Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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TREATMENT EFFECTS OF $F{\ddot{R}}ANKEL$ FUNCTIONAL REGULATOR III IN MIXED DENTITION CHILDREN WITH ANTERIOR CROSSBITE

혼합치열기 전치부 반대교합 아동에서 $F{\ddot{r}}ankel$ functional regulator III의 치료효과

  • Park, Jeung-Ah (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute) ;
  • Yang, Kyu-Ho (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute) ;
  • Choi, Nam-Ki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute) ;
  • Kim, Seon-Mi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute)
  • 박정아 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소) ;
  • 양규호 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소)
  • Published : 2008.11.30
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Abstract

The purpose of this study was to evaluate the skeletal and dental effects obtained by the Frankel functional regulator III in growing children with Class III malocclusions. Cephalometric changes in thirty children at the time of mixed dentition malocclusions (initial mean age, $7.9{\pm}1.1$ years; mean treatment duration, $1.5{\pm}0.8$ years) were analysed. The results were as follows : 1. The skeletal effects on the maxilla showed a significant downward displacement whereas forward displacement was not significant in comparison with the control group. 2. The skeletal effects on the mandible showed statistically significant backward and downward displacement. 3. The dental effects showed statistically significant backward movement in the mandibular incisor tip and increase of overjet The results suggested that forward displacement on the maxilla was insufficient and treatment effects were caused mainly by downward displacement of the maxilla, backward and downward rotation of the mandible, and the increase of overjet during short period.

본 연구는 혼합치열기 전치부 반대교합 어린이를 대상으로 FR III가 치아와 골격의 성장에 미치는 효과를 평가하고자 하였다. FR III로 처치한 전치부 반대교합을 지닌 30명의 아동(평균나이 $7.9{\pm}1.1$세 : 평균 치료기간 $1.5{\pm}0.8$년)을 대상으 로 치료 전후의 측모 두부방사선 사진을 분석하여 다음과 같은 결과를 얻었다. 1. 상악에 대한 FR III의 골격적인 효과는 상악의 하방이동이며, 전방이동은 대조군과 유의한 차이를 보이지 않았다. 2. 하악에 미치는 FR III의 골격적인 효과는 하악의 후하방이동과 SNB의 감소이다. 3. 치아에 대한 FR III의 효과는 하악 전치 첨부의 후방이동과 수평피개의 증가였다. 이상의 결과로 단기간의 FR III 치료는 상악골의 전방이동 촉진효과는 미미하며 상악골의 하방이동, 하악골의 후하방 회전, 수평피개 증가효과가 있음을 알 수 있었다.

Keywords

References

  1. Chan GKH : Class III malocclusion in Chineses. Etiology and treatment. Am J Orthod, 65:152-157, 1974. https://doi.org/10.1016/0002-9416(74)90176-6
  2. 김용식, 김진태 : 소아치과에 내원한 III급 부정교합 환자에 관한 연구. 대한소아치과학회지, 18:184-192, 1991.
  3. 송재현 : 성장기 아동의 반대교합 치료에 관한 임시적 고찰. 대한치과교정학회지, 12: 117-126,1982.
  4. Moss ML : The functional matrix hypothesis revisited. Am J Orthod Dentofacial Orthop, 112:8-11, 221-6, 338-42, 410-7, 1997. https://doi.org/10.1016/S0889-5406(97)70267-1
  5. Graber TM, Rakosi T, Petrovic AG : Dentofacial orthopedics with functional appliances. St Louis, Mosby, 1997.
  6. Creekmore TD, Radney LJ : Frankel appliance therapy ; Orthopedic or orthodontic? Am J Orthod 83:89-108, 1983. https://doi.org/10.1016/S0002-9416(83)90294-4
  7. Gianelly AA, Brosnan P, Martignoni M, et al. : Mandibular growth, condyle position and Frankel apppliance therapy. The Angle orthodontist, 53:131-142, 1983.
  8. McNamara JA Jr, Bookstein FL, Shaughnessy TG : Skeletal and dental change following functional regulator therapy on Cl II patients. Am J Orthod, 88:91-110, 1985. https://doi.org/10.1016/0002-9416(85)90233-7
  9. McDougall PD, McNamara JA Jr., Dierkes JM : Arch width development in Cl II patients treated with the FR appliance. Am J Orthod, 88:10-22, 1982.
  10. Frankel R, Frankel C : A functional approach to treatment of skeletal open-bite Am J Orthod, 84:54-68, 1983. https://doi.org/10.1016/0002-9416(83)90148-3
  11. Frankel R : Decrowding during eruption under the screening influence of vestibular shield. Am J Orthod, 65:372-406, 1974. https://doi.org/10.1016/0002-9416(74)90271-1
  12. Frankel R : Maxillary retrusion in Class III. Trans Eur Orthod Soc 249-59, 1970.
  13. McNamara JA Jr., Huge SA : Functional regular(FR-3) of Frankel. Am J Orthod, 88:409-24, 1970.
  14. Kohmura T, Tokuda N, Hara S : Effects of therapy using the function regulator (FR III) on the cases with the reversed occlusion. Jpn J Orthod, 45:693-711, 1986.
  15. Ulgen M, Firatli S : The effect of the Frankel's function regulator on the Class III malocclusion. Am J Orthod Dentofacial Orthop, 105:561-7, 1994. https://doi.org/10.1016/S0889-5406(94)70140-7
  16. Loh MK, Kerr WJ : The function regulator III; effects and indications for use. Br J Orthod, 12:153-7,1985.
  17. Kerr WJS, Ten Have TR : A comparison of three appliance systems in the treatment of Class III malocclusion. Eur J Orthod, 10:203-14, 1988.
  18. Kerr WJS, Ten Have TR, McNamara JA Jr. : A comparison of skeletal and dental changes produced by functional regulators (FR-2 and FR-3). Eur J Orthod, 11:235-42, 1989.
  19. Baik HS, Jee SH, Lee KJ, et al. : Treatment effects of Frankel functional regulator III in children with Class III malocclusions. Am J Orthod Dentofacial Otrhop, 125:294-301, 2004. https://doi.org/10.1016/j.ajodo.2003.04.016
  20. McNamara JA Jr., Ribbens KA, Howe RP : Clinical alteration of the growing face. In: Craniofacial growth series, Center for Human Growth and Development, Univ. of Michigan, Michigan, 14:253-290, 1983
  21. McNamara JA Jr. : The role or Functional Appliances in Contemporary orthodontics. In: New Vistas on Orthodontics. Johnston L Ed. Lea & Febiger, Philadelphia, 38-75, 1985.
  22. Carson DS, and McNamara JA Jr : Muscle Adaptation in the craniofacial region. In: Craniofacial growth series, Center for Human Growth and Development, Univ. of Michigan, Michigan, 8:157-180, 1978.
  23. 양규호, 박미란, 최남기 : III급 부정교합의 정형적.교정적 치료. 대한소아치과학회지. 27:479-483, 2000.
  24. 김종규, 최영철, 윤두근 등 : FR-III를 이용한 골격성 3급 부정교합의 치험례. 대한소아치과학회지. 15:104-108, 1988.