• Title/Summary/Keyword: Orthodontic clinic

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Factors that Affect Orthodontic Patients Satisfaction about Orthodontic Treatment (교정환자의 교정치료 만족도에 영향을 미치는 요인)

  • Kim, Hong-Sik
    • Journal of Technologic Dentistry
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    • v.39 no.1
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    • pp.55-65
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    • 2017
  • Purpose: The study has been undertaken on several factors that may influence on the orthodontic treatment satisfaction with the subject of male and female university students who have experience in receiving the orthodontic treatment by visiting orthodontic clinic. Methods: This study has implemented questionnaire survey for 350 male and female university students who have experience in receiving the orthodontic treatment by visiting orthodontic clinic due to the mall occlusion, From the 350 questionnaires collected, a total of 291 copies (83.1%) excluding the questionnaires that have inconclusive response or erroneous response is used as the research analysis data Results: The orthodontic treatment satisfaction is significantly higher for students in large cities and mid- to small sized cities than students in rural area, and it was higher for students with mid-economic class that students of upper class and lower class. It is shown for a student that began the orthodontic treatment from the elementary school, a student that had 5 times or more of brushing teeth for each day had significantly higher level of satisfaction that students that are not. In addition, a student that knows well of the oral hygiene management method, a student that had the fluoride application treatment during the orthodontic treatment period and a student that used the toothbrush for orthodontic service had significantly higher level of satisfaction that students that are not. Conclusion: Factors influencing on the orthodontic treatment satisfaction are very diverse and it is considered that it requires effort to improve the quality of medical service and sufficient understanding on several factors to improve the orthodontic treatment satisfaction for patients as well as the encouragement for orthodontic treatment patients of the relevant people in orthodontic clinics that provide the orthodontic clinic service.

Decision factors of Orthodontic Treatment by orthodontic patients (교정환자의 교정치료 결정요인)

  • Kim, Hong-Sik
    • Journal of Technologic Dentistry
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    • v.42 no.2
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    • pp.187-195
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    • 2020
  • Purpose: The purpose of this study is to examine decision factors to start orthodontic treatment with male and female undergraduates having experience in orthodontic treatment at a dental clinic or hospital because of malocclusion. Methods: A survey was carried out to investigate decision factors to begin orthodontic treatment with 330 male and female undergraduates attending universities located in Daegu Metropolitan City or Gyeongsangbuk-do who had experience in orthodontic treatment at a dental clinic or hospital because of malocclusion, and out of 330 questionnaire sheets, total 294 (89.1%) sheets were employed for analysis after excluding ones unreliably or erroneously answered. Results: According to the results of analyzing decision factors for orthodontic treatment, such factors as 'a dentistry-related person's suggestion', 'feeling necessity on one's own' are found to be significantly higher in students majoring in health units than those having non-dental health majors, and students residing in small and medium cities are influenced more significantly by this decision factor, 'an acquaintance's suggestion', than those living in farming and fishing villages or big cities, and students who started orthodontic treatment at elementary school were more significantly influenced by the factor, 'feeling necessity through the public media'. Conclusion: Among the factors influencing their decision on orthodontic treatment, no influence was found in sexual difference, and each of the decision factors influenced them considerably according to the difference of their residence, economic power, majors, or time to start orthodontic treatment.

Aspartate aminotransferase activity in the pulp of teeth treated for 6 months with fixed orthodontic appliances

  • Veberiene, Rita;Latkauskiene, Dalia;Racinskaite, Vilma;Skucaite, Neringa;Machiulskiene, Vita
    • The korean journal of orthodontics
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    • v.45 no.5
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    • pp.261-267
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    • 2015
  • Objective: To measure aspartate aminotransferase (AST) activity in the pulp of teeth treated with fixed appliances for 6 months, and compare it with AST activity measured in untreated teeth. Methods: The study sample consisted of 16 healthy subjects (mean age $25.7{\pm}4.3$ years) who required the extraction of maxillary premolars for orthodontic reasons. Of these, 6 individuals had a total of 11 sound teeth extracted without any orthodontic treatment (the control group), and 10 individuals had a total of 20 sound teeth extracted after 6 months of orthodontic alignment (the experimental group). Dental pulp samples were extracted from all control and experimental teeth, and the AST activity exhibited by these samples was determined spectrophotometrically at $20^{\circ}C$. Results: Mean AST values were $25.29{\times}10^{-5}U/mg$ (standard deviation [SD] 9.95) in the control group and $27.54{\times}10^{-5}U/mg$ (SD 31.81) in the experimental group. The difference between these means was not statistically significantly (p = 0.778), and the distribution of the AST values was also similar in both groups. Conclusions: No statistically significant increase in AST activity in the pulp of mechanically loaded teeth was detected after 6 months of orthodontic alignment, as compared to that of teeth extracted from individuals who had not undergone orthodontic treatment. This suggests that time-related regenerative processes occur in the dental pulp.

A study of hospital determinants and treatment satisfaction of patients in an orthodontic clinic, specifically targeting 20-year-old patients (교정치과 내원 환자들의 치료병원 결정요인 및 치료 만족도에 관한 연구-20대 연령층을 대상으로)

  • Jung, Eun-Seo;OH, Su-Yeon;Lim, So-Hee;Kim, Eon-Ji;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.751-761
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    • 2018
  • Objectives: The purpose of this study was to identify factors affecting choice of treatment hospital (i.e., determinants) and satisfaction with the treatment hospital, and to provide a more satisfactory and high-quality medical service for orthodontic patients. Methods: A questionnaire survey was conducted for approximately 1 month beginning in August 2017, involving patients who visited orthodontic dentistry clinics in Seoul and Gyeonggi-do. Multiple regression analysis was performed on the results to examine factors that affected satisfaction with orthodontic treatment. Results: The determinant of dental clinics was 3.90 points overall; hospital environment and facilities were highest at 4.05, followed by dental hygienist at 3.99, and dentist at 3.97. Factors influencing satisfaction with orthodontic treatment were positively influenced by dentists (p<0.01), medical procedures (p<0.01) and medical expenses (p<0.01). Conclusions: It is important to provide comfort and convenience to patients by simplifying hospital facility management, reception, and reservation procedures.

Orthodontic Traction of the Permanent Molar Using Skeletal Anchorage: A Case Report (골성 고정원을 이용한 영구 대구치의 교정적 견인 : 증례 보고)

  • Mo, Hyelim;Oh, Sohee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.422-432
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    • 2019
  • Treatment options for impacted permanent molars include orthodontic traction, surgical repositioning, transplantation, and extraction of the impacted teeth. Orthodontic traction is recommended because it is the most conservative method. However, it has limitations, such as loss of tooth anchorage. In an effort to overcome these limitations, skeletal anchorage devices tailored for orthodontic use were developed. In this case report, 3 patients were diagnosed with impacted permanent molars. The impacted teeth of these patients were surgically exposed, the orthodontic devices were attached, and the skeletal anchorage devices were implanted for the successful traction of the impacted teeth.

Comparison of success rates of orthodontic mini-screws by the insertion method

  • Kim, Jung Suk;Choi, Seong Hwan;Cha, Sang Kwon;Kim, Jang Han;Lee, Hwa Jin;Yeom, Sang Seon;Hwang, Chung Ju
    • The korean journal of orthodontics
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    • v.42 no.5
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    • pp.242-248
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    • 2012
  • Objective: The aim of this study was to compare the success rates of the manual and motor-driven mini-screw insertion methods according to age, gender, length of mini-screws, and insertion sites. Methods: We retrospectively reviewed 429 orthodontic mini-screw placements in 286 patients (102 in men and 327 in women) between 2005 and 2010 at private practice. Age, gender, mini-screw length, and insertion site were cross-tabulated against the insertion methods. The Cochran-Mantel-Haenszel test was performed to compare the success rates of the 2 insertion methods. Results: The motor-driven method was used for 228 mini-screws and the manual method for the remaining 201 mini-screws. The success rates were similar in both men and women irrespective of the insertion method used. With respect to mini-screw length, no difference in success rates was found between motor and hand drivers for the 6-mm-long mini-screws (68.1% and 69.5% with the engine driver and hand driver, respectively). However, the 8-mmlong mini-screws exhibited significantly higher success rates (90.4%, p < 0.01) than did the 6-mm-long mini-screws when placed with the engine driver. The overall success rate was also significantly higher in the maxilla (p < 0.05) when the engine driver was used. Success rates were similar among all age groups regardless of the insertion method used. Conclusions: Taken together, the motor-driven insertion method can be helpful to get a higher success rate of orthodontic mini-screw placement.

Comparing locus of control in orthodontic patients of a university dental hospital with those of a private dental clinic. (치과의원과 대학치과병원 교정환자의 통제소재 특성)

  • Ku, Seung-Jun;Lee, Shin-Jae;Chang, Young-II;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.36 no.6
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    • pp.442-450
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    • 2006
  • Objective: Many factors are considered when a patient chooses the type of dental institution they wish to receive treatment from. Numerous studies have been conducted regarding this issue. However, more research is needed in analyzing the patient's psychological aspects when he/she decides to choose the dental institution they wish to receive treatment from. Methods: A locus of control test was utilized to analyze the psychological aspects in orthodontic patients of a university dental hospital and a private dental clinic. The locus of control test is known to be useful in predicting a human being's behavior. Both intrinsic and extrinsic locus of control tests were carried out in 934 orthodontic patients attending Seoul National University Dental Hospital and 1466 orthodontic patients from a private dental clinic. Results: The orthodontic patients at the university dental hospital showed a stronger extrinsic locus of control compared with those from the private dental clinic. Conclusion: The orthodontic patients at the university dental hospital value the doctor as the authority figure and the treatment quality more than those at the private dental clinic.

Outcomes of comprehensive fixed appliance orthodontic treatment: A systematic review with meta-analysis and methodological overview

  • Papageorgiou, Spyridon N.;Hochli, Damian;Eliades, Theodore
    • The korean journal of orthodontics
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    • v.47 no.6
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    • pp.401-413
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    • 2017
  • Objective: The aim of this systematic review was to assess the occlusal outcome and duration of fixed orthodontic therapy from clinical trials in humans with the Objective Grading System (OGS) proposed by the American Board of Orthodontics. Methods: Nine databases were searched up to October 2016 for prospective/retrospective clinical trials assessing the outcomes of orthodontic therapy with fixed appliances. After duplicate study selection, data extraction, and risk of bias assessment according to the Cochrane guidelines, random-effects meta-analyses of the mean OGS score and treatment duration were performed and 95% confidence intervals (CIs) were calculated. Results: A total of 34 relevant clinical trials including 6,207 patients (40% male, 60% female; average age, 18.4 years) were identified. The average OGS score after treatment was 27.9 points (95% CI, 25.3-30.6 points), while the average treatment duration was 24.9 months (95% CI, 24.6-25.1 months). There was no significant association between occlusal outcome and treatment duration, while considerable heterogeneity was identified. In addition, orthodontic treatment involving extraction of four premolars appeared to have an important effect on both outcomes and duration of treatment. Finally, only 10 (39%) of the identified studies matched compared groups by initial malocclusion severity, although meta-epidemiological evidence suggested that matching may have significantly influenced their results. Conclusions: The findings from this systematic review suggest that the occlusal outcomes of fixed appliance treatment vary considerably, with no significant association between treatment outcomes and duration. Prospective matched clinical studies that use the OGS tool are needed to compare the effectiveness of orthodontic appliances.

A multidisciplinary approach to restore crown-root fractured maxillary central incisors: orthodontic extrusion and surgical extrusion (치관-치근 파절이 발생한 상악 중절치를 수복하기 위한 다각적 접근법: 교정적 정출술과 외과적 정출술)

  • Kwon, Eun-Young;Kim, So-Yeun;Jung, Kyoung-Hwa;Choi, Youn-Kyung;Kim, Hyun-Joo;Joo, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.262-271
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    • 2020
  • To restore a tooth with a fracture line extending below the marginal bone level, a surgical crown lengthening procedure accompanied by ostectomy could be considered to expose the fracture line and reestablish the biologic width. However, this procedure could lead to esthetic failure, especially in the anterior teeth. Therefore, orthodontic extrusion, which elevates the fracture line from within the alveolar socket without sacrificing the supporting bone and gingiva, is recommended. This technique allows for the proper placement of the crown on a sound tooth structure, with the reestablishment of the biologic width. Alternatively, surgical extrusion is an one-step procedure that is simpler and less time-consuming than orthodontic extrusion; placing and adjusting the orthodontic appliance does not require multiple visits. This study presents successful restoration in 2 cases with a crown-tooth root fracture of the maxillary central incisor treated using a multidisciplinary approach through orthodontic extrusion or surgical extrusion followed by successful restoration.