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논문 기본 정보

자료유형
학술저널
저자정보
Yukiko Morita (Nagasaki University Graduate School of Biomedical Sciences) Yoshiyuki Koga (Nagasaki University Graduate School of Biomedical Sciences) Tuan Anh Nguyen (Nagasaki University Graduate School of Biomedical Sciences) Noriaki Yoshida (Nagasaki University Graduate School of Biomedical Sciences)
저널정보
대한치과교정학회 대한치과교정학회지 대한치과교정학회지 제50권 제4호
발행연도
2020.7
수록면
268 - 277 (10page)

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초록· 키워드

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This case report demonstrates two different uprighting mechanics separately applied to mesially tipped mandibular first and second molars. The biomechanical considerations for application of these mechanisms are also discussed. For repositioning of the first molar, which was severely tipped and deeply impacted, a novel cantilever mechanics was used. The molar tube was bonded in the buccolingual direction to facilitate insertion of a cantilever from the buccal side. By twisting the distal end of the cantilever, sufficient uprighting moment was generated. The mesial end of the cantilever was hooked over the miniscrew placed between the canine and first premolar, which could prevent exertion of an intrusive force to the anterior portion of the dentition as a side effect. For repositioning of the second molar, an uprighting mechanics using a compression force with two step bends incorporated into a nickel-titanium archwire was employed. This generated an uprighting moment as well as a distal force acting on the tipped second molar to regain the lost space for the first molar and bring it into its normal position. This epoch-making uprighting mechanics could also minimize the extrusion of the molar, thereby preventing occlusal interference by increasing interocclusal clearance between the inferiorly placed two step bends and the antagonist tooth. Consequently, the two step bends could help prevent occlusal interference. After 2 years and 11 months of active treatment, a desirable Class I occlusion was successfully achieved without permanent tooth extraction.

목차

INTRODUCTION
DIAGNOSIS AND ETIOLOGY
TREATMENT OBJECTIVES
TREATMENT ALTERNATIVES
TREATMENT PROGRESS
TREATMENT RESULTS
DISCUSSION
CONCLUSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2020-515-000881658