토크 조절과 구강 악습관 조절을 통한 치은 퇴축과 전치부 개방교합의 자발적 개선 치험례

• 영문명: The Spontaneous Correction of Gingival Recession and Anterior Open Bite through Orthodontic Torque Control and Oral Habit Control: A Case Report
• 발행기관: 대한치과교정학회
• 저자명: 탁명현
• 간행물 정보: 『.대한치과교정학회 임상저널』14권 3호, 215~226쪽, 전체 12쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.09.30

국문 초록

The article presents a case of spontaneous correction of severe gingival recession and anterior open bite in a 31-year-old female patient after orthodontic treatment. The treatment involved repositioning the root into the alveolar bony housing and self-regulating the tongue-thrusting habit. Cone-beam computed tomography was used to assess the 3-dimensional root position and inclination before and after treatment. The root of the mandibular left lateral incisor was positioned labially and outside the alveolar bone. It was orthodontically moved toward the center of the alveolar bone by applying additional lingual root torque using segmental arch mechanics, followed by the continuous archwire technique. To improve the anterior open bite, the patient was instructed to wear a tongue crib appliance on the maxillary arch to self-regulate the tongue-thrusting habit. After treatment, the root was moved into the alveolar bone, and the gingival recession was corrected. Additionally, the anterior open bite was effectively corrected with minimal use of inter-arch elastics. (Clin J Korean Assoc Orthod 2024;14(3):215-226)

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키워드

Gingival recession Open bite Torque control Tongue thrusting habit Orthodontic tooth movement