• Title/Summary/Keyword: preadjusted appliance

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Crown angulations of posterior teeth of normal occlusion measured from marginal ridge plane (변연융선평면을 계측기준으로 한 정상교합자의 구치부 치관경사도에 관한 연구)

  • Lim, Sung-Hoon;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.28 no.5 s.70
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    • pp.731-740
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    • 1998
  • In the previous studies about prescription of preadjusted appliance, occlusal plane was used as a reference plane for crwon angulation (tip) measurement. But this reference plane is not parallel to the line connecting the facial axis points at which the centers of brackets are positioned (Andrews' plane), due to the curve of Spee. Therefore, we developed a new reference plane unaffected by the curve of Sun and more parallel to the Andrews' plane. It is an imaginary line connecting mesial and distal marginal ridges of each posterior tooth, and we named it 'marginal ridge plane'. In this study, crown angulations of posterior teeth of 29 normal occlusion samples were measured and measurements from both reference planes were compared. Crown angulation measurements measured from occlusal plane were different from crown angulation measurements from marginal ridge plane in the upper and lower 2nd molars (p<0.01), md 1st premolars (p<0.05). These results were analyzed as the crown angulation measurements from occlusal plane were affected by the curve of Spee. Crown angulations should be varied according to the amount of curve of Spee to maintain the continuity of marginal ridges. To solve this problem, determining bracket angulation as the bracket slot is parallel to the marginal ridge plane of each posterior teeth is recommended.

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CLINICAL CONSIDERATION ON USING THE ELASTIC 'TIE BACKS' DURING SPACE CLOSURE ('Elastic tie back'을 이용한 발치공간 폐쇄에 관한 임상적 고려)

  • Cho, Ki-Soo;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.23 no.2 s.41
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    • pp.217-227
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    • 1993
  • Preadjusted appliance, following the original concept of the Andrews Straight-Wire appliance, became increasingly common in the 1980s. In six phases of treatment, anchorage control, leveling and aligning, overbite control, overjet reduction, space closure, and finishing are very effective with using the preadjusted appliances. Space closure is the phase of treatment in which the difference between standard edgewise and preadjusted mechanics is most noticeable. Orthodontists have been able to reduce the use of closing loops and, because of the level slot lineup, enjoy the advantages of sliding mechanics. In 1990, Dr. John C. Bennett and Richard P. McLaughlin introduced the new space closure system, namely, elastic 'tiebacks'. They found an $.019'\times.025'$ working archwire most effective in an .022'-slot system. Hooks of .024' stainless steel or .028' brass wire are soldered to the upper and lower archwires. The force required for space closure is delivered by elastic 'tiebacks'. An elastic modulo stretched by 2-3mm(to twice its normal length) usually delivers 0.5-1.5mm of space closure per month. Group movement and sliding mechanics are combined for gentle, controlled space closure, so that about 0.5mm of incisor retraction and 0.5mm of mesial molar movement can be seen each month. The tiebacks are replaced every four to six weeks. By using the elastic 'tiebacks', the next two cases were treated during space closure. Even though we found some clinical problems of this mechanics, long treatment time, hard to control of vertical dimension and anchorage, the application method of this system is so simple that orthodontists can manage many patients during short chair time. But we must apply this mechanics after perfect understanding of the biomechanics in tooth movement.

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A MORPHOMETRIC STUDY OF TEETH ON THE KOREAN NORMAL OCCLUSION (Straight Wire Appliance를 위한 한국인 정상교합자의 치관 형태에 관한 연구)

  • Lee, Won-You;Park, Young-Cheol;Lim, Kyung-Soo
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.601-609
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    • 1998
  • The objects of this study were to analyze the crown angulation, crown inclination, molar offset angle, and crown in and out of the Korean adults having normal occlusion. 14 subjects (7 male, 7 female) were chosen in the 80 subjects who had ideal occlusion and beautiful profile we thought. The casts were obtained from the subjects, and then they were scanned with 3-dimensional scanner machine. We analyzed them with computer program based upon Andrews methods and the following results were obtained. 1. We got the norm of the crown angulation, crown inclination, molar offset angle, and crown in and out in the Korean adults. 2. The analysis using 3 dimensional scanner and computer program was more fast and accurate than the manual methods.

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