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Evaluation of orthodontic treatment outcomes and post-treatment changes by the PAR index.

Korean Journal of Orthodontics.2001;31(4):393-401.

The purposes of this study were to assess the treatment results in orthodontic department, Kyung Hee University, to evaluate the occlusion at 2 year follow-up control, in relation to the original malocclusion, and changes occurring in the follow-up period, and to determine whether treatment and posttreatment changes of the PAR index were related to the original Angle classification Dental study casts of 25 patients in permanent dentition were evaluated using Peer Assessment Rating (PAR) index. The PAR index was measured at the pretreatment stage, immediately after treatment, and at 2 years posttreatment. The following results were obtained : 1. The treatment reduced the PAR index by 85.05% and it indicates that KHDC clinic has a high standard of treatment 2. The follow-up result of 75.40% PAR score reduction implies a gain of 9.65% of posttreatment PAR score during follow-up period. 3. There is no relationship between the treatment changes of the PAR index and the orignal Angle classification.
Dentition, Permanent ; Follow-Up Studies ; Humans ; Malocclusion ; Recurrence

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The Effect of Surface Treatment on Bond Strength of Polycarbonate Bracket.

Seok Pil KIM ; Nyeon Kyeong KIM ; Hyun Jung LEE ; Hyeon Shik HWANG

Korean Journal of Orthodontics.2006;36(5):331-338.

OBJECTIVE: The purpose of this study was to evaluate whether the bond strength of polycarbonate brackets can be increased through surface treatment. METHODS: One hundred polycarbonate brackets (Alice) were bonded to bovine incisors with light-cured adhesive. The bracket bases were treated with one of three methods; sandblasting, plastic conditioner application, and combined treatment with sandblasting and plastic conditioner. The brackets without any surface treatment served as the control. The shear bond strength was tested with a universal testing machine, and failure pattern was assessed with the adhesive remnant index. RESULTS: The shear bond strength in all experimental groups was higher than that of the control group (p < 0.001). The group treated with plastic conditioner after sandblasting showed statistically higher shear bond strength than the sandblasting only group (p < 0.05). The group treated with plastic conditioner after sandblasting showed higher shear bond strength than plastic conditioner only group, but the difference was not statistically significant. CONCLUSION: The above results suggest that the surface treatments of polycarbonate bracket is mandatory to improve bond strength, and the most effective method is an application of plastic conditioner after sandblasting.
Adhesives ; Incisor ; Plastics

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Morphological differences between functional and skeletal anterior cross-bite patients.

Eem Hak YOO ; Tae Sun KIM

Korean Journal of Orthodontics.2001;31(4):439-445.

The purpose of this study was to compare the dento-skeletal characteristics between functional and skeletal anterior cross-bite patients. Twenty-eight functional anterior cross-bite patients and thirty-one skeletal anterior cross-bite patients were selected as a test and a control group. Mean ages of the test and the control group were 9.6+/-1.8 and 9.8+/-1.9, respectively. Lateral cephalograms were taken. Forty-nine cephalometric variables were measured and statistical analysis was performed to find the morphological differences between the groups. Statistically significant differences were found in the cephalometric variables of cranial deflection, maxillary depth, ANB, convexity, NPo-AB, APDI, Mx 1-SN, Mx 1-NA angle, Mx 1-NA, Md 1-NB angle and Md 1-NB. The test group showed more Class III growth potential, more protruded maxilla, lesser maxillo-mandibular difference, more uprighted and retruded maxillary central incisor, more labially tipped and protruded mandibular central incisor.
Humans ; Incisor ; Maxilla

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Tooth color changes associated with the bracket bonding and debonding.

Seok Pil KIM ; In Nam HWANG ; Jin Hyoung CHO ; Hyeon Shik HWANG

Korean Journal of Orthodontics.2006;36(2):114-124.

The purpose of this study was to evaluate the tooth color changes of resin bonding sites and their adjacent sites on orthodontic bracket bonding. Sixty extracted sound premolars were used and the tooth color was recorded according to the CIE L(*)a(*)b(*) color system using a spectrophotometer. The tooth colors of the twenty premolars were measured and compared before bracket bonding and after removal. On a further twenty premolars, the tooth color was measured before and after only primer application. In the change of L(*) values, according to the bracket bonding and primer application, the lightness was decreased, and in the change of a(*) and b(*) values, the color was changed into a more yellowish color. The color differences (delta E(*)) were calculated from the L(*)a(*)b(*) values and compared with the standard value of clinical detection (delta E(*)=3.7). The color differences between before the bracket bonding and after removal noted exceeded the standard value and those of between before and after the primer application were not larger than the standard value. Toothbrushing was performed after application of the primer to evaluate the color changes according to the primer abrasion. As a control, toothbrushing was performed on the last twenty premolars. The color differences noted were larger than the standard value after toothbrushing. Also, to evaluate the color changes of the tooth which is exposed to sun irradiation after bracket removal, additional photoaging was performed and the color was measured for all teeth. The additional color differences after photoaging were smaller than the standard value. The above results suggest that the tooth color changes after fixed orthodontic treatment.
Bicuspid ; Orthodontic Brackets ; Solar System ; Tooth* ; Toothbrushing

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The vertical location of the center of resistance for maxillary six anterior teeth during retraction using three dimensional finite element analysis.

Hye Kyoung LEE ; Kyu Rhim CHUNG

Korean Journal of Orthodontics.2001;31(4):425-438.

The delivery of optimal orthodontic treatment is greatly influenced by clinician's ability to predict and control tooth movement by applying well-known force system to dentition. It is very important to determine the location of the centers of resistance of a tooth or teeth in order to have better understanding the nature of displacement characteristics under various force levels. In this study, three dimensional finite element analysis was used to measure the initial displacement of the consolidated teeth under loading. The purpose of this study was to define the location of the centers of resistance at the upper six anterior segment. To observe the changes of six anterior segment, 200gm, 250gm, 300gm, and 350gm forces at right and left hand side each were imposed toward lingual direction. For this study, two cases, six anterior teeth and six anterior teeth after corticotomy, were reviewed. In addition, it was reviewed the effects of changes on the location of the center of resistance in both cases based on different degree of forces aforementioned. The results were that : 1. The instantaneous center of resistance for the six anterior teeth was vertically located between level 4 and level 5, which is, at 6.76mm, 44.32 % apical to the cementoenamel junction level. 2. The instantaneous center of resistance for the six anterior teeth after corticotomy was located vertically between level 4 and level 5, that is, at 7.09mm, 46.38 % apical to the cementoenamel junction level. 3. Changes of force showed little effect on the location of the center of resistance in each case. 4. It was observed that the location of the instantaneous center of resistance for the six anterior teeth after corticotomy was changed more than the six anterior teeth without corticotomy to the apical part, and the displacement of the consolidated anterior teeth moved further in case of the consolidated teeth after corticotomy.
Dentition ; Finite Element Analysis* ; Hand ; Tooth Cervix ; Tooth Movement ; Tooth*

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The use of miniscrew as an anchorage for the orthodontic tooth movement.

Seung Hyun KYUNG ; Jung Ki LIM ; Young Chel PARK

Korean Journal of Orthodontics.2001;31(4):415-424.

Anchorage in orthodontics is very important factor for orthodontist to treat malocclusion from diagnosis and treatment planning to end of treatment. Skeletal anchorage like miniscrew is supposed to be more effective method in anchorage control than conventional anchorage which needs patient's good cooperation. So this article will be mentioned about various clinical application of miniscrew through the general investigation and case reports about orthodontic use of miniscrew, specially about screwing area and clinical consideration of miniscrew's screwing on midpalate. The changes of treatment philosophy and methods by using skeletal anchorage were summarized and following results were obtained. 1. The orthodontic anchorage changed from relative concept to absolute one. 2. Bodily movement of teeth gets easier and determinate force system is possible on biomechanical consideration. 3. Some part of treatment that needs surgical intervention is possible by just orthodontic treatment.
Diagnosis ; Malocclusion ; Orthodontics ; Philosophy ; Tooth Movement* ; Tooth*

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Surgical orthodontic treatment of skeletal Class III malocclusion using mini-implant: correction of horizontal and vertical dental compensation.

Dong Hyuk IM ; Hyun Jung PARK ; Jae Woo PARK ; Jeong Il KIM ; Young Il CHANG

Korean Journal of Orthodontics.2006;36(5):388-396.

Treatment of skeletal Class III malocclusion with mini-implant anchorage is discussed in relation to vertical control of the maxillary posterior dentoalveolar region and horizontal control of mandibular anterior teeth. A midpalatal mini-implant provided anchorage for intruding the maxillary posterior teeth. Mandibular mini-implant implants were used to bring about labioversion of mandibular anterior teeth. After mandibular setback surgery, improvement of the facial profile was obtained both horizontally and vertically. Total treatment time was 11 months. Stable occlusion was maintained after 18 months of retention. The effectiveness and efficacy of mini-implants for the treatment of skeletal Class III malocclusion are also discussed.
Compensation and Redress* ; Malocclusion* ; Tooth

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Posteroanterior cephalometric study of frontal ramal inclination in chin-deviated individuals.

Chun Sun EUN ; Hyeon Shik HWANG

Korean Journal of Orthodontics.2006;36(5):380-387.

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

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Effects of heat treatment on the load-deflection properties of nickel-titanium wire.

Soo Ho CHANG ; Sung Hoon LIM ; Kwang Won KIM

Korean Journal of Orthodontics.2006;36(5):349-359.

OBJECTIVE: Nickel-titanium alloy wire possesses excellent spring-back properties, shape memory and super-elasticity. In order to adapt this wire to clinical use, it is necessary to bend as well as to control its super-elastic force. The purpose of this study is to evaluate the effects of heat treatment on the load-deflection properties and transitional temperature range (TTR) of nickel-titanium wires. METHODS: Nickel-titanium wires of different diameters (0.016" x 0.022", 0.018" x 0.025" and 0.0215" x 0.028") were used. The samples were divided into 4 groups as follows: group 1 , posterior segment of archwire (24 mm) without heat treatment; group 2, posterior segment of archwire (24 mm) with heat treatment only; group 3, anterior segment with bending and heat treatment; group 4, anterior segment with bending and 1 sec over heat treatment. Three point bending test was used to evaluate the change in load-deflection curve and obtained DSC (different scanning calorimetry) to check changes in Af temperature. RESULTS: In the three point bending test, nickel-titanium wires with heat treatment only had higher load-deflection curve and loading and unloading plateau than nickel-titanium wires without heat treatment. Nickel-titanium wires with heat treatment had lower Af temperature than nickel-titanium wires without heat treatment. Nickel-titanium wires with heat treatment and bending had higher load-deflection curve than nickel-titanium wires with heat treatment and nickel-titanium wires without heat treatment. Nickel-titanium with heat treatment of over 1 sec and bending had the highest load-deflection curve. Nickel-titanium wires with heat treatment and bending had lower Af temperature, Nickel-titanium wires with heat treatment of over 1 sec and bending had the lowest Af temperature. CONCLUSION: From the results of this study, it can be stated that heat treatment for bending of Nickel-titanium wires does not deprive the superelastic property but can cause increased force magnitude due to a higher load-deflection curve.
Alloys ; Hot Temperature* ; Memory

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Post-treatment stability of the occlusal plane according to different vertical facial patterns.

Jung Eun PARK ; Kyung Suk CHA ; Jin Woo LEE ; Dong Hwa CHUNG

Korean Journal of Orthodontics.2006;36(5):369-379.

OBJECTIVE: The purpose of this study was to find changes in the occlusal plane related to different vertical facial patterns and suggest treatment goals and conduct possible treatment mechanisms. METHODS: 60 adult patients (28 males, 32 females) who had been diagnosed as Class I skeletal malocclusion and treated without extraction were selected. Patients were divided into three groups; short face type (group 1), average face type (group 2) and long face type (group 3), using the data on normal occlusion of Korean adults. RESULTS: The results were achieved by analyzing cephalometric tracings of each group at pre-treatment, end-treatment and post-treatment (about 1 year recall check). The inclination of the occlusion plane tends to gradually increase as the face becomes longer. In group 1, COP-X, FOP-X, L6/L1, MP-L6 were significantly decreased, and L1-FOP was significantly increased during the retention period (T3-T2). Group 2 showed no significant change. In group 3, FOP-X was significantly increased during the retention period (T3-T2). During the retention period, FOP-X showed significant change among each group, especially between group 1 and group 3. CONCLUSION: These results suggest that changes of occlusal plane inclination according to facial vertical pattern need to be considered during the retention period for intrusion, extrusion, and incisor overbite.
Adult ; Dental Occlusion* ; Humans ; Incisor ; Male ; Malocclusion ; Overbite

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