상대적 거대설을 보이는 전치부 개방교합 환자의 외과적 급속 구개확장술을 통한 횡적 부조화의 치험례
Treatment of transverse deficiency with surgically assisted rapid palatalexpansion in an open bite patient showing pseudomacroglossia
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Anterior open bite is a condition in which maxillary and mandibular incisors do not occlude at central occlusion. It is a vertical discrepancy of the jaws and dental arches that has many etiologic factors making it difficult in diagnosis, treatment and prediction of prognosis. One of the causes of open bite is abnormal size and shape of the tongue. Macroglossia, a condition in which tongue is oversized, is caused by several factors which are not clearly identifiable, and it may be a major factor of anterior and posterior open bite. Macroglossia is subdivided into true, functional and pseudomacroglossia depending on its relative size in the oral cavity. In this case report, a patient was diagnosed as skeletal Class II with pseudomacroglossia, and was treated with SARPE in order to expand the narrowed maxillary arch and quad helix for the mandibular arch. As a result the transverse deficiency was treated. In the adult patients where no skeletal growth is expected, SARPE has shown to be effective in treating maxillomandibular transverse discrepancies in which macroglossia was accompanied as in this case.
Abstract
Anterior open bite is a condition in which maxillary and mandibular incisors do not occlude at central occlusion. It is a vertical discrepancy of the jaws and dental arches that has many etiologic factors making it difficult in diagnosis, treatment and prediction of prognosis. One of the causes of open bite is abnormal size and shape of the tongue. Macroglossia, a condition in which tongue is oversized, is caused by several factors which are not clearly identifiable, and it may be a major factor of anterior and posterior open bite. Macroglossia is subdivided into true, functional and pseudomacroglossia depending on its relative size in the oral cavity. In this case report, a patient was diagnosed as skeletal Class II with pseudomacroglossia, and was treated with SARPE in order to expand the narrowed maxillary arch and quad helix for the mandibular arch. As a result the transverse deficiency was treated. In the adult patients where no skeletal growth is expected, SARPE has shown to be effective in treating maxillomandibular transverse discrepancies in which macroglossia was accompanied as in this case.
참고문헌 (15)
- Hotokezaka H, "Severe dental open bite malocclusion with tongue reduction after orthodontic treatment", Angle Orthod, 71, pp.228~236 (2001)
- Cozza P, "Comparison of 2 early treatment protocols for open-bite malocclusions", Am J Orthod Dentofacial Orthop, 132, pp.743~747 (2007)
- Deplagne H, "Value and results of glossectomy in open bite", Rev Stomatol Chir Maxillofac, 86, pp.95~98 (1985)
- Byloff FK, "Skeletal and dental changes following surgically assisted rapid palatal expansion", Eur J Orthod, 26, pp.403~409 (2004)
- Nikolic-Eric V, "Macroglossia and the frontal open bite", Stomatol Glas Srb, 20, pp.57~63 (1973)
- Kawakami S, "Siblings with spaced arches treated with and without partial glossectomy", Am J Orthod Dentofacial Orthop, 127, pp.364~373 (2005)
- Doniec-Zawidzka I, "Treatment of open bite connected with tongue overgrowth by means of surgical-orthodontic method", Czas Stomatol, 41, pp.651~653 (1988)
- Medeiros PJ, "Orthodontic-surgical approach in a case of severe open-bite associated with functional macroglossia", Am J Orthod Dentofacial Orthop, 118, pp.347~351 (2000)
- Chung CH, "Dental tipping and rotation immediately after surgically assisted rapid palatal expansion", Eur J Orthod, 25, pp.353~358 (2003)
- Sari E, "Transpalatal distraction in a patient with a narrow maxilla", Angle Orthod, 77, pp.1126~1131 (2007)
- Kole H, "Surgical operations on the alveolar ridge to correct occlusal abnormalities", Oral Surg Oral Med Oral Pathol, 12, pp.515~529 (1959)
- Lines PA, "Adult rapid maxillary expansion with corticotomy", Am J Orthod, 67, pp.44~56 (1975)
- Converse JM, "The surgical-orthodontic approach to the treatment of dentofacial deformities", Am J Orthod, 55, pp.217~243 (1969)
- Suri L, "Taneja P: Surgically assisted rapid palatal expansion: A literature review", Am J Orthod Dentofacial Orthop, 133, pp.290~302 (2008)
- Byloff FK, "Skeletal and dental changes following surgically assisted rapid palatal expansion", Eur J Orthod 2004, 26, pp.403~409 (2004)