상대적 거대설을 보이는 전치부 개방교합 환자의 외과적 급속 구개확장술을 통한 횡적 부조화의 치험례
Treatment of transverse deficiency with surgically assisted rapid palatal expansion in an open bite patient showing pseudomacroglossia
김윤지, 이규홍, 박준우, 이건주, 조형준, 박양호,
소속 상세정보
김윤지 ( Kim Yoon-Ji ) - 한림대학교의료원 강동성심병원 치과교정과
이규홍 ( Lee Kyu-Hong ) - 한림대학교의료원 강동성심병원 치과교정과
박준우 ( Park Jun-Woo ) - 한림대학교 강동성심병원 구강악안면외과
이건주 ( Rhee Gun-Joo ) - 샘치과의원
조형준 ( Cho Hyung-Jun ) - 한림대학교 의과대학 치과학교실
박양호 ( Park Yang-Ho ) - 한림대학교의료원 강동성심병원 치과교정과
KMID : 0355620080340030376
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.
키워드
Macroglossia;Maxillary expansion;Open bite
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