• Title/Summary/Keyword: Orthodontic patient

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Orthodontic diagnosis rates based on panoramic radiographs in children aged 6-8 years: A retrospective study

  • You-Sun Lee;Ji-Yeon Lee
    • The korean journal of orthodontics
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    • v.54 no.3
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    • pp.185-195
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    • 2024
  • Objective: This study aimed to retrospectively analyze the prevalence of orthodontic problems and the proportion of patients who underwent orthodontic diagnosis among children aged 6 (n = 300), 7 (n = 400), and 8 (n = 400) years who had undergone panoramic radiography. Methods: Children were divided into five groups according to their chief complaint and consultation: conservative dentistry, oral and maxillofacial surgery, orthodontics, periodontics, and prosthodontics). Chief complaints investigated included first molar eruption, lack of space for incisor eruption, frequency of eruption problems, lack of space, impaction, supernumerary teeth (SNT), missing teeth, and ectropion eruption. The number of patients whose chief complaint was not related to orthodontics but had dental problems requiring orthodontic treatment was counted. The proportion of patients with orthodontic problems who received an orthodontic diagnosis was also examined. Results: Dental trauma and SNT were the most frequent chief complaints among the children. The proportion of patients with orthodontic problems increased with age. However, the orthodontic diagnosis rates based on panoramic radiographs among children aged 6, 7, 8 years were only 1.5% (6 years) and 23% (7 and 8 years). Conclusions: Accurate information should be provided to patient caregivers to correct misconceptions regarding the appropriateness of delaying orthodontic examination until permanent dentition is established.

Orthodontic treatment of a transposed maxillary canine and first premolar in a young patient with Class III malocclusion

  • Gracco, Antonio;Siviero, Laura;Perri, Alessandro;Favero, Lorenzo;Stellini, Edoardo
    • The korean journal of orthodontics
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    • v.45 no.6
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    • pp.322-332
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    • 2015
  • A 12-year-old girl was referred to our clinic for evaluation of an unaesthetic dental appearance. All permanent teeth were erupted, while the deciduous maxillary right canine was retained. Cone-beam computed tomography revealed a complete transposition of the maxillary left canine and first premolar involving both the crowns and the roots. Initial cephalometric analysis showed a skeletal Class III pattern, with a slight maxillary retrusion and a compensated proclination of the upper incisors. The patient's teeth were considered to be in the correct position; therefore, we decided to attempt treatment by correcting the transposition and using only orthodontic compensation of the skeletal Class III malocclusion. After 25 months of active orthodontic treatment, the patient had a Class I molar and canine relationship on both sides, with ideal overbite and overjet values. Her profile was improved, her lips were competent, and cephalometric evaluation showed acceptable maxillary and mandibular incisor inclinations. The final panoramic radiograph showed that good root parallelism was achieved. Two-year follow-up intraoral photography showed stable results.

What Do We See When We Look at Faces? (우리는 얼굴을 어떻게 평가하는가?)

  • Evans, Carla A.
    • The korean journal of orthodontics
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    • v.33 no.5 s.100
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    • pp.319-322
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    • 2003
  • Recent scientific findings on the perception of facial attractiveness coupled with technological advances in computer imaging make it possible to measure the facial characteristics that nay be associated with specific judgments of facial appearance. These new methods can be used to produce psychometric norms of facial attractiveness which potentially could supplement the conventional population norms or averages used currently in orthodontic treatment planning. It is hypothesized that consideration of psychometric norms will enhance doctor-patient communication and lead to greater patient satisfaction at the completion of orthodontic treatment.

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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Orthodontic treatment with clear aligners for a patient with chronic periodontitis

  • Zhang, Jiehua;Li, Jun;Peng, Youjian
    • The korean journal of orthodontics
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    • v.52 no.6
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    • pp.439-450
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    • 2022
  • This case report describes the treatment of an adult female patient with a history of periodontal disease, Class I malocclusion with extrusion, dental spaces, and pathologic tooth migration. The patient was treated with clear aligners, which effectively controlled the strength and direction of orthodontic forces after 3 months of systematic periodontal treatment. The Peer Assessment Rating (PAR) index was calculated from study models before and after treatment. The pretreatment PAR score was 24, and the posttreatment PAR score was 4. The PAR score for this patient changed by 83%. Satisfactory appearance and good function were achieved for this patient.

A posteriori registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

  • Kreich, Eliane Maria;Chibinski, Ana Claudia;Coelho, Ulisses;Wambier, Leticia Stadler;Zedebski, Rosario de Arruda Moura;de Moraes, Mari Eli Leonelli;de Moraes, Luiz Cesar
    • Imaging Science in Dentistry
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    • v.46 no.1
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    • pp.17-24
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    • 2016
  • Purposes: This study employed a posteriori registration and subtraction of radiographic images to quantify the apical root resorption in maxillary permanent central incisors after orthodontic treatment, and assessed whether the external apical root resorption (EARR) was related to a range of parameters involved in the treatment. Materials and Methods: A sample of 79 patients (mean age, $13.5{\pm}2.2years$) with no history of trauma or endodontic treatment of the maxillary permanent central incisors was selected. Periapical radiographs taken before and after orthodontic treatment were digitized and imported to the Regeemy software. Based on an analysis of the post-treatment radiographs, the length of the incisors was measured using Image J software. The mean EARR was described in pixels and relative root resorption (%). The patient's age and gender, tooth extraction, use of elastics, and treatment duration were evaluated to identify possible correlations with EARR. Results: The mean EARR observed was $15.44{\pm}12.1pixels$ (5.1% resorption). No differences in the mean EARR were observed according to patient characteristics (gender, age) or treatment parameters (use of elastics, treatment duration). The only parameter that influenced the mean EARR of a patient was the need for tooth extraction. Conclusion: A posteriori registration and subtraction of periapical radiographs was a suitable method to quantify EARR after orthodontic treatment, and the need for tooth extraction increased the extent of root resorption after orthodontic treatment.

Extensive Adenomatoid Odontogenic Tumor of the Maxilla: A Case Report of Conservative Surgical Excision and Orthodontic Alignment of Impacted Canine

  • Moon, Jee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.4
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    • pp.173-177
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    • 2014
  • The present report describe the surgical therapy, clinical course, orthodontic treatment and morphological characteristics of an adenomatoid odontogenic tumor in the maxilla of an 11-year-old patient. The cystic tumor filled the maxillary sinus and involved a tooth. Marsupialization was accompanied by partial enucleation and applied traction to the affected tooth by a fixed orthodontic appliance. Healing was uneventful and no local recurrence was observed during a 1-year period of follow-up control.

Orthodontic treatment of gummy smile by maxillary total intrusion with a midpalatal absolute anchorage system

  • Hong, Ryoon-Ki;Lim, Seung-Min;Heo, Jung-Min;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.43 no.3
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    • pp.147-158
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    • 2013
  • This article describes the orthodontic treatment of a 31-year-old Korean female patient with gummy smile and crowding. The patient showed excessive gingival display in both the anterior and posterior areas and a large difference in gingival heights between the anterior and posterior teeth in the maxilla. To correct the gummy smile, we elected to intrude the entire maxillary dentition instead of focusing only on the maxillary anterior teeth. Alignment and leveling were performed, and a midpalatal absolute anchorage system as well as a modified lingual arch was designed to achieve posterosuperior movement of the entire upper dentition. The active treatment period was 18 months. The gummy smile and crowding were corrected, and the results were stable at 21 months post-treatment.

TENS FOR CONTROLLING ORTHODONTIC PAIN (교정치료시 동통관리를 위한 TENS)

  • Oh, Hee-Myeong;Hong, Sung-Joon
    • The korean journal of orthodontics
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    • v.19 no.2
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    • pp.121-129
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    • 1989
  • Pain and pain management have long been items of central concern in dentistry. Although they are given little attention in orthodontics, virtually every patient wearing orthodontic appliances experiences and complains of some extent of pain, and someones have suffered from severe throbbing pain. A form of stimulation-produced analgesia, Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive, non-pharmacologic pain control techniques. The clinical application of TENS to orthodontic patients may lead to better patient compliance. And I want to discuss some basic knowledge of this TENS.

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