• 제목/요약/키워드: II급

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A cephalometric investigation on the craniofacial configurations of Class ll division 1 and 2 in Korean (한국인 II급 1류 및 2류 부정교합자 두개안면형태의 차에 대한 측모두부방사선계측학적 연구)

  • Kang, Jong-Won;Lee, Young-Jun;Park, Young-Guk
    • The korean journal of orthodontics
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    • v.32 no.3 s.92
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    • pp.195-207
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    • 2002
  • Numerous studies have revealed the similarities and discrepancies in two divisions of class II malocclusion, since these malocclusion groups have been postulated to be disparate criterion, much as classified under one diagnostic umbrella. This study was undertaken to describe the craniofacial configurations of class II division 1 and 2, and consequently to discriminate the morphologic differences between the two malocclusion groups in Korean sample. Lateral headfilms of 34 class H division 1 and 29 division 2 were employed, while those of 142 adults of normal occlusion served as a control. The landmarks were digitized and 26 variables were statistically analyzed for one way ANOVA. 1. There manifested no statistically significant difference in maxillary position anteroposteriorly. Normal occlusion group exhibited most anteriorly positioned mandible, whereas class II division 1 showed the most retroposition. Class II division 1 disclosed clockwise rotation tendency of mandible, which resulted in position of the chin Posteriorly. 2. Class II division 1 showed greater in SN to MP, SN to PP significantly than other groups. 3. Class II division 2 showed smaller genial angle and larger mandibular body length than other groups. 4. Class II division 1 revealed greater anterior lower face height than other groups, whereas division 2 dictated significantly greater posterior face height. 5. Class II division 2 expressed the most retroclined lower incisor, while division 1 manifested the most proclination. The largest interincisal angle resided in Class II division 2 group. There were no significant differences in upper molar position anteroposteriorly.

Cephalometric analysis of skeletal Class II malocclusion in Korean adults (한국 성인 골격성 II급 부정교합자의 측모두부규격 방사선 계측학적 연구)

  • Kim, Kyung-Ho;Choy, Kwang-Chul;Yun, Hee-Sun
    • The korean journal of orthodontics
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    • v.32 no.4 s.93
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    • pp.241-255
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    • 2002
  • This study was performed to evaluate horizontal and vertical characteristics according to lateral cephalometry of adult Korean skeletal Class II patients using a selected horizontal and vortical reference planes of Koreans. 60 males and 60 females consisting of freshman of Yonsei University from 1996 to 1997 and patients with history of orthognatic surgery at the Dental Hospital of Yonsei University with a skeletal Class II profile were chosen and compared with 70 males and 70 females with normal occlusion. The skeletal Class R group had the following conditions : 1. Profile composed of a retrognathic mandible or protrusive maxilla; 2. Class II molar and canine key; 3. ANB-greater than $4^{\circ}; 4$. Wits appraisal-greater than 1.0mm; Cephalometric analysis consisted of 22 skeletal, 25 soft tissue, 12 dental measurements. The results were as follows. 1. There was no considerable vortical measurement difference between the skeletal Class II malocclusion group and the normal occlusion group in skeletal analysis. But, some variations were found between the two groups in soft tissue analysis. 2. Mandibular length of the skeletal Class II malocclusion group was smaller than that of the normal occlusion group. Mandible was more posteriorly positioned in the Class II malocclusion group than in the normal occlusion group. 3. The length and antero-posterior position of the maxilla were not different between the Class II malocclusion and the normal occlusion group. 4. The antero-posterior position of the nose, upper lip and maxillary soft tissue, and nasolabial angle were not different between the two groups. 5. Mandibular soft tissue of the Class H malocclusion group was more posteriorly positioned than that of the normal. 6. The vertical measurements of the incisors(U1-HP, L1-HP) were bigger in the Class II malocclusion group than in the normal, but those of the molars(U6-HP, U6-MP) showed no significant difference between the two groups. 7 Classifying the skeletal Class II malocclusion group according to the antero-posterior position of both jaws, normally positioned maxilla and retruded mandible was 43.3%, both normally positioned maxilla and mandible 28.3%, both retruded maxilla and mandible 20.0%..

MAXILLARY INCISOR CROWN-ROOT ANGLE(COLLUM ANGLE) IN DIFFERENT MALOCCLUSIONS (부정교합 분류에 따른 상악 중절치의 치관-치근 각도(Collum Angle)에 대한 연구)

  • Hong, Hee-Sook;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.453-463
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    • 1995
  • Most commonly used axis for central incisors in lateral cephalometric radiographs is the line connecting root apex and incisor edge. However, crown axis and root axis do not always coincide in cases of malocclusion patients. The angle created by these axis are called the collum angle, which should be considered in orthodontic diagnosis and treatment. In this study, 31 Class I malocclusion, 30 Class II division 1 malocclusion, 31 Class II division 2 malocclusion, and 31 Class m malocclusion patients were selected and their collum angles were measured. Correlation between these angles and malocclusions was investigated, and the correlation analysis with other parameters in cephalometrics was done. The results were as follows ; 1. The mean collum angles according to the types of malocclusions are ; $3.11^{\circ}{\pm}3.54^{\circ}$ for Class I, $1.23^{\circ}{\pm}2.41^{\circ}$ for Class II division 1, $3.77^{\circ}{\pm}4.39^{\circ}$ for Class II division 2, and $3.90^{\circ}{\pm}4.08^{\circ}$ for Class III malocclusion. 2. Statistically significant differences in collum angles were noted between Class II division 1 group and Class II division 2 and Class III group. 3. Significant correlations were found between collum angles and other parameters used in cephalometrics, namely IMPA for Class I, Wits for Class II division 1, Overbite for Class II division 2 and for ClassIII.

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Effects of activator treatment on different skeletal patterns in growing class II malocclusion patients (성장기 II급 부정교합자에서 골격 형태에 따른 액티베이터 사용 효과에 관한 연구)

  • Ki, Jun-Hun;Lee, Jin-Woo
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.29-43
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    • 2007
  • Objective: To establish proper diagnosis and treatment plan for skeletal Class II malocclusions, some important factors to consider are the patient's skeletal morphology, prognosis as well as the treatment effects. Therefore, the present study analyzed the effects of activator treatment on different skeletal patterns in growing Class II malocclusion patients. Methods: A total of 116 patients (53 boys & 63 girls) in the experimental group were treated with the activator appliance. The experimental group was classified into either hyperdivergent or hypodivergent groups according to articular and genial angles. Results: Patients with hypodivergent growth patterns showed good effects of activator treatment. Conclusion: It seems conceivable that through classifying adolescent Class II malocclusion patients into different skeletal patterns, activator treatment effects may be predicted during the diagnosis and treatment planning stage.

Nonextraction treatment of Class II division 2 in an adult patient using microimplant anchorage (MIA) (Microimplant Anchorage(MIA)를 이용한 II급 2류 성인 환자의 비발치 치험례)

  • Chae, Jong-Moon
    • The korean journal of orthodontics
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    • v.35 no.6 s.113
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    • pp.485-494
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    • 2005
  • Maxillary anterior teeth were intruded and lingually root torqued with two maxillary anterior microimplants between the lateral incisors and canines. Overerupted maxillary canines were intruded with two other microimplants between the maxillary canines and first premolars. Maxillary posterior teeth and canines were distalized, then the maxillary incisors were retracted with two maxillary posterior microimplants between the first and second molars. The mandibular anterior teeth were intruded and the mandibular posterior teeth were extruded with conventional method such as anterior bite plane, intrusion arch and Class II elastics. The mandible moved slightly forward after the correction of deep bite and retroclination of the upper incisors. Consequently, microimplant anchorage (MIA) provided absolute anchorage for simultaneous correction of Class II canine and molar relationships and deep overbite.

구치부 복합레진 수복 시 고려사항

  • 이광원
    • Proceedings of the KACD Conference
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    • 2003.05a
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    • pp.288-288
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    • 2003
  • 1960년대 중반부터 도입된 구치부 복합레진 수복은 복합레진과 접착시스템의 향상된 물성 때문에 구치부 사용에 대한 주목할 만한 결과를 보고하고 있다. 현재는 다수의 1급, 2급 수복물에 복합레진이 적응증으로 기술되며, 사실상 미국치과의사 협회(ADA)도 초기와 중등과 크기의 병소를 보존적 I, II급 와동으로 형성된 뒤 복합레진으로 수복하는 시술의 적절성을 인정하고 있다. ADA는 "복합레진을 유치나 영구치의 I급, II급, V급 수복에 올바르게 적용하면 아발감의 수명에 뒤지지 않는다."라고 기술하고 있다. 이에 본 강연에서는 I급과 II급 복진레진 수복을 위한 관련된 재료들의 특성과 단점들을 극복하기 위한 노력들을 설명하고자 한다. 특히 중합수축과 관련된 문제점들을 해결하기 위해 제시되고 있는 방법들의 임상적 적용 가능성의 한계와 술후 과민증을 줄이기 위한 방법, 그리고 구치부에 적용된 레진들의 마모를 줄일 수 있는 방법들을 모색하고 한다. 더불어 구치부 복합레진 수복을 위한 임상 시술 시 가장 흔하게 발생되는 단조로운 인접면 외형 형성 및 접촉점 개방의 문제점을 인식하고 이를 막기 위한 노력 및 기구들의 사용 조작에 대해 토의해 보고자 한다.

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Treatment for Class II Division I Malocclusion Using Cervical Headgear and Hotz Appliance: A Case Report (Cervical Headgear와 Hotz 장치를 이용한 II급 I류 부정교합의 치료 : 증례 보고)

  • Cho, Yongjae;Kim, Seonmi;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.70-78
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    • 2016
  • Many types of orthopedic appliances have been developed and used for the treatment of class II malocclusion in pediatric dentistry. Headgear is one of the extraoral appliances, which is used for the purpose of preventing the overgrowth of maxilla. Hotz appliance is used in couple with a cervical headgear for the expansion of maxilla and retraction of maxillary incisors. This case report is about the orthodontic treatment of three patients with class II division I malocclusion. These young patients were given orthopedic treatment in combination with a cervical headgear and Hotz appliance. After the treatment using these extraoral and intraoral appliances, succeeding treatments were practiced considering individual needs as follows: fixed orthodontic appliance for mandibular anterior crowding, Class II activator for retention and additory orthopedic treatment and the retention with Hotz appliance. Young patients with Class II division I malocclusion reported in this study received the orthodontic treatment using a cervical headgear and Hotz appliance as well as appropriate succeeding treatment afterward. All patients received improved convex profiles and lip protrusions by retracting maxilla and maxillary incisors.

EFFECTS OF ELASTIC OPEN ACTIVATOR IN CLASS II MALOCCLUSION (Elastic Open Activator를 이용한 II급 부정 교합의 치료효과)

  • Chung, Kyu-Rhim;Park, Young-Guk;Lee, Hyun-Kyung
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.511-523
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    • 1995
  • The elastic open activator is one of the modified myodynamic activator. The reduced size of the appliance mass motivates the patients' comfort and longer time of wearing. Its peculiarities in loose fitting and the lack of appliance stabilization in the mouth draws the tongue and the surrounding functional matrices on close interaction with the appliance, consigns the physiologic exertion to target structures, and eventually makes it feasible to the inland of non-extraction treatment In the context of the sagittal malocclusion, the orthodontic trench is dependent upon the growth of basal structure aimed, therefore, it is contemplated to grabble the effects of Elastic Open Activator upon the class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine Class II malocclusion of growing child retrospectively. The cephalometric headfilms and study models of nine class II division 1 and five division 2 patients were evaluated and analyzed, and the following observations were drawn, 1. The maxilla maintained a normal growth pattern in both groups. 2. The mandible grew anteroinferiorly in both groups. 3. The upper incisors tipped ligually in Class II division 1 and tipped labially in Class II division 2 and anterior vertical alveolar growth was interrupted in both groups. 4. The lower incisors tipped labially. 5. There was an arch expansion in both groups and increase of available space in Class II division 2

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