• Title/Summary/Keyword: a Treatment Class

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The treatment of skeletal Class III growing patient using MTA(Modified Tandem Appliance) (성장기 III급 환자에서 MTA(modified Tandem Appliance)를 이용한 교정치료)

  • Moon, Cheol-Hyun;Nam, Ji-Seon
    • The Journal of the Korean dental association
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    • v.46 no.2 s.465
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    • pp.88-99
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    • 2008
  • In growing patients with Class III malocclusion and midfacial deficiency, the treatment protocol calls for orthopedic maxillary protraction and clinicians choose the facemask therapy generally. But facemask is not esthetic or comfortable to patients because it should be worn extraorally. Consequently it is difficult to obtain patients cooperation, and this often influences the treatment effects negatively. MTA (modified tandem appliance), that is a small intraoral appliance, is carried conveniently and esthetic relatively. So it seemed more patient-friendly than a facemask. While the treatment effect of this is similar to that of a facemask. This report presents skeletal Class III malocclusion two cases treated by MTA with good results.

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A STUDY ON CHANGES IN THE FORM AND DIMENSIONS OF DENTAL ARCHES RESULTING FROM ORTHODONTIC TREATMENT (교정치료(矯正治療)에 따르는 치열궁형태(齒列弓形態) 및 크기 변화(變化)에 관(關)한 연구(硏究))

  • Park, Nae Seob;Lee, Dong Joo
    • The korean journal of orthodontics
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    • v.17 no.2
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    • pp.235-246
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    • 1987
  • The purpose of this study was to detect out the changes occured during orthodontic treatment. The sample was consisted of 77 orthodontic patients. For this study 13 linear lengths and arch area were measured in maxilla, mandible respectively and were analyzed statistically. The results were as follows 1 The sequence of changes in the form and dimensions of dental arches following orthodontic treatment was as follows Class I malocclusion, Class III malocclusion, Class II malocclusion. 2 Changes in the form and dimensions of dental arches were greater in extraction cases than those of non-extraction cases 3 In comparison with maxilla and mandible on the amount of changes following orthodontic treatment in each malocclusion group, significant differences were greatest in class III malocclusion 4 In comparison with maxilla and mandible on the amount of changes following orthodontic treatment in extraction and non-extraction cases, significant differences were greater in extraction cases than those of non-extraction cases 5. The amount of changes during orthodontic treatment in extraction and non-extraction cases in male was not different from female's.

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PREVALENCE AND SEVERITY OF MALOCCLUSION IN CHILDREN 13 TO 15 YEARS OF AGE LIVING IN SEOUL (서울시내에 거주하는 13세-15세 청소년들의 부정교합에 관한 역학적 연구)

  • Song, Kyung-Won;Kim, Jin-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.11 no.1
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    • pp.121-130
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    • 1984
  • Childrens between the ages of 13 and 15 years, living in Seoul, were examined in order to determine the prevalence and severity of malocclusion in the permanent dentition. This survey encompassed 981 children and an individual chart was prepared for each subject recording an original HMAR score and classification of occlusion according to Angle. Also, subjective evaluation of "treatment needs" was carried out in 581 children. The results were as follows: 1. Of the 981 children in this survey, 12,1 percent showed excellent occlusion. (0 point) 2. The 14 percent of the children who had a score of 24 and above all appeared to belong to the "treatment highly desirable" or "treatment mandatory" category. 3. The incorporation of SAR (Supplementary Assessment Record) into the HMAR can provide more sensitive method for evaluating severity of malocclusion. 4. According to Angle's classification 77.4 percent of all malocclusion belonged to Class I, 1.3 percent to Class II, Division 1, 0.9 percent to Class II, Division 2, and 11.3 percent to Class III. 5. The mean HMAR score for Class I was significantly lower than for either Class II, Division 1 or Class III. (P < 0.05) 6. A close relationship was found between the degree of "treatment needs" and the value obtained by the HMAR scoring. (chi-square test, p < 0.05) The differences between the mean HMAR scores of the various subjectively defined categories were statistically significant. (P < 0.001)

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Stability of camouflage treatment using mandibular full arch distalization in Skeletal Class III malocclusion (성인 골격성 III급 부정교합 환자에서 하악 전치열 후방이동 절충치료의 안정성)

  • Song, Ho Jin;Yu, Hyung Seog
    • The Journal of the Korean dental association
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    • v.57 no.6
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    • pp.344-351
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    • 2019
  • Skeletal Class III malocclusion is a relatively common form of malocclusion in Korea. In borderline cases where only mild skeletal discrepancy exists and if worsening of the facial profile is expected as a result of premolar extraction, mandibular full arch distalization with miniscrews is the treatment of choice. The purpose of this study was to investigate the pattern of tooth movement and evaluate the stability of mandibular full arch distalization and to identify correlation between stability and factors such as initial skeletal pattern, dental changes during treatment and alveolar bone in symphysis region using lateral cephalograms.

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Comparison of occlusal contact areas of class I and class II molar relationships at finishing using three-dimensional digital models

  • Lee, Hyejoon;Kim, Minji;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.45 no.3
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    • pp.113-120
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    • 2015
  • Objective: This study compared occlusal contact areas of ideally planned set-up and accomplished final models against the initial in class I and II molar relationships at finishing. Methods: Evaluations were performed for 41 post-orthodontic treatment cases, of which 22 were clinically diagnosed as class I and the remainder were diagnosed as full cusp class II. Class I cases had four first premolars extracted, while class II cases had maxillary first premolars extracted. Occlusal contact areas were measured using a three-dimensional scanner and RapidForm 2004. Independent t-tests were used to validate comparison values between class I and II finishings. Repeated measures analysis of variance was used to compare initial, set up, and final models. Results: Molars from cases in the class I finishing for the set-up model showed significantly greater contact areas than those from class II finishing (p < 0.05). The final model class I finishing showed significantly larger contact areas for the second molars (p < 0.05). The first molars of the class I finishing for the final model showed a tendency to have larger contact areas than those of class II finishing, although the difference was not statistically significant (p = 0.078). Conclusions: In set-up models, posterior occlusal contact was better in class I than in class II finishing. In final models, class I finishing tended to have larger occlusal contact areas than class II finishing.

Zygomatic miniplates for skeletal anchorage in orthopedic correction of Class III malocclusion: A controlled clinical trial

  • Bozkaya, Erdal;Yuksel, Alime Sema;Bozkaya, Suleyman
    • The korean journal of orthodontics
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    • v.47 no.2
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    • pp.118-129
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    • 2017
  • Objective: To evaluate the effects of facemask therapy, which was anchored from the zygomatic buttresses of the maxilla by using two miniplates, in skeletal Class III patients with maxillary deficiency. Methods: Eighteen skeletal Class III patients (10 girls and 8 boys; mean age, $11.4{\pm}1.28$ years) with maxillary deficiency were treated using miniplate-anchored facemasks, and their outcomes were compared with those of a Class III control group (9 girls and 9 boys; mean age, $10.6{\pm}1.12$ years). Two I-shaped miniplates were placed on the right and left zygomatic buttresses of the maxilla, and a facemask was applied with a 400 g force per side. Intragroup comparisons were made using the Wilcoxon test, and intergroup comparisons were made using the Mann-Whitney U-test (p < 0.05). Results: In the treatment group, the maxilla moved 3.3 mm forward, the mandible showed posterior rotation by $1.5^{\circ}$, and the lower incisors were retroclined after treatment. These results were significantly different from those in the control group (p < 0.05). No significant anterior rotation of the palatal plane was observed after treatment. Moreover, changes in the sagittal positions of the maxillary incisors and molars were similar between the treatment and control groups. Conclusions: Skeletally anchored facemask therapy is an effective method for correcting Class III malocclusions, which also minimizes the undesired dental side effects of conventional methods in the maxilla.

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.

The Clinical Studies about improvement rate in managering patients who had lumbago and pain in loin & feet with herbal-acupunture therapy (요통(腰痛) 및 요각통(腰脚痛) 환자에 있어 약침치료(藥鍼治療)의 호전도에 대한 임상적 고찰)

  • Lee, Dong-Hyun;Kim, Hyo-Soo;Wei, Tung-Shuen
    • Journal of Pharmacopuncture
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    • v.7 no.2
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    • pp.97-105
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    • 2004
  • Objectives : The purpose of this study is to compare the improvement rate in managering patients who had lumbago and pain in loin & feet by herbal-acupunture therapy with conservative treatment. Methods : 40patients who invited from March. 2003 to May. 2004 with lumbago and pain in loin & feet inve, were divided into two classes. A class was managed with conservative treatment(acupuncture, herb med, negative therapy, bed rest and physical therapy) and herbal-acupuncture therapy, the other class was managed with conservative treatment only. Two classes were distributed by sex and age, therapeutic periods, radiolographic results and therapeutic results that checked with VAS(visual analog scale) and ODI(Oswestry disability index). Results : According to VAS and OBI results, A class was managed with conservative treatment and herbal-acupuncture therapy shows the improvement in controling the pain of lumbago etc. comparing with the other class.

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.

A STUDY OF THE SECOND MOLAR WHICH WAS MALPOSITIONED AFTER ORTHODONTIC TREATMENT (교정치료후 부정위치된 제2대구치의 양상에 관한 연구)

  • Yun, Young-Sun;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.25 no.3 s.50
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    • pp.299-310
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    • 1995
  • The purpose of this study is to know about the positional change of second molar when orthodontic treatment is performed. To know about it, we andlysed cephalogram pre. and post treatment for 54 adult patients who werefinished orthodontic treatment by banding to the first molar and classify them into 4 groups Class I extraction group 15, Class I nonextraction group 12, Class II group 13, class Class III group 14. The following conclusions were obtained : 1. In the extraction group of Class I , mandibular second molar showed less extrusion and mon distal inclination than first moarl. But maxillary second molar showed more or less extrusive and mesial inclination to much the same degree of first molar. 2. Inthe non-extractio group of Class I, mandibular second molar in intrusive to first molar, it showed smilar distal inclination to first molar. But maxillary second molar is extrusive similarly to first molar. 3. In the group of Class II , mandibular second molar is less extrusive than first molar and maxillary second molar is more extrusive than first molar. 4. In the group of Class III, mandibular second molar showed similar extrusion to first molar and more distal inclination than first molar. But maxillary second molar showed less extrusion than first molar. 5. A comparision of the positional change of second molar among groups : The change of distance from FH plane to funcation point of maxillary second molar is the difference between Class I extraction group and Class II group, Class I extraction group and Class III group. The change of maxillary second molar to palatal plane and occlusal plane is the difference between Class I extraction group and Class III group. And the change of distance from mandibular plan to furcation point of mandibular second molar is difference between Class I extraction group and non-extraction group, Class I non-extraction group and Class II group, Class I non-extraction group and Class III group. But the change of angle of mandibular second molar to mandibular plane and occlusal plane is make no difference in among groups.

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