• The Journal of Korean Academy of Prosthodontics
• /
• v.25 no.1
• /
• pp.71-94
• /
• 1987

This study was carried out to investigate the sound distortion following the alternation of the palatal plate thickness. For this study, 2 healthy male subjects (24-year-old) were selected. Born in Seoul, they both spoke Seoul dialect. First, their sounds of /na(나)/, /da(다)/, /1a(라)/, /ja(자)/, /cha(차)/, /ta(타)/, without inserting plates were recorded, and then the sounds with palatal plates of different thickness were recorded, successively. The plate was fabricated in 3 types, each palatal thickness being 1.0mm, 2.5mm, dentoalveolar portion 2.5mm, other residual portion was 1.0mm, successively. Each type plates named B, C, D-type, in succession. Series of analysis were administered through Computer(16 bit) to analyze the sound distortions. These experiments were analyzed by the LPC (without weighting, pre-weighting, post-weighting) of the consonants, vowels portion, formant frequency of the vowels and word duration of the consonants. The findings led to the following conclusions: 1. There was no correlation of the distortion rate on the 2 informants. 2. Generally, vowels were not affected by the palatal plate thickness in the formant analysis, however, more distortion was detected in the LPC analysis, especially C, D-type plates. 3. Consonants distortion was more evident in the C, D-type plate. 4. The second formant was most disturbed and reduced in the all consonants with insertion of the palatal plate, especially C, D-type plate. 5. Word duration was shortened in the plate inserted(except /ja/, /cha/), especially C, D-type. 6. It was found that dentoalveolar, hard palatal sounds were severely distorted in plate inserted, and they were mainly affected by the dentoalveolar portion thickness. 7. There was correlation between palatal thickness and consonants quality.

• The korean journal of orthodontics
• /
• v.48 no.5
• /
• pp.304-315
• /
• 2018

Objective: The purpose of this study was to analyze initial displacement and stress distribution of the maxillofacial complex during dentoskeletal maxillary protraction with various appliance designs placed on the palatal region by using three-dimensional finite element analysis. Methods: Six models of maxillary protraction were developed: conventional facemask (Type A), facemask with dentoskeletal hybrid anchorage (Type B), facemask with a palatal plate (Type C), intraoral traction using a Class III palatal plate (Type D), facemask with a palatal plate combined with rapid maxillary expansion (RME; Type E), and Class III palatal plate intraoral traction with RME (Type F). In Types A, B, C, and D, maxillary protraction alone was performed, whereas in Types E and F, transverse expansion was performed simultaneously with maxillary protraction. Results: Type C displayed the greatest amount of anterior dentoskeletal displacement in the sagittal plane. Types A and B resulted in similar amounts of anterior displacement of all the maxillofacial landmarks. Type D showed little movement, but Type E with expansion and the palatal plate displayed a larger range of movement of the maxillofacial landmarks in all directions. Conclusions: The palatal plate served as an effective skeletal anchor for use with the facemask in maxillary protraction. In contrast, the intraoral use of Class III palatal plates showed minimal skeletal and dental effects in maxillary protraction. In addition, palatal expansion with the protraction force showed minimal effect on the forward movement of the maxillary complex.

• The korean journal of orthodontics
• /
• v.50 no.1
• /
• pp.52-62
• /
• 2020

This case report presents the orthodontic treatment of a 25-year-old patient with skeletal Class II and severe maxillary arch crowding, moderate mandibular arch crowding, anterior crossbite, and a missing lower incisor. He was treated with molar distalization using a modified C-palatal plate and temporary anchorage devices to create sufficient space for retraction. The total treatment duration was 21 months. After treatment, his occlusion and smile esthetics showed significant improvement. The modified C-palatal plate represents a treatment modality that enhances the prospects of non-extraction treatment and reduces the need for extraction.

• The korean journal of orthodontics
• /
• v.45 no.4
• /
• pp.209-214
• /
• 2015

Maxillary protraction is the conventional treatment for growing Class III patients with maxillary deficiency, but it has undesirable dental effects. The purpose of this report is to introduce an alternative modality of maxillary protraction in patients with dentoskeletal Class III malocclusion using a modified C-palatal plate connected with elastics to a face mask. This method improved skeletal measurements, corrected overjet, and slightly improved the profile. The patients may require definitive treatment in adolescence or adulthood. The modified C-palatal plate enables nonsurgical maxillary advancement with maximal skeletal effects and minimal dental side effects.

• The Journal of Korean Academy of Prosthodontics
• /
• v.26 no.1
• /
• pp.31-49
• /
• 1988

This study was performed to investigate the sound distortion following the alternation of the palatal plate thickness, for this study, 3 subjects who were born in Seoul and spoke Seoul dialect were recruited from K university male student population. First, their sounds of /아(a)/, 어(e)/, 오(o)/, 우(u)/, 으($\.{+}$), 이(i)/,에(e)/ without inserting plate were recorded , and then the sounds with palatal plates of different thickness were recorded, respectively. The palatal plates was constructed to cover the alveolar & palatal surfaces of the maxilla with an approximate thickness of 1.0mm, 2.5mm, and thickness of 2.5mm over the alveolar ridge & 1.0mm elsewhere and, named B, C, D-type, in succession. Series of analysis were administered through Computer (16 bit IBM PC/AT) at analyze the sound distortions. These experiments were analyzed by the LPC, Log Area Ratio. The findings led to the following conclusions: 1. Sound distortions were relatively minute in each condition and informations, however, /이(i)/ was the most distorted vowel in all conditions. 2. By and large, sound distortion was large in C, D-types. However, there was no correlation of the distortion rate on the 3 informants, and all tested vowels. 3. It was similar to LPC, Log Area Ratio distortion rates. 4. It was found that the sound distortion wit]1 plate inserted was verified to the numeric value with LPC and Log Area Ratio method.

• The korean journal of orthodontics
• /
• v.33 no.2 s.97
• /
• pp.91-102
• /
• 2003

This study was performed to investigate the effect of immediate orthodontic force on soft md hard tissues surrounding C-Palatal $Plate^{TM}$ in beagle Dog. Immediately after this appliance was implanted on the midpalate of 4 adult beagle Dogs, 400gm continuous orthodontic force was applied. Experimental animals were euthanized at 8weeks, 18weeks, and 22weeks (including post-removal healing time of 4weeks), and a control animal was euthanized at 8weeks after implantation without orthodontic force application. The appliance and the surrounding tissue were studied radiographically, macroscopically, and histologically. The results were as follows: 1. The lateral radiographs taken after euthanasia showed very slight displacement of the vortical plate in the experimental animals, compared with the control animal. Mobility test of all animals confirmed primary stability without any increase of mobility during experimental period. 2. No pathologic changes were found in the healing condition of covering soft tissue and bone-screw interface in experimental animals as well as a control animal. 3. Osseointegration was achieved in the bone-screw interface in 8weeks after implantation and the amount of osseointegration increased in 18weeks. There was little difference of osseointegration between the compression side and the tension side. 4. In the marginal bone area, slight bone apposition and resorption were found regardless of compression and tension side, while there was no change in the control animal. 5. Both 8week-animal and 18week-animal showed the new bone apposition along the surface of screws which were perforated into the nasal cavity, while the control animal showed no change. 6. After 4weeks of plate removal, the covering epithelium was repaired intactly, while the connective tissue showed loose and irregular rearrangement and the connective tissue capsule remained. The C-Palatal $Plate^{TM}$ manifested sufficient anchorage capacity in the context of histological study as well as clinical outcomes, when immediate orthodontic force was applied after implantation.

• The Journal of Korean Academy of Prosthodontics
• /
• v.27 no.1
• /
• pp.83-102
• /
• 1989

This study was done to analyze the sound distortion, before and after insertion of the palatal palates. For this study, 4 healthy subjects (3 males and 1 female, each 24-year-old), who were born in Seoul were recruited from K university, and 3 type palatal plates were fabricated, each palatal thickness being 1.0mm, 2.5mm, dentoalveolar portion 2.5mm and elsewhere 1.0mm, named B,C,D-type repectively, and informants's sounds of /사(sa), 서(se), 소(so), 수(su), 스($s\.{+}$), 시(si)/ were recorded, without plate, and with palatal plates of different types, in succession. A series of analysis were adminstered through a 16 Bit IBM PC/AT using linear combination methods. These experiments were analyzed by the Cepstrum (Weighted and Euclidian), Log Area Ratio, Linear prediction correlation methods The findings led to the following conclusions : 1. It was confirmed that the same consonant, /ㅅ(s)/, variously distorted by the following vowel. 2. By and large, 시($s\.{+}$) was the most distorted in all conditions, and (sa), 소(so) were the least distorted in each condition. 3. There were no persistant correlation of the palatal plate types, and sound distortions of each informant were diverse with no regularities. 4. There were persistent correaltion to the Cepstrum (Weighted, Euclidian), Log Area Ratio. However, Linear prediction correlation has a different alteration pattern.

• The korean journal of orthodontics
• /
• v.48 no.4
• /
• pp.224-235
• /
• 2018

Objective: The purpose of this study was to compare the skeletal, dental, and soft-tissue treatment effects of nonextraction therapy using the modified C-palatal plate (MCPP) to those of premolar extraction (PE) treatment in adult patients with Class II malocclusion. Methods: Pretreatment and posttreatment lateral cephalographs of 40 adult patients with Class II malocclusion were retrospectively analyzed. The MCPP group comprised 20 patients treated with total arch distalization of the maxillary arch while the PE group comprised 20 patients treated with four PE. Fifty-eight linear and angular measurements were analyzed to assess the changes before and after treatment. Descriptive statistics, paired t-test, and multivariate analysis of variance were performed to evaluate the treatment effects within and between the two groups. Results: The MCPP group presented 3.4 mm of retraction, 1.0 mm of extrusion, and $7.3^{\circ}$ lingual inclination of the maxillary central incisor. In comparison, the PE group displayed greater amount of maxillary central incisor retraction and retroclination, mandibular incisor retraction, and upper lip retraction (5.3 mm, $14.8^{\circ}$, 5.1 mm, and 2.0 mm, respectively; p < 0.001 for all). In addition, the MCPP group showed 4.0 mm of distalization and 1.3 mm of intrusion with $2.9^{\circ}$ distal tipping of the maxillary first molars. Conclusions: These findings suggest the MCPP is an effective distalization appliance in the maxillary arch. The amount of incisor retraction, however, was significantly higher in the PE group. Therefore, four PE may be recommended when greater improvement of incisor position and soft-tissue profile is required.

• The korean journal of orthodontics
• /
• v.48 no.2
• /
• pp.81-89
• /
• 2018

Objective: The aim of this study was to evaluate the stress distribution and displacement of various craniofacial structures after nonsurgical rapid palatal expansion (RPE) with conventional (C-RPE), bone-borne (B-RPE), and miniscrew-assisted (MARPE) expanders for young adults using three-dimensional finite element analysis (3D FEA). Methods: Conventional, bone-borne, and miniscrew-assisted palatal expanders were designed to simulate expansion in a 3D FE model created from a 20-year-old human dry skull. Stress distribution and the displacement pattern for each circumaxillary suture and anchor tooth were calculated. Results: The results showed that C-RPE induced the greatest stress along the frontal process of the maxilla and around the anchor teeth, followed by the suture area, whereas B-RPE generated the greatest stress around the miniscrew, although the area was limited within the suture. Compared with the other appliances, MARPE caused relatively even stress distribution, decreased the stress on the buccal plate of the anchor teeth, and reduced tipping of the anchor teeth. Conclusions: The findings of this study suggest that the incorporation of miniscrews in RPE devices may contribute to force delivery to the sutures and a decrease in excessive stress on the buccal plate. Thus, MARPE may serve as an effective modality for the nonsurgical treatment of transverse maxillary deficiency in young adults.

• The korean journal of orthodontics
• /
• v.47 no.6
• /
• pp.375-383
• /
• 2017

Objective: The purpose of this study was to evaluate the dental and skeletal effects of the modified C-palatal plate (MCPP) for total arch distalization in adult patients with Class II malocclusion and compare the findings with those of cervical pull headgear. Methods: The study sample consisted of the lateral cephalograms of 44 adult patients with Class II Division 1 malocclusion, including 22 who received treatment with MCPP (age, $24.7{\pm}7.7years$) and 22 who received treatment with cervical pull headgear (age, $23.0{\pm}7.7years$). Pre- (T1) and post-treatment (T2) cephalograms were analyzed for 24 linear and angular measurements. Multivariate analysis of variance was performed to evaluate the changes after treatment in each group and differences in treatment effects between the two groups. Results: The mean amount of distalization at the crown and root levels of the maxillary first molar and the amount of distal tipping was 4.2 mm, 3.5 mm, and $3.9^{\circ}$ in the MCPP group, and 2.3 mm, 0.6 mm, and $8.6^{\circ}$ in the headgear group, respectively. In addition, intrusion by 2.5 mm was observed in the MCPP group. In both groups, the distal movement of the upper lip and the increase in the nasolabial angle were statistically significant (p < 0.001). However, none of the skeletal and soft tissue variables exhibited significant differences between the two groups. Conclusions: The results of this study suggest that MCPP is an effective treatment modality for total arch distalization in adults.