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개방교합과 안면 비대칭을 보이는 골격성 II급 부정교합 환자의 비수술적 치료
이모현(Mo-Hyeon Lee) 대한치과교정학회 2024 대한치과교정학회 임상저널 Vol.14 No.1
In cases of patients with anterior open bite and facial asymmetry, particularly those with compromised temporomandibular joint (TMJ) stability, non-surgical camouflage treatments require a detailed and nuanced approach. TMJ instability, which often leads to mandibular deviation, complicates the functional and aesthetic correction. The initial evaluation of both functional asymmetry and skeletal asymmetry becomes essential. A critical step in managing these cases involves the use of a stabilization splint prior to orthodontic treatment. This approach aims to determine a reproducible and stable mandibular position, setting a foundation for subsequent corrective measures. This case report underscores the effectiveness of employing a mandibular stabilization splint in conjunction with intrusion of maxillary molars. This strategy targets the elimination of functional asymmetry and allows for a thorough re-evaluation of skeletal asymmetry. Despite initial presentation of facial asymmetry, a detailed assessment, including CBCT analysis, revealed that the skeletal asymmetry was not significant. This finding suggested that the observed facial asymmetry was largely attributable to functional discrepancies rather than skeletal imbalances. Focusing on correcting functional asymmetry, it was possible to significantly improve both the anterior open bite and facial asymmetry through non-surgical treatment. The treatment results highlight the potential of non-surgical treatment to effectively address complex malocclusions, offering patient significant improvements without the need for surgical intervention. (Clin J Korean Assoc Orthod 2024;14(1):9-20)
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맹출 공간 부족을 동반한 성장기 골격성 III급 부정교합 환자의 미니스크루 지지형 구개 급속 확장을 이용한 상악골 전방 견인치료
김다인(Da-In Kim),이상민(Sang-Min Lee),이진우(Jin-Woo Lee),정동화(Dong-Hwa Chung),이모현(Mo-Hyeon Lee) 대한치과교정학회 2023 대한치과교정학회 임상저널 Vol.13 No.4
Skeletal Class III malocclusion, especially those originating from deficiency of maxillary development, is usually treated with early protraction of the maxilla in growing children. To reduce dentoalveolar side effects, there have been efforts to accom-pany the skeletal anchorage to the maxillary protraction such as miniscrew-assisted rapid palatal expansion (MARPE). This case report shows maxillary protraction treatment in growing skeletal Class III malocclusion patient with insufficient erup-tion space with MARPE. A 9-year-old female patient had skeletal Class III malocclusion, anterior edge-to-edge bite and max-illary arch length deficiency. MARPE was placed for maxillary protraction, and later, it was also used to regain the space for the alignment of the maxillary permanent tooth. After 28-month of treatment including 7-month of maxillary protraction, intermaxillary relationship was improved and maxillary permanent tooth alignment was completed.
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