribution of the finite element model 3-D visualization during symphyseal widening according to the osteotomy position, osteotomy type, and distraction device. Methods: The kinds of distraction devices used were tooth-borne type, hybrid type, bone-borne type and tooth-borne type $30^{\circ}$ angulated, and the kinds of osteotomy design were vertical osteotomy line between the central incisors and step osteotomy line through the symphysis. Results: All reference points of the mandible including the condyles were displaced laterally irrespective of the osteotomy position, osteotomy method and distraction device. The anteroposterior or vertical displacements showed small differences between the groups. The widening pattern of the osteotomy line in the tooth-borne type of device was v shaped, and that of bone-borne type was a reverse v shape. However, the pattern in the hybrid type was parallel. The lateral displacement of the mandibular angle by the bone-borne device was more remarkable than the other types of devices. The displacement by the $30^{\circ}$ angulated tooth-borne type was different between the left and right sides in both the transverse and anteroposterior aspects. Conclusion: The design of the distraction devices and osteotomy line can influence the displacement pattern and the stress distribution during mandibular symphyseal distraction osteogenesis procedures.

• The korean journal of orthodontics
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• v.38 no.1
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• pp.31-40
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• 2008

Objective: This study investigated the skeletal and dentoalveolar changes after intrusion of maxillary posterior teeth using miniscrew implants during the treatment and posttreatment period. Method: The subjects consisted of 11 adults (1 male, 10 females) whose open bites were treated by posterior teeth intrusion with miniscrew. The lateral cephalometric x-rays of pre-treatment, post-treatment, and the retention period were evaluated. Results: The average intrusion of maxillary posterior teeth at the end of the treatment period was 2.22 mm (p < 0.001) and the average extrusion of maxillary posterior teeth at the end of the 17.4 month retention period was 0.23 mm (p = 0.359). The relapse rate was calculated at 10.36%. A decrease in overbite after the 17.4 month retention period was 0.99 mm (p < 0.05). The relapse rate was calculated at 18.10%. The skeletal changes and vertical height change of maxillary posterior teeth during the retention period was statistically insignificant, but there was a significant decrease in overbite (mean 0.99 mm, p < 0.05). The amount of intrusion and the overbite improvement from treatment significantly correlates to the degree of relapse. Conclusions: The results indicate that intrusion of the maxillary posterior teeth using miniscrews is an effective, non-surgical treatment modality which can reasonably be used to address adult open bite.