유도가열에 의한 새로운 타이포돈트 시스템

경희문,김지용,경인규 대한치과교정학회 2013 대한치과교정학회 임상저널 Vol.3 No.5

Microimplant mandibular advancement (MiMA) therapy for the treatment of snoring and obstructive sleep apnea (OSA)

경희문 대한치과교정학회 2010 대한치과교정학회지 Vol.40 No.2

This case report describes the treatment of a 66 year old adult patient with a diagnosis of severe obstructive sleep apnea who was intolerant of nasal continuous positive airway pressure (nCPAP) treatment and oral appliance therapy. An alternative treatment of snoring and obstructive sleep apnea (OSA) with 2 orthodontic microimplants anchored to the mandible providing skeletal anchorage for mandibular advancement was implemented. After a 2 week healing period, a custom designed facemask provided extraoral anchorage to which the microimplants were connected to for titratable mandibular advancement. Microimplant Mandibular Advancement (MiMA) therapy resulted in resolution of the symptoms of severe OSA with a reduction of the apnea-hypopnea index (AHI), snoring and OSA symptoms. (Korean J Orthod 2010;40(2):115-126)

Set-up 모형을 이용한 간접접착술식

경희문 慶北大學校 齒科大學 1989 慶北齒大論文集 Vol.6 No.1

저자는 Set-up모형을 이용한 간접접착술식을 이용하여 각 개인에 가장 이상적인 Bracket위치를 설정하는데 도움을 주고자 이 Technique을 고안 하였으며 특히 Bracket의 정확한 위치가 아주 중요한 Straight Wire Appliance 및 Lingual Appliance에 응용하면 좋은 결과를 얻는데 도움을 줄 수 있을 것으로 사료된다. 증례 1 Angle씨 제 1 급 부정교합의 만19세 여자 환자로써 0.22×0.28 slot size의 standard edgewise bracket을 사용하여 Sequential Bonding Technique으로 치료한 증례(Fig.2). 증례 2 Angle씨 제 1 급 부정교합의 만20세 여자 환자로써 Alexander's Straight wire Appliance를 이용하여 치료한 증례(Fig.3). 증례 3 Angle씨 제 1 급 부정교합의 만17세 여자 환자로써 Lingual Appliance으로 치료한 증례(Fig.4). 1. Silverman E. & Cohen M. : Current adhesives for indirect bracket bonding, A. J. O. 65 : 76-84, 1974. 2. Moin K. & Dogan L. : Indirect bonding of orthodontic attachment, A. J. O. 72 : 261-275, 1977. 3. Zachrisson B. U. & Brobakken B. O. : Clinical comparison of direct versus indirect bonding with different bracket types & adhesives, A. J. O. 74 : 62-78, 1978. 4. Gorelick L. : Bonding / The state of the art ; A national survey, J. C. O. 13 : 39-53, 1979. 5. Thomas R. G. : Indirect bonding ; Simplicity in Action, J. C. O. 13 : 93-106, 1979. 6. Moshiri F. & Hayward M. D. : Imporved laboratory procedure for indirect bonding, J. C. O. 13 : 472-473, 1979. 7. Myrberg N. E. A & Warner C. F. : Indirect bonding technique, J. C. O. 16 : 269-272, 1982. 8. Scholz R. P. & Swartz M. L. : Lingual orthodontics status report ; Part 3 Indirect Bonding-Laboratory & Clinical Procedures, J. C. O. 16 : 812-820, 1982. 9. Fried K. H. & Newman G. V. : Indirect bonding with a no-mix adhesive, J. C. O. : 414-417, 1983. 10. Scholz R. P. : Indirect bonding revisited, J. C. O. 17 : 529-536, 1983. There has been much progress in Edgewise Appliance since E. H. Angle. One of the most important procedures in edgewise appliance is correct bracket position. Not only conventional edgewise appliance but also straight wire appliance & lingual appliance cannot be used more effectively unless the bracket position is accurate. Improper bracket positioning may reveal much problems during treatment, especially in finishing stage. It may require either rebonding after the removel of the malpositioned bracket or the greater number of arch wire and the more complex wire bending, causing much difficulty in performing effective treatments. This made me invent Individual Indirect Bonding Technique with the use of multi-purpose set-up model in order to determine a correct and objective bracket position according to individual patients. This technique is more accurate than former indirect bonding techniques in bracket positioning, because it decides the bracket position on a set-up model which has produced to have the occlusal relationship the clinician desired. This technique is especially effective in straight wire appliance and lingual appliance in which the correct bracket positioning is indispensible.

설측교정장치를 이용한 치험증례의 임상적 고찰

경희문 慶北大學校 齒科大學 1990 慶北齒大論文集 Vol.7 No.2

The author treated 3 class Ⅰ malocclusion patients with the lingual appliance followed by the extraction of the 4 bicuspids. One of them was finished with the labial appliance at the final stage. The treatment results were acceptable and the patients had good tolerance to the lingual appliance without complaints in these cases. There were some problems in treatment on the lingual side both the patient and the practioner, but I think we can overcome them with the development of the orthodontic materials, the treatment technics & the increased clinical experience. Of course, we connot treat all the patients with the lingual braces, but patients are carefully selected, lingual braces will be a valuable orthodontic appliance In conclusion, the lingual braces have very good esthetic advantages, so the patients, especially in adults, who hesitate or refuse the orthodontic treatment due to the esthetic problem of the labial braces will get the motivation & the chance for the orthodontic treatment.

설측 브라켓 장치(Ⅱ) : Fujita Method System(FMS)에 관하여

경희문 의치학사 1994 치과임상 Vol.14 No.8

설측 브라켓 장치(Ⅲ) : Fujita Method System(FMS)에 관하여

경희문 의치학사 1994 치과임상 Vol.14 No.10

성장기아동의 chin cap 치료효과에 관한 임상적 고찰

경희문 慶北大學校 齒科大學 1988 慶北齒大論文集 Vol.5 No.1

저자는 성장기아동 반대교합 환자 여자 2명과 남자 2명을 대상으로한 누년적 두부방사선규격사진에서 chin cap이 하악골 성장에 미치는 영향을 분석한 결과 다음과 같은 공통점을 요약할 수 있었다. 1. chin cap으로 치료할 동안에도 하악골의 연평균 성장량은 정상아동의 평균치 보다 컸다. 2. 하악골은 chin cap치료초기에는 후방으로 회전되었으나 성장함에 따라 다시 전방으로 회복되는 경향이 있었다. 3. Gonial angle의 감소가 있었다. The author evaluated the effect of chin cap for the growing patients with the skeletal class Ⅲ Malocclusion. The results might be as follows; 1. The annual growth increment of the effective mandibular length was more greater than the normal children chin cap treatment. 2. The mandible was rotated backward during active chin cap treatment period, but rebounded anteriorly with growth. 3. The gonial angle was reduced.

설측 브라켓 장치(Ⅰ) : Fujita Method System(FMS)에 관하여

경희문 의치학사 1994 치과임상 Vol.14 No.7

가동관절형 구내 하악골 신연장치

경희문 경북대학교 병원 2002 경북대학교병원의학연구소논문집 Vol.6 No.1

Distraction Osteogenesis was originally developed to increase the mass of bone tissue in the long bone, and it has also been successfully employed in patients with a maxilla or mandible deficiency.Initially, extra-oral devices were used in the maxillofacial area. However,such extra-oral devices always left facial scars due to the external pins used during the expansion process, plus patients had to were bulky extra-oral devices for several weeks.Accordingly, intra-oral distraction devices have since been introduced to increase the length of the mandible in ClassⅡ mandibular deficient patients. Yet current tooth-tissue borne mandibular distraction devices have problems during the parallel fitting of the devicebetween the rami and the crowns of the teeth on both sides due to the non-adjustable type of joint included in the device. As a result, this study presents a movable joint type intra-oral mandibular osteogenesis distractor, which is more adaptable during surgery. Experimental results show that there is no difference in the resistance of the vertical force between the conventional type joint and the newly developed one. Consequently, the proposed movable joint type intra-oral distraction osteogenesis device offers a more convenient application capability than the conventional device.

가동관절형 구내 하악골 신연장치

경희문 대한치과기재학회 2000 대한치과재료학회지 Vol.27 No.1

Distraction Osteogenesis was originally developed to increase the mass of bone tissue in the long bone, and it has also been successfully employed in patients with a maxilla or mandible deficiency. Initially, extra-oral devices were used in the maxillofacial area. However, such extra-oral devices always left facial scars due to the external pins used during the expansion process, plus patients had to wear bulky extra-oral devices for several weeks. Accordingly, intra-oral distraction devices have since been introduced to increase the length of the mandible in Class Ⅱ mandibular deficient patients. Yet current tooth-tissue borne mandibular distracton devices have problems during the parallel fitting of the device between the rami and the crowns of the teeth on both sides due to the non-adjustable type of joint included in the device. As a result, this study presents a movable joint type intra-oral mandibular osteogenesis distractor, which os more adaptable during surgery. Experimental results show that there is no difference in the resistance of the vertical force between the conventional type joint and the newly developed one. Consequently, the proposed movable joint type intra-oral distraction osteogenesis device offers a more convenient application capability than the conventional device.