21 research outputs found
Application of simulated three dimensional CT image in orthognathic surgery
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체μ μΈ κ΅¬μ‘°λ¬Όμ νλ©΄μ μΌλ‘ λνλμΌλ‘ μΈν΄ νκ°μ μ ννμ§ λͺ»ν κ²°κ³Όλ₯Ό μ΄λν μ μλ€. λ°λΌμ ꡬ쑰물μ μ
체μ μΈ μμΌλ‘ λνλ΄λ κ²μ΄ λ°λμ§νλ©° μ΄λ₯Ό μν΄μλ 3μ°¨μ μ μ°ν λ¨μΈ΅μ΄¬μμ΄ κ°μ₯ μ’μ λ°©λ²μ΄λ€.
μμμ μν΄μλ μΉλ£ κ²°κ³Όμ νκ°μ μΉλ£ μ νμ λΉκ΅ λΆμμ΄ νμνλ©° λ°λΌμ μμ μ μ 3μ°¨μ μ μ°ν λ¨μΈ΅μ΄¬μμ νμ¬ μ§λ¨κ³Ό μΉλ£ κ³νμ μΈμ μμ ν νμλ μμ νμλ 3μ°¨μ μ μ°ν λ¨μΈ΅μ΄¬μμ νμ¬ μμ μ νλ₯Ό μ
체μ μΌλ‘ νκ°νλ€λ©΄ λμ± μ νν λΉκ΅μ νκ°λ₯Ό ν μ μλ€. κ·Έλ¬λ 3μ°¨μ μ’νκ³λ‘λΆν°μ μ μμΉμ λν νμ€νλ μ°κ΅¬ κ²°κ³Όκ° μμ΄ μμμ μ μ©νκΈ° μ΄λ ΅κ³ λν κ³ κ°μ μ₯λΉ λ° λΉμ©κ³Ό λ°©μ¬μ νΌνλ λ±μ λ¬Έμ λ‘ μΈν΄ λ§μ μ₯μ μλ λΆκ΅¬νκ³ 3μ°¨μ μ μ°ν λ¨μΈ΅μμ λ리 μ¬μ©λμ§ λͺ»νκ³ μλ€.
μ μλ μ
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κ΅μ μμ μ μ 3μ°¨μ μ μ°ν λ¨μΈ΅μμ μ μ©νμ¬ λͺ¨μ μ‘°μ’
λ 3μ°¨μμμ μ»λ μλ‘μ΄ λ°©λ²μ λ§λ€μ΄ 보μκ³ μ΄ λ°©λ²μ κ²μ¦νκ³ μ μ
κ΅μ μμ μ κ°μνμ¬ νμ
골μ μμΉλ₯Ό λ³νμν¨ κ±΄μ‘° λκ°κ³¨μ 4 κ°μ§ κ²½μ°μ μ
κ΅μ μμ μ λ°μ 4 λͺ
μ νμμ μ μ©νμ¬ λ³΄μ λ€μκ³Ό κ°μ κ²°κ³Όλ₯Ό μ»μλ€.
1. νμ
골μ μμΉλ₯Ό λ¬λ¦¬νκ³ μνλ 건쑰 λκ°κ³¨μ 4 κ°μ§ κ²½μ°μμ νμ
골μ μμΉ λ³ν μ νμ νμ λ°© λ° μΈ‘λ°© λλΆκ·κ²© λ°©μ¬μ μ¬μ§μμμ λ³νλ₯Ό νμ
골μ μμΉ λ³ν μ μ 3μ°¨μ μμ μ μ©νμ¬ μ»΄ν¨ν°λ‘ λͺ¨μ μ‘°μ’
λ 3μ°¨μ μκ³Ό νμ
골μ μμΉ λ³ν νμ μ€μ 촬μλ 3μ°¨μ μ κ°μ μ’νκ°μ λ³μ λ²μλ -1.8 mmμμ 1.8 mmκΉμ§μκ³ λͺ¨λ λ³μκ°μ 94%κ° -1.4 mmμμ 1.4 mmκΉμ§μμΌλ©° λν λ μ κ°μ μ μμ°¨λ μμλ€(p>0.05).
2. μ
κ΅μ μμ μ λ°μ 4 λͺ
μ νμμμ μμ μ νμ νμ λ°© λ° μΈ‘λ°© λλΆκ·κ²© λ°©μ¬μ μ¬μ§μμμ λ³νλ₯Ό μμ μ μ 3μ°¨μ μμ μ μ©νμ¬ μ»΄ν¨ν°λ‘ λͺ¨μ μ‘°μ’
λ 3μ°¨μ μκ³Ό μμ νμ μ€μ 촬μλ 3μ°¨μ μ κ°μ μ’νκ°μ λ³μ λ²μλ -6.7 mmμμ 7.7 mmκΉμ§μκ³
λͺ¨λ λ³μκ°μ 90%κ° -4.0 mmμμ 4.0 mmκΉμ§μμΌλ©° λν λ μ κ°μ μ μμ°¨λ μμλ€(p>0.05).
κ²°λ‘ μ μΌλ‘ μμ μ μ 3μ°¨μ μ μ°ν λ¨μΈ΅μ¬μ§κ³Ό μμ μ νμ νμ λ°© λ° μΈ‘λ°© λλΆκ·κ²© λ°©μ¬μ μ¬μ§μ μ΄μ©νμ¬ μ»΄ν¨ν°λ‘ λͺ¨μ μ‘°μ’
λ 3μ°¨μ μμ μ»μ΄ 건쑰 λκ°κ³¨κ³Ό μ
κ΅μ μμ νμμ κ°κ° μ μ©ν κ²°κ³Ό μμΌλ‘ μμ νμ 3μ°¨μ μ μ°ν λ¨μΈ΅μ΄¬μμ νμ§ μκ³ λ μμ νμ 3μ°¨μ μμ μ»μ μ μλ κ°λ₯μ±μ΄ μ μλμλ€.
[μλ¬Έ]
In orthodontics and orthognathic surgery, cephalogram has been routine practice in diagnosis and treatment evaluation of craniofacial deformity. But its inherent distortion of actual length and angles during projecting three dimensional object to two dimensional plane might cause errors in quantitative analysis of shape and size, Therefore, it is desirable that three dimensional object is diagnosed and evaluated three dimensionally and three dimensional CT image is best for three dimensional analysis.
Development of clinic necessitates evaluation of result of treatment and comparison before and after surgery. It is desirable that patient that was diagnosed and planned by three dimensional computed tomography before surgery is evaluated by three dimensional computed tomography after surgery, too. But Because there is no standardized normal values in three dimension now and three dimensional Computed Tomography needs expensive equipments and because of its expenses and amount of exposure to radiation, limitations still remain to be solved in its application to routine practice. If postoperative three dimensional image is constructed by pre and postoperative lateral and postero-anterior cephalograms and preoperative three dimensional computed tomogram, pre and postoperative image will be compared and evaluated three dimensionally without three dimensional computed tomography after surgery and that will contribute to standardize normal values in three dimension.
This study introduced new method that computer-simulated three dimensional image was constructed by preoperative three dimensional computed tomogram and pre and postoperative lateral and postero-anterior cephalograms, and for validation of new method, in four cases of dry skull that position of mandible was displaced and four patients of orthognathic surgery, computer-simulated three dimensional image and actual postoperative three dimensional image were compared. The results were as follows.
1. In four cases of dry skull that position of mandible was displaced, range of displacement between computer-simulated three dimensional images and actual postoperative three dimensional images in co-ordinates values was from -1.8 mm to 1.8 mm and 94% in displacement of all co-ordinates values was from -1.0 mm to 1.0 mm and no significant difference between computer-simulated three dimensional images and actual postoperative three dimensional images was noticed(P>0.05).
2. In four cases of orthognathic surgery patients, range of displacement between computer-simulated three dimensional images and actual postoperative three dimensional images in co-ordinates values was from -6.7 mm to 7.7 mm and 90% in displacement of all co-ordinates values was from -4.0 to 4.0 mm and no significant
difference between computer-simulated three dimensional images and actual postoperative three dimensional images was noticed(P>0.05).
Conclusively, computer-simulated three dimensional image was constructed by preoperative three dimensional computed tomogram and pre and postoperative lateral and postero-anterior cephalograms. Therefore, potentiality that can construct postoperative three dimensional image without three dimensional computed tomography after surgery was presented.restrictio
(The) study of comparison before and after orthodontic treatment in class I bialveolar protrusion cases with four bicuspid extraction
μΉμνκ³Ό/μμ¬[νκΈ]
μ μλ μ 1 μκ΅¬μΉ λ°μΉλ₯Ό λλ°ν μ I κΈ μΉμ‘°μ± μμ
μ λ νμμ μκ³ λͺ¨νκ³Ό μΈ‘λͺ¨ λλΆ λ°©μ¬μ μ¬μ§μμμμ μΉλ£ μ νμ λ³νλμ μμλ³΄κ³ κ²¬μΉμ νλ°©κ²¬μΈ λ°©λ²(Sectional canine retractionκ³Ό Sliding canine retraction)κ³Ό anchorageμ 보κ°(Head gear, Tr
anspalatal archμ Lingual arch)μ 무μ λ°λ₯Έ μ μΉμ ꡬμΉμ μ΄λμμ λΉκ΅ν΄ λ³΄κ³ λν μκ³ λͺ¨νκ³Ό μΈ‘λͺ¨ λλΆ λ°©μ¬μ μ¬μ§μ μ°κ΄μ§μ΄ μΉλ£κΈ°κ° λμ λ°μλ λ³ν μμμ μμλ³΄κ³ μ μ΄μ§μ 16μΈ μ΄μμ μ¬μνμ 77λͺ
μ μΉλ£ μ νμ μκ³ λͺ¨νκ³Ό μΈ‘λͺ¨ λλΆ λ°©μ¬μ μ¬
μ§μ λμμΌλ‘ μ‘°μ¬ν λ° λ€μκ³Ό κ°μ κ²°κ³Όλ₯Ό μ»μλ€.
1. μΉλ£κΈ°κ° μ€ λꡬμΉκ° νκ²½, μΉμ΄κΆ μ₯κ²½, μΉμ΄κΆ μ£Όμ μ₯κ²°μ μνμ
λͺ¨λ μΉλ£ νμ μ μμ± μλ κ°μλ₯Ό 보μκ³ κ²¬μΉκ° νκ²½μ μνμ
λͺ¨λ μ μμ± μλ μ°¨μ΄λ₯Ό 보μ΄μ§ μμλ€.
2. μμ
μ€μ μΉ(Ul)μ μμ(Ls)μ μ΄λ λΉμ¨μ 2.84 : 1μ΄λ©° νμ
μ€μ μΉ(Ll)μ νμ(Li)μ μ΄λ λΉμ¨μ 1.45 : 1 μ΄μλ€.
3. μ μΉμ νλ°© μ΄λμκ³Ό ꡬμΉμ μ λ°© μ΄λμμ λΉκ΅μμ 견μΉμ νλ°© κ²¬μΈ λ°©λ²(sectional canine retraction λ sliding canine retraction)κ³Ό transpalatal archλ lingual archμ μ¬μ© μ 무μ λ°λΌμλ μ μμ± μλ μ°¨μ΄κ° μμμΌλ©° head gearλ₯Ό μ¬μ©ν κ΅°μ΄ μ¬
μ©νμ§ μμ κ΅°μ λΉν΄ μ μΉμ νλ°© μ΄λμμ μ μμ± μκ² ν¬κ² λνλ¬κ³ ꡬμΉμ μ λ°© μ΄λμμ μ μμ± μκ² μκ² λνλ¬λ€.
4. μΉλ£ μ νμ μκ³ λͺ¨νμ ν΅ν μ
κΆ ν¬κΈ°μ λ³νλ₯Ό μΈ‘λͺ¨ λλΆ λ°©μ¬μ μ¬μ§μμμμ λ³νμ μ°κ΄μ§μ΄ μ μΉ κ²¬μΉ λ° λꡬμΉμ λ³νμμμ μμλ³Έ λ° λ€μκ³Ό κ°μ΄ λνλ¬λ€.
1) μμ
μ€μ μΉλ νλ°©μΌλ‘ 3.77mm μ΄λνμκ³ , 견μΉλ μΈμΈ‘μΌλ‘ 0.22mm νλ°©μΌλ‘ 3.70mm μ΄λνμμΌλ©° λꡬμΉλ λ΄μΈ‘μΌλ‘ 0.535mm μ λ°©μΌλ‘ 2.29mm μ΄λνμλ€.
2) νμ
μ€μ μΉλ νλ°©μΌλ‘ 3.04mm μ΄λνμκ³ , 견μΉλ μΈμΈ‘μΌλ‘ 0.145mm νλ°©μΌλ‘ 3.92%mm μ΄λνμμΌλ©° λꡬμΉλ λ΄μΈ‘μΌλ‘ 0.755mm μ λ°©μΌλ‘ 1.77mm μ΄λνμλ€.
THE STUDY OF COMPARISON BEFORE AND AFTER ORTHODONTIC TREATMENT IN CLASS I
BIALVEOLAR PROTRUSION CASES WITH FOUR BICUSPID EXTRACTION
HYUNG DON KIM, D.D.S.
Department of Dental science, Graduate School, Yonsei University
(Directed by prof. Young-Ghel Park, D.D.S., Ph.D.)
The purposes of present study were to evaluate changes in models and lateral
cephalometric head films during orthodontic treatment and to compare the amount of
incisal retraction and anterior movement of molars with the two approaches of the
retraction method of canine(sectional canine retractions vs sliding canine
retractions) and the anchorage management(head gears vs no head gears, transpalatal
arches vs no transpalatal arches and lingual arches vs no lingual arches) and to
evaluate changes during orthodontic treatment in models with relation to lateral
cephalometric head films.
67 Korean women with Angle's Class I bialveolar protrusion were selected, whose
initial chronologic age was above 16 yrs.
Models and lateral cephalometric head films were taken before and after
orthodontic treatment with four bicuspid extraction. the results were obtained as
follows :
1. Significant decreases were observed in intermolar with, arch length and arch
perimeter of maxilla and mandible but significant difference was not obserred in
intercanine with of maxilla and mandible during treatment period.
2. The linear change of the upper incisor to upper lip was 2.84 : 1 and the
linear change of the lower incisor t? lower lip was 1.45 : 1.
3. There were no significant differences between the two groups(sectional canine
retractions vs sliding canine retractions), the two groups(transpalatal aches vs no
transpalatal arches) and the two groups(lingual arches vs no lingual arches) in the
amount of incisal retraction and anterior movement of molars.
There were a greater amount of maxillary incisal retraction and a lesser amount
of anterior movement of maxillary molars with the use of head gears than no use of
head gears.
4. Changes during orthodontic treatment in models with relation to lateral
cephalometric head films were obtained as follows :
1) maxilla
Central incisors were moved 3.77mm backward, canines were moved 0.22mm laterally
and 3.70mm backward, and molars were moved 0.57mm medially and 2.29mm forward.
2) Mandible
Central incisors were moved 3,04mm backward, canines were moved 0.145mm laterally
an d3.92mm backward, and molars were moved 0.755mm medially and 1.77mm forward.
[μλ¬Έ]
The purposes of present study were to evaluate changes in models and lateral cephalometric head films during orthodontic treatment and to compare the amount of incisal retraction and anterior movement of molars with the two approaches of the retraction method of canine(sectional canine retractions vs sliding canine
retractions) and the anchorage management(head gears vs no head gears, transpalatal arches vs no transpalatal arches and lingual arches vs no lingual arches) and to evaluate changes during orthodontic treatment in models with relation to lateral
cephalometric head films.
67 Korean women with Angle's Class I bialveolar protrusion were selected, whose initial chronologic age was above 16 yrs.
Models and lateral cephalometric head films were taken before and after orthodontic treatment with four bicuspid extraction. the results were obtained as follows :
1. Significant decreases were observed in intermolar with, arch length and arch perimeter of maxilla and mandible but significant difference was not obserred in intercanine with of maxilla and mandible during treatment period.
2. The linear change of the upper incisor to upper lip was 2.84 : 1 and the linear change of the lower incisor t? lower lip was 1.45 : 1.
3. There were no significant differences between the two groups(sectional canine retractions vs sliding canine retractions), the two groups(transpalatal aches vs no transpalatal arches) and the two groups(lingual arches vs no lingual arches) in the amount of incisal retraction and anterior movement of molars.
There were a greater amount of maxillary incisal retraction and a lesser amount of anterior movement of maxillary molars with the use of head gears than no use of head gears.
4. Changes during orthodontic treatment in models with relation to lateral cephalometric head films were obtained as follows :
1) maxilla
Central incisors were moved 3.77mm backward, canines were moved 0.22mm laterally and 3.70mm backward, and molars were moved 0.57mm medially and 2.29mm forward.
2) Mandible
Central incisors were moved 3,04mm backward, canines were moved 0.145mm laterally an d3.92mm backward, and molars were moved 0.755mm medially and 1.77mm forward.restrictio