• Title/Summary/Keyword: orthodontics

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CLINICAL CONSIDERATION IN THE CHOICE OF ALIGNMENT ARCHES (치아배열을 위한 교정용 탄선의 선택에 대한 고찰)

  • Park, E. Woong;Kim, Sang Cheol
    • The korean journal of orthodontics
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    • v.19 no.3
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    • pp.79-86
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    • 1989
  • The wires for initial alignment purposes require a combination of excellent strength, excellent springiness, and a long rang of action. The variables in selecting appropriate arches for alignment are the arch wire material, its diameter, and the distance between attachments. The principle that there should be 0.02 inch clearance for initial wires means that an .016 diameter wire is the largest that should be considered for initial alignment in the .018 slot system. The three major possibilities for alignment arches are multistranded steel wires, nickel-titanium wires, and single-stranded steel wires with loops. The excellent choice for initial alignment in .018 bracket is .014 steel wire with loops.

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FRICTIONAL FORCES BETWEEN ORTHODONTIC WIRE AND BRACKET UNDER ARTIFICIAL SALIVA (인공타액하에서 교정선과 Bracket간의 마찰력에 대한 연구)

  • Ko, Jeong-Seok;Yang, Kyu-Ho
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.55-63
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    • 1988
  • It has been suggested that the frictional force between bracket and arch wire may impede the tooth movement. The present study was aimed to compare and analyze the effect of wire size, type of ligation, and duration of ligation on the magnitude of frictional force between cobalt chromium wire and stainless steel bracket under the artificial saliva. The results were as follows: 1. Type of ligation and size of wire were the main influencing factor on the level of friction. 2. Stainless steel ligature generated higher frictional forces than elastomeric module. 3. The rectangular wire consistently exhibited more frictional force values than round wires, while there was no significant difference between frictional forces of round wires. 4. In elastic ligature, frictional force decreased with time. 5. Artificial saliva had no significant influence on the frictional force between cobalt chromium wire and bracket.

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A CEPHALOMETRIC ANALYSIS ON FACIAL ESTHETICS OF KOREAN YOUNG ADULT FEMALE (한국 젊은여성의 심미적 안모형태에 관한 두부방사선 계측학적 연구)

  • Row, Joon;Rhu, Young-Kyu
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.127-139
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    • 1988
  • Esthetic is one of the prime goal of the orthodontic treatment. It is represented by the word of harmony or balance. There is no absolute esthetic norm but it is important to study about it in orthodontic and orthognatic surgical treatment planning. The purpose of this study is to obtain the norm of Korean female adolescents who were candidates of 1986, 1987 Miss Korea Beauty Contest. The 77 individual samples were selected and studied by cephalometric analysis. Obtained results were as follows: 1 Korean esthetic norm was obtained. 2. Simple correlation coefficient was obtained between each measurements. 3. Holdaway ratio of Korean beauty was 3.3 : 1. 4. To compare with caucasian, profile of Korean beauty had less prominant nose, more prominant lip and deeper sulcus depth.

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Intraoral distraction osteogensis system for the correction of midface deficiency in a cleft lip and palate patient with relapse following orthognathic surgery (구순구개열환자의 악교정 수술 후 재발 증례에서의 구내 상악골 신장술)

  • Lee Jeong-Eun;Baek Seung-Hak;Kim Myung-Jin;Chang Young-Il
    • Korean Journal of Cleft Lip And Palate
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    • v.7 no.1
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    • pp.63-76
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    • 2004
  • Cleft lip and palate(CLP) patients usually have midface deficiency and Class III malocclusion. Distraction osteogenesis (DO) has been used recently to correct the maxillary hypoplasia with stable and predictable result. Both external and internal devices that permit midface distraction are available, This case report describes intraoral DO for correction of the midface deficiency in a adult CLP patient with relapse following orthognathic surgery. The purpose of this report is to present advantages of the intraoral DO for the treatment of CLP, The relative and potential clinical indications, treatment planning, patient preparation, and possible vector control for DO are discussed.

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Application of CAD-CAM technology to surgery-first orthognathic approach (디지털 기술을 이용한 선수술 악교정치료)

  • Kim, Yoon-Ji;Gil, Byung-Gyu;Ryu, Jae-Jun
    • The Journal of the Korean dental association
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    • v.56 no.11
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    • pp.622-630
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    • 2018
  • For successful surgery-first approach, accurate prediction of skeletal and dental changes following orthognathic surgery is essential. With recent development of digital technology using computer-aided design/computer-aided manufacturing (CAD/CAM) technology, attempts to provide more predictable orthodontic/orthognathic treatment have been made through 3D virtual surgery and digital tooth setup. A clinical protocol for the surgery-first orthognathic approach using virtual surgery is proposed. A case of skeletal Class III patient with facial asymmetry treated by the surgery-first approach using digital setup and virtual surgery is presented. Advantages and limitations of applying CAD/CAM technology to orthognathic surgery are discussed.

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A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome

  • Gonca, Merve;Ozel, Mehmet Birol
    • The korean journal of orthodontics
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    • v.51 no.6
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    • pp.428-434
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    • 2021
  • Craniofacial clefts are extremely rare deformities. Tessier's classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.

Mastoid osteoma: A rare incidental finding in an orthodontic patient

  • Borissova, Ioanna B.;Venturin, Jaqueline S.;Claro-Woodruff, Wanda I.;Shintaku, Werner H.
    • Imaging Science in Dentistry
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    • v.50 no.4
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    • pp.347-351
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    • 2020
  • Mastoid osteomas of the temporal bone are rare, benign, and usually asymptomatic tumors. However, depending on their size and extension, mastoid osteomas may cause facial palsy, a sensation of ear fullness, pressure-related pain, hearing loss, recurrent external ear infections, and chronic discharge. The etiology of mastoid osteomas is still unknown, but congenital, infectious, and traumatic factors have been proposed. Surgical treatment may be performed with minimal postoperative morbidity. In this article, the authors report a case of a 48-year-old woman seeking orthodontic treatment with an unusual retroauricular protruding mass, including the diagnostic process and differential diagnosis. This case supports the essential role of cone-beam computed tomography to analyze and identify the lesion as a mastoid osteoma.

Correction of late adolescent skeletal Class III using the Alt-RAMEC protocol and skeletal anchorage

  • Muhammed Hilmi Buyukcavus;Omer Faruk Sari;Yavuz Findik
    • The korean journal of orthodontics
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    • v.53 no.1
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    • pp.54-64
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    • 2023
  • This case report describes skeletal anchorage-supported maxillary protraction performed with the Alternate Rapid Maxillary Expansion and Constriction (AltRAMEC) protocol over a treatment duration of 14 months in a 16-year-old female patient who was in the late growth-development period. Miniplates were applied to the patient's aperture piriformis area to apply force from the protraction appliance. After 9 weeks of following the Alt-RAMEC protocol, miniplates were used to transfer a unilateral 500-g protraction force to a Petit-type face mask. A significant improvement was observed in the soft tissue profile in measurements made both cephalometrically and in three dimensional photographs. Subsequently, the second phase of fixed orthodontic treatment was started and the treatment was completed with the retention phase. Following treatment completion, occlusion, smile esthetics, and soft tissue profile improved significantly in response to orthopedic and orthodontic treatment.

Surgery-first Approach for Facial Asymmetry with Transverse Discrepancy Using Hyrax-type Palatal Expansion Appliance

  • Youn-Kyung Choi;Sung-Hun Kim;Yong-Il Kim
    • Journal of Korean Dental Science
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    • v.16 no.1
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    • pp.87-98
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    • 2023
  • This report presents a case of successful treatment of skeletal Class III malocclusion with transverse discrepancy in adult by surgery-first approach. Traditionally dental decompensation is necessary prior to surgery in 2-jaw surgery to correct transverse and rotational discrepancy. However, the hyrax-type palatal expansion appliance was used to improve maxillary expansion accuracy and postoperative stability in this surgery-first approach (segmental Le Fort I osteotomy and mandibular setback surgery). It was established to be an effective means of precisely predicting postoperative occlusion and achieving stable retention after surgery of skeletal Class III malocclusion with maxillary transverse discrepancy.