• 제목/요약/키워드: Malocclusion patients

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골격형(骨格型) III급(級) 부정교합자(不正咬合者)의 수직부조화(垂直不調和)에 관(關)한 연구(硏究) (A STUDY ON THE VERTICAL DYSPLASIA IN THE SKELETAL CLASS III MALOCCLUSION)

  • 신문창
    • 대한치과교정학회지
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    • 제20권2호
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    • pp.333-354
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    • 1990
  • This study was designed to analyse vertical dysplasia such as open bite or deep bite in persons with skeletal Class III malocclusion. The subjects consisted of 60 control patients, 40 Class III open bite patients and 40 Class III deep bite patients. The mean age was 19.8 years in the control group, 17.8 years in the Class III open bite group and 16.5 years in the Class III deep bite group. The results were as follows: 1. In Class III malocclusion patients, the characteristics of the vertical dysplasia are under the palatal plane. 2. In Class III malocclusion patients, the items showing the characteristics of the vertical dysplasia are mandibular plane angle, lower gonial angle, lower facial height, dental height & inclination of the upper first molar, interincisal angle, maxillary & mandibular occlusal plane angle. 3. In Class III malocclusion patients, LPFH/LAFH ratio shows the highest significance among the facial height ratios. 4. In Class III malocclusion patients, open bite group has a upward cant of maxillary occlusal plane & downward cant of mandibular occlusal plane. And deep bite group has a downward cant of maxillary occlusal plane & upward cant of mandibular occlusal plane. 5. In Class III malocclusion patients, the molar teeth of the open bite group are measially inclined and those of the deep bite group are upright.

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한국인 부정교합자의 악골에 발생한 특발성 골경화증의 유병률에 관한 연구 (A study on the prevalence of the idiopathic osteosclerosis in Korean malocclusion patients)

  • 이승엽;박인우;장인산;최동순;차봉근
    • Imaging Science in Dentistry
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    • 제40권4호
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    • pp.159-163
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    • 2010
  • Purpose : This retrospective study was performed to investigate the prevalence of the idiopathic osteosclerosis (IO) in Korean malocclusion patients according to age, sex, and the Angle's classification of malocclusion. Materials and Methods : This study consisted of 2,001 randomly selected patients from the Department of Orthodontics at the Gangneung-Wonju National University Dental Hospital, Korea. The prevalence of IO in Korean malocclusion patients was recorded using their panoramic radiographs, and the following parameters were surveyed; age, sex, and the Angle's classification of malocclusion. The chi-square test was analyzed to determine the statistical significance of differences in the prevalence of IO between age, sex, and the Angle's classification of malocclusion. Results : The prevalence of IO in the jaws was 6.7% in a total of 2,001 examined orthodontic patients. The majority of IO was found in the mandible (96.58%). The 30-39 age group showed the highest prevalence of IO (9.60%). There was a higher prevalence in females (6.89%) than in males (6.45%). The prevalence of IO in Angle Class I group (7.07%) was the most frequent, followed by Angle Class II group (6.72%), and Angle Class III group (6.40%). However, there was no statistical significance in sex and Angle's classification of malocclusion. Conclusion : The prevalence of IO in malocclusion patients showed the differences between various age groups and most of them were found in the mandibular posterior area. However, sex and the type of malocclusion are not to be considered as a contributing factor of IO.

Y대학교 부속병원 교정과에 내원한 부정교합 환자의 분류 및 분포에 관한 연구 (A STUDY OF TYPES AND DISTRIBUTION OF PATIENTS IN THE DEPARTMENT OF ORTHODONTICS, INFIRMARY OF DENTAL COLLEGE, Y-UNIVERSITY)

  • 오영진;유영규
    • 대한치과교정학회지
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    • 제13권1호
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    • pp.63-72
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    • 1983
  • The author was to study the types and distribution of malocclusion in the 1217 patients with diagnostic charts, cephalograms and study models, who have been treated from March, 1973 to August, 1982 in the Department of orthodontics, Infirmary of Dental College, Yon Sei University. The results were as follows; 1. In the Angle's classification of malocclusion, it was presented that class I malocclusion was 671 persons $(55.1\%)$, class II division 1 malocclusion was 241 persons $(19.8\%)$, class II division 2 malocclusion was 30 persons $(2.5\%)$ and class III malocclusion was 275 persons $(22.6\%)$. 2. In the Angle's class I malocclusion, the crowding was most remarkable $(39\%)$ 3. In the Angle's class II malocclusion, 88 persons $(32.5\%)$ were due to the undergrowth of the mandible, and deep bite was most frequent. 4. In the Angle's class II malocclusion, 94 persons $(34.2\%)$ were .in the pseudo type, 84 persons $(29.8\%)$ were due to the overgrowth of the mandible, and openbite and edge to edge bite were most frequent. 5. In the sexual distribution of the patients, female patients were 791 persons $(65\%)$, male patients were 426 persons $(35\%)$, and the number of females was 1.8 times than that of males. 6. In the age distribution of the patients, 572 persons $(47\%)$ were in the 9-13 years old. 7. In the regional distribution of the patients, most of them lived near the hospital.

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부정교합환자에서 교합안정장치의 사용이 하악과두의 위치변화에 미치는 영향에 관한 연구 (THE EFFECT OF OCCLUSAL SPLINT THERAPY ON CONDYLAR POSITIONAL CHANGES IN MALOCCLUSION PATIENTS)

  • 김영복
    • 대한치과교정학회지
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    • 제21권2호
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    • pp.325-340
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    • 1991
  • There are evidences that occlusal splint therapy is critical to diagnose hidden akeleto-occlusal disharmonies in malocclusion patients and capable of enhancing stability after orthodontic treatment. In addition, evidences have implicated occlusal splint therapy in condylar positional changes during TMJ disorder treatment. In view of these evidences, this study was performed to investigate the effect of occlusal splint therapy on condylar positional changes in malocclusion patients and the possible clinical application of the occlusal splint as an additional orthodontic tool. For this study, 8 Angle's Class I malocclusion patients, who had centric occlusion-centric relation discrepancy within 1.0 mm and had no clinical symptoms of TMJ disorder, were selected as control group. And 22 malocclusion patients who had centric occlusion-centric relation discrepancy over 1.0 mm were selected and subdivided as Class I Malocclusion group, Class II div. 1 malocclusion group, Class II div. 2 malocclusion group, Open bite group, and Mandibular asymmetry group. For each subject the occlusal splint with mutually protected type of occlusal scheme was applied for 3 months. Condylar positions in centric relation and centric occlusion were measured using Panadent articulators and Panadent condylar position indicator (CPI) before and after occlusal splint therapy. On the basis of this study, the following conclusions might be drawn: 1, In control group, Class II div. 2 malocclusion group, and mandibular assymetry group, there were no significant differences in condylar positions before and after occlusal splint therapy. 2. In Class I malocclusion group, condyles were moved $0.27{\pm}0.45mm$ forward (p < 0.05) and $0.98{\pm}0.25mm$ upward (p < 0.01) after occlusal splint therapy. 3. In Class I malocclusion group, condyles were moved $0.24{\pm}0.21mm$ backward (p < 0.05) and $1.01{\pm}0.33mm$ upward (p < 0.01) after occlusal splint therapy. 4. In open bite group, condyles were moved $1.24{\pm}0.30mm$ upward (p < 0.01) after occlusal splint therapy. 5. In both control and experimental groups, there were no significant differences in lateral condylar positions before and after occlusal splint therapy.

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골격성 제 III급 부정교합환자와 구순구개열환자의 두부방사선계측치의 비교 (A cephalometric comparison of Skeletal Class III malocclusion and Cleft lip and palate patients)

  • 백형선;유형석;전재민
    • 대한구순구개열학회지
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    • 제6권2호
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    • pp.59-67
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    • 2003
  • A cephalometric study was performed to reveal differences between skeletal Class III malocclusion patients and cleft lip and palate patients, The material for this study consisted of 16 males (mean age 19.8, range 17-29) and 9 females(mean age 19.4, range 16-27) with cleft lip and palate, and 222 Skeletal Class III malocclusion patients(males 106, females 116), Cephalometric tracing and measurements were done by one investigator. Results were followed: 1. Cleft lip and palate group had more retrusive maxilla than the skeletal Class III malocclusion group. 2, Cleft lip and palate group had smaller effective maxillary and mandibular length than skeletal Class III malocclusion group, and the difference was more prominent in the mandible than in the maxilla. 3. Dental compensation was not observed in the upper incisors of cleft lip and palate group and in the lower incisors it was smaller than skeletal Class III group. 4, In the Gonial angle and lower anterior facial height values, there was no significant difference between cleft lip and palate and skeletal Class III malocclusion group. These results can be used in orthodontic treatment planning and orthognathic surgery for the cleft lip and palate patients.

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Angle씨 III급 부정교합군과 Angle씨 I급 사이의 하악치아발달에 관한 비교연구 (A COMPARATIVE STUDY OF MANDIBULAR TOOTH DEVELOPMENT BETWEEN ANGLE CLASS I MALOCCLUSION GROUP AND ANGLE CLASS III MALOCCLUSION GROUP)

  • 이상협;이병태
    • 대한치과교정학회지
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    • 제20권3호
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    • pp.553-564
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    • 1990
  • The purpose of this study was to compare mandibular teeth development of Angle Class I malocclusion group with that of Angle Class III malocclusion group. The studied subjects consisted of 217 Angle Class I malocclusion patients and 235 Angle Class III malocclusion patients. Two study methods were used. One was to evaluate tooth development degree by means of Nolla stage method, the others was to measure tooth length on panoramic radiograph. The following results were obtained, in 7, 8 and 9 years, tooth development of Angle Class III malocclusion group was significantly faster than that of Angle Class I malocclusion group. in 6 year and 10, 11, 12, 13, 14 years, the difference of tooth development degree between Angle Class III malocclusion group was not significant.

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제 1 소구치 발치를 동반한 제 I 급 교정 치료 환자의 치료후 악궁의 형태에 관한 연구 (AN EXPERIMENTAL STUDY OF IDEAL ARCH FORM OF THE CLASS I MALOCCLUSION PATIENTS WITH FIRST PREMOLAR EXTRACTION)

  • 박영철;김형돈
    • 대한치과교정학회지
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    • 제24권4호
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    • pp.819-826
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    • 1994
  • This study was designed to get the knowledges of the ideal arch form of the class I malocclusion patients of Koreans with first premolar extraction. The subjects consisted of 98 individuals with class I malocclusion with first premolar extraction. The results were as follows ; 1 Author found the ideal arch shape of the class I malocclusion patients with first premolar extraction. 2. Equations of ideal arch form of the class I malocclusion patients with first premolar extraction were obtained from SPSS.

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Comparison of masticatory efficiency according to Angle's classification of malocclusion

  • Bae, Jungin;Son, Woo-Sung;Kim, Seong-Sik;Park, Soo-Byung;Kim, Yong-Il
    • 대한치과교정학회지
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    • 제47권3호
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    • pp.151-157
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    • 2017
  • Objective: The objective of this study was to investigate the differences in masticatory efficiency among patients with different Angle's classes of malocclusion and to assess the correlation between masticatory efficiency and the occlusal contact area. Methods: The mixing ability index (MAI) was calculated for measuring masticatory efficiency of 61 adult patients according to Angle's classifications of malocclusion. The study included 25, 15, and 21 patients with Angle's Class I, II, and III malocclusions, respectively. Silicone interocclusal recording material was used to measure the occlusal contact area. Results: Both the MAI and occlusal contact area showed the highest average values in the Class I malocclusion group, followed by the Class II and Class III malocclusion groups. No significant difference was observed in the MAI values between the Class I and Class II malocclusion groups (p > 0.05), whereas a significant difference was observed between the Class I and Class III malocclusion groups (p < 0.01) and between the Class II and Class III malocclusion groups (p < 0.05). A weak positive correlation was also observed between the MAI and occlusal contact area (p < 0.01, $r^2=0.13$). Conclusions: The results of this study indicated that masticatory efficiency was the highest in patients with Angle's Class I malocclusion, followed by those with Angle's Class II and Angle's Class III malocclusions. Moreover, a weak positive correlation was observed between masticatory efficiency and the occlusal contact area.

청아치과병원 교정과에 내원한 환자의 분포와 부정교합의 유형 (A Study On Malocclusion Patients From Department Of Orthodontics, Chong-A Dental Hospital)

  • 김남중;이청재
    • 대한치과기공학회지
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    • 제29권2호
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    • pp.197-211
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    • 2007
  • With the development of orthodontics and increasing concerns on physical appearance, the number of patients has been steadily increasing. It is quite important not only to make effective cure plans and accurate diagnoses but also to have a thorough grasp of patients' malocclusion types and their occurrence frequency, in addition to patients' personality in order to cure the patients appropriately. This study is based on 946 malocclusion patients who had visited Chong-A Dental Hospital from 1999 to 2004 and investigated their aspects of malocclusion and characteristics of their gender, age and residence. The results are as follows. 1. The number of patients per year had been decreased until 2001, after which year the number had fluctuated. The number was the largest in 1999, 169 and the smallest in 2001, 140. Female occupied 68.0% of the total, twice as many as male, 32.0%) 2. Based on the Angle's classification, 19 or over year - old group was the largest of the total, 59.3% and 6 or younger year - old group, the smallest, 0.5%. The 19 or over year old group was less than a half of the total (47.4%) in 2003 and there were no patients who belonged to the 6 or younger year - old group in 2003 and 2004. 3. Distributions on the types of malocclusion have shown that 39.9 % of the total are in the Class I, the largest, 31.0% in the Class I and 29.2 in the Class II, the smallest. 1) The number of the ClassI was 73, the largest, that of the Class III being 35, the smallest in 1999. On the whole, the number of the Class I accounted for the largest part of the total. 2) The number of male patients in the Class II was the smallest, generally being the largest in the Class I. In case of female, that of the Class III was the smallest. 3) Based on the age, the Class I was the highest in between 7 and 13 age group, the Class III the lowest. The Class I occupied the largest around 40%. 4) In the shape of physiognomy, the meso occupied the largest part among all the Class, of which the Class II was the highest, 64.2%. The bracy was the largest in the Class I, and the dolicho in the Class III. 5) In the profile, the convex shape was the largest in the Class I and II, and especially in the Class II, over 3/4 of the total, 75.4%. In contrast, the direct shape was the largest in the Class III and the sunken shape occupied 33.3%, which was nearly ten times more than the case of the Class I and III. 6) In the asymmetry of physiognomy, the number of patients of the Class IIIwas the largest, 34.1% and that of the Class II, the smallest, 19.5%. It was found that about one fourth of the malocclusion patients were under the asymmetry of physiognomy. 4. In the distribution of patients' residence, 81.4% were from the Seoul Metropolis and 48.2% from Gangnam-Gu where Chong-A Dental Hospital is located and Seocho-Gu and Songpa-Gu which are adjacent to Gangnam-Gu.

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전치부 개방교합을 동반한 골격성 제3급 부정교합 환자에 대한 양측 하악지 시상분할 골절단술후 안정성에 관한 임상적 분석 (CLINCAL ANALYSIS OF SKELETAL STABILITY AFTER BSSRO FOR CORRECTION OF SKELETAL CLASS III MALOCCLUSION PATIENTS WITH ANTERIR OPEN BITE)

  • 김현수;권대근;이상한;김진수;강동화;장현중
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권2호
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    • pp.152-161
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    • 2007
  • This study was conducted to patients visited oral maxillo-facial surgery, KNUH and the purpose of the study was to assess skeletal and dento-alveolar stability after surgical-orthodontic correction treated by skeletal Class III malocclusion patients with open bite versus non-open bite. This retrospective study was based on the examination of 40 patient, 19 males and 21 females, with a mean age 22.3 years. The patients were divided into two groups based on open bite and non-open bite skeletal Class III malocclusion patients. The cephalometric records of 40 skeletal Class III malocclusion patients (open bite: n = 18, non-open bite: n = 22) were examined at different time point, i.e. before surgery(T1), immediately after surgery(T2), one year after surgery(T3). Bilateral sagittal split ramus osteotomy was performed in 40 patients. Rigid internal fixation was standard method used in all patient. Through analysis and evaluation of the cephalometric records, we were able to achieve following results of post-surgical stability and relapse. 1. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in maxillary occlusal plane angle of pre-operative stage(p>0.05). 2. Mean vertical relapses of skeletal Class III malocclusion patients with open bite were $0.02{\pm}1.43mm$ at B point and $0.42{\pm}1.56mm$ at Pogonion point. In skeletal Class III malocclusion patients with non-open bite, $0.12{\pm}1.55mm$ at B point and $0.08{\pm}1.57mm$ at Pogonion point. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in vertical relapse(p>0.05). 3. Mean horizontal relapses of skeletal Class III malocclusion patients with open bite were $1.22{\pm}2.21mm$ at B point and $0.74{\pm}2.25mm$ at Pogonion point. In skeletal Class III malocclusion patients with non-open bite, $0.92{\pm}1.81mm$ at B point and $0.83{\pm}2.11mm$ at Pogonion point. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in horizontal relapse(p>0.05). 4. There were no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in post-surgical mandibular stability(p>0.05). and we believe this is due to minimized mandibular condylar positional change using mandibular condylar positioning system and also rigid fixation using miniplate 5. Although there was no significant relapse tendency observed at chin points, according to the Pearson correlation analysis, the mandibular relapse was influenced by the amount of vertical and horizontal movement of mandibular set-back(p=0.05, r>0.304).