• Title/Summary/Keyword: Orthodontic management

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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.

Preliminary study of Korean orthodontic residents' current concepts and knowledge of cleft lip and palate management

  • Cho, Il-Sik;Shin, Hyo-Keun;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.42 no.3
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    • pp.100-109
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    • 2012
  • Objective: A national survey was conducted to assess orthodontic residents' current concepts and knowledge of cleft lip and palate (CLP) management in Korea. Methods: A questionnaire consisting of 7 categories and 36 question items was distributed to 16 senior chief residents of orthodontic department at 11 dental university hospitals and 5 medical university hospitals in Korea. All respondents completed the questionnaires and returned them. Results: All of the respondents reported that they belonged to an interdisciplinary team. Nineteen percent indicated that they use presurgical infant orthopedic (PSIO) appliances. The percentage of respondents who reported they were 'unsure' about the methods about for cleft repair operation method was relatively high. Eighty-six percent reported that the orthodontic treatment was started at the deciduous or mixed dentition. Various answers were given regarding the amount of maxillary expansion for alveolar bone graft and the estimates of spontaneous or forced eruption of the upper canine. Sixty-seven percent reported use of a rapid maxillary expansion appliance as an anchorage device for maxillary protraction with a facemask. There was consensus among respondents regarding daily wearing time, duration of treatment, and amount of orthopedic force. Various estimates were given for the relapse percentage after maxillary advancement distraction osteogenesis (MADO). Most respondents did not have sufficient experience with MADO. Conclusions: These findings suggest that education about the concepts and methods of PSIO and surgical repair, consensus regarding orthodontic management protocols, and additional MADO experience are needed in order to improve the quality of CLP management in Korean orthodontic residents.

Management of acquired open bite associated with temporomandibular joint osteoarthritis using miniscrew anchorage

  • Tanaka, Eiji;Yamano, Eizo;Inubushi, Toshihiro;Kuroda, Shingo
    • The korean journal of orthodontics
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    • v.42 no.3
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    • pp.144-154
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    • 2012
  • This article reports the orthodontic treatment of a patient with skeletal mandibular retrusion and an anterior open bite due to temporomandibular joint osteoarthritis (TMJ-OA) using miniscrew anchorage. A 46-year-old woman had a Class II malocclusion with a retropositioned mandible. Her overjet and overbite were 7.0 mm and -1.6 mm, respectively. She had limited mouth opening, TMJ sounds, and pain. Condylar resorption was observed in both TMJs. Her TMJ pain was reduced by splint therapy, and then orthodontic treatment was initiated. Titanium miniscrews were placed at the posterior maxilla to intrude the molars. After 2 years and 7 months of orthodontic treatment, an acceptable occlusion was achieved without any recurrence of TMJ symptoms. The retropositioned mandible was considerably improved, and the lips showed less tension upon lip closure. The maxillary molars were intruded by 1.5 mm, and the mandible was subsequently rotated counterclockwise. Magnetic resonance imaging of both condyles after treatment showed avascular necrosis-like structures. During a 2-year retention period, an acceptable occlusion was maintained without recurrence of the open bite. In conclusion, correction of open bite and clockwise-rotated mandible through molar intrusion using titanium miniscrews is effective for the management of TMJ-OA with jaw deformity.

An esthetic appliance for the management of crown-root fracture: a case report

  • Jeon, Sang-Min;Lee, Kang-Hee;Jung, Bock-Young
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.226-229
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    • 2014
  • Orthodontic extrusion is usually performed by means of a fixed orthodontic appliance that utilizes arch wire attached to adjacent teeth and transfers the desired force by elastic from the wire to the root. However, clinicians often encounter cases where the bonding required for tooth traction is not possible because the adjacent teeth have been restored with ceramic or veneer. The purpose of this case report is to describe a modified orthodontic extrusion appliance that is useful when conventional orthodontic treatment is not possible. The modified appliance was fabricated using an artificial tooth, clear plastic sheeting, and a braided fiber-reinforced composite strip that covered adjacent teeth without bonding. It satisfied the esthetic and functional needs of the patient and established the optimal biologic width.

ORTHODONTIC MANAGEMENT OF HORIZONTAL AND VERTICAL SPACE PROBLEMS IN PROSTHODONTICS (수평 및 수직 공간 회복을 위한 보철 교정)

  • Hwang, Hyeon-Shik
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.4
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    • pp.412-420
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    • 2000
  • A treatment should be functional, esthetic, conservative and periodontally healthy in order to meet criteria of an ideal dental procedure. In a prsthodontic patient with horizontal and/or vertical space deficiency, orthodontic tooth movement should be considered as a pre-prosthetic procedure. With a conventional technique, orthodontic treatment is a time-consuming and uncomfortable procedure. Pre-prosthetic orthodontic treatment, however, is no longer difficult procedure with the help of recently developed techniques, such as passive bracketing. The present article outlines the problems and causes of horizontal and vertical space deficiency in prosthodontic patients, and presents efficient pre-prosthetic orthodontic treatment modalities with typical clinical cases.

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Mechanical properties by resin injection method of orthdontic acrylic resin (교정용 레진장치의 레진주입방법에 따른 기계적 특성)

  • Jo, Jeong-Ki
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.341-346
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    • 2020
  • Polymethyl methacrylate (PMMA), a self-curing resin mainly used in removable orthodontic appliances, is an acrylic resin mainly used in the field of modern dentistry. As an advantage, it has been used for a long time as a material for orthodontic devices in dentistry due to its color and volume, tissue affinity, and stability. The production of PMMA can be divided into self-polymerization method and thermal polymerization method according to activation method. Self-curing resins have long been used as orthodontic devices. The resin injection method is largely divided into a sprinkle-on method and a mixing method. In this study, we intend to test the mechanical properties according to the resin injection method of the orthodontic device, such as strength, modulus of elasticity, and surface roughness. There was no significant difference in strength as a result of three-point bending strength test on rectangular specimens (1.4 × 3.0 × 19.0 mm) of orthodontic PMMA. There was also no significant difference in hardness. There was no significant difference in surface roughness. It was confirmed that the orthodontic PMMA had no significant difference in mechanical properties according to the resin injection method of the orthodontic device.

Convergence study of oral-related quality of life and changes in oral health behavior in adult patients before and after correction using the Daily Activity Oral Impact Index (OIDP) (일상활동구강영향지수(OIDP)를 이용한 성인환자의 교정전후 구강관련 삶의 질과 구강보건행동 변화의 융합적 연구 (20대를 중심으로))

  • Lee, Yeon-Kyoung;Kim, Min-A
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.129-134
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    • 2021
  • The present study surveyed 300 adults who completed orthodontic treatment to determine their oral health-related quality of life and changes in oral health behavior in orthodontic patients. The collected data is analyzed using the spss 22.0 program. Before orthodontic treatment, social factors (4.68) had the lowest associated quality of life score, and after orthodontic treatment, socially related quality of life showed the highest increase at 3.72 points. Changes in oral health behavior showed that many phosphorus scaling increased by 1.28 points after correction compared to before correction. As oral health quality of life and oral health behavior have changed through orthodontic treatment, dental professionals need to take appropriate management of each patient's individual quality through health education. Appropriate management needs to be developed.

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.

Conservative orthodontic treatment for severe pathologic migration following total glossectomy: A case report

  • Giap, Hai-Van;Jeon, Ji Yoon;Kim, Kee Deog;Lee, Kee-Joon
    • The korean journal of orthodontics
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    • v.52 no.4
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    • pp.298-307
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    • 2022
  • Glossectomy combined with radiotherapy causes different levels of tongue function disorders and leads to severe malocclusion, with poor periodontal status in cancer survivors. Although affected patients require regular access to orthodontic care, special considerations are crucial for treatment planning. This case report describes the satisfactory orthodontic management for the correction of severe dental crowding in a 43-year-old female 6 years after treatment for tongue cancer with total glossectomy combined with radiotherapy, to envision the possibility of orthodontic care for oral cancer survivors. Extraction was performed to correct dental crowding and establish proper occlusion following alignment, after considering the possibility of osteoradionecrosis. Orthodontic mini-implants were used to provide skeletal anchorage required for closure of the extraction space and intrusion of the anterior teeth. The dental crowding was corrected, and Class I occlusal relationship was established after 36 months of treatment. The treatment outcome was sustained after 15 months of retention, and long-term follow-up was recommended.

The effect of medical service satisfaction of orthodontic treatment on life quality related to oral health(OHIP-14) (교정치료의 의료서비스 만족도가 구강건강관련 삶의 질(OHIP-14)에 미치는 영향)

  • Yu, Kyung-Ja;Hwang, Joo-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.2
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    • pp.233-242
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    • 2020
  • Objectives: The purpose of this study is to investigate the relationship between perceived oral health, medical service satisfaction, and oral health impact profile (OHIP-14) and the factors affecting OHIP for orthodontic patients, and to provide basic data to improve the quality of life of orthodontic patients in accordance with oral health. Methods: The study explained the purpose and purport of this study to orthodontic patients who visit dental clinics located in Daejeon and Chungcheong province for about two months from July 01, 2019, and conducted a self‐reported questionnaire survey for 220 participants who agreed to participate in this study. of the collected questionnaires, data of 197 subjects were used for the final analysis except 23 that were inadequate. Results: As for orthodontic treatment satisfaction according to perceived oral health and OHIP, there was statistically significant difference between respondents who were 'very healthy' and 'not healthy' (p<0.05). The higher the supplementary service satisfaction, the higher the orthodontic treatment satisfaction, and the higher the perceived oral health, the OHIP was found to be the higher. The factors affecting OHIP were found to be significantly associated with orthodontic treatment satisfaction and perceived oral health. The explanatory power was 15.6%. Conclusions: Active and ongoing oral health education should be provided to dental hygienists to ensure that the patient's oral cavity is healthy, and although additional services need to be improved, it is more important to have management strategies for patients to improve orthodontic treatment satisfaction.