19 years old female had untreated Veau classification class II cleft palate with ectopic eruption of upper right lateral incisor and congenital missing of lower lateral incisors. Upper left lateral incisor, left first molar aid lower left first molar were root restswithperiapicalpathologiclesions. So all root rests were extracted and prosthodontic rehabilitation after orthodontic treatment was planned. She was treated by means of multibanded system with face bow. After 23 months all orthodontic correction were achieved and, as soos as debanding procedure was done she was referred to oral surgeon and prosthodontist for surgical operation and bridge construction.
Classification ; Cleft Palate* ; Female ; Humans ; Incisor ; Molar ; Prosthodontics ; Rehabilitation ; Tooth* ; Young Adult

A boy (Hellman dental age III B) with mandibular prognathism was treated by means of the labiolingual appliance and the chin cap. Following results were obtained; 1) Except the problem of development, most of treatment objectives were achieved after 8 months of active treatment. 2) The axial inclinations of upper and lower incisors were changed by the treatment. 3) The most notable change was the reduction of genial angle. 4) The patient has retained the good occlusal stability till after 18 months of retention.
Chin ; Humans ; Incisor ; Male ; Prognathism*

The purpose of this experiment was to measure the amounts of nickel and chromium released from a simulated orthodontic appliance in artificial saliva. Simulated mandibular half-arch orthodontic appliances were composed of American Iron and Steel Institute type 304 brackets, Permachrome, Elgiloy, Australian wire, T.M.A. and Nitinol. The amounts of nickel and chromium released from sample were measured with atomic absorption spectrophotometer after 3, 6, 9, 12, 15 days. The cumulative amounts of nickel released from Permachrome, Elgiloy, Australian wire and T.M.A. reached a plateau after 6 days. But the cumulative amounts of nickel released from Nitinol increased continuously. Significant amounts of both nickel and chromium were solubilized from the simulated orthodontic appliances into artificial saliva. After 15 days, total cumulative amounts of nickel were 152.15microgram, 150.27microgram, 134.74microgram, 114.67microgram and 93.39micron from the Elgiloy, Australian wire, Nitinol, Permachrome and T.M.A., respectively. Total cumulative amounts of chromium from Permachrome, Australian wire, Elgiloy, Nitinol and T.M.A. were 100.83microgram, 83.64microgram, 81.61microgram, 14.90microgram and 12.43microgram, respectively. The result showed that nickel released from Elgiloy and chromium released from Permachrome were more than any others.
Absorption ; Chromium ; Iron ; Nickel ; Orthodontic Appliances ; Saliva, Artificial ; Steel

No abstract available.
Prognathism

Acute suppurative cholangitis is a severe inflammatory process of the bile duct occurred as a result of partial or complete obstruction of the bile duct, and may manifest clinically severe from of disease, rapidly deterioration to life-threatening condition. We analyzed emergency percutaneous transhepatic biliary drainage in 20 patients of acute suppurative cholangitis with biliary sepsis to evaluate the therapeutic effect and complication of the procedure. The underlying causes were 12 benign diseases(stones) and eight malignant tumors and among eight malignant tumors, bile duct stones(n=4) and clonorchiasis (n=1) were combined. Percutaneous transhepatic biliary drainage was performed successfully in 17 of 20 patients improvement of general condition and failed in three patients. The procedures were preterminated due to the patient's condition in two and biliary-porto fistula was developed in one. After biliary decompression by percutaneous transhepatic biliary drainage, effective and successful elective surgery was performed in nine cases, which were seven biliary stones and two biliary cancer with stones. Our experience suggests that emergency percutaneous transhepatic biliary drainage is an initial and effective treatment of choice for acute suppurative cholangitis with sepsis and a safe alternative for nonsurgical treatment.
Bile Ducts ; Cholangitis* ; Clonorchiasis ; Decompression ; Drainage* ; Emergencies ; Fistula ; Humans ; Sepsis*

In this study, effects of cyclophosphamide on the growth of the mandibular condyle head were investigated with Spraque-Dawley rats of the 28 days of age. Rats were devided into four groups. Three were used as experimental groups, and one as control. Each rat in experimental group was injected intraperitoneally with cyclophosphamide repeatedly three times, 20mg/kg for the first group, 40mg/kg for the second, and 60mg/kg for the third each time. Rats in control group were injected with physiological salime in the same method. Rate in each group were sacrificed at 5, 10, and 15 days following the 1ast injection. The specimens were stained with H-E, toluidine blue, PAS, and alcian blue. The results were as follows; 1. In experimental group, with increasing the injection doses, the thickness of the condylar cartilage from the transitional zone to the hypertrophic zone became thinner in control group. 2. Weaker metachromasia to toluidine blue and less positive reaction to PAS were seen. 3. In promary marrow cavity the fewer trabecular was formed, the direction of trabecular formation became obscuerer, and the lower density of bone was resulted in.
Alcian Blue ; Animals ; Bone Marrow ; Cartilage ; Cyclophosphamide* ; Head ; Mandibular Condyle* ; Rats* ; Tolonium Chloride

The purpose of this study was to investigate the force mechanism of Multiloop Edgewise Arch Wire and the intensity and distribution of stresses with vertical and intermaxillary elastics. The obtained results were as follows. 1. When plain wires were inserted and vertical and intermaxillary elastics were used in the upper and lower arch, the stresses of the anterior and posterior ends of wires were observed greatly but the stresses of the premolar were very small. 2. When MEAW were inserted in upper and lower arch, the upper 1st and 2nd premolar and the lower 1st premolar were extruded greatly. 3. In the area of the upper 1st molar and the lower 2nd premolar and the lower 1st molar, any stresses were not observed. 4. The vertical elastic counteracted the intrusion force of the MEAW in the anterior teeth but could not affect on posterior teeth. Using with the Class II elastics, the distal tipping force and extrusion force were exerted in the upper anterior teeth and the intrusion forces of the lower anterior teeth were relieved. Using with the Class III elastics, the extrusion force were exerted in the upper and lower anterior teeth, the distal tipping force were increased in the lower posterior teeth. 5. The Class II elastic counteracted the anterior intrusion force of the MEAW and extruded and tipped mesially the lower 2nd molar. The intrusion force of the MEAW also could not overcome the extrusion force of the class II elastics. 6. When the Class III elastics were engaged, the upper 2nd molar was extruded in spite of the intrusion forces of the MEAW and the extrusion forces of the lower anterior teeth and distal tipping forces in the posterior teeth were observed.
Bicuspid ; Molar ; Tooth

The purpose of this study was to evaluate the effects of heat treatment on mechanical properties in 0.016" x 0.022" blue Elgiloy wires and to measure the amounts of nickel and chromium released from the wires in artificial saliva. Ultimate tensile strength, yield strength and elongation were measured with universal testing machine (Instron). and the amounts of nickel and chromium released from the sample were measured with atomic absorption spectrophotometer after one week immersion in the artificial saliva. Ultimate tensile strength and yield strength were progressively increased below 1000degreesF, but elongation was decreased. And the results were reversed above 1100degreesF. After heat treatment of the sample for 9 minutes at 1000degreesF, the maximum tensile strength and yield strength were 213.6kg/mm2, 140.1kg/mm2, respectively. Both tensile strength and yield strength were decreased progressively above 1100degreesF. Elongation was appeared the minimum value (8.6%) after heat treatment for 9 minutes and 12 minutes at 1000degreesF. There was a pronounced increase in nickel and chromium liberation with increasing time and temperature. The maximum amounts of nickel and chromium released form the sample were 4.947microgram/cm2, 3.088microgram/cm2, respectively after heat treatment for 12 minutes at 1300degreesF. Heat treatment is applied to orthodontic wires, especially cobalt-chromium alloys, for the purpose of stress-relievning and hardening. When the heat-treatment of orthodontic wires, the heating procedure should be well controlled in order to have no effect on corrosion resistance and mechanical properties.
Absorption ; Chromium ; Chromium Alloys ; Corrosion ; Heating ; Hot Temperature* ; Immersion ; Nickel ; Orthodontic Wires ; Saliva, Artificial ; Tensile Strength

This comparative study was undertaken to investigate the position of the hyoid bone in unilateral cleft lip and palate individuals. The materials for this study consisted of 35 subjects with surgically repaired unilateral cleft lip and palate (25 males, 10 females) and 40 subjects with normal facial morphology (20 males, 20 females). Cephalometric measurements of unilateral cleft and palate individuals were compared with those of non-cleft individuals. The conclusions of this study were obtained as follows: 1. To the anterior cranial base, the hyoid bone in unilateral cleft lip and palate individuals was located downward as compared with non-cleft individuals. 2. To the mandible, the hyoid bone in unilateral cleft lip and palate individuals was located backward as compared with non-cleft individuals. 3. The distance between the dorsum of the tongue and the inferior border of the hard palate in unilateral cleft lip and palate individuals was longer than that in non-cleft individuals. 4. Unilateral cleft lip and palate individuals showed no significant difference in the distance between the hyoid bone and the dorum of the tongue as compared with non-cleft individuals.
Cleft Lip* ; Humans ; Hyoid Bone* ; Male ; Mandible ; Palate* ; Palate, Hard ; Skull Base ; Tongue

This study was performed to evaluate the effect of low-power laser irradiation on the periodontium of the orthodontically moved tooth of rat. The experimental materials were 30 male rats. Orthodontic appliances were placed bilaterally between maxillary first molar and incisor teeth and the force was 1 Oz. Experimental animals were divided into eight groups as follows: no movement, 1st, 2nd, 3rd, 5th, 7th, 14th, and 28th day groups. In all experimental animals except no movement group, low-power laser was irradiated on the unilateral maxillary first molar (experimental side), but on the contralateral side, only orthodontic force was applied (control side). The histologic effects of laser on the periodontium of the orthodontically moved tooth on the consecutive experimental days were as follows: In the experimental side, by the biostimulating effect of laser, 1. Hyalinized tissue was formed later and eliminated earlier than in the control side. 2. Undermining bone resorption was occurred earlier than in the control side. 3. More osteoid tissue was deposited and calcified earlier than in the control side. 4. The most prominent changes were formation of new blood vessels and dilatation of old blood vessels.
Animals ; Blood Vessels ; Bone Resorption ; Dilatation ; Humans ; Hyalin ; Incisor ; Low-Level Light Therapy ; Male ; Molar ; Orthodontic Appliances ; Periodontium* ; Rats* ; Tooth*