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사춘기 골격성 3급 부정교합 환자의 절충치료 후 재발 양상에 대한 방사선학적 고찰

Cephalometric Evaluations of Relapse Pattern after Dental Camouflagic Treatment for Adolescent Class III Malocclusion

대한병원치과의사협의회지 2006년 2권 2호 p.96 ~ 101
박홍균, 김미자, 강진한, 신미란, 안병근,
소속 상세정보
박홍균 ( Park Hong-Kyun ) - 한림대학교 의과대학 한강성심병원 치과교정학교실
김미자 ( Kim Mi-Ja ) - 한림대학교 한강성심병원 치과학교실
강진한 ( Kang Jin-Han ) - 한림대학교 한강성심병원 구강악안면외과
신미란 ( Shin Mee-Ran ) - 한림대학교 의과대학 한강성심병원 치과학교실
안병근 ( Ahn Byoung-Keun ) - 한림대학교 의과대학 한강성심병원 치과교정학교실

Abstract


The aim of this study was to examine the relapse pattern after dental camouflagic treatment of adolescent Class III malocclusion patients. Four patients diagnosed as skeletal Class III malocclusion (3 girls, 1 boy) were selected. The average ages before and after treatment were 12.9±1.3 and 14.9±1.2 years, and total treatment duration was 1.9±0.7 years. Two cases of that had skeletal deepbite tendency and two cases had skeletal openbite tendency. The cephalometric radiographs and intraoral and extraoral photographs taken before treatment, after treatment and retention period were evaluated. The results of clinical and cephalometric evaluations were reviewed and factors that provide the clinician with a better understanding of treatment alternatives in adolescent patients with Class III malocclusion were discussed. In orthodontic treatment especially Class III patient, success or failure of the treatment was substantially dependent on growth potential. It was important to know the timing of the beginning of treatment and to select the appropriate treatment plan. In this study, we found that all of the cases showed mandibular growth, while maxilla were relatively stable. In two cases diagnosed as skeletal openbite, mandible were grown in downward and forward direction, resulting in shallow overbite. In two cases with skeletal deepbite, mandibles were grown in relatively forward direction, resulting in slightly lingual tipping of mandibular incisors.

키워드

Class III malocclusion;Dental camouflage;Adolescent patient;Relapse;Cephalometric evaluation

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