• Title/Summary/Keyword: orthodontics

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PALATOGRAPHIC STUDY ON MALOCCLUSION PATIENTS IN FRICATIVE SOUNDS (구개도(口蓋圖)에 의(依)한 부정교합자(不正咬合者)의 마찰음(摩擦音)에 관(關)한 연구(硏究))

  • Im, Chul-Joong
    • The Journal of Korean Academy of Prosthodontics
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    • v.8 no.1
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    • pp.56-64
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    • 1968
  • 저자(著者)는 구개도(口蓋圖)에 의(依)하여 한국어(韓國語) 마찰음(摩擦音)의 라, 사, 자, 차 사행(四行), 도합(都合) 40음(音)에 대(對)한 정당교합자(正堂咬合者) 오인(五人)과 부정교합자(不正咬合者) 십칠인(十七人)의 발음(發音)을 조사(調査)하여 다음과 같은 결과(結果)를 얻었다. 1) 라, 사, 자, 차 사행(四行)의 구개도(口蓋圖)는 V, H 및 C형(型)을 나타낸다. 2) 라행(行)의 구개도(口蓋圖)는 교합군(咬合群)에 관계(關係)없이 주(主)로 H형(型)을 보인다. 라행(行)에 있어서 전치(前齒)와 접촉부위간(接觸部位間)의 거리는 과개교합군(過蓋咬合群)에서 크고, 반대교하군(反對咬合群)에서는 작다. 3) 사행(行)은 주(主)로 V형(型)을 보이며 반대교합군(反對咬合群)에서만 C형(型)이 1/3정도(程度) 나타난다. 반대교합군(反對咬合群)에서의 V형(型)은 그 접촉부위(接觸部位)가 구치부(臼齒部)로 갈수록 두터워 진다. 4) 자, 차행(行)의 구개도(口蓋圖)는 라, 사행(行)에 비(比)하여 변화(變化)가 많다. a) 과개교합군(過蓋咬合群)은 H형(型)이 67%이고 나머지는 C형(型). b) 반대교합군(反對咬合群)은 거의 모두가 C형(型). c) 과개교합군(寡蓋咬合群)에서는 반이상(半以上)이 C형(型), 나머지는 H형(型)이나 간혹 V형(型)도 출현(出現)한다. 5) 구치부(臼齒部)에서의 측방반대교합(側方反對咬合)의 경우는 반대교합(反對咬合)이 있는 반대(反對)쪽의 접촉부위(接觸部位)가 넓다. 6) 과개교합군(寡蓋咬合群)에서의 접촉부위(接觸部位)는 정상군(正常群)이나 과개교합군(過蓋咬合群)에서 보다 일반적(一般的)으로 넓게 나타난다.

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Position of the hyoid bone and its correlation with airway dimensions in different classes of skeletal malocclusion using cone-beam computed tomography

  • Shokri, Abbas;Mollabashi, Vahid;Zahedi, Foozie;Tapak, Leili
    • Imaging Science in Dentistry
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    • v.50 no.2
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    • pp.105-115
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    • 2020
  • Purpose: This study investigated the position of the hyoid bone and its relationship with airway dimensions in different skeletal malocclusion classes using cone-beam computed tomography (CBCT). Materials and Methods: CBCT scans of 180 participants were categorized based on the A point-nasion-B point angle into class I, class II, and class III malocclusions. Eight linear and 2 angular hyoid parameters(H-C3, H-EB, H-PNS, H-Me, H-X, H-Y, H-[C3-Me], C3-Me, H-S-Ba, and H-N-S) were measured. A 3-dimensional airway model was designed to measure the minimum cross-sectional area, volume, and total and upper airway length. The mean crosssectional area, morphology, and location of the airway were also evaluated. Data were analyzed using analysis of variance and the Pearson correlation test, with P values <0.05 indicating statistical significance. Results: The mean airway volume differed significantly among the malocclusion classes(P<0.05). The smallest and largest volumes were noted in class II (2107.8±844.7 ㎣) and class III (2826.6±2505.3 ㎣), respectively. The means of most hyoid parameters (C3-Me, C3-H, H-Eb, H-Me, H-S-Ba, H-N-S, and H-PNS) differed significantly among the malocclusion classes. In all classes, H-Eb was correlated with the minimum cross-sectional area and airway morphology, and H-PNS was correlated with total airway length. A significant correlation was also noted between H-Y and total airway length in class II and III malocclusions and between H-Y and upper airway length in class I malocclusions. Conclusion: The position of the hyoid bone was associated with airway dimensions and should be considered during orthognathic surgery due to the risk of airway obstruction.

AUTOGENOUS AURICULAR CARTILAGE GRAFT FOLLOWED BY DISCECTOMY OF THE TEMPOROMANDIBULAR JOINT (악관절원판 절제술 후 이개연골 이식)

  • Chung, Hoon;Sung, Choon-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.2
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    • pp.81-91
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    • 1993
  • Arthrosis of the temporomandibular joint is defined as a disease of a joint with chief complaint of pain, clicking, limited jaw movements. Generally, most patients with the temporomandibular arthrosis can be treated conservatively with muscle relaxation therapy combined with mandibular repositioning prostheses, followed by occlusal equilibration, restorative dentistry and/or orthodontics, and many other forms of treatment. In case prior nonsurgical treatment proved to be ineffective or the disease is chronic and severe, surgical operation is recommended. For patients with arthrosis of the temporomandibular joint, only discectomy as therapeutic method of the surgical treatment should not be applied and the removed articular disc of the temporomandibular joint should be replaced. Allograft such as Proplast-Teflon, Silastic, etc have been used as replacements of removed articular disc. However, these allograft materials have caused complications such as inflammatory changes, foreign body reactions. As a result, a replacement material which is autogenous, space occupying, easy to harvest and less inflammatory change has been developed. Auricular cartilage with perichondrium satisfies many of these requirements. The apparent advantages of autogenous auricular cartilage as an interpositional graft after a discectomy are as follows, (1) the form of the external ear corresponds to joint morphology, (2) a graft of adequate size can be harvested, (3) the form of the external ear remains unchanged after surgery, (4) the graft can be obtained adjacent to the surgical site, (5) biologically acceptable material is used, (6) the additional expense of allogenic graft is avoided. Because we considered autogenous auricular cartilage as a good replacement material, removed articular disc has been replaced with fresh autogenous auricular cartilage in the case of three patients. The result of the treatment is favorable, and the cases being presented here.

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RECURRENT CHONDROBLASTOMA ON THE RIGHT TEMPORAL AREA : A CASE REPORT (우측 측두골에 재발한 연골아세포종의 증례보고)

  • Seo, Woon-Kyung;Huh, Pil-Woo;Lee, Won;Kim, Seong-Hun;Go, Taek-Su;Heo, Hyun-A;Kim, In-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.4
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    • pp.388-393
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    • 2005
  • Chondroblastoma was introduced as a rare benign cartilaginous neoplasm by Codman in 1931. It described by Jaffe and Lichtenstein in 1942 as a benign cartilaginous neoplasm that represents less than 1% of all primary bone tumor. It commonly arises in the epiphysis of long bone but, it occurs very rare in temporal area. Sometimes, microscopic identification of chondroblastoma and giant cell granuloma is difficult. An immunohistochemical studies was performed for S-100 protein which is useful in arriving at the correct diagnosis. Treatment modalities are total curettage, en-bloc excision, irradiation, and radiation combined with surgical excision. But radiation therapy was controversial. We describe a case of chondroblastoma which was arisen in the right temporal area and the recurrence that was treated by surgical excision and radiation therapy with review of literature.

INTERNAL VS. RIGID EXTERNAL DISTRACTION DEVICE FOR THE MAXILLARY HYPOPLASIA OF CLEFT PATIENTS (구순구개열 환자의 상악골 열성장에서 골신장술을 위한 Internal distraction device와 Rigid external distraction의 비교)

  • Paeng, Jun-Young;Myoung, Hoon;Hwang, Soon-Jung;Seo, Byoung-Moo;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pill-Hoon;Baek, Seung-Hak;Kim, Myung-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.4
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    • pp.324-333
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    • 2005
  • Distraction osteogenesis for the advancement of hypoplastic maxilla of cleft patients has shown successful results. In this report, rigid external distraction(RED) system and internal distraction device were used for maxillary advancement. Each system has its advantages and disadvantages. Larger amount of advancement can be achieved with RED system. But complex external device may give patients psychological stress. Internal device is invisible. However its distraction amount have limitation for the advancement (< 20mm) and the vector cannot be changed freely during distraction. The authors treated five cleft patients with maxillary hypoplasia(three with RED system and two with internal distractor). Their results were clinically satisfactory. We present the pros and cons of RED and internal system for maxillary distraction osteogenesis.

Surgical and Orthodontic Treatment of Unicystic Ameloblastoma Related to an Impacted Molar Tooth in the Mandible: Case Report (낭종성 법랑모세포종으로 인하여 매복된 하악 구치의 교정-외과 치료: 증례보고)

  • Moon, Cheol-Hyun;Kim, Hyeon-Min;Park, Dae-Song;Kim, Dong-Woo;Lee, Sang-Chil;Kim, Sung-Yong;Lim, Ho-Yong;Yeom, Hak-Yeol
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.5
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    • pp.435-439
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    • 2011
  • Ameloblastoma is an aggressive benign odontogenic epithelial tumour that may arise from the enamel organ, remnants of dental lamina, or the lining of an odontogenic cyst. It is usually categorized into solid or multicystic, unicystic, and peripheral types. Treatment ofameloblastomas include conservative methods such as marsupialisation, enucleation, and curettage; and radical treatments such as marginal or segmental resection. Radical treatments have resulted in lower recurrence rates; however, may also encounter esthetic, functional, and reconstructive problems. Unicystic ameloblastoma has been considered less aggressive and a lower recurrence tendency. Thus, many authors have recommended conservative treatment in cases of unicystic ameloblastoma. An 11 year-old boy presented with displaced second and third molars by luminal unicystic ameloblastoma in the mandible. Cyst enucleation, curettage, and third molar extraction were done. No signs of recurrence or esthetic problems such as facial asymmetry were seen radiologically and clinically, up to 8 years 2 months postoperatively.

Evaluation of Skeletal Stability Following Two-jaw Surgery via Surgery First Orthodontic Treatment in Class III Malocclusion (III급 부정교합에서 선수술 교정치료를 통한 양악 수술 후 안정성)

  • Hwang, Dae-Seok;Kim, Yong-Il;Lee, Jae-Yeol;Lee, Seong-Tak;Kim, Tae-Hoon;Lee, Joo-Min;Ahn, Kyung-Yong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.5
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    • pp.407-412
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    • 2011
  • Purpose: The purpose of the present study was to evaluate the postoperative skeletal stability of two-jaw surgery (Le Fort I osteotomy and bilateral sagittal split ramus osteotomy) via surgery first orthodontic treatment (SFOT) in class III malocclusion. Methods: Thirty-two patients who had two-jaw surgery via SFOT were included in this study. Serial lateral cephalograms were obtained before (T0), immediately after (T1), and six months after (T2) surgery. Twelve variables were measured for horizontal and vertical skeletal stability as well as for dental change. All measurements were evaluated statistically by a paired t-test ($P$ <0.05). Results: The mean skeletal changes were $0.1{\pm}2.5$ mm at point A and $-12.0{\pm}7.4$ mm at the pogonion. The mean horizontal relapse was 11.6% at the pogonion, and the mean vertical surgical changes included an upward displacement of $2.1{\pm}7.1$ mm and a forward displacement of $1.4{\pm}4.6$ mm at the pogonion. Upper incisor inclination decreased after surgery and was maintained at T2, and lower incisors were proclined from T1 to T2 by postsurgical orthodontic treatment. Conclusion: Postoperative skeletal stability of two-jaw surgery via surgery first orthodontic treatment in class III malocclusion was clinically acceptable.

A CEPHALOMETRIC AND COMPUTERIZED STUDY ON THE CRANIOFACIAL PATTERN IN ADULT WITH NORMAL OCCLUSION (두부방사선계측사진(頭部放射線計測寫眞)과 컴퓨터그래프상(像)을 이용(利用)한 성인정상교합자(成人正常咬合者)의 두개안면형태(頭蓋顔面形態)에 관(關)한 연구(硏究))

  • Kim, Kwang-Won;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.20 no.1
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    • pp.87-100
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    • 1990
  • This study was designed to compare the craniofacial structure of orthodontic patients with that of normal adult. For that purpose, 61 male and 64 female adults with normal occlusion were selected and utilizing the cephalogram that had taken under the natural head position and computerized graphic image, the special position of each anatomical structure against true horizontal and vertical reference plane was investigated. The following results were obtained. 1. The absolute special positions of each anatomic structure were calculated. 2. The inclination of Sella-Nasion plane to true horizontal plane was $8.3^{\circ}{\pm}3.9$ in male and $9.3^{\circ}{\pm}3.2^{\circ}$ in female. 3. The inclination of Frankfort horizontal plane to true horizontal plane was $1.3^{\circ}{\pm}3.0^{\circ}$ in male and $1.7^{\circ}{\pm}3.0^{\circ}$ in female. 4. The dimensions of Nasion-sella and Nasion-Anterior nasal spine to be used as the basic units of mesh diagram were $70.7mm{\pm}3.1mm$, $61.8mm{\pm}2.7mm$ in male and $67.8mm{\pm}3.3mm$, $57.0mm{\pm}2.6mm$ in female respectively. 5. The standard templates of craniofacial structure of male and female adult normal group were constructed. 6. The mesh diagrams of craniofacial structure of male and female adult normal group were constructed.

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Morphologic Study of Effects of Prostaglandin E2 and Evening Primrose Oil on Early Orthodontic Tooth Movement in Rats (백서의 구치 이동 초기에 Prostaglandin E2와 Evening Primrose Oil의 영향에 관한 형태학적 연구)

  • Lee, Won-Yu
    • The korean journal of orthodontics
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    • v.20 no.1
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    • pp.61-86
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    • 1990
  • To study the effect of prostglandin $E_2$ and evening primrose oil on orthodontic tooth movement in rats, one hundred and sixty rats were divided into four groups of 40 rats each. One group, injected with saline on the palate subperiosteally, served as a control group. A second and third group were injected subperiosteally on the palate with $PGE_2$ $10{\mu}g$ and evening primrose oil 10mg respectively. The fourth group was given indomethacin $20{\mu}g/m{\ell}$ orally by water bottle. The maxillary first molar was moved mesially from the incisors using a 50gm force rubber band. In each group at the 1, 2, 3, 5, and 7th day, 4 rats were examined by light microscope, and 4 by electron microscope. The obtained results were as follows: 1. Osteoclastic activity was maximum at the 3rd day in the $PGE_2$ group on the interradicular alveolar bone of the first molar, followed by the evening primrose oil group, control group, and indomethacin group. 2. Root resorption and vacuolar changes were maximum in the $PGE_2$ group. 3. At the 3rd day of the $PGE_2$ group, the osteoclasts showed well developed ruffled borders and clear zones. At the same day, the evening primrose oil group also showed well developed ruffled borders and clear zones, but less than the $PGE_2$ group. 4. At the 3rd and 5th day of the $PGE_2$ group, fibroblasts showed phagocytized fragmented collagen fibers in the cytoplasm. At the 7th day of the $PGE_2$ group, fibroblasts showed collagen fibers forming at the cell membrane surface.

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THE EFFECT OF TYPES OF ORTHODONTIC FORCE ON THE ROOT RESORPTION AND REPAIR IN RAT MOLAR (교정력 양상이 백서의 치근 흡수와 회복에 미치는 효과)

  • Jang, Dong-Soo;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.24 no.3 s.46
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    • pp.631-648
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    • 1994
  • The purpose of this study was to investigate the effects of different types of orthodontic force on the root resorption and repair in rat molar. 77 rats were divided into three groups; The control group was not equiped with orthodontic appliance between incisor and first molar. The experimental group was subdivided into closed coil spring subgroup and elastic chain subgroup by the application methods of orthodontic force. Initial orthodontic force between incisor and first molar was 100g. Experimental period was 8 weeks; for 4 weeks the appliance was acting and for another 4 weeks, removed. Root resorption and repair in the root of first molar was examined by light microscope for histologic changes and by inductively coupled plasma spectroscopy(ICP) for quantitative changes. The results were as follows: 1. In the closed coil spring subgroup odontoclasts and root resolution were appeared one week earlier. 2. One week after orthodontic force was eliminated the repair response in the resorptive lacuna was seen in both subgroups. Delayed resorption was seen on the periphery of resorptive lacunae whereas reparative response was seen in the center of lacunae. A new resorption was seen one week after orthodontic force was eliminated. Root contour was partially restored by repairing of resorbed root. 3. The weight ratios of calcium and phosphorous to the sample were decreased during resorptive process but increased during repair process in both the orthodontic groups, but not more than the control group. 4. By different types of orthodontic force (closed coil spring or elastic chain) resorption process was affected but repair process was not.

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