[논문]C-activator를 이용한 성장기 II급 부정교합환자의 구치부 원심이동 치험례

김성훈; 정규림; 국윤아

C-activator를 이용한 성장기 II급 부정교합환자의 구치부 원심이동 치험례
C-activator treatment for distalization of maxillary molars in Class II anterior deep bite malocclusion 원문보기

대한치과교정학회지 = Korean journal of orthodontics, v.34 no.3 = no.104, 2004년, pp.269 - 277

김성훈 (가톨릭대학교 의과대학 교정학교실) , 정규림 (한국급속교정연구회) , 국윤아 (가톨릭대학교 의과대학 교정학교실)

초록
AI-Helper

혼합 치열기의 교정치료 증례 중에서 경도의 총생을 가진 경우 상악 대구치를 원심 이동함으로서 양호한 치료의 결과를 얻는 경우가 많다 주로 악외 견인장치를 적용하여 원심이동을 시행하지만 환자의 협조도에 따라 구치의 원심이동이 결정되는 단점을 가지고 있다. 구강내 고정원 사용시 생길 수 있는 반작용을 최소화하기 위해 정에 의해 개발된 C-space regainer는 후방이동 시키고자 하는 치아를 제외한 거의 모든 치아들을 완벽하게 묶음으로서 효과적인 후방이동을 가능케 하는 장치이다. 후속영구치의 맹출 공간 부족으로 매복 치에 의한 인접치의 치근손상이 예상되는 성장기 II급 부정교합 환자에서 악기능 교정장치에 t-space regainer의 개념을 적용한 변형된 C-space regainer, 즉 C-activator가 사용되어 양호한 치료 결과를 얻었기에 이어 보고하는 바이다.

Abstract ▼ AI-Helper

A modified removable appliance for molar distalization called C-activator was used in a 10-year old male patient with a Class II anterior deep bite malocclusion with upper arch discrepancy. The treatment plan involved correcting the Class ll relationship, distalizing both upper first molars, and regaining space for the erupting canines. The C-activator, which was used for 6 months, consisted of a labial framework formed from .036-in stainless steel wire and an acrylic monobloc. Both the closed helices of the labial framework were compressed for reactivation during the C-activator treatment period. C-activator mechanics simultaneously achieved distalization of the upper first molars into their proper positions and repositioning of the mandible. After 21 months of treatment, the correct oberbite and overjet was obtained and contributed to an Improvement in facial balance. The treatment results were stable 6 months after debonding. Fabrication and placement of the new appliance and clinical procedures are detailed, and the treatment sequence and results of this case are presented as follows.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

후속영구치의 맹출 공간 부족으로 매복 치에 의한 인접치의 치근손상이 예상되는 성장기 II급 부정교합 환자에서 악기능 교정장치에 c-space regainer의 개념을 적용한 변형된 C-space regainer, 즉 C-activator가 사용되어 양호한 치료 결과를 얻었기에 이에 보고하는 바이다.

제안 방법

He had worn a Frankel regulator II for 1 year and 6 months and cervical pull headgear for 1 year. However, poor cooperation with the headgear treatment and insufficient eruption space for the upper canines made us reevaluate the progress achieved and change the treatment plan.
The authors will describe a new treatment approach for a Class II anterior deep bite malocclusion case: C-activator-controlled distalization mechanics.
The primary skeletal objectives of treatment were to achieve differential mandib니ar growth and reduce the ANB angle, and correct the overbite with a Frankel reg니ator 11 and cervical p니II headgear (CPHG). He had worn a Frankel regulator II for 1 year and 6 months and cervical pull headgear for 1 year.
The mandib니 dentition required using leeway space to achieve normal alignment while mai가aining arch form and intercanine width. Therefore, the treatment strategy was to use the C-activator for correcting the Class II telationship, distalizing the upper first molars, and regaining space for the erupting canines.

성능/효과

After 6 months of C-activator treatment, the maxillary arch length deficiency was eliminated due to both a 3.5mm distal movement of the maxillary m이a「s and a 2mm increase in ii가ermolar width. The sequential panoramic radiographs show that the upper lateral incisors were not damaged by the erupted canines, and the upper premolars had moved distally.

후속연구

The treatment se이uence and results of C-activator mechanics were described. Further research and studies are required to evaluate the long너erm treatment effects of the C-activator.

참고문헌 (44)

Klontz H. Tweed-Merrifield sequential directional force treatment. Semin Orthod 1996 : 2 : 254-67
McNamara JA, Peterson JE, Alexander RG. Three-dimensional diagnosis and management of Class II malocclusion in the mixed dentition. Semin Orthod 1996: 2 : 114-3
Spalding P. Treatment of Class II malocclusions In : Bishara SE ed. Textbook of Orthodontics. Philadelphia : W.B.Saunders Co, 2001 : 324-74
Shroff B, Nanda R. Biomechanics of Class II correction In : Nanda Red. Biomechanics in clinical orthodontics. Philadelphia: W.B. Saunders Co, 1997 : 143-155
Bell WH, Jacobs JD, Legan HL.Treatment of Class II deep bite by orthodontic and surgical means. Am J Orthod 1984 : 85 : 1-20
Jakobsson SO, Paulin G. The influence of activator treatment on skeletal growth in angle class II : 1 cases. A roentgenocephalometric study. Europ J Orthod 1990 : 12: 174-84
Ruf S, Baltromejus S, Pancherz H. Effective condylar growth and chin position changes in activator treatment : A cephalometric roentgenographic study. Angle Orthod 2001 : 71 : 4-11

상세보기
Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofac Orthop 1996 : 110: 639-46
Bussick TJ, McNamara JA. Dentalveoler and skeletal changes associated with the pendulum appliance. Am J Orthod Dentofac Orthop 2000 : 117 : 333-43
Brickman CD, Sinha PK, Nanda RS. Evaluation of the Jones jig appliance for distal molar movement. Am J Orthod Dentofac Orthop 2000 : 118 : 526-34
Chung KR, Park YG, Ko SJ. C-space regainer for molar distali-zation. J Clin Orthod 2000 : 34 : 32-9.

상세보기
Chung KR. Introduction of Horseshoe appliance In : Chung KR ed. Textbook of Orthodontic treatment using Horseshoe appliance. Seoul. Myungmoon, 2001 : 9-62
Locatelli R, Bednar J, Dietz VS, Gianelly AA. Molar distalization with superelastic NiTi-wire. J Clin Orthod 1992 : 26 : 277-79
Shafer WG, Hine MK, Levy BM. A textbook of oral pathology. In : Shafer WG ed. Philadelphia. WB Saunders, 1984
Ericson S, Kurol J. Resorption of maxillary lateral incisors caused by ectopic eruption of the canines : a clinical and radiographic analysis of predisposing factors. Am J Orthod Dentofac Orthop 1988 : 94 : 503-13

상세보기
Suri S, Utreja A, Rattan V. Orthodontic treatment of bilaterally impacted maxillary canines in an adult. Am J Orthod Dentofac Orthop 2002 : 121 : 429-37
Bowman SJ. Author's response in Readers forum. Am J Orthod Dentofac Orthop 2002 : 121 : 9A-11A
Kelleer JC, Stanford CM, Wightman JP. Draughn RA, Zaharias R. Characterizations of titanium implant surface. 1II J Biomed Mater Res 1994;28:649-54
Ask M, Lausmaa J, Kasemo B. Preparation and surface spectroscopic characterization of oxide films on Ti6Al4V. Appl Surf Sci 1988;35:283-301

상세보기
Anselme K, Linez P, Bigerelle M, Le Maguer D, Le Maguer A, Hardouin P, Hildebrand HF, Iost A, Leroy JM. The relative influence of the topography and chemistry of TiA16V4 surfaces on osteoblastic cell behaviour. Biomaterials 2000; 21:1567-1577

상세보기
Morra M, Cassinelli C, Bruzzone G, Carpi A, Di Santi G, Giardino R, Fini M. Surface chemistry effects of topographic modification of titanium dental implant surface: 1. Surface analysis. Int J Oral Maxillofac Implants 2003;18(1):40-45
Ong JL, Lucas LC. Auger electron spectroscopy and its use for the characterization of titanium and hydroxyapatite surfaces. Biomaterials 1998;19:455-464

상세보기
Lowry O, Rosenbrough N, Farr A, Randall R. Protein measurement with the folin phenol reagent. J Bioloc Chern 1951;193:265-75
Walsh BJ, Thornton SC, Penny R, Breit S. Microplate reader based quantitation of collagens. Anal Biochem 1992;203:187-90

상세보기
Bowers KT, Keller JC, Randolph BA, Wick DG, Michaels CM. Optimization of surface micromorphology for enhanced osteoblast responses in vitro. Int J Oral Maxillofac Implants 1992;7:302-10
Michaels CM, Keller JC, Stanford CM, Solursh M. In vitro cell attachment of osteoblast-like cells to titanium. J Dent Res 1989;68:271-81
Stanford CM, Keller JC, Solursh M. Bone cell expression on titanium surfaces is altered by sterilization treatments. J Dent Res 1994;73:1061-71

상세보기
Kilpad DV, Raikar GN, Liu J, Lemons JE, Vohra Y, Gregory [C. Effect of surface treatment on unalloyed titanium implants: Spectroscopic analyses. J Biomed Mater Res 1998;40:646-650

상세보기
Ellingen JE. Surface configurations of dental implants. Periodontology 2000 1998;17:36-46

상세보기
Hazan R, Brener R, Oron U. Bone growth to metal implants is regulated by their chemical properties. Biomaterials 1993;14:570-4

상세보기
Larsson C, Thomsen P, Aronsson B-O, Rodahl M, Lausrnaa J, Kasemo B, EricsonLE. Bone response to surface-modified titanium implants: studies on electropolished implants with different oxide thicknesses and morphology. Biomaterials 1994;15:1062-1074

상세보기
Velten D, Biehl V, Aubertin F, Valeske B, Possart W, Breme J. Preparation of TiO2 layers on cp-Ti and Ti6Al4V by thermal and anodic oxidation and by solgel coating techniques and their characterization. J Biomed Mater Res 2002;59:18-28

상세보기
Lauer G, Wiedmann-Al-Ahmad M, Otten JE, Hubner U, Schmelzeisen R, Schilli W. The titanium surface texture effects adherence and growth of human gingival keratinocytes and human maxillar osteoblastlike cells in vitro. Biomaterials 2001; 22: 2799-2809

상세보기
Chang Y, Stanford CM, Wefel JS, Keller JC. Osteoblastic cell attachment to hydroxyapatite-coated implant surfaces in vitro. Int J Oral Maxillofac Implants 1999;14:239-247

상세보기
Lumbikanonda N, Sammons R. Bone cell attachment to dental implants of different surface characteristics. Int J Oral Maxillofac Implants 2001;16:627-636

상세보기
Rajaraman R, Rounds DE, Yen SPS, Rembaum A. A scanning electronic microscope study of cell adhesion and spreading in vitro. Exp Cell Res 1974;88:327-339

상세보기
Schmidt C, Kaspar D, Sarkar MR, Claes LE, Ignatius AA. A scanning electronic microscopy study of human osteoblast morphology on five orthopedic metals. J Biomed Mater Res 2002;63:252-261

상세보기
Hong MA, Jang KS, Kim CW, Kim YS. A study on osteoblast-like cell responses to surface-modified titanium. J Korean Academy of Prosthodontics(in press, SNU PhD Thesis)
Montanaro L, Arciola CR, Campoccia D, Cervellati M. Invitro effects on MG63 osteoblast-like cells following contact with two roughness-differing fluorohydroxyapatite-coated titanium alloys. Biomaterials 2002;23:3651-3659

상세보기
Hott M, Noel B, Bernache-Assolant D, Rey C, Marie PJ. Proliferation and differentiation of human trabecular osteoblastic cells on hydroxyapatite. J Biomed Mater Res 1997;37(4):508-16

상세보기
Ferraz MP, Knowles JC, Olsen I, Monteiro FJ, Santos JD. Flow cytometry analysis of effects of glass on response of osteosarcoma cells to plasma-sprayed hydroxyapatite/ CaO-P(2)O(5) coatings. J Biomed Mater Res 1999;47(4):603-11

상세보기
Puleo DA, Holleran LA, Doremus RH, Bizios R. Osteoblast responses to orthopedic implant materials in vitro. J Biomed Mater Res 1991;25(6):711-23

상세보기
Bigerelle M, Anselme K, Noel B, Ruderman I, H hardouin P, lost A Improvement in the morphology of Ti-based surfaces: a new process to increase invitro human osteoblast response. Biomaterials 2002;23:1563-1577
Lee WH, Byun CS, Kim SK, Kim JY, Hyun CY, Lee JG, Park JW. Mechanism of surface modification of a porous-coated Ti-6Al-4V implant fabricated by electrical resistance sintering. J Mater Sci 2001; 36:3573-3577

상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증