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Three Dimensional Skeletal, Dentoalveolar and Airway Space Changes after Slow Maxillary Expansion in Children 儿童上颌缓慢扩张后骨骼、牙槽和气道空间的三维变化
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.155
Na-Yeong Kim, Daewoo Lee, Jaegon Kim, Yeon-mi Yang
The aim of this study was to investigate the effects of slow maxillary expansion (SME) on the dentoalveolar, skeletal, upper airway, and maxillary sinus using cone-beam computed tomography (CBCT). Twenty-three orthodontic patients (mean age 8.93 ± 1.61 years) who were treated with maxillary expansion using banded hyrax in the Department of Pediatric Dentistry at Jeonbuk National University Dental Hospital were included. According to the expansion speed applied, they were divided into two groups: SME (12 subjects, mean age 8.92 ± 1.45 years) and rapid maxillary expansion (RME, 11 subjects, mean age 8.94 ± 1.84 years). CBCT were obtained before (T0) and after (T1) the treatment and were analyzed with InVivo5 software (Anatomage, San Jose, CA, USA). Descriptive statistics showed no significant differences between the two groups in age, sex, or skeletal maturity. There were significant increases in maxillary width at the dentoalveolar and skeletal levels for both groups. Upper airway volume revealed a significant increase of 38.59% in the SME group and 28.72% in the RME group. However, there was no significant difference between SME group and RME group in all measurements. This study suggested the efficacy of SME in growing patients. SME was effective in increasing not only dentoalveolar and skeletal measurements but also airway volume. Therefore, pediatric dentists should select an appropriate expansion method considering the physiological aspects of periodontal tissues and discomfort in growing children.
本研究的目的是利用锥形束计算机断层扫描(CBCT)研究上颌缓慢扩张(SME)对牙槽牙、骨骼、上呼吸道和上颌窦的影响。研究对象为全北大学口腔医院儿童齿科采用带状舌牙进行上颌扩张治疗的23例正畸患者,平均年龄8.93±1.61岁。根据上颌扩张速度分为两组:SME组(12例,平均年龄8.92±1.45岁)和RME组(11例,平均年龄8.94±1.84岁)。分别在治疗前(T0)和治疗后(T1)进行CBCT扫描,并使用InVivo5软件(Anatomage, San Jose, CA, USA)进行分析。描述性统计显示两组在年龄、性别或骨骼成熟度方面没有显著差异。两组在牙槽牙和骨骼水平上颌宽度均有显著增加。上气道容积在SME组和RME组分别显著增加38.59%和28.72%。然而,SME组和RME组在所有测量中没有显著差异。本研究提示了SME在生长患者中的疗效。SME不仅有效地增加牙槽骨和骨骼测量,而且增加气道容积。因此,儿科牙医应考虑到生长中的儿童牙周组织的生理方面和不适,选择适当的扩张方法。
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引用次数: 0
Trends in Ankyloglossia and Surgical Treatment among Pediatric Patients in South Korea 韩国儿童患者中强直性咬合和手术治疗的趋势
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.229
Taehyun Kim, Daewoo Lee, Jaegon Kim, Yeon-mi Yang
The objective of this study was to investigate trends in ankyloglossia and its surgical treatment among pediatric patients in South Korea from 2011 to 2020. Data from Health Insurance Review and Assessment Service (HIRA)’s Healthcare Bigdata Hub were used for analysis of the ankyloglossia diagnosis rate and frenum surgery rate. Considering annual population change, crude rates per 100,000 were calculated and analyzed. To investigate other factors of frenum surgery incidence besides gender and age, pediatric patient sample data from HIRA were used. The diagnosis rate of ankyloglossia increased from 204.4 in 2011 to 356.6 per 100,000 people in 2020, while the frenum surgery rate increased from 26.8 to 34.3 per 100,000 people. Males were more likely to receive frenum surgery than females. Surgeries were more likely to be done at a hospital instead of a clinic or a general hospital. In the age group of 0 - 4 years, the largest number of frenum surgeries were performed in pediatrics, and in the age group of 5 - 9 years, the largest number of surgeries were conducted in pediatric dentistry. In the older age groups, the largest proportion of frenum surgeries were performed in the departments of conservative dentistry and oral and maxillofacial surgery. The diagnosis of ankyloglossia and the operation of frenum surgery among South Korean children increased during the last decade. Since the function of the tongue can affect maxillofacial development in many aspects, pediatric dentists should pay more attention to the functional management of intraoral soft tissue in growing children.
本研究的目的是调查2011年至2020年韩国儿童患者中强直性咬合及其手术治疗的趋势。数据来自健康保险审查和评估服务(HIRA)的医疗保健大数据中心,用于分析强直性咬合诊断率和系带手术率。考虑年人口变化,计算并分析了每10万人的粗率。为了探讨除性别和年龄外其他影响系带手术发生率的因素,我们使用了HIRA的儿科患者样本数据。强直症诊断率从2011年的204.4 / 10万人增加到2020年的356.6 / 10万人,而系带手术率从26.8 / 10万人增加到34.3 / 10万人。男性比女性更容易接受系带手术。手术更有可能在医院而不是诊所或综合医院进行。在0 ~ 4岁年龄组中,儿科系带手术数量最多,5 ~ 9岁年龄组中,儿童牙科系带手术数量最多。在年龄较大的人群中,保守牙科和口腔颌面外科进行系带手术的比例最大。在过去的十年中,韩国儿童中紧张症的诊断和系带手术的手术有所增加。由于舌头的功能可以在许多方面影响颌面发育,因此儿童牙医应更加重视成长儿童口腔内软组织的功能管理。
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引用次数: 0
Strategies for the Prevention of Dental Caries as a Non-Communicable Disease 预防作为非传染性疾病的龋齿的战略
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.131
Jaegon Kim
Dental caries is a multifactorial disease influenced by interactions between teeth, biofilm, dietary factors, and various biological, behavioral, sociocultural, and genetic factors. Recent research has shown that dental caries results from dysbiosis, an imbalance in the oral microbial community, shifting the concept from an infectious disease to a non-communicable disease (NCD). Dental caries shares similarities with other chronic NCDs such as cardiovascular diseases and diabetes, as they all relate to dietary intake, lifestyle habits, and environmental factors. Considering the high prevalence of dental caries and its impact on people’s health and quality of life, it is important to understand dental caries as an NCD and develop effective oral health management strategies. Ecological prevention methods and efficient public health policies should be provided to reduce risk factors associated with dental caries.
龋齿是一种多因素疾病,受牙齿、生物膜、饮食因素以及各种生物、行为、社会文化和遗传因素的相互作用影响。最近的研究表明,龋齿是由口腔微生物群落的生态失调引起的,这将传染病的概念转变为非传染性疾病(NCD)。龋齿与心血管疾病和糖尿病等其他慢性非传染性疾病有相似之处,因为它们都与饮食摄入、生活习惯和环境因素有关。考虑到龋齿的高患病率及其对人们健康和生活质量的影响,了解龋齿作为一种非传染性疾病并制定有效的口腔健康管理策略具有重要意义。应提供生态预防方法和有效的公共卫生政策,以减少与龋病相关的危险因素。
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引用次数: 0
Evaluation of Setting Time, Solubility, and Compressive Strength of Four Calcium Silicate-Based Cements 四种硅酸钙基水泥凝结时间、溶解度和抗压强度的评价
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.217
Y. Jang, Yujin Kim, Junghwan Lee, Jongsoo Kim, Joonhaeng Lee, Miran Han, Jongbin Kim, Jisun Shin
This study aimed to compare the physical properties of 4 kinds of calcium silicatebased cements (CSCs): 2 kinds of powder-liquid mix type (RetroMTA® [RTMX] and Endocem® MTA Zr [EZMX]) and 2 kinds of premixed type (Well-Root™PT [WRPR] and Endocem® MTA premixed [ECPR]) CSCs, respectively. Further, we assessed the setting times, solubility values, and compressive strengths of the cements. The shortest setting time was observed for EZMX (123.33 ± 5.77 seconds), followed by RTMX (146.67 ± 5.77 seconds), ECPR (260.00 ± 17.32 seconds), and WRPR (460.00 ± 17.32 seconds), respectively. The highest solubility was observed for WRPR (9.01 ± 0.55%), followed by RTMX (2.17 ± 0.07%), EZMX (0.55 ± 0.03%), and ECPR (0.17 ± 0.03%). Furthermore, the highest compressive strength was observed for ECPR (76.67 ± 25.67 Mpa), followed by WRPR (38.39 ± 7.25 Mpa), RTMX (35.07 ± 5.34 Mpa), and EZMX (4.07 ± 0.60 Mpa). In conclusion, the premixed type CSCs (WRPR and ECPR) exhibited longer setting times compared to the powder-liquid mix type CSCs (EZMX and RTMX). The solubility test showed that ECPR had the lowest solubility while WRPR had the highest solubility, with a statistically significant difference between them (p < 0.0083). Additionally, the compressive strength test showed that ECPR had the highest compressive strength, while EZMX had the lowest compressive strength, also with a statistically significant difference between them (p < 0.0083). ECPR is a promising material as it is premixed, eliminating the need for mixing time, and it has also demonstrated improved solubility and compressive strength, making it a potentially favorable option for clinical use.
本研究旨在比较4种硅酸钙基水泥(CSCs)的物理性能:2种粉液混合型(RetroMTA®[RTMX]和Endocem®MTA Zr [EZMX])和2种预混型(Well-Root™PT [WRPR]和Endocem®MTA预混型[ECPR]) CSCs。此外,我们评估了水泥的凝结时间、溶解度值和抗压强度。zmx的凝固时间最短(123.33±5.77 s),其次是RTMX(146.67±5.77 s)、ECPR(260.00±17.32 s)和WRPR(460.00±17.32 s)。溶解度最高的是WRPR(9.01±0.55%),其次是RTMX(2.17±0.07%)、EZMX(0.55±0.03%)和ECPR(0.17±0.03%)。ECPR的抗压强度最高(76.67±25.67 Mpa),其次是WRPR(38.39±7.25 Mpa)、RTMX(35.07±5.34 Mpa)和EZMX(4.07±0.60 Mpa)。综上所述,与粉液混合型CSCs (EZMX和RTMX)相比,预混型CSCs (WRPR和ECPR)的凝固时间更长。溶解度试验结果显示,ECPR溶解度最低,WRPR溶解度最高,两者差异有统计学意义(p < 0.0083)。抗压强度试验显示,ECPR的抗压强度最高,EZMX的抗压强度最低,两者之间的差异也有统计学意义(p < 0.0083)。ECPR是一种很有前途的材料,因为它是预先混合的,不需要混合时间,而且它也证明了更好的溶解度和抗压强度,使其成为临床使用的潜在有利选择。
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引用次数: 4
Prevalence and Patterns of Congenitally Missing Teeth among Pediatric Patients Aged 8 - 16 in Pusan National University Dental Hospital 釜山国立大学牙科医院8 - 16岁儿童先天性缺牙的患病率和模式
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.179
Eunjin Kim, S. Park, Eungyung Lee, Taesung Jeong, Jonghyun Shin
The purpose of this study was to investigate the prevalence and patterns of congenitally missing teeth in permanent teeth excluding third molars, in patients aged 8 to 16 years who visited Pusan National University Dental Hospital from January 2010 to February 2021. This retrospective study evaluated tooth agenesis and the pattern of missing teeth represented by the tooth agenesis code by reviewing panoramic radiographs and electronic medical records of 11,759 patients, including 5,548 females and 6,211 males. The prevalence of congenitally missing teeth was 10.74% (females 11.95%, males 9.66%, p < 0.0001). Patients with tooth agenesis had an average of 2.22 missing teeth, and congenitally missing teeth occurred more frequently in the mandible (8.39%) than in the maxilla (4.52%, p < 0.0001). The mandibular second premolar (58.19%) was the most frequently missing tooth. The second premolar was the most frequently missing tooth in all quadrants (30.10%, 31.67%, 43.14%, and 35.59%) when a single tooth was absent, while the first and second premolars were the most commonly absent teeth (11.69%, 11.47%, 5.94%, and 5.24%) when two or more teeth were missing. In the relationship between maxillarymandibular antagonistic quadrants and full mouth, the 1st to 4th place of the missing patterns were all involved with the 1st and 2nd premolars. This study can be clinically helpful in establishing a treatment plan for patients with missing teeth. In addition, it can be used as basic data for molecular biological research to find out the relationship between tooth agenesis and specific genes.
本研究的目的是调查2010年1月至2021年2月在釜山国立大学牙科医院就诊的8至16岁的恒牙(不包括第三磨牙)先天性缺牙的患病率和模式。本研究通过回顾11759例患者(女性5548例,男性6211例)的全景x线片和电子病历,评估牙齿发育不全和牙齿发育不全码所代表的缺牙模式。先天性缺牙患病率为10.74%(女性11.95%,男性9.66%,p < 0.0001)。牙齿发育不全患者平均缺失牙2.22颗,下颌先天性缺失牙发生率(8.39%)高于上颌骨(4.52%,p < 0.0001)。下颌第二前磨牙(58.19%)是最常见的缺失牙。当缺一颗牙时,所有象限中最常见的缺失牙是第二前磨牙(30.10%、31.67%、43.14%和35.59%);当缺两颗或多颗牙时,第一和第二前磨牙最常见(11.69%、11.47%、5.94%和5.24%)。在上颌拮抗象限与全口的关系中,缺失模式的1 ~ 4位均与第一、第二前磨牙有关。本研究可为临床建立缺牙患者的治疗方案提供帮助。此外,它还可以作为分子生物学研究的基础数据,以发现牙齿发育与特定基因的关系。
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引用次数: 0
Effectiveness of Sodium Iodide Root Canal Filling Pastes in Primary Teeth 碘化钠根管充填糊剂在乳牙中的应用效果
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.168
S. Chang, Yujin Kim, Junghwan Lee, Jongsoo Kim, Joonhaeng Lee, Miran Han, Jisun Shin, Jongbin Kim
Objectives: This study aimed to compare the physical properties and antibacterial effectiveness of iodoform based root filling pastes, Vitapex® and Metapex®, with sodium iodide root filling paste (NaI paste) for primary teeth. Materials and Methods: The physical properties (flowability, film thickness, radiopacity) of the pastes were evaluated according to ISO 6876:2012. The antibacterial activity against Enterococcus faecalis strain (ATCC 6538) was evaluated using a direct contact test. Results: There was no significant statistical difference (p > 0.05) observed in the flow and film thickness of NaI paste when compared to the currently available root canal filling materials. The average flow capacities for Vitapex®, Metapex®, and NaI paste were 15.40 mm, 21.25 mm, and 20.01 mm, respectively. The average film thickness for Vitapex®, Metapex®, and NaI paste were 33.3 μl, 22.6 μl, and 25.0 μl, respectively. However, NaI paste showed lower radiopacity than the existing materials, and this difference was statistically significant (p < 0.05) NaI paste demonstrated higher antimicrobial activity than the available materials, and this difference was also statistically significant (p < 0.05). Conclusion: Compared to the existing commercialized root canal filling materials, NaI paste exhibited similar performance in terms of flow and film thickness, and superior antimicrobial activity against E. faecalis . Hence, NaI paste could be a promising root filling material for primary teeth and may be a potential alternative to existing materials.
目的:比较碘仿牙根充填膏(Vitapex®和Metapex®)与碘化钠牙根充填膏(NaI膏)的物理性能和抗菌效果。材料和方法:根据ISO 6876:2012评估膏体的物理性能(流动性、膜厚度、不透明度)。采用直接接触试验评价其对粪肠球菌(ATCC 6538)的抑菌活性。结果:与现有的根管充填材料相比,NaI膏体的流量和膜厚差异无统计学意义(p > 0.05)。Vitapex®、Metapex®和NaI膏体的平均流量分别为15.40 mm、21.25 mm和20.01 mm。Vitapex®、Metapex®和NaI膏体的平均膜厚分别为33.3 μl、22.6 μl和25.0 μl。NaI膏体抗菌活性高于现有材料,差异有统计学意义(p < 0.05)。NaI膏体抗菌活性高于现有材料,差异也有统计学意义(p < 0.05)。结论:与已商品化的根管填充材料相比,NaI膏体在流动性和膜厚度方面具有相似的性能,且对粪肠杆菌具有更强的抗菌活性。因此,NaI膏体可能是一种很有前途的乳牙牙根填充材料,可能是现有材料的潜在替代品。
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引用次数: 0
Comparison of Color Stability and Surface Roughness of 3D Printing Resin by Polishing Methods 抛光方法对3D打印树脂颜色稳定性和表面粗糙度的影响
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.205
Hee-Nam Kim, Yujin Kim, Jongsoo Kim, Joonhaeng Lee, M. Han, Jisun Shin, Jongbin Kim
This study aimed to compare the color stability and surface roughness of three-dimensional (3D) printing resin according to polishing methods. 3D-printed resin specimens were fabricated at TC-80DP (Graphy, Seoul, Korea) with a stereolithography 3D printer, and the specimens were divided into three groups, each of which was not polished, was polished using Enhance®, and was polished using a Sof-LexTM disc. The CIE L*a*b* value and the surface roughness of each group were measured and immersed in artificial saliva and orange juice after 0, 1, 7, 30, and 60 days, and the color difference (ΔE*) was calculated. As a result of the study, no noticeable color change was observed in artificial saliva, but a noticeable color change was demonstrated in orange juice after 60 days of immersion, and the difference was significant. In the Sof-LexTM group, surface roughness according to the solution was found to be significantly higher in the orange juice than that in artificial saliva. No significant difference in color change was found according to the polishing method, but surface roughness was significantly lower in the Sof-LexTM group than both that of the unpolished group and that of the Enhance® group. Nevertheless, all groups exhibited clinically acceptable properties regardless of their higher surface roughness than the threshold for plaque accumulation. Overall, this study recommends utilizing Sof-LexTM for polishing 3D printing resin when used in primary anterior tooth coverage.
本研究旨在比较不同抛光方法下3D打印树脂的颜色稳定性和表面粗糙度。在TC-80DP (Graphy, Seoul, Korea)用立体光刻3D打印机制作3D打印树脂样品,并将样品分为三组,每组不抛光,使用Enhance®抛光,使用soflextm光盘抛光。测量各组在0、1、7、30、60天后的CIE L*a*b*值和表面粗糙度,并浸泡在人工唾液和橙汁中,计算色差(ΔE*)。研究结果表明,人工唾液没有出现明显的颜色变化,而橙汁在浸泡60天后出现了明显的颜色变化,且差异显著。在soflextm组中,根据溶液发现橙汁中的表面粗糙度明显高于人工唾液中的表面粗糙度。根据抛光方法,颜色变化没有明显差异,但表面粗糙度在soflextm组明显低于未抛光组和Enhance®组。尽管如此,所有组均表现出临床可接受的特性,无论其表面粗糙度高于斑块积聚的阈值。总的来说,本研究推荐使用soflextm抛光3D打印树脂用于初级前牙覆盖。
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引用次数: 0
Management of Maxillary Impacted Canines 上颌阻生牙的处理
Pub Date : 2023-05-31 DOI: 10.5933/jkapd.2023.50.2.142
Ki-Taeg Jang
The canine tooth is important both functionally and aesthetically, being positioned between the anterior and posterior teeth. The upper canine has the longest eruption path, forming in the deepest part of the maxillary bone and often experiencing eruption disorders, leading to significant aesthetic and functional issues. Early detection and management of canine impaction are crucial in pediatric dentistry, which focuses on tooth growth and eruption. The prevalence of maxillary canine impaction ranges from 1.1% to 3.0%. In Western populations, palatal impaction is twice as common as labial impaction, while some Korean studies report more labial impaction. Maxillary canine impaction occurs more frequently in women and is associated with various factors such as structural obstacles, pathological conditions in surrounding tissues, developmental abnormalities, and genetic factors. Labial displaced canines are linked to narrow maxillary intercanine width, total dental crowding, and skeletal Class III malocclusion. Maxillary palatal displaced canine impaction is more prevalent in patients with familial agenesis of lateral incisors or conical supernumerary lateral incisors. Understanding these factors aids in early diagnosis and appropriate intervention for canine tooth impaction, ensuring optimal oral health and aesthetics.
犬齿在功能和美学上都很重要,它位于前牙和后牙之间。上犬有最长的爆发路径,在上颌骨的最深处形成,经常经历爆发障碍,导致显着的美学和功能问题。早期发现和管理的牙嵌塞是至关重要的儿科牙科,重点是牙齿的生长和爆发。上颌嵌塞的患病率为1.1% ~ 3.0%。在西方人群中,腭嵌塞是唇部嵌塞的两倍,而一些韩国研究报告更多的唇部嵌塞。上颌犬嵌塞多见于女性,与多种因素有关,如结构障碍、周围组织病理状况、发育异常和遗传因素。唇部移位的犬与上颌犬齿间宽度狭窄、全牙拥挤和骨骼III类错牙合有关。上颌腭移位型牙嵌塞多见于家族性侧门牙发育不全或圆锥旁侧门牙发育不全的患者。了解这些因素有助于早期诊断和适当的干预,以确保最佳的口腔健康和美观。
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引用次数: 0
In Vitro Study on the Bond Strength Between 3D-Printed Resin and Resin Cement for Pediatric Crown Restoration 3d打印树脂与树脂水泥体在小儿冠修复中的结合强度研究
Pub Date : 2023-02-28 DOI: 10.5933/jkapd.2023.50.1.104
So Yung Kim, Yoosoek Shin, Ik-Hwan Kim, Je-Seon Song
A 3D-printed resin crown is a novel option for esthetic crown restoration for primary teeth, which are typically bonded with resin cement. The purpose of this study was to evaluate the bonding ability of a 3D printing resin and compare it with other indirect resin materials for crown fabrication. The shear bond strengths of two 3D printing resin materials, Graphy (GP) and NextDent (NXT), and two indirect resin materials, VIPI Block (VIPI) and MAZIC Duro (MZ), were compared in the study. For all materials, the shear bond strength at the interface between the surface of the resin material and resin cement was measured. The mean shear bond strength values of GP, NXT, MZ, and VIPI were 23.29 ± 3.88, 26.14 ± 4.67, 25.41 ± 4.03, and 18.79 ± 4.26 MPa, respectively. There was no significant difference among the SBSs of GP, NXT and MZ except for VIPI. The result of this study indicates that the 3D printing resin meets the essential requirement for clinical use by showing clinically adequate bond strength.
3d打印树脂冠是一种新颖的选择,用于修复乳牙的美观,乳牙通常是用树脂水泥粘合的。本研究的目的是评估3D打印树脂的结合能力,并将其与其他间接树脂材料进行比较。比较了两种3D打印树脂材料Graphy (GP)和NextDent (NXT)以及两种间接树脂材料VIPI Block (VIPI)和MAZIC Duro (MZ)的剪切结合强度。对于所有材料,测量了树脂材料表面与树脂水泥界面处的剪切粘结强度。GP、NXT、MZ和VIPI的剪切强度平均值分别为23.29±3.88 MPa、26.14±4.67 MPa、25.41±4.03 MPa和18.79±4.26 MPa。除VIPI外,GP、NXT和MZ组的ssss差异无统计学意义。本研究结果表明,3D打印树脂具有临床足够的粘结强度,满足临床使用的基本要求。
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引用次数: 0
Evaluation of the Pressure of the Tongue, Lips, and Cheeks in Patients with Myofunctional Therapy and Appliance 肌功能治疗和矫治对舌、唇、颊压力的评价
Pub Date : 2023-02-28 DOI: 10.5933/jkapd.2023.50.1.13
Minah Sung, Myeongkwan Jih, Nanyoung Lee
The purpose of this study was to compare the values of tongue pressure (TP), lip closing pressure (LCP), right buccal pressure (RBP), and left buccal pressure (LBP) and check the intraoral muscle imbalance and observe the changed values according to the myofunctional therapy (MFT) period. The MFT with a prefabricated appliance was performed on patients with certain muscular dysfunctions due to oral habits. And the improvement of perioral muscles was evaluated using a balloon-based pressure measurement. The group consisted of 21 patients with oral habits such as chronic mouth breathing, finger sucking, lip sucking, tongue thrusting, and atypical swallowing habits. When comparing the two groups before treatment, there was a significant difference in TP and LCP values. The TP increased the most in the first month since the start of myofunctional therapy, and the LCP increased the most between 3 and 6 months after treatment began. The values of TP, LCP, RBP, and LBP in the control group measured before treatment were very similar to the results of the experimental group 6 months after the myofunctional therapy. When the MFT was steadily performed, it was possible to observe a noticeable increase in the tongue and lip closing pressure. At least 6 months of myofunctional therapy is recommended for patients with intraoral muscle imbalance due to oral habits.
本研究的目的是比较舌压(TP)、闭唇压(LCP)、右颊压(RBP)和左颊压(LBP)的值,检查口腔内肌肉失衡情况,并观察肌功能治疗(MFT)期间的变化。采用预制矫治器对因口腔习惯导致的某些肌肉功能障碍患者进行MFT。使用基于气球的压力测量来评估口腔周围肌肉的改善情况。本组21例患者均有慢性口呼吸、吮指、吮唇、伸舌、非典型吞咽等口腔习惯。治疗前两组比较,TP、LCP值差异有统计学意义。TP在肌功能治疗开始后的第一个月增加最多,LCP在治疗开始后的3 - 6个月增加最多。对照组治疗前测量TP、LCP、RBP、LBP值与实验组肌功能治疗后6个月的结果非常相似。当MFT稳定进行时,可以观察到舌和唇闭合压力的明显增加。由于口腔习惯导致的口内肌肉失衡,建议至少进行6个月的肌功能治疗。
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引用次数: 0
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THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
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