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Mandibular posterior anatomic limit for molar distalization

 Sung-Jin Kim  ;  Tae-Hyun Choi  ;  Hyoung-Seon Baik  ;  Young-Chel Park  ;  Kee-Joon Lee 
 American Journal of Orthodontics and Dentofacial Orthopedics, Vol.146(2) : 190-197, 2014 
Journal Title
 American Journal of Orthodontics and Dentofacial Orthopedics 
Issue Date
INTRODUCTION: The purpose of this study was to investigate the mandibular posterior anatomic limit for molar distalization. METHODS: Three-dimensional computed tomography scans were obtained on 34 adults with a skeletal Class I normodivergent facial profile and a normal occlusion. Posterior available space was measured at the crown and root levels along the posterior occlusal line connecting the buccal cusps of the first and second molars on the axial slices. It was also measured at the occlusal level on the lateral cephalograms derived from the computed tomography scans. The measurements on the cephalograms were used to predict the actual posterior available space determined by computed tomography and to determine the presence of root contact with the inner lingual cortex by linear regression and discriminant analyses, respectively. RESULTS: The posterior available space was significantly smaller at the root level than at the crown level. Root contact was observed in 35.3% of the 68 roots. The posterior available space measured on the lateral cephalograms resulted in a regression equation with a coefficient of determination of 0.261 to predict actual available space and correctly identified root contact in 66.2% of cases with a threshold value of 3.9 mm. CONCLUSIONS: The posterior anatomic limit appeared to be the lingual cortex of the mandibular body. Computed tomography scans are recommended for patients who require significant mandibular molar distalization.
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2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
김성진(Kim, Sung Jin) ORCID logo https://orcid.org/0000-0003-4115-0403
박영철(Park, Young Chel)
백형선(Baik, Hyoung Seon)
이기준(Lee, Kee Joon) ORCID logo https://orcid.org/0000-0002-0782-3128
최태현(Choi, Tae Hyun)
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