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KCI 후보
골격성 3 급 부정교합자의 체질량지수에 따른 술후 연조직 변화
The Thickness of Soft - Tissue Based on body Mass Index and Postoperative Change in Prognathic Patients
김은철(Eun Cheol Kim),이상철(Sang Chull Lee)
UCI I410-ECN-0102-2009-510-004065875

This study has been carried out in order to measure the thickness of soft-tissue on lateral cephalographs based on body mass index (BMI) and the change in soft-tissue thickness after surgical correction of mandibular protrusion. The control material in cephalometric study comprised students at The Dental College, 38 persons, aged 21~24 years and the patient material comprised 20 women and 12men,aged 19~28 years with mandibular protrusion. The thickness of the soft-tissue based on BMI in control and study groups, the comparison between them, immediate postoperative change in the thickness, 6 months after surgery, ratio of soft-tissue response and correlation was established through various statistical methods. The result were as follows: 1. The groups based on BMI showed significant differences each other as regards the linear measurements. The thickest soft-tissue was measured 13.6mm, 15.47mm, 16.76mm at Ss. the thinnest at G` 6.0mm, 6.7mm, 7.26mm respectively. 2. The differences between control and experimental groups based on BMI showed to be significant. There were no differences at G`. The soft-tissue in prognathic patients was thicker at Ss, Ls and thinner at Li, Ls, Pg`, Gn`, Me`. Differential gap was greater in overweight groups. 3. The immediate soft-tissue change after surgery showed the increase at Li, Ls, Pg`, Gn`, Me` except G`, Ls in all groups. 4. The postoperative soft-tissue change 6 months after surgery was similar with immediate change. The soft-tissue shows the increase in the thickness at Li, Pg`, Gn`, Me` and the greatest difference occurred at Li, 1.1mm, 0.98mm, 1.2mm respectively. 5. The patients with lower BMI index showed higher soft-tissue response to bony movement at Pg`. The immediate response ratio was 91%, 87%, 81%in A, B, C groups respectively, the response 6 months after surgery showed 96%, 91%, 84%.

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