성인에서 미니스크류 보강형 비수술적 구개확장장치와 연속호선에 의한 악궁확장 효과 비교
Change of arch dimension using two different expansion modalities in adults-MARPE and continuous archwire: a pilot study
구윤진, 최태현, 장지성, 이기준,
소속 상세정보
구윤진 ( Koo Yun-Jin ) - 연세대학교 치과대학 교정과학교실
최태현 ( Choi Tae-Hyun ) - 연세대학교 치과대학 교정과학교실
장지성 ( Jang Ji-Sung ) - 연세대학교 치과대학 교정과학교실
이기준 ( Lee Kee-Joon ) - 연세대학교 치과대학 교정학교실
KMID : 0362720130510060330
Abstract
Considering the high prevalence, transverse control in adult patients presenting relatively narrow maxillary width is a challenging issue. This study compared the pattern of arch expansion induced by either miniscrew-assisted rapid palatal expander (MARPE) or continuous archwire engaged on self-ligating brackets. Age-matched adults groups(N=15 each) were treated with respective appliance. In both groups, all intercanine, interpremolar, and intermolar widths increased, and significantly greater change was noted in the intermolar region. Buccal tipping was minimal in both groups. Subsequent arch length increase, lingual tipping of incisors and distal tipping of molars were also found in both groups. According to the results, it can be concluded that the MARPE induced generally more arch expansion, particularly in the intermolar width, indicating that the adults showing buccal crossbite of the molars may have to undergo expansion via MARPE prior to arch alignment using continuous archwire.
키워드
adults; MARPE; continuous archwire; expansion
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