• Title/Summary/Keyword: 치아 이동

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Malocclusion with Congenital Missing of Lower Incisors (하악 전치의 선천적 결손을 동반한 부정 교합의 치험례)

  • Kim, Kyung-Ho;Choy, Kwang-Chul;Chung, Kil-Yong;Yun, Hee-Sun
    • The korean journal of orthodontics
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    • v.28 no.6 s.71
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    • pp.981-989
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    • 1998
  • Positions, angulation and mesiodistal dimension of lower incisors are important in esthetics, occlusion and post-treatment stability of tower arch. When lower incisor is congenitally missing, problems such as increased overjet and overbite, closing in of adjacent teeth and size/space discrepancies may occur. When creating treatment plans, incisor position and angulation, lip support, anteroposterior skeletal relationship canine-molar relationship, overjet overbite, remaining growth potential, crowding and anterior tooth ratio have to be considered. For an accurate analysis of incisal size discrepancy, diagnostic model set-up may be helpful. The two patients in this presentation both had two lower incisor missing, but the degree of crowding, skeletal relationship, lip support, molar relationship are different and therefore treatment plan was different as well. Long term follow-up may be necessary for stability and retention.

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A Comparative Study of Facemask Therapy with Two Types of Bonded Expander (Bonded expander 형태에 따른 facemask의 치료 효과 비교연구)

  • Lee, Eunha;Park, Kitae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.298-305
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    • 2014
  • The purpose of this study is to evaluate the effects of facemask therapy in patients with Class III malocclusion with two types of bonded expanders covering different numbers of anchored teeth and to compare the anchorage value of two types of bonded expander. Eighteen subjects with Class III malocclusion in early mixed dentition were included in this study, and subjects were divided into two groups based on the number of teeth covered by bonded expander: group 1 (splinting four teeth on each side, 9 subjects) and group 2 (splinting three teeth on each side, 9 subjects). Lateral cephalograms were obtained and assessed before (T1) and after (T2) the treatment. The facemask therapy showed skeletal effects including anterior movement of maxilla and backward rotation of mandible in both groups, with no significant differences between groups. Mesial movement of maxillary molars which indicates anchorage loss of the bonded expander was found in both groups, but significantly larger mesial movement was found in group 2 than in group 1. In conclusion, the value of anchorage was different according to the number of teeth covered by bonded expander as an intraoral anchorage of facemask, but there were no significant differences in skeletal effects.

ORTHODONTIC TREATMENT OF AN IMPACTED MANDIBULAR FIRST MOLAR USING MINIPLATE AS A SKELETAL ANCHORAGE: A CASE REPORT (Miniplate를 골격성 고정원으로 이용한 매복된 하악 제1대구치의 교정치료 증례)

  • Jang, Yoon-Hyoung;Kim, Eun-Young;Kim, Kwang-Chul;Park, Jae-Hong;Lee, Baek-Soo;Choi, Sung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.2
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    • pp.246-251
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    • 2010
  • Impactions can occur because of malpositioning of the tooth bud or obstruction in the path of eruption. However, the exact mechanism is still unknown. The impaction of mandibular first molar is rare with prevalence rates of 0.01~0.25%, but it is important to deimpact the tooth as soon as possible to avoid complications such as dental caries, root resorption, and periodontal problems on the adjacent teeth. Several biomechanical strategies have been proposed for uprighting mesially tipped mandibular first molars. However, most of these have had problems with movement of the anchorage unit because of the reciprocal force. The recent development of skeletal anchorage system(SAS) allows direct application of precise force systems to the target tooth or segment, producing efficient tooth movement in a short time. In this case, an impacted mandibular left first molar with dilacerated roots was treated with a miniplate, which provided skeletal anchorage to upright the tooth. The miniplate was installed in the mandibular ramus, and 10 months after the application of orthodontic force, the impacted tooth was exposed in the oral cavity and uprighted. At this point, the mandibular left first molar was included in the orthodontic appliance with fixed mechanotherapy, the tooth could achieve a normal occlusion. Therefore, the use of SAS simplified the orthodontic procedures and reduced the orthodontic treatment period, and had few side effects.

THE USE OF MINISCREWS FOR TOOTH MOVEMENT IN CHILDREN (성장기 아동에서 miniscrew를 고정원으로 이용한 치아이동)

  • Kim, Sang-Min;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.537-544
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    • 2010
  • Anchorage control in orthodontic treatment is an important factor affecting treatment results. In the conventional approach, intra-oral anchorage such as application of differential force and moment, Nance holding arch and lingual arch, as well as extra-oral anchorage such as head gear were used for anchorage reinforcement. However, these anchorages may result in undesired tooth movement and require patient cooperation. To overcome these disadvantages, skeletal anchorage system was introduced as orthodontic anchorage. Types of skeletal anchorage include implant, onplant, miniplate and miniscrew. Especially, miniscrew has many advantages such as reduced patient cooperation, low cost and easy placement. Recently, it is successfully used in orthodontic treatment. This cases were treated using orthodontic miniscrews for retraction of ectopically erupting maxillary canine and impacted mandibular canine and intrusion of maxillary incisors.

TOOTH REPLANTATION AFTER TRAUMATIC AVULSION: A 8-YEAR FOLLOW UP. (재식된 상악 중절치의 장기간에 걸친 추적례)

  • Lee, Dong-Woo;Kwak, Ji-Youn;Kim, Sung-Oh;Choi, Byung-Jai;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.729-733
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    • 2004
  • Tooth avulsion usually causes inflammatory root resorption and ankylosis, and ankylosis cause severe functional and esthetic problems, especially in childhood. A 7-year-old female visited the Dept. of Pediatric Dentistry, Yonsei University with the chief complaint of avulsive trauma to the upper right incisor which was left dry for 40 minutes. Tooth was irrigated with saline and replanted immediately and splinted. Anti bacterial agent and anti inflammatory agent were prescribed. After 4 months of replantation slight external root resorption and apical radiolucency was seen at radiographic examination, therfore pulp extirpation and calcium hydroxide($Vitapex^{TM}$) canal filling were carried out. After 16 months, root canal was filled with gutta-percha, and bleaching treatment was done. Treatment results were satisfactory both esthetically and functionally for 8 years and 5 months.

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Eruption Guidance of Distally Displaced Mandibular Second Premolar by the Hemisection of Primary Second Molar: Two Case Reports (선행 유치의 편측치아절제술에 의한 원심으로 변위된 하악 제2소구치의 맹출 유도)

  • Yongwook, Shin;Howon, Park;Juhyun, Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.3
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    • pp.340-347
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    • 2022
  • Distal displacement of the tooth germ of the mandibular second premolar (MnP2) leads to its impaction and obturation of the eruption path of the mandibular first molar delaying its eruption. The present case report describes the treatment of 2 cases of eruption guidance for distally displaced developing MnP2 that caused delayed eruption of the mandibular first molar. Intentional extraction of primary predecessor results in the mesial shift of the displaced MnP2. However, unfavorable distal ectopic eruption of the mandibular first premolar after the premature loss of primary second molar has been previously reported. Hemisection and sequential extraction of the mandibular primary second molar were performed to mesially shift the distally displaced MnP2, while preventing unfavorable distal ectopic eruption of the mandibular first premolar.