• Title/Summary/Keyword: orthodontics

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A STUDY ON THE MANDIBULAR GROWTH PREDICTION AND SIZE OF THE FRONTAL SINUS (전두동의 크기와 하악골 성장예측에 관한 연구)

  • Kyung, Seung-Hyun;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.27 no.3 s.62
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    • pp.473-479
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    • 1997
  • This author tried to find if the size of the frontal sinus can be used as a diagnostic aid to predict the manldibular growth pattern in growing Patients in lateral cephalogram utilizing the fact the the frontal sinus completes its growth in earlier stage but the mandible continues to grow until later. At this study, the 228 samples were divided into 3 groups as skeletal Class I, II, III malocclusions and three indicies(ANB, APDI, Wits) were measured which indicate the mandibular body length and the antero-posterior relationship of maxilla and mandible to evaluate their relations with frontal sinus. And results were obtained as followings 1. The size of frontal sinus is highly related to ANB, APDI, Wits and mandilar body length.(p<0.001) 2. the size of the frontal sinus of the Cl III malocclusion group was on the lateral cephalogram larger than Cl I and Cl II group.

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A study on the release of nickel and chromium from simulated orthodontic appliances (교정장치로부터의 니켈과 크롬의 유리에 관한 연구)

  • Ryu, Jeong-Hyun;Oh, Soh-Taek;Kang, Kyung-Wha;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.33 no.5 s.100
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    • pp.351-358
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    • 2003
  • Nickel and chromium are two major metals used in the alloys of most orthodontic appliances. But these metals are known to cause hypersensitivity, dermatitis, and asthma. In addition, a significant carcinogenic and mutagenic potential has been demonstrated for compounds containing these metals. The purpose of this study was to find out how much nickel and chromium was released from orthodontic appliances, and which factors would influence the release. The simulated orthodontic appliances were constructed for a half of a mandibular arch and incubated in $0.05\%$ NaCl solution at $37^{\circ}C$. Nickel and chromium release was quantified with an Inductively Coupled Plasma (ICP) spectroanalyzer. The results were as follows : 1. From simulated orthodontic appliances, nickel was released $9.83-70.0{\mu}g/day$ but the release of chromium was not detectable in Limit of 10ppb. 2. The amount of nickel release was significantly different between the types of appliances. 3. The galvanic condition increased the amount of nickel release, which was not statistically significant. 4. The sand blasting increased the amount of nickel release, which was also not statistically significant.

Two-jaw surgery by use of Surgical Jaw Relator (Surgical Jaw Relator를 이용한 양악 수술 치험례)

  • Yang, Sang-Duck
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.238-249
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    • 2005
  • The contemporary two-jaw surgical approach usually involves a Le Fort osteotomy of the maxilla and a ramal osteotomy of the mandible with 3-dimensional repositioning of the jaws as well as the occlusal planes. After making the surgical treatment plan. the surgical movements are duplicated in the model surgery. During this procedure, reference poings and lines are drawn on the base of the models over the dental arch and sawcuts are mads according to these marked osteotomy lines. This technique, however, has been found to be inexact. especially when the laws are moved in several dimensions simultaneously. To overcome this. different methods have been developed for an accurate repositioning of the jaws as planned. A new appliance. Surgical Jaw Relater, has been devised by th8 author for the simple 3-dimensional relocation of the upper and lower models, resulting in the easy construction of the splints such as centric relation splint, intermediate and final splint. This article describes an introduction and a clinical application of this appliance. Through the application of this system to the orthognathic cases including two-law surgery. it is proved that the row device is very clinically useful.

Increased Osteoblast Adhesion Densities on High Surface Roughness and on High Density of Pores in NiTi Surfaces

  • Im, Yeon-Min;Gang, Dong-U;Kim, Yeon-Uk;Nam, Tae-Hyeon
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2009.11a
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    • pp.39.1-39.1
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    • 2009
  • NiTi alloy is widely used innumerous biomedical applications (orthodontics, cardiovascular, orthopaedics, etc.) for its distinctive thermomechanical and mechanical properties such as shape memory effect, super elasticity, low elastic modulus and high damping capacity. However, NiTi alloy is still a controversial biomaterial because of its high Ni content which can trigger the risk of allergy and adverse reactions when Ni ion releases into the human body. In order to improve the corrosion resistance of the TiNi alloy and suppress the release of Ni ions, many surface modification techniques have been employed in previous literature such as thermal oxidation, laser surface treatment, sol-gel method, anodic oxidation and electrochemical methods. In this paper, the NiTi was electrochemically etched in various electrolytes to modify surface. The microstructure, element distribution, phase composition and roughness of the surface were investigatedby scanning electron microscopy (SEM), energy-dispersive X-ray spectrometry(EDS), X-ray diffractometry (XRD) and atomic force microscopy (AFM). Systematic controlling of nano and submicron surface features was achieved by altered density of hydro fluidic acid in etchant solution. Nanoscale surface topography, such as, pore density, pore width, pore height, surface roughness and surface tension were extensively analyzed as systematical variables.Importantly, bone forming cell, osteoblast adhesion was increased in high density of hydro fluidic treated surface structures, i.e., in greater nanoscale surface roughness and in high surface areas through increasing pore densities.All results delineate the importance of surface topography parameter (pores) inNiTi to increase the biocompatibility of NiTi in identical chemistry which is crucial factor for determining biomaterials.

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A COMPARATIVE STUDY ON THE COMPOSITE RESTORATION DESIGN AND PLACEMENT METHODS USING THREE DIMENSIONAL FINITE ELEMENT ANALYSIS (광중합 콤포짓트레진의 수복형태 및 방법에 관한 삼차원 유한요소분석법적 비교 연구)

  • Lee, Jung-Taek;Yim, Soon-Ho;Chang, Ik-Tae
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.1
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    • pp.133-149
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    • 1998
  • Clinical application of composite resin recently draw great concerns in dentistry. Especially due to advantages such as esthetics, adhesiveness, simple clinical procedures, various shapes and kinds of composite resins are widely being applied to prosthodontics, conservative dentistry, and orthodontics. But, clinical problems attributable to the polymerization shrinkage of composite resin have been proposed, and we have to regard clinical problems such as secondary caries, loss of restoration, fracture of the surrounding tooth structure, marginal discoloration, and tooth sensitivity, and many portions are remained to be overcome. Therefore, this study attempts to analyze stress distribution between resin and tooth structure which is generated during polymerization shrinkage of composite resin using three dimensional finite element method. Three dimensional finite element models with conventional box-shape cavity and erosion/abrasion type V-shape lesion cavity in upper central incisor were developed. These cavities were filled with four different types of placement techniques. (bulk filling, horizontal increment filling, oblique occlusal increment filling, oblique gingival increment filling) The stresses generated by polymerization shrinkage of composite resin were calculated. The results analyzed with three dimensional finite element method were as follows : 1. The increment filling technique showed the highest maximum normal stress in both conventional box-shape and V-shape cavities and showed a tendency to decrease after complete polymerization. 2. The bulk filling technique resulted in increased stresses during the curing process in both conventional box-shape and V-shape cavities and the highest maximum normal stress occurred after complete polymerization. 3. The bulk filling resulted in the lowest maximum normal stress in both box-shape and V-shape cavities 4. Regardless of placement method, in conventional box-shape cavity, the maximum normal stress increased in dentin floor, enamel, dentin sequence and in V-shape cavity, the maximum normal stress increased in enamel, dentin sequence.

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Sequential Management of Pierre Robin Sequence: Case Report (상기도 폐쇄를 보이는 Pierre Robin Sequence 환아의 순차적 치료: 증례보고)

  • Kim, Bae-Kyung;Kwon, Yong-Dae;Ryu, Sun-Youl;Choi, Yong-Ha;Ohe, Joo-Young;Suh, Joon-Ho;Ko, Su-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.3
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    • pp.270-275
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    • 2011
  • Pierre Robin Sequence (PRS) is known as an anomaly consisting of respiratory obstruction with glossoptosis, micrognathia and cleft palate in a newborn. The etiology of PRS is not known, but several factors may be involved simultaneously. Mortality rate of PRS is about 5~30% and the treatment method is divided into both conventional treatments and surgical interventions. If the respiratory obstruction is not resolved by the conventional method, surgical treatment, such as subperiosteal release of the floor of the mouth, tongue-lip adhesion, tracheostomy, distraction osteogenesis may be needed. This study reports a case of PRS in a newborn male at 20 days, with dyspnea and feeding difficulties. Clinical examination showed micrognathia with glossoptosis and cleft palate as the typical PRS triad. We tried surgical intervention with subperiosteal release of the floor of the mouth and tongue-lip adhesion and surgery was successful. At $19^{th}$ months, we also repaired the incomplete cleft palate successfully using 2-Flap palatoplasty.

Mixed-reality simulation for orthognathic surgery

  • Fushima, Kenji;Kobayashi, Masaru
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.13.1-13.12
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    • 2016
  • Background: Mandibular motion tracking system (ManMoS) has been developed for orthognathic surgery. This article aimed to introduce the ManMoS and to examine the accuracy of this system. Methods: Skeletal and dental models are reconstructed in a virtual space from the DICOM data of three-dimensional computed tomography (3D-CT) recording and the STL data of 3D scanning, respectively. The ManMoS uniquely integrates the virtual dento-skeletal model with the real motion of the dental cast mounted on the simulator, using the reference splint. Positional change of the dental cast is tracked by using the 3D motion tracking equipment and reflects on the jaw position of the virtual model in real time, generating the mixed-reality surgical simulation. ManMoS was applied for two clinical cases having a facial asymmetry. In order to assess the accuracy of the ManMoS, the positional change of the lower dental arch was compared between the virtual and real models. Results: With the measurement data of the real lower dental cast as a reference, measurement error for the whole simulation system was less than 0.32 mm. In ManMoS, the skeletal and dental asymmetries were adequately diagnosed in three dimensions. Jaw repositioning was simulated with priority given to the skeletal correction rather than the occlusal correction. In two cases, facial asymmetry was successfully improved while a normal occlusal relationship was reconstructed. Positional change measured in the virtual model did not differ significantly from that in the real model. Conclusions: It was suggested that the accuracy of the ManMoS was good enough for a clinical use. This surgical simulation system appears to meet clinical demands well and is an important facilitator of communication between orthodontists and surgeons.

A STUDY ON CYCLIC AMP IN ALVEOLAR BONE TREATED BY ORTHODONTIC FORCES (교정력에 의한 치조골의 cyclic AMP에 관한 연구)

  • Ahn, Dae Sik;Lee, Jong Heun;Yang, Won Sik
    • The korean journal of orthodontics
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    • v.11 no.1
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    • pp.7-15
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    • 1981
  • Tooth movement by orthodontic force is based upon alveolar bone resorption at compression site and bone formation at tension site of tooth. The function of cyclic AMP is to participate not only in initial action of bone cells by mechanical forces but also in the continuous cellular response leading to bone remodeling. This experiment was performed to clarify the role of cyclic AMP in bone remodeling by mechanical forces. The orthodontic forces of about 80 gm and 100 gm were applied to the right canines of maxillary and mandibular bone, respectively, in cats, treated for periods of time ranging from one hour to 28 days. Alveolar bones were obtained from compression and tension sites surrounding tipping maxillary and mandibular canines as well as from contralateral control sites. The samples were extracted, boiled and homogenized, and the supernatants were assayed for cyclic AMP by a radioimmunoassay method. The results were as follows: 1. The orthodontic movement of canines was increased to the end of experimental period and the action of orthodontic forces on tooth movement was more effective in maxillary canine. 2. The cyclic AMP levels of alveolar bones in compression and tension sites initially decreased, then increased and remained elevated to the end of experiment. The differences of the cyclic AMP levels between treated sites and non-treated sites were gradually increased. 3. The cyclic AMP levels in treated sites of mandibular alveolar bone was higher than that of maxillary alveolar bone.

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THE RELATIONSHIP BETWEEN LOCUS OF CONTROL AND THE DISCOMFORT OF THE PATIENTS AT THE INITIAL STAGE OF THE ORTHODONTIC TREATMENT (교정치료 초기 환자의 통제소재와 불쾌감의 관계)

  • Kim, Young-Ho;Bae, Chang;Paik, In-Ho
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.1-15
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    • 1994
  • This study was attempted to explore the relationship between locus of control and the discomfort of the patients at the initial stage of the orthodontic treatment. Locus of control was measured by 'Locus of Control(LOC) scale for children' and 'Orthodontic Locus of Control(OLOC) scale for children'. The discomfort was measured by 'discomfort index card' in 52 children and adolescent patients who initiate orthodontic treatment. In addition, locus of control of the patients' mothers was measured by 'Orthodontic Locus of Control(OLU) scale for parents'. The results were as follows : 1. The test-retest reliability of 'Locus of Control(LOC) scale for children' and 'Orthodontic Locus of Control(OLOC) scale' was in the moderate to high range. 2. Out of 52 patients, 47 showed moderate to severe discomfort following placement of an initial archwire. The patients showed the most severe discomfort on the first day, and most of the discomfort was manifested within the first 3 days, then decreased until the 7th day. There was no significant difference in the discomfort according to sex and age. 3. The discomfort of the patients was the highest in the morning session when a day was divided into 4 sessions, i.e., morning, afternoon, evening, and night. 4. In the score of 'Locus of Control(LOC) scale for children' and 'Orthodontic Locus of Control(OLOC) scale for children', the group of internal locus of control expressed more discomfort than the group of external locus of control. And there was no significant correlation between locus of control of the patients and that of their mothers. 5. There was no significant difference in the score of locus of control according to sex and me. However, the score of boys tended to be lower than that of girls and the score of primary school students higher than that of middle and high school students.

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The determinants of vertical overbite and overbite depth indicator(ODI) (수직피개의 결정요인과 수직피개 심도지수(ODI)의 상호관계)

  • Yang, Sang-Duk
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.349-360
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    • 1999
  • The concept of denture frame, both the vertical and horizontal relationship of the dentitions are ultimately related to a skeletal configuration, leads to postulate that the vertical overbite will be determined by the jaw rotations and anteroposterior jaw relationship. Also, ODI is analyzed to be composed of the determinant factors of overbite such as FMA PPA and FABA. From the geometric analyses of an interrelationship between the ODT and the overbite determinants, the following formula can be induced. ODI norm=$85^{\circ} - 0.5 PMA-(1.08 - 0.01 FMA)(FABA - 81^{\circ})$. This formula indicates that the norm of ODI is not constant value but variable one according to the individual skeletal frames. Through the application of the formula to the various clinical cases, it is proved that the new concept, relativity of the ODI norm, is very diagnostically useful.

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