• Title/Summary/Keyword: Tooth Movement

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WHIP SPRING FOR THE TREATMENT OF LOCALIZED TOOTH MALPOSITION IN MIXED DENTITION (혼합치열기의 국소적 치열부정을 위한 Whip Spring)

  • Kim, Min-Hee;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.758-762
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    • 1997
  • There are various types of localized tooth malpositions in the mixed dentition, such as abnormal tooth axis, anterior crossbite of some incisors, impaction, midline diastema, ectopic eruption, and so forth. We, Pediatric Dentists, have usually used removable appliances for these instances. But, removable orthodontic appliances, as is known, have marked limitations in some situations, for example, severe rotation, intrusion and extrusion, root torque, closure of large diastema, traction of impacted tooth, etc. In such cases, Whip spring, combined with fixed or removable appliance, can increase utilities of removable orthodontic appliances. The authors have applied whip springs to some cases showing localized positional and arrangement problems, and have witnessed the results as follows; 1. The refined and elaborate control of direction and magnitude of force by the operator, and accurate compliance of the patients were requisite for the treatment with it. 2. It showed special effectiveness for de rotation of incisors. Although it yields some benefit for root movement, the special consideration for incomplete roots in this age bracket was required. 3. In the localized malalignment cases in mixed dentition, uncurable with traditional removable appliances but practically unrealistic with fixed appliance therapy, the whip spring was thought to be a good alternative.

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Bending Optimization of Archwire for Orthodontics Considering the Nonlinearity of Periodontal Ligament (치주인대의 비선형성을 고려한 치아 교정용 호선의 굽힘 최적화)

  • Heo, Ji-In;Lee, Kwon-Hee
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.6
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    • pp.77-83
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    • 2013
  • Orthodontics is a branch of dentistry that is concerned with the study and treatment of malocclusion, which may result from tooth irregularities, disproportionate jaw relationships, or both. Orthodontic devices consist of brackets, archwire connected to each bracket, and bends and hooks for auxiliary functions. Basically, orthodontics involves the interaction of brackets and archwire. It should be noted that uncontrolled tipping can occur due to unwanted movement of the teeth. The bending of an archwire can control the angle of an archwire and the rotation of a tooth. In this study, we predict the relationship between the bending angle of an archwire and the rotation of a tooth using the Kriging interpolation method. Also, we calculate the angle of an archwire that occurs at the minimum value of tooth rotation.

Changes in pulpal blood flow during orthodontic tooth movement studied by Doppler ultrasound (Doppler ultrasound를 이용한 교정적 치아 이동 시 치수 혈류량의 변화의 측정- 예비실험)

  • Lim, Kyoung-Sub;Bae, Young-Min;Cha, Jung-Yul;Yu, Hyung-Seog;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.39 no.6
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    • pp.372-382
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    • 2009
  • Objective: This study was to change of pulp blood flow among maxillary and mandibular anterior tooth with mild crowding and adjacent teeth using Ultrasound Doppler graphy. Methods: The change of pulp blood flow was measured three times using Ultrasound Doppler graphy; before the attachment of brackets, after 3 week, and after 6 week. The sample consists of 15 year old eighteen patients. Results: Before the attachment of brackets, after 3 weeks, and after 6 weeks, there were no significant differences in the change of pulp blood flow in each part (maxilla and mandible) and each tooth according to period. In addition, to compare internal dangerousness of loss of the pulp vitality, when pulp blood flow is compared in each tooth before orthodontic treatment, there were no statistically significant differences in maxillary lateral incisor and mandibular canine but it showed low values in all measurement items (p > 0.05). Conclusions: Results of this study can be not only methodological preliminary data in further study such as tooth movement type of Ultrasound Doppler graphy and particular study considered the patient age, but also reference materials for the loss of pulp vitality in orthodontic treatment.

The Occlusal Evaluation and Treatment Planning for Prosthodontic Full Mouth Rehabilitation (보철학적 교합 재구성을 위한 교합진단과 치료계획)

  • Lee, Seung-Kyu;Lee, Sung-Bok;Choi, Dae-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.2
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    • pp.149-159
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    • 2000
  • Occlusal disease is comparable to periodontitis in that it is generally not reversible. Occlusal disease, however, like periodontitis, often maintainable. It does itself to treatment and when restorative dentistry is utilized it becomes, in that sense, reversible. Moreover, a systematized and integrated approach will lead to a prognosis that is favorable and predictable. This approach facilitates development of optimum oral function, comfort, and esthetics, resulting in a satisfied patient. Such a systematized approach consists of four logical phase : (1) patient evaluation, (2) comprehensive analysis and treatment planning, (3) integrated and systematic reconstruction, and (4) postoperative maintenance. An integrated treatment plan is first developed on one set of diagnostic casts, properly mounted on a semiadjustable articulator using jaw relationship records. This is accomplished by using wax to make reconstructive modifications to the casts. These modified casts become the blueprint for planned occlusal changes and the fabrication of provisional restorations. The treatment goals are : (1) comfortably functioning temporomandibular joints and stomatognathic musculature, (2) adherence to the basic principle of occlusion advocated by Schuyler, (3) anterior guidance that is in harmony with the envelope of function, (4) restorations that will not violate the patient's neutral zone. This report shows the treatment procedures for a patient whose mandibular position has been altered due to posterior bite collapse. Migration of the maxillary anterior teeth had occurred, and the posterior occlusal contacts showed pathologic interference. Precise diagnosis using mounted casts was executed and prosthodontic reconstruction by the aid of an unconventional orthodontic correction on maxillary flaring was planned. An unconventional orthodontic correction can be accomplished by using preexisting natural teeth, which can be modified for use in active tooth movement or splinted together for orthodontic anchorage. This technique has an advantage over conventional fixed appliance orthodontic therapy because it can accomplish tooth movement concurrently with restorative and periodontal therapy. On occasion, minor tooth movement can be necessary to achieve the optimum occlusal scheme, crown form, and tooth position for the forces of occlusion to be displaced down the long axis of the periodontally compromised teeth. Once the occlusion, periodontal health, and crown contours for the provisional splinted restoration are acceptable, the final splinted restoration can be similarly fabricated, and it becomes an excellent orthodontic retainer.

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LIP PROFILE CHANGES AFTER ORTHODONTIC TOOTH MOVEMENT IN FEMALE ADULT WITH BIMAXILLARY PROTRUSION (양악 전돌증 환자에서 소구치 발치를 통한 교정치료시 입술 주위 연조직변화에 관한 연구)

  • Kim, Tae-Kyung;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.135-147
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    • 1994
  • Facial esthetics is one of the most important goal of the orthodontic treatment and main concern of many patients. Facial esthetics should be considered in orthodontic diagnosis and treatment planning. Prediction of soft tissue profile changes after orthodontic tooth movement should be considered as well. The purpose of this study was to find out the effect of orthodontic treatment on lip profile in adult patient. The pre and post treatment cephalometric roentgenograms of 87 female adult with bimaxillary protrusion were used to analyze lip profile change. All subjects were treated with four bicuspids extraction. Obtained results were as follows . 1. Lip thickness changes after incisor retraction showed different patterns according to areas of the lip. The thickness of the red lip area showed 2.78 mm increase in average. In contrast the thickness of the cutaneous area showed 0.65 - 0.7 mm decrease according to the different cutaneous areas. 2. The length of the red lip area decreased(1.3mm) after incisor retraction. 3. The length of the cutaneous lip area increased(2.9mm) after incisor retraction.

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Biomechanical analysis of distalization of mandibular molars by placing a mini-plate: A finite element study

  • Park, Myungsoon;Na, Yonghyun;Park, Minbong;Ahn, Janghoon
    • The korean journal of orthodontics
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    • v.47 no.5
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    • pp.289-297
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    • 2017
  • Objective: The objective of this study was to analyze the patterns of tooth movements when distalization of mandibular molars using a mini-plate took place. A finite element analysis was applied to analyze patterns of tooth movements. Methods: The model of the mandible and teeth were used to build a finite element analysis model, and a mini-plate was inserted in the mandibular ramus. Two different orthodontic forces were established for displacement of mandibular molars. Orthodontic forces were applied at the level of the bracket and at the level of the cemento-enamel junction in the mandibular canine respectively. Results: Applying orthodontic forces at the level of the cemento-enamel junction resulted in a greater biomechanical bodily movement in distalization of the mandibular molars compared to when the orthodontic forces were applied at the level of the bracket. Applying orthodontic forces to the cemento-enamel junction also resulted in unwanted greater extrusive movements in distalization of the mandibular molars compared to the bracket level. Conclusions: With considering the mode of orthodontic teeth movement, applying different vertical orthodontic forces for distalization of mandibular molars can lead to more effective distalization of teeth.

AN EXPERIMENTAL STUDY ON THE PERIODONTAL TISSUE REACTION TO TOOTH MOVEMENT IN THE RAT (치아이동(齒牙移動)이 백서(白鼠) 치주조직(齒周組職)에 미치는 영향(影響)에 관(關)한 실험적(實驗的) 연구(硏究))

  • Yoo, Nam Soon
    • The korean journal of orthodontics
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    • v.9 no.1
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    • pp.99-103
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    • 1979
  • For the purpose of investigating the response of the periodontal tissue in relation to the experimental tooth movement, the rats were inhibited from collagen formation by adminstration of aminoacetonitrile. Findings were as follows: 1) In experimental group, the principal fibers of the periodontal ligament came to run parallel along the alveolar bone or root surface on the pressure side, while the decrease in density, irregular arrangement, and partial loss of principal fibers were observed on the tension side. 2) Sharpey's fibers at the alveolar bone decreased in number, and as the aminoacetonitrile administration continued, the capability of matrix formation decreased on the tension side, the narrowing of the alveolar septum and poor-bony trabeculation appeared on the pressure side. 3) In cementum, Sharpey's fibers were distributed irregularly. The formation of acellura cementum was decreased on the tension side, while the formative capability of cellular cementum was increased. 4) The degree of staining by Herovici technique decreased in the periodontal membrane. By PAS and ninhydrine -Schiff reaction it was appeared weakly positive in the region where the Sharpey's fibers existed.

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Osseous outgrowth on the buccal maxilla associated with piezosurgery-assisted en-masse retraction: A case series

  • Tuncer, Nilufer Irem;Arman-Ozcirpici, Ayca;Oduncuoglu, Bahar Fusun;Kantarci, Alpdogan
    • The korean journal of orthodontics
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    • v.48 no.1
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    • pp.57-62
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    • 2018
  • Piezoelectric surgery is a novel surgical approach used in orthodontic treatment for rapid tooth movement. This paper presents a case series wherein osseous outgrowths were observed in response to piezosurgery-assisted en-masse retraction. Sixteen patients requiring upper premolar extractions were treated with miniscrew-supported en-masse retraction and received minimally invasive decortication via piezosurgery. Computed tomography (CT) of the maxillary anterior region was performed to investigate the nature of the outgrowths. In 8 of the 16 patients, hemispheric or disc-shaped osseous outgrowths were observed on the sites where piezosurgery was performed during retraction. CT images revealed that these outgrowths were alveolar bone. This case series presents a previously unreported osseous response to piezosurgery-assisted tooth movement during orthodontic treatment. The response is mostly transient and is observed in 50% of the treated patients, suggesting a bone turnover that can be assessed clinically and radiographically.

FRICTIONAL FORCES IN THE FIXED ORTHODONTIC APPLIANCE DURING TOOTH MOVEMENT (고정성 교정장치를 이용한 치아이동시 발생되는 마찰력)

  • Cho, Myeong-Sook;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.20 no.2
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    • pp.409-417
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    • 1990
  • Tooth movement would be impeded by frictional force arised between archwire and tube, bracket or elastics in the fixed orthodontic appliances, which could be changed variably by such several factors as the contact area, normal (perpendicular) force and the condition of contact surface. There were many literatures about frictional force in the orthodontic region, but different results were obtained from little controlled research so that was very difficult in clinical application. Therefore we have reviewed comprehensively previous literatures about frictional force and thus several results were obtained as follows: 1. For use species of the orthodontic wire, frictional force was influenced mainly by surface roughness of wire in the absence of binding, while that was influenced mainly by normal force in high binding angulation. 2. For the cross-section and diameter of the wire, the contact area influenced mainly on frictional force in the absence of binding, while wire stiffness influenced mainly on frictional force in high binding angulation. 3. The greater the bracket width, the greater frictional force, and frictional force of the plastic bracket was larger than that of the metal bracket. 4. For ligation type, frictional force of the stainless steel ligation was larger than that of the elastic ligation, and frictional force was directly proportional to ligation force. 5. Variable frictional force were occured from the saliva combined with such another factors as normal force and mode of surface oxide et al.

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Clinical considerations with self-ligating brackets (자가결찰브라켓을 이용한 교정 치료의 임상적 고려사항)

  • Kim, Hoon;Kim, Kwang-Yoo;Kang, Yoon-Goo;Kim, Seong-Hun;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.36 no.6
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    • pp.474-482
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    • 2006
  • Self-ligating brackets have a permanently installed movable component to entrap the archwire which reduces much of the friction created by conventional ligation. Therefore, it allows for rapid tooth movement and shorter overall treatment time. Due to these advantages, interest in self-ligating brackets is increasing. In this report, several practical considerations for using self-ligating brackets are given to appreciate and maximize their benefits. It is thought that self-ligating brackets make shorter and more efficient treatment possible.