A Study Of The Relationship Between Medical Services Quality, Patient Satisfaction And Patient Loyalty For Orthodontic Patients,
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,
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,
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,
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,
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,
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,
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.
Treatment Of Early Implanted Upper Anterior Teeth By Modified Distraction Osteogenesis And Orthodontic Treatment,
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 …
Non-Extraction Orthodontic Treatment Of Bilateral Maxillary Canine Impaction – A Case Report,
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.
Orthodontic Treatment With Maxillary Canine Substitution For Lateral Incisor – A Case Report,
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 …
The Effects Of Beverage On Orthodontic Wires – Research Report,
2022
Department of Dentistry, Chung-Shan Medical University Hospital, Tai-Chung, Taiwan
The Effects Of Beverage On Orthodontic Wires – Research Report, Yun-Shan Lee, Po-Yu Yang, Tzu-Hsin Lee
Taiwanese Journal of Orthodontics
Orthodontic patients who love acidic soft drinks will increase the opportunity of enamel erosion, corrosion of orthodontic appliance, discoloration of resin and bonding agent, dental caries, obesity, decrease of orthodontic brackets bonding strength and so no. However, whether these acidic soft drinks would affect orthodontic wires were seldom discussed. The purpose of this study was to investigate the effect of acidic soft drinks on orthodontic wires. The orthodontic wires are divided into 3 groups: 0.016-inch stainless steel round wire, 0.016-inch NiTi round wire, and 0.016-inch TMA round wire. And each wire group subdivided by four subgroups: Coca-Cola, Sprite, black tea, …
Comparison Of The Initial Nasolabial Changes By 2 Different Alar Base Cinch Suture Techniques In Class Iii Patients Who Received Two-Jaw Orthognathic Surgery,
2022
Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan; Graduate Institute of Craniofacial and Oral Science, Chang Gung University, Taoyuan, Taiwan
Comparison Of The Initial Nasolabial Changes By 2 Different Alar Base Cinch Suture Techniques In Class Iii Patients Who Received Two-Jaw Orthognathic Surgery, Yi-Hsuan Chen, Cheng-Hui Lin, Ellen Wen-Ching Ko
Taiwanese Journal of Orthodontics
This study compared the effectiveness of the conventional and a new modified alar base cinch technique on changes in the nasolabial morphology after bimaxillary orthognathic surgery. Materials and methods: The prospective, blinded, randomized controlled study recruited 32 Taiwanese skeletal Class III patients (aged 18- 37 years). All of the patients had received bimaxillary orthognathic surgery to correct skeletal discrepancies.During the intraoral wound-closing procedure, patients were equally separated into 2 groups. A conventional group (C, 16 patients) received the conventional alar base cinch technique; a modified group (M, 16 patients) received the modified alar base cinch technique. The nasolabial region was …
Nonsurgical Maxillary Expansion In Adults – Literature Review,
2022
Orthodontic Division, Department of Dentistry, Cathay General Hospital, Taipei, Taiwan
Nonsurgical Maxillary Expansion In Adults – Literature Review, Jui-Hsien Yang, Yun-Yun Wu
Taiwanese Journal of Orthodontics
Early treatment with maxillary expansion has been recommended for child with transverse discrepancies, particularly unilateral crossbite, because it has been developed to skeletal asymmetries. It also routinely expanded early to relieve crowding, due to the middle palatine suture of maxilla can be open in the child and adolescence periods.As age increase, the middle palatine suture becomes more interdigitated, surgically assisted rapid maxillary expansion is necessary in adult. This article reviews treatment consideration, methods, appliances, mechanism, stability of nonsurgical maxillary expansion and how used in adult patient. We also present a clinical case to confirm quad helix appliance can treat maxillary …
Long-Term Follow Up Of Two-Stage Treatment Of Skeletal Class Ii Malocclusion – Case Report,
2022
Department of Orthodontics, Chang Hua Christian Hospital
Long-Term Follow Up Of Two-Stage Treatment Of Skeletal Class Ii Malocclusion – Case Report, Hui-I Chen, Hsiang-Min Hsu, Wen-Hui Hsieh
Taiwanese Journal of Orthodontics
The common treatment protocol for skeletal Class II malocclusion during mixed dentition is a two-stage treatment, namely functional appliance followed by fixed appliance. The goal of the functional appliance is to enhance the horizontal growth of mandible. After reevaluation, the second stage of fixed appliance is implemented. This is a 2-case report of skeletal Class II malocclusion. Both clinical examinations showed mandible retrognathia, large overjets and full Class II Angle’s molar relationships. Two-stage treatments were undertaken. After functional appliances, overjets were reduced and Class I molar relationships were achieved. Following that, fixed appliances were carried out without extraction of teeth …
Root Coverage With Laterally Positioned Pedicle Flap And Subepithelial Connective Tissue Graft On Localized Severely Denuded Root Surface After Surgical Orthodontic Treatment In Cleft Lip And Palate: A Case Report,
2022
Department of Periodontics, Chang Gung Memorial Hospital, Taipei, Taiwan
Root Coverage With Laterally Positioned Pedicle Flap And Subepithelial Connective Tissue Graft On Localized Severely Denuded Root Surface After Surgical Orthodontic Treatment In Cleft Lip And Palate: A Case Report, Yuan-Min Wang, Yuh-Ren Ju, Ellen Wen-Ching Ko, Whei-Lin Pan, Chiu-Po Chan, Shiuan-Tang Jasmine Chang
Taiwanese Journal of Orthodontics
A 27-year-old female patient with secondary cleft deformity and malocclusion was initially treated with reconstructive surgery. However, localized severely gingival recession on the upper right first premolar and massive scar tissue over the buccal vestibular area were formed after the surgical orthodontic treatment. The surgical technique of choice in this patient was laterally positioned pedicle flap (LPF) combined with subepithelial connective tissue graft (SCTG) because of the area adjacent to the recession defect showed a great amount of attached gingiva and without interproximal bone loss. The complete root coverage in the surgical site was observed one year later. To the …
To Achieve An Ideal Functional Occlusion And Esthetical Outcome By Interdisciplinary Treatment – A Case Report,
2022
Department of General Dentistry, Chang Gung Memorial Hospital, Taoyuan, Taiwan
To Achieve An Ideal Functional Occlusion And Esthetical Outcome By Interdisciplinary Treatment – A Case Report, Nien-Chieh Lee, Pi-Lun Chen, Chien-Jung Pai, Whei-Lin Pan
Taiwanese Journal of Orthodontics
A harmonious face may involve the proper skeletal and dental relationship, in combination with the color, contour, and position of surrounding soft tissue. A 51-year-old female patient complained about her protrusive teeth and asked for improvement of her facial profile. The clinical examination of the patient revealed bimaxillary protrusion, gummy smile, and several ill-fitted fixed partial dentures. The “surgery-first” approach was chosen to improve her facial esthetics and to achieve a normal occlusion by reducing orthodontic treatment time. Therewas still 2~3mm space remaining between upper left canine and second premolar after orthodontic treatment, and this problem was resolved by prosthetic …
Dentofacial Morphology Of Skeletal Class Ii Malocclusion With Mandibular Retrusion,
2022
Department of Orthodontics, Kaohsiung Medical University Hospital; Division of Medical Statistics and Bioinformatics, Department of Medical Research, Kaohsiung Medical University Hospital
Dentofacial Morphology Of Skeletal Class Ii Malocclusion With Mandibular Retrusion, Yu-Chun Lin, Hong-Po Chang, Yi-Hsin Yang, Yu-Chuan Tseng, Chin-Yun Pan, Szu-Ting Chou
Taiwanese Journal of Orthodontics
Objective: The aim of this study was to investigate the morphological characteristics of the craniofacial pattern in skeletal Class II adults with mandibular retrusion. Materials and methods: Lateral cephalograms of 80 adults with skeletal Class II malocclusion with mandibular retrusion (∠ANB > 5°, ∠FNB < 86°) compared with 80 adults with normal occlusion (equal sexes in both groups). Thirty five landmarks were identified and digitized. Cephalometric analysis utilizing 30 linear, 29 angular and 4 ratio measurements were undertaken. Statistical comparison of the two groups was performed with Student’s t-test and 2 way-ANOVA. Results: (1) The skeletal Class II sample with mandibular retrusion had longer anterior cranial base length but the internal cranial base angle and the saddle angle were not different from the normal occlusion subject. (2) The sample with mandibular retrusion had longer maxillary length but the maxilla was in normal position related to the cranial base. The mandible was more retrusive and smaller but the ramus width was wider than normal occlusion subject due to compensatory growth. (3) The mandibular retrusion sample had more tilting maxillary plane, mandibular plane, ramus plane and occlusal plane. The sample had longer total anterior facial height, longer upper and lower anterior facial height and shorter posterior facial height (shorter ramus height) than normal occlusion subjects. Hyperdivergent facial pattern and the mandible rotated clockwisely were noted. (4) The mandibular retrusion sample had extrusive but normal inclined upper incisors, more inclined and extrusive lower incisors, smaller interincisal angle, larger overjet and deep overbite. (5) The mandibular retrusion group had more mesial tipping and more extrusive upper 1st molars. Besides, more mesial tipping, more retrusive, and more extrusive lower 1st molars were noted. Conclusion: Multiple variations of skeletodental features were found for skeletal Class II malocclusion with mandibular retrusion.
Profile Angle Defines Soft Tissue Chin Position In Adults,
2022
Department of Orthodontics and Craniofacial Dentistry, Chang Gung Memorial Hospital, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan
Profile Angle Defines Soft Tissue Chin Position In Adults, Hui-Ling Chen, Yueh-Tse Lee, Yu-Ching Wang
Taiwanese Journal of Orthodontics
Objectives: To identify the soft tissue chin position relative to the upper part of the face wherein the Frankfort horizontal (FH) plane intersects the nasal bridge and to define a specific measurement that might benefit different racial groups and their treatment goals. Materials and Methods: Forty-eight Taiwanese adults (23 males and 25 females), selected based on criteria consisting of proper occlusion, skeletal Class I pattern, lip competence in repose, and within the Esthetic (E) line confined standard, were subjected to standard soft tissue facial analyses. The results were used to compare with those of the White norm. Results: Analyses revealed …
Treatment Of Angle Class Iii Malocclusion With Lateral Incisor Congenital Missing With Facemask – Case Report,
2022
Department of Orthodontics of Veterans General Hospital, Taichung
Treatment Of Angle Class Iii Malocclusion With Lateral Incisor Congenital Missing With Facemask – Case Report, Hsin-Yi Lo, Kwong-Wa Li, Lian-Ru Chen, Ming-Lun Hong, Jeng-Fen Liu
Taiwanese Journal of Orthodontics
Protraction facemask is one of the common effective methods to treat the patient with maxillary deficiency in mixed dentition and adolescent patients. In this case report, we present the treatment of a 10-year-old female patient with skeletal class III with maxillary retrognathism, anterior crossbite, left lateral incisor congenital missing, right peg lateral incisor and midline discrepancy with class III malocclusion. Treatment plan included protraction facemask with rapid maxillary expansion therapy, extraction of right peg lateral incisor and canine substitution. We also used temporary anchorage device (TAD) for molar asymmetry and midline correction while using facemask protraction to reach the bilateral …
Orthodontic Treatment For A Class Iii Malocclusion Growing Patient By Using Rme And Chin-Cup Appliance – Case Report,
2022
Graduate Institute of Dentistry, College of Oral Medicine, Taipei Medical University; Department of Orthodontics, Wan Fang Hospital, Taipei, Taiwan
Orthodontic Treatment For A Class Iii Malocclusion Growing Patient By Using Rme And Chin-Cup Appliance – Case Report, Po-Yuan Hsueh, Li-Hsiang Lin
Taiwanese Journal of Orthodontics
The early treatment of skeletal Class III malocclusion is one of the most challenging problems that orthodontists may encounter. These patients often combine maxillary deficiency with anterior crossbite. In this report, an 8-year-old female patient with Class III malocclusion, anterior crossbite and protrusive lower lip. (SNA: 83.5°, SNB: 83°, ANB: 0.5°, overjet: -1.5mm, overbite: +2.5mm, mandibular plane to SN: 26.7°), received orthodontic treatment with rapid maxillary expansion and chin cup appliance. We used RME 2 turns (0.5mm) per day, and wore the chin cup at least 21 hours per day, to force mouth closure and enhance nasal breathing. Active orthodontic …
