Korean Journal of Orthodontics最新文献

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Assessment of bone density changes following two-jaw surgery using multidetector computed tomography: A pilot study. 使用多探测器计算机断层扫描评估双颌手术后骨密度变化:一项初步研究。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-05-25 DOI: 10.4041/kjod.2020.50.3.157
Youngjoo Lee, Jae Hyun Park, Na-Young Chang, Mi-Young Lee, Bong Chul Kim, Hye Young Seo, Utkarsh Mangal, Jong-Moon Chae
{"title":"Assessment of bone density changes following two-jaw surgery using multidetector computed tomography: A pilot study.","authors":"Youngjoo Lee,&nbsp;Jae Hyun Park,&nbsp;Na-Young Chang,&nbsp;Mi-Young Lee,&nbsp;Bong Chul Kim,&nbsp;Hye Young Seo,&nbsp;Utkarsh Mangal,&nbsp;Jong-Moon Chae","doi":"10.4041/kjod.2020.50.3.157","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.3.157","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this retrospective study was to evaluate the pre- and postsurgical bone densities at alveolar and extra-alveolar sites following twojaw orthognathic surgery.</p><p><strong>Methods: </strong>The sample consisted of 10 patients (mean age, 23.2 years; range, 18.0-27.8 years; 8 males, 2 females) who underwent two-jaw orthognathic surgery. A three-dimensional imaging program (Invivo 5) was used with multidetector computed tomography images taken preand postoperatively (obtained 32.3 ± 6.0 days before surgery and 5.8 ± 2.6 days after surgery, respectively) for the measurement of bone densities at the following sites: (1) alveolar bone in the maxilla and mandible, (2) extra-alveolar sites, such as the top of the head, menton (Me), condyle, and the fourth cervical vertebrae (C4).</p><p><strong>Results: </strong>When pre- and postsurgical bone densities were compared, an overall tendency of decrease in bone density was noted. Statistically significant reductions were observed in the densities of cancellous bone at several areas of the maxillary alveolar bone; cortical and cancellous bone in most areas of the mandibular alveolar bone; cortical bone in Me; and cancellous bone in C4. There was no statistically significant difference in bone density in relation to the depth of the alveolar bone. In a comparison of the bone densities between groups with and without genioplasty, there was almost no statistically significant difference.</p><p><strong>Conclusions: </strong>Accelerated tooth movement following orthognathic surgery may be confirmed with reduced bone density. In addition, this study could offer insights into bone metabolism changes following orthognathic surgery, providing direction for further investigations in this field.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 3","pages":"157-169"},"PeriodicalIF":1.9,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/79/KJOD-50-157.PMC7270939.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Unilateral maxillary central incisor root resorption after orthodontic treatment for Angle Class II, division 1 malocclusion with significant maxillary midline deviation: A possible correlation with root proximity to the incisive canal. 角ⅱ类1类错颌中线明显偏离正畸治疗后单侧上颌中切牙牙根吸收:可能与牙根靠近切管有关。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-05-25 DOI: 10.4041/kjod.2020.50.3.216
Toshihiro Imamura, Shunsuke Uesugi, Takashi Ono
{"title":"Unilateral maxillary central incisor root resorption after orthodontic treatment for Angle Class II, division 1 malocclusion with significant maxillary midline deviation: A possible correlation with root proximity to the incisive canal.","authors":"Toshihiro Imamura,&nbsp;Shunsuke Uesugi,&nbsp;Takashi Ono","doi":"10.4041/kjod.2020.50.3.216","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.3.216","url":null,"abstract":"<p><p>Root resorption can be caused by several factors, including contact with the cortical bone. Here we report a case involving a 21-year-old female with Angle Class II, division 1 malocclusion who exhibited significant root resorption in the maxillary right central incisor after orthodontic treatment. The patient presented with significant left-sided deviation of the maxillary incisors due to lingual dislocation of the left lateral incisor and a Class II molar relationship. Cephalometric analysis demonstrated a Class I skeletal relationship (A pointnasion-B point, 2.5°) and proclined maxillary anterior teeth (upper incisor to sella-nasion plane angle, 113.4°). The primary treatment objectives were the achievement of stable occlusion with midline agreement between the maxillary and mandibular dentitions and appropriate maxillary anterior tooth axes and molar relationship. A panoramic radiograph obtained after active treatment showed significant root resorption in the maxillary right central incisor; therefore, we performed cone-beam computed tomography, which confirmed root resorption along the cortical bone around the incisive canal. The findings from this case, where different degrees of root resorption were observed despite comparable degrees of orthodontic movement in the bilateral maxillary central incisors, suggest that the incisive canal could be an inducing factor for root resorption. However, further investigation is necessary to confirm this assumption.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 3","pages":"216-226"},"PeriodicalIF":1.9,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/f4/KJOD-50-216.PMC7270934.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Estimation of the prevalence of malocclusion on the basis of nationwide oral health examinations of pre-adolescent and adolescent students during 2012-2017. 根据 2012-2017 年期间对全国学龄前儿童和青少年学生进行的口腔健康检查,估算错颌畸形的发生率。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-05-25 DOI: 10.4041/kjod.2020.50.3.197
Mihee Hong, Hee-Moon Kyung, Hyo-Sang Park, Won-Jae Yu, Seung-Hak Baek
{"title":"Estimation of the prevalence of malocclusion on the basis of nationwide oral health examinations of pre-adolescent and adolescent students during 2012-2017.","authors":"Mihee Hong, Hee-Moon Kyung, Hyo-Sang Park, Won-Jae Yu, Seung-Hak Baek","doi":"10.4041/kjod.2020.50.3.197","DOIUrl":"10.4041/kjod.2020.50.3.197","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of malocclusion with respect to grade, sex, and year among Korean pre-adolescent and adolescent students during 2012-2017.</p><p><strong>Methods: </strong>A total of 165,996 students (first grade [E1, 6-7 years of age], fourth grade [E4, 9-10 years], seventh grade [M1, 12-13 years], and tenth grade [H1, 15-16 years]) were selected by stratified sampling method and underwent the nationwide oral health examination performed by the Ministry of Education, Republic of Korea. The malocclusion assessments based on dentists' judgments were \"no malocclusion,\" \"needs orthodontic treatment (N-OTx),\" and \"under orthodontic treatment (U-OTx).\" The sum of N-OTx and U-OTx cases was determined as the number of students with malocclusion. After analyzing the prevalence of malocclusion according to grade, sex, and year-by-year differences, Pearson correlation analyses and two-way analyses of variance were performed.</p><p><strong>Results: </strong>The prevalence of malocclusion was 18.7%, which increased with the grades (E1 [8.3%] < E4 [15.8%] < M1 [22.9%] < H1 [25.3%], <i>p</i> < 0.001). However, there was no significant difference in the prevalence of malocclusion in each grade group for the period (<i>p</i> > 0.05) without significant correlation (E1, ρ = 0.129; E4, ρ = -0.495; M1, ρ = 0.406; H1, ρ = -0.383; all <i>p</i> > 0.05). The prevalence of malocclusion within each grade group over the six-year period was more prominent in the female (<i>p</i> < 0.0001).</p><p><strong>Conclusions: </strong>Further studies are necessary to modify the malocclusion assessment method to account for specific types of malocclusion in pre-adolescent and adolescent students.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 3","pages":"197-205"},"PeriodicalIF":1.9,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/8c/KJOD-50-197.PMC7270932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of cephalometric characteristics and skeletal maturation of the cervical vertebrae and hand-wrist in girls with central precocious puberty. 中枢性性早熟女孩颈椎和腕关节的头颅测量特征和骨骼成熟的评价。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-05-25 DOI: 10.4041/kjod.2020.50.3.181
Sung-Tae Kang, Sung-Hwan Choi, Kyung-Ho Kim, Chung-Ju Hwang
{"title":"Evaluation of cephalometric characteristics and skeletal maturation of the cervical vertebrae and hand-wrist in girls with central precocious puberty.","authors":"Sung-Tae Kang,&nbsp;Sung-Hwan Choi,&nbsp;Kyung-Ho Kim,&nbsp;Chung-Ju Hwang","doi":"10.4041/kjod.2020.50.3.181","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.3.181","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the differences in cephalometric characteristics and skeletal maturation in girls with central precocious puberty (CPP) via lateral and hand-wrist radiographs. We also aimed to identify the indicators that are most effective for determining skeletal maturity in these patients.</p><p><strong>Methods: </strong>The study included 70 Korean girls (mean age, 8.5 ± 0.5 years) diagnosed with CPP at the Department of Pediatrics, and 48 normal healthy age-matched girls who visited the Department of Orthodontics and had no history of hormone treatment or growth problems. Skeletal maturation was evaluated using lateral cephalometric and hand-wrist radiographs using cervical vertebrae maturation indicators (CVMI) and skeletal maturity indicators (SMI).</p><p><strong>Results: </strong>The mean mandibular plane angle was smaller in the CPP group than in the control group (35.8° ± 4.9° vs. 39.0° ± 6.5°), resulting in greater posterior facial height (<i>p</i> = 0.003). SMI was significantly greater in the CPP group (3.5 ± 1.4 vs. 2.0 ± 1.0) than in the control group (<i>p</i> = 0.001) and was significantly associated with CPP (<i>r</i> = 0.492; <i>p</i> = 0.001), whereas CVMI was not.</p><p><strong>Conclusions: </strong>In comparison with the control group, the CPP group exhibited a smaller mandibular plane angle, greater posterior facial height, and greater skeletal maturation. SMI may be more suitable than CVMI for determining skeletal maturation in CPP. Hand-wrist radiography is recommended in addition to lateral cephalogram for predicting growth in girls with CPP.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 3","pages":"181-187"},"PeriodicalIF":1.9,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/0f/KJOD-50-181.PMC7270935.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Periodontal ligament proliferation and expressions of bone biomolecules upon orthodontic preloading: Clinical implications for tooth autotransplantation. 正畸预压时牙周韧带增生及骨生物分子的表达:对牙齿自体移植的临床意义。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-05-25 DOI: 10.4041/kjod.2020.50.3.188
Sasathorn Phutinart, Suttichai Krisanaprakornkit, Anupong Makeudom, Boonsiva Suzuki, Eduardo Yugo Suzuki
{"title":"Periodontal ligament proliferation and expressions of bone biomolecules upon orthodontic preloading: Clinical implications for tooth autotransplantation.","authors":"Sasathorn Phutinart,&nbsp;Suttichai Krisanaprakornkit,&nbsp;Anupong Makeudom,&nbsp;Boonsiva Suzuki,&nbsp;Eduardo Yugo Suzuki","doi":"10.4041/kjod.2020.50.3.188","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.3.188","url":null,"abstract":"<p><strong>Objective: </strong>Preservation of the periodontal ligament (PDL) is vital to the success of tooth autotransplantation (TAT). Increased PDL volumes and facilitated tooth extraction have been observed upon orthodontic preloading. However, it is unclear whether any changes occur in the expressions of bone biomolecules in the increased PDL volumes. This study aimed to determine the expressions of runt-related transcription factor 2 (RUNX2), alkaline phosphatase (ALP), receptor activator of nuclear factor kappa-B ligand (RANKL), and osteoprotegerin (OPG) in PDL upon preloading.</p><p><strong>Methods: </strong>Seventy-two premolars from 18 patients were randomly assigned to experimental groups that received a leveling force for 1, 2, or 4 weeks or to a control unloaded group. Following extraction, PDL volumes from 32 premolars of eight patients (21.0 ± 3.8 years) were evaluated using toluidine blue staining. The expressions of the biomolecules in the PDL from 40 premolars of ten patients (21.4 ± 4.0 years) were analyzed via immunoblotting.</p><p><strong>Results: </strong>The median percentage of stained PDL was significantly higher at 2 and 4 weeks after preloading than in the unloaded condition (<i>p</i> < 0.05). The median RUNX2 and ALP expression levels were significantly higher at 2 and 4 weeks after preloading than in the unloaded condition (<i>p</i> < 0.05), whereas the median RANKL/OPG ratios were significantly higher at 1 and 4 weeks after preloading (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Orthodontic preloading for 4 weeks enhances PDL volumes as well as the expressions of RUNX2, ALP and the RANKL/OPG ratio in the PDL, suggesting this loading period is suitable for successful TAT.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 3","pages":"188-196"},"PeriodicalIF":1.9,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/9d/KJOD-50-188.PMC7270936.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation of growth changes induced by functional appliances in children with Class II malocclusion: Superimposition of lateral cephalograms on stable structures. 评估功能性矫治器对II类错牙合儿童生长的影响:稳定结构侧位头片的叠加。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-05-25 DOI: 10.4041/kjod.2020.50.3.170
Eunhye Oh, Sug-Joon Ahn, Liselotte Sonnesen
{"title":"Evaluation of growth changes induced by functional appliances in children with Class II malocclusion: Superimposition of lateral cephalograms on stable structures.","authors":"Eunhye Oh,&nbsp;Sug-Joon Ahn,&nbsp;Liselotte Sonnesen","doi":"10.4041/kjod.2020.50.3.170","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.3.170","url":null,"abstract":"<p><strong>Objective: </strong>To compare short- and long-term dentoalveolar, skeletal, and rotational changes evaluated by Björk's structural method of superimposition between children with Class II malocclusion treated by functional appliances and untreated matched controls.</p><p><strong>Methods: </strong>Seventy-nine prepubertal or pubertal children (mean age, 11.57 ± 1.40 years) with Class II malocclusion were included. Thirty-four children were treated using an activator with a high-pull headgear (Z-activator), while 28 were treated using an activator without a headgear (E-activator). Seventeen untreated children were included as controls. Lateral cephalograms were obtained before treatment (T1), after functional appliance treatment (T2), and after retention in the postpubertal phase (T3). Changes from T1 to T2 and T1 to T3 were compared between the treated groups and control group using multiple linear regression analysis.</p><p><strong>Results: </strong>Relative to the findings in the control group at T2, the sagittal jaw relationship (subspinale-nasion- pogonion, <i>p</i> < 0.001), maxillary prognathism (sella-nasion-subspinale, <i>p</i> < 0.05), and condylar growth (<i>p</i> < 0.001) exhibited significant improvements in the Z- and E-activator groups, which also showed a significantly increased maxillary incisor retraction (<i>p</i> < 0.001) and decreased overjet (<i>p</i> < 0.001). Only the E-activator group exhibited significant backward rotation of the maxilla at T2 (<i>p</i> < 0.01). The improvements in the sagittal jaw relationship (<i>p</i> < 0.01) and dental relationship (<i>p</i> < 0.001) remained significant at T3. Condylar growth and jaw rotations were not significant at T3.</p><p><strong>Conclusions: </strong>Functional appliance treatment in children with Class II malocclusion can significantly improve the sagittal jaw relationship and dental relationships in the long term.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 3","pages":"170-180"},"PeriodicalIF":1.9,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/33/KJOD-50-170.PMC7270938.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Immediate effects of mandibular posterior displacement on the pharyngeal airway space: A preliminary study. 下颌后移位对咽气道间隙的直接影响:初步研究。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-03-01 Epub Date: 2020-03-24 DOI: 10.4041/kjod.2020.50.2.129
Yeonju Choi, Yong-Il Kim, Seong-Sik Kim, Soo-Byung Park, Woo-Sung Son, Sung-Hun Kim
{"title":"Immediate effects of mandibular posterior displacement on the pharyngeal airway space: A preliminary study.","authors":"Yeonju Choi,&nbsp;Yong-Il Kim,&nbsp;Seong-Sik Kim,&nbsp;Soo-Byung Park,&nbsp;Woo-Sung Son,&nbsp;Sung-Hun Kim","doi":"10.4041/kjod.2020.50.2.129","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.2.129","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the immediate effects of mandibular posterior displacement on the pharyngeal airway space (PAS) by using cephalometric evaluations and to investigate how the surrounding structures are schematically involved.</p><p><strong>Methods: </strong>In this retrospective study, 38 subjects with functional Class III malocclusion and two lateral cephalograms were selected. The first lateral cephalogram was taken with the mandible in the habitual occlusal position, and the second in anterior edge-to-edge bite. Paired <i>t</i>-test was used to analyze changes in the PAS, hyoid bone, tongue, and soft palate, followed by mandibular posterior displacement. Pearson's correlation analysis was used to determine the relationship between the amount of mandibular posterior displacement and other variables.</p><p><strong>Results: </strong>A statistically significant decrease was observed in the PAS following mandibular posterior displacement. Along with mandibular posterior displacement, the tongue decreased in length (<i>p</i> < 0.001) and increased in height (<i>p</i> < 0.05), while the soft palate increased in length, decreased in thickness, and was posteriorly displaced (<i>p</i> < 0.001). The hyoid bone was also posteriorly displaced (<i>p</i> < 0.05). There was no correlation between the amount of mandibular posterior displacement and the measured variables.</p><p><strong>Conclusions: </strong>The PAS showed a statistically significant decrease following mandibular posterior displacement, which was a consequence of retraction of the surrounding structures. However, there were individual variances between the amount of mandibular posterior displacement and the measured variables.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 2","pages":"129-135"},"PeriodicalIF":1.9,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/8c/kjod-50-129.PMC7093667.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37810783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Three-dimensional cone beam computed tomography analysis of temporomandibular joint response to the Twin-block functional appliance. 三维锥束计算机断层扫描分析颞下颌关节对双块功能矫治器的反应。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-03-01 Epub Date: 2020-03-24 DOI: 10.4041/kjod.2020.50.2.86
Yuan-Yuan Jiang, Lian Sun, Hua Wang, Chun-Yang Zhao, Wei-Bing Zhang
{"title":"Three-dimensional cone beam computed tomography analysis of temporomandibular joint response to the Twin-block functional appliance.","authors":"Yuan-Yuan Jiang,&nbsp;Lian Sun,&nbsp;Hua Wang,&nbsp;Chun-Yang Zhao,&nbsp;Wei-Bing Zhang","doi":"10.4041/kjod.2020.50.2.86","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.2.86","url":null,"abstract":"<p><strong>Objective: </strong>To propose a three-dimensional (3D) method for evaluating temporomandibular joint (TMJ) changes during Twin-block treatment.</p><p><strong>Methods: </strong>Seventeen patients with Class II division 1 malocclusion treated using Twin-block and nine untreated patients with a similar malocclusion were included in this research. We collected their cone beam computed tomography (CBCT) data from before and 8 months after treatment. Segmentations were constructed using ITK-SNAP. Condylar volume and superficial area were measured using 3D Slicer. The 3D landmarks were identified on CBCT images by using Dolphin software to assess the condylar positional relationship. 3D models of the mandible and glenoid fossa of the patients were constructed and registered via voxel-based superimposition using 3D Slicer. Thereafter, skeletal changes could be visualized using 3DMeshMetric in any direction of the superimposition on a color-coded map. All the superimpositions were measured using the same scale on the distance color-coded map, in which red color represents overgrowth and blue color represents resorption.</p><p><strong>Results: </strong>Significant differences were observed in condylar volume, superficial area, and condylar position in both groups after 8 months. Compared with the control group (CG), the Twin-block group exhibited more obvious condyle-fossa modifications and joint positional changes. Moreover, on the color-coded map, more obvious condyle-fossa modifications could be observed in the posterior and superior directions in the Twin-block group than in the CG.</p><p><strong>Conclusions: </strong>We successfully established a 3D method for measuring and evaluating TMJ changes caused by Twin-block treatment. The treatment produced a larger condylar size and caused condylar positional changes.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 2","pages":"86-97"},"PeriodicalIF":1.9,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/a5/kjod-50-86.PMC7093662.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37808757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Sex-, growth pattern-, and growth status-related variability in maxillary and mandibular buccal cortical thickness and density. 上颌和下颌颊皮质厚度和密度的性别、生长模式和生长状态相关变异。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-03-01 Epub Date: 2020-03-24 DOI: 10.4041/kjod.2020.50.2.108
Sydney Schneider, Vaibhav Gandhi, Madhur Upadhyay, Veerasathpurush Allareddy, Aditya Tadinada, Sumit Yadav
{"title":"Sex-, growth pattern-, and growth status-related variability in maxillary and mandibular buccal cortical thickness and density.","authors":"Sydney Schneider,&nbsp;Vaibhav Gandhi,&nbsp;Madhur Upadhyay,&nbsp;Veerasathpurush Allareddy,&nbsp;Aditya Tadinada,&nbsp;Sumit Yadav","doi":"10.4041/kjod.2020.50.2.108","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.2.108","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study was to quantitatively analyze the bone parameters (thickness and density) at four different interdental areas from the distal region of the canine to the mesial region of the second molar in the maxilla and the mandible. The secondary aim was to compare and contrast the bone parameters at these specific locations in terms of sex, growth status, and facial type.</p><p><strong>Methods: </strong>This retrospective cone-beam computed tomography (CBCT) study reviewed 290 CBCT images of patients seeking orthodontic treatment. Cortical bone thickness in millimeters (mm) and density in pixel intensity value were measured for the regions (1) between the canine and first premolar, (2) between the first and second premolars, (3) between the second premolar and first molar, and (4) between the first and second molars. At each location, the bone thickness and density were measured at distances of 2, 6, and 10 mm from the alveolar crest.</p><p><strong>Results: </strong>The sex comparison (male vs. female) in cortical bone thickness showed no significant difference (<i>p</i> > 0.001). The bone density in growing subjects was significantly (<i>p</i> < 0.001) lower than that in non-growing subjects for most locations. There was no significant difference (<i>p</i> > 0.001) in bone parameters in relation to facial pattern in the maxilla and mandible for most sites.</p><p><strong>Conclusions: </strong>There was no significant sex-related difference in cortical bone thickness. The buccal cortical bone density was higher in females than in males. Bone parameters were similar for subjects with hyperdivergent, hypodivergent, and normodivergent facial patterns.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 2","pages":"108-119"},"PeriodicalIF":1.9,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/d8/kjod-50-108.PMC7093665.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37810781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Posterior dental compensation and occlusal function in adults with different sagittal skeletal malocclusions. 不同矢状面骨错合的成人后牙代偿和咬合功能。
IF 1.9 3区 医学
Korean Journal of Orthodontics Pub Date : 2020-03-01 Epub Date: 2020-03-24 DOI: 10.4041/kjod.2020.50.2.98
Soonshin Hwang, Yoon Jeong Choi, Sooin Jung, Sujin Kim, Chooryung J Chung, Kyung-Ho Kim
{"title":"Posterior dental compensation and occlusal function in adults with different sagittal skeletal malocclusions.","authors":"Soonshin Hwang,&nbsp;Yoon Jeong Choi,&nbsp;Sooin Jung,&nbsp;Sujin Kim,&nbsp;Chooryung J Chung,&nbsp;Kyung-Ho Kim","doi":"10.4041/kjod.2020.50.2.98","DOIUrl":"https://doi.org/10.4041/kjod.2020.50.2.98","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to compare posterior tooth inclinations, occlusal force, and contact area of adults with different sagittal malocclusions.</p><p><strong>Methods: </strong>Transverse skeletal parameters and posterior tooth inclinations were evaluated using cone beam computed tomography images, and occlusal force as well as contact area were assessed using pressure-sensitive films in 124 normodivergent adults. A linear mixed model was used to cluster posterior teeth into maxillary premolar, maxillary molar, mandibular premolar, and mandibular molar groups. Differences among Class I, II, and III groups were compared using an analysis of variance test and least significant difference <i>post-hoc</i> test. Correlations of posterior dental inclinations to occlusal function were analyzed using Pearson's correlation analysis.</p><p><strong>Results: </strong>In male subjects, maxillary premolars and molars had the smallest inclinations in the Class II group while maxillary molars had the greatest inclinations in the Class III group. In female subjects, maxillary molars had the smallest inclinations in the Class II group, while maxillary premolars and molars had the greatest inclinations in the Class III group. Occlusal force and contact area were not significantly different among Class I, II, and III groups.</p><p><strong>Conclusions: </strong>Premolar and molar inclinations showed compensatory inclinations to overcome anteroposterior skeletal discrepancy in the Class II and III groups; however, their occlusal force and contact area were similar to those of Class I group. In subjects with normodivergent facial patterns, although posterior tooth inclinations may vary, difference in occlusal function may be clinically insignificant in adults with Class I, II, and III malocclusions.</p>","PeriodicalId":49934,"journal":{"name":"Korean Journal of Orthodontics","volume":"50 2","pages":"98-107"},"PeriodicalIF":1.9,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/f8/kjod-50-98.PMC7093660.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37810780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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