본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

대한치과교정학회지 = The Korean journal of orthodontics v.39 no.6, 2009년, pp.362 - 371   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

상악전방견인장치와 이모장치 및 고정식 교정장치 치료를 받은 III급 부정교합 환자의 치료효과에 대한 종단적 비교
Comparison of longitudinal treatment effects with facemask and chincup therapy followed by fixed orthodontic treatment on Class III malocclusion

이남기    (Department of Orthodontics, School of Dentistry, Seoul National University   ); 백승학    (Department of Orthodontics, School of Dentistry, Seoul National University  );
  • 초록

    본 연구는 상악전방견인장치 또는 이모장치 치료 후 고정식 교정장치로 치료 받은 III급 부정교합 환자의 치료효과에 대한 종단적 비교를 위해 시행되었다. 상악전방견인 치료 또는 이모장치 치료 전의 골격 및 치아 유형이 유사하며 고정식 교정치료 후 좋은 유지결과(I급 구치/견치 관계 및 양의 수직/수평피개)를 보이는 21명의 환자(1군, 상악전방견인장치, 11명; 2군, 이모장치, 10명)를 대상으로 하였다. 상악전방견인 치료 또는 이모장치 치료 전(T0)과 후(T1), 고정식 교정치료 후 유지기간(T2)에 측모두부방사선사진을 촬영하여 골격 및 치아에 대한 계측치를 이용하였다. 통계적 분석을 위해 비모수 검정법(Mann-Whitney U-test and Wilcoxon signed-rank test)을 이용하였다. 악정형 치료 시기(T0-T1)에, 1군에서는 상악골의 전방 이동 (point A, p


    Objective: The purpose of this study was to compare the longitudinal treatment effects of facemask with rapid maxillary expansion (FM/RME) and chincup (CC) therapy followed by fixed orthodontic treatment (FOT) in Class III malocclusion (CIII) patients. Methods: The samples consisted of twenty-one CIII patients who had similar skeletal and dental characteristics before FM/RME or CC therapy and good retention results (Class I molar/canine relationship and positive overbite/overjet) after FOT (Group 1, FM/RME, n = 11; Group 2, CC, n = 10). Lateral cephalograms were taken before (T0) and after FM/RME or CC therapy (T1), and after FOT and retention (T2). Skeletal and dental variables were measured. Mann-Whitney U-test and Wilcoxon signed-rank test were used for statistical analysis. Results: During T0-T1, FM/RME therapy induced forward movement of point A, and labioversion of the upper incisors. Both groups showed posterior repositioning of the mandible. FM/RME resulted in increase of the vertical dimension; however, CC caused an increase in articular angle and decrease in gonial angle. During T1-T2, both groups exhibited forward growth of point A. Group 1 showed forward growth and counterclockwise rotation of the mandible and increase of IMPA; however, Group 2, showed increase of ANS-Me/N-Me and decrease of overbite. Conclusions: The key factor for successful FM/RME and CC therapy and good retention results might be a harmonized forward growth of the maxilla that could keep pace with the growth and rotation of the mandible.


  • 주제어

    III급 부정교합 .   상악전방견인장치 .   이모장치 .   종단적 연구.  

  • 참고문헌 (37)

    1. Campbell PM. The dilemma of Class III treatment. Early or late? Angle Orthod 1983;53:175-91 
    2. Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997;3:255-64 
    3. Chong YH, Ive JC, Artun J. Changes following the use of protraction headgear for early correction of Class III malocclusion. Angle Orthod 1996;66:351-62 
    4. Shanker S, Ngan P, Wade D, Beck M, Yiu C, H$\ddot{a}$gg U, et al. Cephalometric A point changes during and after maxillary protraction and expansion. Am J Orthod Dentofacial Orthop 1996;110:423-30 
    5. Kama JD, Ozer T, Baran S. Orthodontic and orthopedic changes associated with treatment in subjects with Class III malocclusions. Eur J Orthod 2006;28:496-502 
    6. Tortop T, Keykubat A, Yuksel S. Facemask therapy with and without expansion. Am J Orthod Dentofacial Orthop 2007;132:467-74 
    7. Sugawara J, Asano T, Endo N, Mitani H. Long-term effects of chincap therapy on skeletal profile in mandibular prognathism. Am J Orthod Dentofacial Orthop 1990;98:127-33 
    8. Ishikawa H, Nakamura S, Kim C, Iwasaki H, Satoh Y, Yoshida S. Individual growth in Class III malocclusions and its relationship to the chin cap effects. Am J Orthod Dentofacial Orthop 1998;114:337-46 
    9. Uner O, Y$\"{u}$ksel S, U$\c{c}$$\"{u}$nc$\"{u}$ N. Long-term evaluation after chincap treatment. Eur J Orthod. 1995;17:135-41 
    10. Chen KF, So LL. Sagittal skeletal and dental changes of reverse headgear treatment in Chinese boys with complete unilateral cleft lip and palate. Angle Orthod 1996;66:363-72 
    11. McNamara JA. An orthopedic approach to the treatment of Class III malocclusion in young patients. J Clin Orthod 1987;21:598-608 
    12. Uc$\"{u}$nc$\"{u}$ N, U$\c{c}$em TT, Y$\"{u}$ksel S. A comparison of chincap and maxillary protraction appliances in the treatment of skeletal Class III malocclusions. Eur J Orthod 2000;22:43-51 
    13. Wisth PJ, Tritrapunt A, Rygh P, B${\o}$e OE, Norderval K. The effect of maxillary protraction on front occlusion and facial morphology. Acta Odontol Scand 1987;45:227-37 
    14. Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop 1998;113:204-12 
    15. Sakamoto T, Iwase I, Uka A, Nakamura S. A roentgenocephalometric study of skeletal changes during and after chin cup treatment. Am J Orthod 1984;85:341-50 
    16. Allen RA, Connolly IH, Richardson A. Early treatment of Class III incisor relationship using the chincap appliance. Eur J Orthod 1993;15:371-6 
    17. Sung SJ, Baik HS. Assessment of skeletal and dental changes by maxillary protraction. Am J Orthod Dentofacial Orthop 1998;114:492-502 
    18. Ko YI, Baek SH, Mah J, Yang WS. Determinants of successful chincup therapy in skeletal Class III malocclusion. Am J Orthod Dentofacial Orthop 2004;126:33-41 
    19. Ritucci R, Nanda R. The effect of chin cup therapy on the growth and development of the cranial base and midface. Am J Orthod Dentofacial Orthop 1986;90:475-83 
    20. Deguchi T, Kuroda T, Minoshima Y, Graber TM. Craniofacial features of patients with Class III abnormalities: growth-related changes and effects of short-term and long-term chincup therapy. Am J Orthod Dentofacial Orthop 2002;121:84-92 
    21. Guyer EC, Ellis EE 3rd, McNamara JA Jr, Behrents RG. Components of class III malocclusion in juveniles and adolescents. Angle Orthod 1986;56:7-30 
    22. Macdonald KE, Kapust AJ, Turley PK. Cephalometric changes after the correction of Class III malocclusion with maxillary expansion/facemask therapy. Am J Orthod Dentofacial Orthop 1999;116:13-24 
    23. Turley PK. Orthopedic correction of Class III malocclusion: retention and phase II therapy. J Clin Orthod 1996;30:313-24 
    24. Arman A, Toygar TU, Abuhijleh E. Profile changes associated with different orthopedic treatment approaches in Class III malocclusions. Angle Orthod 2004;74:733-40 
    25. Hwang CJ, Moon JL. A retrospective study on profile having favorable response to Facemask. Korean J Orthod 1999;29:147-56 
    26. Baik HS. Clinical results of the maxillary protraction in Korean children. Am J Orthod Dentofacial Orthop 1995;108:583-92 
    27. Turley PK. Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear. J Clin Orthod 1988;22:314-25 
    28. Gallagher RW, Miranda F, Buschang PH. Maxillary protraction: treatment and posttreatment effects. Am J Orthod Dentofacial Orthop 1998;113:612-9 
    29. Pangrazio-Kulbersh V, Berger JL, Janisse FN, Bayirli B. Long-term stability of Class III treatment: rapid palatal expansion and protraction facemask vs LeFort I maxillary advancement osteotomy. Am J Orthod Dentofacial Orthop 2007;131:7.e9-19 
    30. Arman A, Ufuk Toygar T, Abuhijleh E. Evaluation of maxillary protraction and fixed appliance therapy in Class III patients. Eur J Orthod 2006;28:383-92 
    31. Westwood PV, McNamara JA Jr, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop 2003;123:306-20 
    32. Mermigos J, Full CA, Andreasen G. Protraction of the maxillofacial complex. Am J Orthod Dentofacial Orthop 1990;98:47-55 
    33. Ngan P, Yiu C, Hu A, H$\"{a}$gg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod 1998;20:237-54 
    34. Merwin D, Ngan P, Hagg U, Yiu C, Wei SH. Timing for effective application of anteriorly directed orthopedic force to the maxilla. Am J Orthod Dentofacial Orthop 1997;112:292-9 
    35. Hwang CI, Suhr CH. A roentgenocephalometric study on the effects of the chincap in the skeletal Class III malocclusion. Korean J Orthod 1989;19:219-44 
    36. Park HC, Lee JW. Study of horizontal skeletal pattern and dental arch in skeletal Class III malocclusion patients. Korean J Orthod 2008;38:358-69     
    37. Mitani H, Sakamoto T. Chin cap force to a growing mandible. Long-term clinical reports. Angle Orthod 1984;54:93-122 

 저자의 다른 논문

  • 백승학 (59)

    1. 1991 "한국인 성인의 악안면 연조직의 심미적 안모형태 분석에 관한 연구" 대한치과교정학회지 = The Korean journal of orthodontics 21 (1): 131~170    
    2. 1991 "골격형 III급 전치개교와 과개교합에 대한 비교고찰 및 MEAW에 의한 치험예" 대한치과교정학회지 = The Korean journal of orthodontics 21 (3): 685~699    
    3. 1994 "하악 3 절치 증례의 교정학적 고려 사항" 대한치과교정학회지 = The Korean journal of orthodontics 24 (4): 759~772    
    4. 1997 "토끼 태자에 형성시킨 구순열상의 치유과정에서 수종 성장인자 분포에 관한 연구" 대한치과교정학회지 = The Korean journal of orthodontics 27 (5): 683~696    
    5. 1998 "토끼 태자에 형성시킨 구순열상의 치유과정에서 세포외기질 분포에 관한 연구" 대한치과교정학회지 = The Korean journal of orthodontics 28 (1): 1~15    
    6. 1998 "한국인 여성 II급 2류 부정교합환자의 측모두부방사선 형태학적 특징" 대한치과교정학회지 = The Korean journal of orthodontics 28 (5): 855~864    
    7. 1998 "편측성 순구개열 신생아 환자의 술전 비치조 정형장치" 대한치과교정학회지 = The Korean journal of orthodontics 28 (6): 905~914    
    8. 1999 "최근 11년간 서울대학교병원 교정과에 내원한 순구개열 환자의 내원 현황에 관한 연구(1988.3 - 1999.2)" 대한치과교정학회지 = The Korean journal of orthodontics 29 (4): 467~481    
    9. 1999 "양측성 순구개열 신생아 환자의 수술전 비치조 정형장치 치료에 의한 치조골 조형(molding) 효과의 분석" 대한치과교정학회지 = The Korean journal of orthodontics 29 (6): 649~661    
    10. 2000 "한국인 반안면 왜소증 환자의 유치와 영구치 크기에 관한 연구" 대한치과교정학회지 = The Korean journal of orthodontics 30 (1): 43~52    

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 이용한 콘텐츠
이 논문과 함께 출판된 논문 + 더보기