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Idiopathic Condylar Resorption: A Combined Orthodontic And Orthognathic Surgery Treatment Perspective — A Review Article, Kuang-Hsuan Chang, I-Ling Hong, Chi-Ying Huang, Yunn-Jy Chen, Sang-Heng Kok, Chung-Chen Jane Yao 2022 Division of Orthodontic and Dentofacial Orthopedic, Division of Prosthetic Dentistry,Division of Oral and Maxillofacial Surgery, Department of Dentistry, National Taiwan University Hospital

Idiopathic Condylar Resorption: A Combined Orthodontic And Orthognathic Surgery Treatment Perspective — A Review Article, Kuang-Hsuan Chang, I-Ling Hong, Chi-Ying Huang, Yunn-Jy Chen, Sang-Heng Kok, Chung-Chen Jane Yao

Taiwanese Journal of Orthodontics

Idiopathic condylar resorption (ICR) is a well-documented but poorly understood progressive disease that affects the TMJ. ICR can result in malocclusion, facial disfigurement, TMJ dysfunction, and pain. Some cases occur spontaneously, whereas others appear during orthodontic therapy or as sequelae to orthognathic surgical procedures. It is essential for orthodontists to recognize the onset of ICR in patients as early as possible .This article discusses practical aspects of recognizing and managing ICR in orthodontic patients by a combination of orthodontic and orthognathic surgery treatment.


Orthodontic-Surgical Management Of A Horizontally Impacted Maxillary Incisor − A Case Report, Chih-Hsiang Chan, Szu-Ting Chou, Yu-Chuan Tseng, Chin-Yun Pan, Hong-Po Chang, Chung-Wei Wu 2022 Department of Orthodontics, Kaohsiung Medical University Hospital

Orthodontic-Surgical Management Of A Horizontally Impacted Maxillary Incisor − A Case Report, Chih-Hsiang Chan, Szu-Ting Chou, Yu-Chuan Tseng, Chin-Yun Pan, Hong-Po Chang, Chung-Wei Wu

Taiwanese Journal of Orthodontics

A 11-year-old girl came with her grandmother due to her impacted maxillary incisor. She was suggested to receive orthodontic treatment while having routine oral examination at school. After orthodontic examination & evaluation, skeletal Class III jaw relation with orthodivergent facial pattern, Class III malocclusion and impacted maxillary central incisor was diagnosed. After full mouth fixed edgewise orthodontic guiding treatment and surgical closed eruption of the impacted incisor, the maxillary central incisor was moved into a proper position. Angle Class I molar relation, acceptable overbite and overjet and well-aligned dentition was also achieved. The total treatment period was 35 months.


The Study Of Patients’ Motivation In Orthodontic Treatment, Pei-Hsuan Chen, Hsin-Chung Cheng, Chun-Yi Kao, Ti-Lain Lu, Chen-Fun Chen, I-Gun Chen 2022 Division of Orthodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan

The Study Of Patients’ Motivation In Orthodontic Treatment, Pei-Hsuan Chen, Hsin-Chung Cheng, Chun-Yi Kao, Ti-Lain Lu, Chen-Fun Chen, I-Gun Chen

Taiwanese Journal of Orthodontics

Orthodontic treatment has become popular now in Taiwan, and motivation of orthodontic treatment is a key factor of treatment outcome; therefore, understanding the motivation of orthodontic patients is very important. There are many studies focusing on motivation of orthodontic patients; however, Taiwan is still lack of sufficient sample in related issue. Our study is to analyze motivations about Taiwanese to improve orthodontic treatment quality and outcome. Questionnaire survey was conducted in the department of dentistry in three different hospitals and dental clinics held by orthodontic specialist in Taiwan. The sample is randomized and the invalid questionnaires were eliminated. The patients’ …


Orthodontic Treatment For Constricted Maxilla And Prognathic Mandible With Severe Crowding Via 2-Jaw Orthognathic Surgery — A Case Report, LY Chang, HC Chiu, CL Ho, ZC Chang, CC Yao 2022 Department of Dentistry and Graduate Institute of Clinical Dentistry,School of Dentistry, National Taiwan University; Department of Orthodontics, National Taiwan University Hospital

Orthodontic Treatment For Constricted Maxilla And Prognathic Mandible With Severe Crowding Via 2-Jaw Orthognathic Surgery — A Case Report, Ly Chang, Hc Chiu, Cl Ho, Zc Chang, Cc Yao

Taiwanese Journal of Orthodontics

This is a case of a 26 year-old female who complained of mandibular prognathism and malocclusion.Extraoral view revealed a concave profile with midface deficiency, mandibular prognathism, and chin deviation to right side by 4 mm. Class III malocclusion along with bilateral posterior crossbite and severe crowding were noted. Panoramic X-ray showed #83 retained, and #43 deeply impacted approximating to the mandibular lower border with a mass of radiopacity over it. Orthodontic treatment combined with a 2-jaw orthognathic surgery in which removal of #43 deep impaction was suggested. Before full mouth bonding, we referred the patient to remove #83 and the …


Literature Review: The Effect Of Timing Of Loading And Osseointegration On Stability And Success Rate Of Orthodontic Mini-Screws, Hsiu-Ching Ko, Pi-Huei Liu, Chih-Liang Ho, Wen-Pei Wong, Hsiang-Hua Lai, Min-Chih Hung 2022 Department of Dentistry and Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University; Department of Orthodontics, National Taiwan University Hospital

Literature Review: The Effect Of Timing Of Loading And Osseointegration On Stability And Success Rate Of Orthodontic Mini-Screws, Hsiu-Ching Ko, Pi-Huei Liu, Chih-Liang Ho, Wen-Pei Wong, Hsiang-Hua Lai, Min-Chih Hung

Taiwanese Journal of Orthodontics

With the advances of dental implants, temporary skeletal anchorage devices have now become established orthodontic anchorage aids and launched a new era for clinical orthodontic therapy. Nowadays, orthodontic miniscrews are commonly used in daily practice and demand great stability and high predictability for therapeutic needs. In recent years, numerous publications have investigated multiple factors affecting success rates of orthodontic mini-screws. The aims of this review were to investigate the relationships between timing of loading and implant stability, and the impact of osseointegration on orthodontic mini-screws.


The Sixth Series Of “Orthodontic Treatment’S Influence Over Upper Airway”: Different Designs And Long-Term Consequences Of Oral Appliance, Hung-Hsiang Liao, Chung-Chen Jane Yao, Ya-Ting Wang, Bi-Hui Liu, Xuan-Yi Xiao, Min-Chin Hung 2022 Department of Dentistry and Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University Department of Orthodontics, National Taiwan University Hospital

The Sixth Series Of “Orthodontic Treatment’S Influence Over Upper Airway”: Different Designs And Long-Term Consequences Of Oral Appliance, Hung-Hsiang Liao, Chung-Chen Jane Yao, Ya-Ting Wang, Bi-Hui Liu, Xuan-Yi Xiao, Min-Chin Hung

Taiwanese Journal of Orthodontics

The effect of oral appliances in treating mild to moderate obstructive sleep apnea syndrome (OSAS) patientis found to be similar to continuous positive airway pressure in a study in 1955. Oral appliances make tongue or mandible forward position to increase airway space. Mandibular advancement devices and tongue retaining devices are oral appliances used in clinic today. Long term effects of oral appliances are discussed in three parts in this article: airway, dentition and temporomadibular joint. Total airway volume increases after using oral appliances. Overbite and overjet are found decreasing. Oral appliances cannot worsen the temporomadibular joint problems.


Literature Review: Changes Of Pharyngeal Airway Space Following Orthodontic Treatment Of Class I Bimaxillary Protrusion, Ya-Wen Wang, Der-Lan Chien, Fong-Lan Chan, Hung-Cheng Chiu, Pei-Chuan Hung, I-Ling Hong 2022 Department of Dentistry and Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University Department of Orthodontics, National Taiwan University Hospital

Literature Review: Changes Of Pharyngeal Airway Space Following Orthodontic Treatment Of Class I Bimaxillary Protrusion, Ya-Wen Wang, Der-Lan Chien, Fong-Lan Chan, Hung-Cheng Chiu, Pei-Chuan Hung, I-Ling Hong

Taiwanese Journal of Orthodontics

Bimaxillary protrusion is characterized by protrusive and proclined upper and lower incisors. Since patients with bimaxillary protrusion generally have perfectly good occlusion, orthodontic treatment is often solely sought to correct the protrusive profile and less concern about the airway space change. Typical orthodontic treatment includes extraction of the bimaxillary premolars and anterior tooth retraction, with maximum anchorage. Recently, the relationship between maximum anchorage and tooth displacement is well recognized, retrospective upper airway analysis after retraction of the large incisors remains to be established. This article review previous studies about the pharyngeal airway changes after orthodontic treatment of class I bimaxillary …


Literature Review: The Effect Of Maxillary Expansion On Upper Airway, Hsiu-Ching Ko, Mu-Hsiung Chen, Joung-Lin Liao, Man-Ching Cheng, Yu-Ling Huang 2022 Department of Orthodontics, National Taiwan University Hospital

Literature Review: The Effect Of Maxillary Expansion On Upper Airway, Hsiu-Ching Ko, Mu-Hsiung Chen, Joung-Lin Liao, Man-Ching Cheng, Yu-Ling Huang

Taiwanese Journal of Orthodontics

Rapid maxillary expansion (RME) is a common method used by orthodontists to increase the transverse dimension of maxillary arch and arch perimeter, by a tooth-borne device to stretch the median palatal suture through the mechanical force. The orthopedic effects produced by the RME device include not only opening the median palatal suture, but also rotating the maxillary alveolar shelves, which has an influence on the adjacent sutures of facial skeleton and the morphology of nasal cavities. This article reviewed the impact of RME on the anatomy of upper airway, respiratory flow resistance, and clinical relation with the nasal airway obstruction …


Effects Of Removable Orthopedic Appliance On Upper Airway Dimensions, Yu-Jen Hsu, Stella Ya-Hui Yang, Emily Yi-Min Liu, Yi-Jane Chen, Wen-Chung Chang 2022 Department of Dentistry and Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Department of Orthodontics, National Taiwan University Hospital

Effects Of Removable Orthopedic Appliance On Upper Airway Dimensions, Yu-Jen Hsu, Stella Ya-Hui Yang, Emily Yi-Min Liu, Yi-Jane Chen, Wen-Chung Chang

Taiwanese Journal of Orthodontics

Growth modification by using removable orthopedic appliances has been commonly used in growing patients to correct maxilla-mandibular jaw discrepancy. Previous studies reported the different effects of various orthopedic appliances on the airway dimension. Low-pull headgear therapy may induce a short-term decrease of the upper airway dimension in Class II patients. Face mask therapy seems to be associated with the increase of upper airway dimension in growing Class III patients. However, mandible protruding appliances can increase the upper airway dimension, especially in the Class II patients with mandible retrusion.


Orthodontic Management Of Transposed Canines In A Patient With Acute Lymphocytic Leukemia, Chun-Hsiang Wang, Shiu-Shiun Lin, Yng-Tzer J. Lin 2022 Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine

Orthodontic Management Of Transposed Canines In A Patient With Acute Lymphocytic Leukemia, Chun-Hsiang Wang, Shiu-Shiun Lin, Yng-Tzer J. Lin

Taiwanese Journal of Orthodontics

Acute lymphoblastic leukemia (ALL) makes up approximately 75% to 80% of childhood leukemia. Longterm survivors through current medical management make orthodontic treatment available. However, the risk of these patients should be carefully evaluated. After the patient has completed all cancer therapy and has at least a 2-year event-free survival, orthodontic treatment can be started. Patients with ALL sometimes have to accept a compromised treatment result and finish the treatment earlier than normal due to the concerns of recurrence. To treat the maxillary canine-first premolar transposition require a lengthy treatment time. However, every effort should be made to bring the transposed …


A Study Of The Relationship Between Medical Services Quality, Patient Satisfaction And Patient Loyalty For Orthodontic Patients, Tzu-Hsin Lee, Chien-Wen Chen, Chih-Tung Hsiao 2022 School of Dentistry, Chung Shan Medical University,Taiwan; Department of Dentistry, Chung Shan Medical University Hospital, Taiwan

A Study Of The Relationship Between Medical Services Quality, Patient Satisfaction And Patient Loyalty For Orthodontic Patients, Tzu-Hsin Lee, Chien-Wen Chen, Chih-Tung Hsiao

Taiwanese Journal of Orthodontics

The increasing demand for excellent quality of medical services by patients affects hospital performance under severe competition amongst Taiwan hospitals. A dental clinic can demonstrate successful performance when it meets the patient expectation, enhances the value of care and invests its resources to improve the treatment quality. Enhancement of the value of care and patient satisfaction will promote their loyalty and also increase revenue by taking the above factors into consideration. Hence the purpose of this study is to investigate the treatment effect on degree of satisfaction and loyalty for dental patients. A questionnaire for dental treatment satisfaction study (N …


Literature Review: Corticotomy-Assisted Orthodontic Treatment, Lei Kang, Shou-Hsin Kuang, Tzu-Ying Wu 2022 Dentistry Department, Taipei Veterans General Hospital

Literature Review: Corticotomy-Assisted Orthodontic Treatment, Lei Kang, Shou-Hsin Kuang, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

Corticotomy-assisted orthodontics (CAOT) can shorten orthodontic treatment time by increasing regional acceleratory phenomenon. The periodontal wound healing caused by corticotomy are similar to the periodontal tissue reaction induced by orthodontic force; if the two phenomena could be accumulated and both enhancing bone remodeling, orthodontic tooth movement should be accelerated theoretically. There are many different kinds of procedures and strategies in the clinical application of corticotomy-assisted orthodontics, but when the cost and benefit ratio for the patients are thoroughly considered, using minimal invasive corticotomy to assist orthodontic treatment may be more practical. As for the clinical efficacy of minimal invasive corticotomy, …


An Investigation On Mechanical Properties Of Esthetic Orthodontic Archwires, Po-Yu Yang, Tzu-Hsin Lee 2022 School of Dentistry, Chung Shan Medical University,Taiwan; Department of Dentistry, Chung Shan Medical University Hospital, Taiwan

An Investigation On Mechanical Properties Of Esthetic Orthodontic Archwires, Po-Yu Yang, Tzu-Hsin Lee

Taiwanese Journal of Orthodontics

The main purpose of this study was to investigate the mechanical properties of Ni-Ti coated orthodontic archwires after surface modification. Universal test machine was used to measure the tensile strength of four groups of coated Ni-Ti wires and uncoated control group. Immersion test was applied for 21 days to discover whether the coating would peel off under friction and brushing after immersion. Student’s t-test was used to explore any difference between three groups of coated wires and uncoated conventional wires in mechanical properties. The results showed no statistical difference exists between coated Ni-Ti wires and conventional uncoated wires regarding to …


The Seond Series Of "Orthodontic Treatment's Influence Over Upper Airway": The Correlations Among 2d And 3d Methods In Airway Evaluation, Wei-Ting Tseng, Yao-Der Huang, Jenny Zwei-Chieng Chang, Ming-Hsien Lan, Shun-Hsin Chen, Yun-Yun Wu 2022 Department of Orthodontics, National Taiwan University Hospital

The Seond Series Of "Orthodontic Treatment's Influence Over Upper Airway": The Correlations Among 2d And 3d Methods In Airway Evaluation, Wei-Ting Tseng, Yao-Der Huang, Jenny Zwei-Chieng Chang, Ming-Hsien Lan, Shun-Hsin Chen, Yun-Yun Wu

Taiwanese Journal of Orthodontics

It has been more than seven decades that traditional two-dimensional (2D) image develops into threedimensional (3D) image. Due to the limited technology, 2D lateral cephalograms are traditionally used for airway assessment; however; the problem with cephalometry is that the 3D airway change can only be measured by linear measurement. Since 1990s, the development of cone beam computed tomography (CBCT) has offered more information for orthodontists, which is considered to be a diagnostic tool and initially served as the radiographic standard for airway assessment for patients with obstructive sleep apnea (OSA). Over the years, more studies on 3D reconstruction in airway …


Airway Changes By Orthodontic Tooth Movement At “Vertical” Dimension, Hsin-Ho Chen, Ya-Ting Huang, Chi-Ying Huang, Wen-Pei Wong, Hsin-Fu Frank Chang, Yuan-Yi Tung 2022 Department of Orthodontics, National Taiwan University Hospital

Airway Changes By Orthodontic Tooth Movement At “Vertical” Dimension, Hsin-Ho Chen, Ya-Ting Huang, Chi-Ying Huang, Wen-Pei Wong, Hsin-Fu Frank Chang, Yuan-Yi Tung

Taiwanese Journal of Orthodontics

Anterior open bite often combines with longer anterior facial height, higher mandibular plane angle, mandible clockwise rotation and mandible retrognathism. The facial profiles of patients with OSA ( obstructive sleep apnea syndrome) also often reveal mandible retrognathism. Therefore, it is an interesting subject that whether treating anterior open bite has the advantage of improving symptom of sleeping problem. This review article is to investigate the correlation of tooth movement in vertical dimension with airway, also investigate the influence of oral appliance height and surgery-treated open bite on airway.


Effect Of Orthodontics On Upper Airway. Series 1: Growth And Development Of Airway, Kuang-Hsuan Chang, Eddie Hsiang-Hua Lai, Kang-Yee Wang, Hui-Jen Tsai, Chih-Liang Julian Ho 2022 Division of Orthodontic and Dentofacial Orthopedic, Department of Dentistry, National Taiwan University Hospital; Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University

Effect Of Orthodontics On Upper Airway. Series 1: Growth And Development Of Airway, Kuang-Hsuan Chang, Eddie Hsiang-Hua Lai, Kang-Yee Wang, Hui-Jen Tsai, Chih-Liang Julian Ho

Taiwanese Journal of Orthodontics

Comprehensive treatment of the facial skeleton and occlusion requires an understanding of all functional variables, including the upper airway. Numerous reports have shown a causal relationship between the upper airway and respiratory mode in the development of facial morphology and malocclusion. This article reviewed the airway assessment in normal subjects during growth and development, obstructive sleep apnea (OSA) subjects and malocclusion subjects.


Extraction Or Non Extraction Treatment Of Class Ii Division Ii Malocclusion Adult Patients – Cases Report, Chen-Han Tsou, Chun-Liang Kuo, Yi-Hua Liu, Yuan-Yi Wang 2022 Zuoying Branch of Kaohsiung Armed Forces General Hospital; Department of Orthodontics, Chi Mei Medical Center

Extraction Or Non Extraction Treatment Of Class Ii Division Ii Malocclusion Adult Patients – Cases Report, Chen-Han Tsou, Chun-Liang Kuo, Yi-Hua Liu, Yuan-Yi Wang

Taiwanese Journal of Orthodontics

The cases of Angle Class II Division 2 malocclusion are rare in the population. These cases are characterized by retroclined upper anteriors and deep overbite. Facial profile have relatively retrusive lips as well as prominent chins. Extraction of premolars followed by incisor and lip retraction will further retrude the lips. So decided the extraction treatment plan of these patient requires careful diagnosis. In this case report, we will discuss the considerations of extraction or non-extraction treatment of Class II division 2 malocclusion.


Non-Extraction Orthodontic Treatment Of Bilateral Maxillary Canine Impaction – A Case Report, Pei-Chen Wu, Tzu-Hsin Lee 2022 Department of Dentistry, Chung Shan Medical University Hospital, Taiwan

Non-Extraction Orthodontic Treatment Of Bilateral Maxillary Canine Impaction – A Case Report, Pei-Chen Wu, Tzu-Hsin Lee

Taiwanese Journal of Orthodontics

The ectopic eruption and impaction of maxillary permanent canines is a frequently encountered clinical problem.The diagnosis and treatment of this problem usually requires the expertise of orthodontist.In this case report,we present the treatment of a 14-year-old male patient with delaying eruption of bilateral upper permanent canine.The patient received full mouth non-extraction orthodontic treatment with surgical exposure of upper permanent canine.The patient was satisfied with the treatment outcome.


Treatment Of Early Implanted Upper Anterior Teeth By Modified Distraction Osteogenesis And Orthodontic Treatment, Wei-Min Yang, Ya-Yi Chen, Yu-Liang Chang, Huey-Ling Chen 2022 Division of Orthodontics, Department of Dentistry, Chang Gung Memorial Hospital, Linkou, Taiwan; Division of Oral Surgery, Department of Dentistry, Chang Gung Memorial Hospital, Linkou, Taiwan

Treatment Of Early Implanted Upper Anterior Teeth By Modified Distraction Osteogenesis And Orthodontic Treatment, Wei-Min Yang, Ya-Yi Chen, Yu-Liang Chang, Huey-Ling Chen

Taiwanese Journal of Orthodontics

The replacement of teeth by osseointegrated implants is usually restricted to patients with completed craniofacial growth. Implant insertions in children, adolescents and young adults who we refer to as young patients are circumvented due to several unfavorable potential effects including trauma to tooth germs, tooth eruption disorders, and multidimensional restrictions of dental alveolus and skeletal craniofacial growth. The clinical and radiographic findings have clearly shown that the implants do not behave like normal erupting teeth during the development of the dentition. Neither does the fixtures move together with the adjacent teeth, but behaves more like ankylosed teeth. This was a …


Orthodontic Treatment With Maxillary Canine Substitution For Lateral Incisor – A Case Report, Pei-Chun Twu, Chia-Chen Li, Shen-Chieh Lin, Hwai-Jen Fong, Tzu-Ying Wu 2022 Dentistry Department, Taipei Veterans General Hospital, Taipei, Taiwan; School of Dentistry, National Yang-Ming University, Taipei, Taiwan

Orthodontic Treatment With Maxillary Canine Substitution For Lateral Incisor – A Case Report, Pei-Chun Twu, Chia-Chen Li, Shen-Chieh Lin, Hwai-Jen Fong, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

Patients with peg lateral incisors combined space discrepancy can be treated by either replacing or restoring the lateral incisor after space redistribution, or by removing peg lateral incisor and positioning the canine to simulate the lateral incisor. This case report describes the treatment of a 14-year-old female. Her chief complaint is upper left side canine impaction. It is also found she has bilateral peg-shaped maxillary lateral incisors. Treatment involved extraction of two maxillary lateral incisors and two mandibular second premolars. Maxillary canines and first premolars substituted for lateral incisors and canines. After 26 months of treatment, the esthetic was improved …


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