A treatment should be functional, esthetic, conservative and periodontally healthy in order to meet criteria of an ideal dental procedure. in a prsthodontic patient with horizontal and/or vertical space deficiency, orthodontic tooth movement should be considered as a pre-prosthetic procedure. With a conventional technique, orthodontic treatment is a time-consuming and uncomfortable procedure. Pre-prosthetic orthodontic treatment, however, is no longer difficult procedure with the help of recently developed techniques, such as passive bracketing. The present article outlines the problems and causes of horizontal and vertical space deficiency in prosthodontic patients, and presents efficient pre-prosthetic orthodontic treatment modalities with typical clinical cases.
Humans ; Prosthodontics* ; Tooth Movement

With conventional orthodontics, it was difficult for the anchorage segments of the wire to be engaged passively in the brackets even with complicated bending. To overcome this limitation, a kind of indirect bonding, "passive bracketing", has been developed. The present article shows laboratory and clinical procedures of the passive bracketing
Orthodontics*

No abstract available.
Child* ; Humans

We tend to consider only static occlusion such as molar relationship, canine key, and interdigitation at finishing stage. Of course, this static occlusion is important for post-orthodontic stability. But we should remember that mandible is always on the move during its various functions. If no pressure or too much pressure is put on during its functions, untoward tooth movement could occur. And tooth mobility, periodontitis, wear facet, bruxism, and far worse temporomandibular disorder could occur. After many studies have been done on what is a desirable occlusal scheme to strengthen post-orthodontic stability t today, "mutually protective occlusion" is recommended. If an orthodontist does not have understanding about this occlusal scheme during orthodontic treatment, the following conditions will be resulted after orthodontic treatment. I. Centric discrepancy 1. centric prematurity 2. sunday bite 3. molar fulcrum II. Eccentric discrepancy 1. posterior interference 2. anterior interference If we have deep understanding about these discrepancies that can happen after orthodontic treatment and their causes, corrections, and especially preventions against them, post-orthodontic stability could be strengthened and further temporomandibular disorder could be prevented.
Bruxism ; Mandible ; Molar ; Periodontitis ; Temporomandibular Joint Disorders ; Tooth Mobility ; Tooth Movement

Translational movement along an arch wire requires sufficient force to overcome frictional forces between bracket and arch wire. The orthodontist must appreciate the importance of friction in this process, and study out the influencing factors on the level of friction. The purpose of this study was to evaluate the effect of artificial saliva on frictional resistances generated between the bracket and arch wire. Independent variables of this study were arch wire material, angulation and environment. Static frictional forces of cobalt-chromium, heat-treated cobalt-chromium, beta-titanium, stainless steel wires were measured under non-angulated dry, angulated dry, non-angulated saliva, angulated saliva conditions. The results were as follows : 1. Stainless steel wires showed lower friction values in non-angulated dry condition, and heat-treated cobalt-chromium wires showed higher friction values in angulated dry condition. Higher friction values were showed in order of cobalt-chromium, stainless steel, heat-treated cobalt-chromium and beta-titanium wires in non-angulated saliva condition, and were showed in order of stainless steel, cobalt-chromium, heat-treated cobalt-chromium, beta-titanium wires in angulated saliva condition. 2. Angulation increased friction for stainless steel wires under dry condition. 3. Artificial saliva decreased friction for cobalt-chromium wires and increased friction for stainless steel wires under non-angulated condition. 4. Artificial saliva decreased friction for all wires except beta-titanium wires under angulated condition. 5. Regardless of angulation or environment, heat-treated cobalt-chromium and beta-titanium wires showed higher friction values, and stainless steel wires showed lower friction values.
Friction* ; Orthodontic Wires* ; Saliva ; Saliva, Artificial* ; Stainless Steel

Recently, magnetic forces are considered as a method for more efficient tooth movement. The purpose of this study was to evaluate the effects of the changes of the magnetic volume on the magnetic forces. The universal testing machine and the electronic balance were used for the exact measurement of the force with constant air gap. While the magnet was kept same on one side, the magnetic volume of the other side was increased gradually in four manners. In the first group, the thickness was increased by adding same size of the magnets one after another while the thickness was increased by changing with a thicker magnet gradually in the second group. In the third group, the width was increased by adding same size of the magnets while the width was increased by changing with a wider magnet gradually in the last group. The results were as follows: 1. With the increase of the thickness, the magnetic force increased, while the magnetic force decreased with the increase of the width. 2. The magnetic force according to the change of the magnetic volume showed the distribution of the logarithmic function. 3. An originally thick magnet showed larger force tharr the added magnets although both of them had same volume.
Tooth Movement

OBJECTIVE: The purpose of this study was to evaluate the validity of midsagittal reference (MSR) planes constructed in maxillofacial 3D images. METHODS: Maxillofacial computed tomography (CT) images were obtained in 36 normal occlusion individuals who did not have apparent facial asymmetry, and 3D images were reconstructed using a computer software. Six MSR planes (Cg-ANS-Ba, Cg-ANS-Op, Cg-PNS-Ba, Cg- PNS-Op, FH perpendicular (Cg, Ba), FH perpendicular (Cg, Op)) were constructed using the landmarks located in the midsagittal area of the maxillofacial structure, such as Cg, ANS, PNS, Ba and Op, and FH plane constructed with Po and Or. The six pairs of landmarks (Z, Fr, Fs, Zy, Mx, Ms), which represent right and left symmetry in the maxillofacial structure, were selected. Statistically significant differences of the right and the left measurements were examined through t-test, and the difference of the right and the left measurement was compared among the six MSR planes. RESULTS: The distances from the right and the left landmarks in each pair to each MSR plane did not show a statistically significant difference. The reproducibility of the landmark identification was excellent. CONCLUSION: All the six planes constructed in this study can be used as a MSR plane in maxillofacial 3D analysis, particularly, the planes including Cg and ANS.
Facial Asymmetry

The purpose of this study was to evaluate the effects of the surface treatments of resin bases in indirect bracket bonding technique by study of shear bond strengths and failure patterns. Ninety metal brackets were bonded to the stone models of specimens involving bovine lower incisor with light-cured adhesive(Light-Bond). After removal of brackets with the resin base from the stone models, the surfaces of resin bases in thirty brackets were treated with Plastic Conditioner and the surfaces of resin bases in another thirty brackets were treated with sandblaster and the remaining thirty brackets were served as controls. All brackets were transferred to the specimens and bonded using sealant. The shear bond strength was tested on universal testing machine, and failure pattern was assessed with the adhesive remnant index(ARI). The results were as follows: 1. Surface treatments of resin bases with Plastic Conditioner or sandblasting showed statistically higher shear bond strengths than no treatment group. 2. No significant difference in shear bond strength was found between Plastic Conditioner treatment and sandblasting treatment groups. 3. No significant difference in ARI scores was found among the three groups. 4. As the result of correlation analysis between shear bond strengths and ARI scores, failure at adhesive/bracket base interface tends to increase when the shear bond strength was high, but it was not significant statistically. The above results suggest that improvement of bond strength can be obtained by surface treatment of resin base in the indirect bonding technique.
Adhesives ; Incisor ; Plastics

The purpose of this experiment was to study the effects of changes of mandibular position on temporomandibular joint in internal derangement patients. Twenty-four female New Zealand White Rabbits, weighing over 3.5kg, were utilized in this study. Bilateral temporomandibular joint surgery was performed in twenty one of the rabbits to displace disc anteriorly through incising the retrodiscal tissue 1-2mm posterior to the disc, thus inducing internal derangement. They were divided into three groups: nine were left untreated after surgery, six were fitted with functional protrusive appliances 4 weeks after surgery, and six wore collar appliances to apply 4 ounces of mandibular retractive force per side 4 weeks after surgery. The remaining three served as the control group. Histologic examinations were performed after sacrificing them by threes at 4-week intervals. The results were as follows: 1. Histologic findings similar to internal derangement were observed in the rabbits whose retrodiscal tissues had been incised. 2. In the rabbits untreated after surgery, articular surface on condylar process and articular eminence showed severe erosion and deformation, and displaced disc manifested changes in both shape and internal architecture. 3. Functional protrusion after surgery resulted in progressive remodeling on posterosuperior portion of condyle and glenoid fossa, while it also brought about erosion on articular eminence and anterior portion of condyle. 4. Mandibular retraction after surgery resulted in compression of retrodiscal tissue and regressive remodeling of posterior portion of condyle.
Adult* ; Female ; Humans ; Rabbits* ; Temporomandibular Joint*

OBJECTIVE: The purpose of this study was to compare the right and left differences of frontal ramal inclination in chin-deviated individuals. METHODS: Thirty adult patients with clinically apparent chin deviation were selected as the chin-deviated group, and 30 adult patients with symmetric faces were selected as the control group. On the posteroanterior cephalograms, the frontal ramal inclination was measured, and the right and left differences were compared and analyzed. RESULTS: While the control group did not show right and left differences of frontal ramal inclinations, the chin-deviated individuals showed right and left differences of frontal ramal inclination. In chin-deviated individuals, the frontal ramal inclinations of the non-deviated side were statistically greater than those of the deviated side. The right and left differences of frontal ramal inclinations, with menton deviation and the right and left differences of maxillary heights showed statistically significant correlation. CONCLUSION: We conclude that the frontal ramal inclinations should be considered in the diagnosis of facial asymmetry.
Adult ; Chin ; Diagnosis ; Facial Asymmetry ; Humans