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Sang Kill Byun(卞相吉),Hee Keung Lee(李希京),Byung Rho Jin(陳炳魯),Meung Chull Oh(吳明哲),Tae Joo Kim(金台柱),Young Jun Kim(金榮準) 대한구강악안면외과학회 1985 대한구강악안면외과학회지 Vol.11 No.1
This is a case report of the orthognathic surgery improved true mandibular prognathism by sagittal split ramus osteotomy with intraoral approach. The sagittal split ramus osteotomy was made on the lingual and buccal aspects and was then connected along the anterior border of the ascending ramus. After the mandible was displaced to the backward direction, direct bone wiring near the anterior border of ascending ramus was applied for stabilization. For preventing the postoperative swelling & hematoma, hemovac was inserted. There were no severe complications except postoperative swelling and edema for 2 days. Intermaxillary fixation was maintained for 8 weeks and postoperative orthodontic treatment was performed for 3 months.
Byun,Sang Kil,Lee,Hee Keung,JIn,Byung Rho,Oh Meung Chull,Kim,Tae Joo,Kim,Young Jun 영남대학교 의과대학 1985 Yeungnam University Journal of Medicine Vol.2 No.1
영남대학교 의과대학 부속병원 치과 ·구강외과에 상 ·하악 전돌을 가진 환자가 안모 추형으로 인한 심미적 장애와 상악 전치부 치간이개 및 하악전치부 치열부정을 주소로 내원하였다. 안면치조기형에 대한 육안적평가, 방사선학적검사, 두부계측사진분석 및 진단 모형분석 등 다각적인 분석 결과 상 ·하악 치조 전돌증으로 진단을 내렸으며, 내원 당시 본 환자는 전반적으로 치주병학적 문제점을 가지고 있었고 개인적으로 군입대라는 특수상황하에 있었기 때문에 치주조직에 대한 손상을 최소로 하면서 치료기간을 최대한 단축시킬 수 있는 치료계획을 세웠다. 상하악 전치부에 대한 술전교정 치료 후 상악골은 전방부분절 골절단술로 후방으로 이동시키고 하악골은 전방부분 치근단 하방 골절단술로 후하방으로 이동시키므로서 상하악 전돌증에 대한 악교정 외과적 처치를 하여 좋은 결과를 얻었기에 이에 보고하는 바이다. The authors treated a case of bimaxillary dentoalveolar protrusion corrected by anterior segmental osteotomies: As presurgical treatment & process, closing of the upper anterior spacing with fixed appliances was worked out, cephalometric prediction & model surgery was done, and fabrication of intra-arch acrylic resin splints were made. It was not necessary to make an intermaxillary fixation with wire after surgery. Only intramaxillary fixation of anterior retracted mobile segment with resin pkate was required for 8 weeks. After surgical treatment, leveling of the upper and lower arch with rectangular arch wire were accomplished as the intrusion of anterior teeth proceeded. We will continue to improve the class Ⅱ molar relationship by using class Ⅱ elastics and have a good occlusion through the orthodontic treatment.
변상길,이희경,진병로,오명철 영남대학교 의과대학 1986 Yeungnam University Journal of Medicine Vol.3 No.1
저자 등은 8년간 dilantin의 복용으로 상하악간에 전반적인 치은비대증을 나타낸 환자를 치은절제술과 치은성형술을 시행하고 계속적인 치석제거와 치은연하소파술을 시행하여 재발됨이 없이 심미적으로나 기능적으로 만족한 결과를 얻었기에 이에 보고하는 바이다. Enlargement of the gingiva caused by phenitoin an anticonvulsant used in the treatment of epilepsy, occurs in some of the patients receiving the drug. Its incidence varies from 3 to 62 percent, with the greater frequencies in younger patients. The hyperplasia is usually generalized throughout the mouth, but is more severe tendency in the maxillary and mandibular anterior regions. 18 year old male patient was admitted to our Department of Dentistry with the complaint of generalized painless gingival swelling. After the consult of the N.M. and laboratory study, the gingivectomy and gingivoplasty was performed. The periodontal pack and tin foil was applied on the attached gingiva to protect a surgical site and bleeding control. We obtained a good result of improved esthetics and function.