Vol.31 No.3 September-December 2011
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● Cephalometric assessment in anterior open bite patients treated with and without mini-implant anchorages ● ª√– ‘∑∏‘¿“æ„π°“√μâ“π‡™◊ÈÕ·∫§∑’‡√’¬¢Õß‚ª√æÕ≈‘ μàÕ‡™◊ÈÕ‡ÕÁπ‡∑Õ‚√§Õ°§— ø輪≈≈‘ ·≈–‡™◊ÈÕæÕ√åøî‚√‚¡·π ®‘π®‘«“≈‘ ● °“√®”·π°‡æ»§π‰∑¬¥â«¬¥—™π’øíπ‡¢’È¬« ● Physical properties of dental stones available in Thailand ● ø≈ŸÕÕ‰√¥å‡®≈·≈–ø≈ŸÕÕ‰√¥å«“√åπ‘™ ● √Õ¬§√“∫ ’¥”∫πøíπ∫√‘‡«≥‡Àπ◊Õ¢Õ∫‡Àß◊Õ°„π‡¥Á° A 1 «∑¬“ “√∑‘ πμ·æ∑¬»“ μ√— ¡Àå ¥≈‘ Mahidol Dental Journal ªï∑’Ë ÛÒ ©∫—∫∑’Ë Û °.¬.-∏.§. ÚııÙ Volume 31 Number 3 Sep.-Dec. 2011 “√∫—≠ Contents ∫∑«∑¬“°“√‘ Original article §à“‡´ø“‚≈‡¡μ√‘°„πºŸâªÉ«¬øíπÀπâ“ ∫‡ªî¥∑’Ë®—¥øíπ 121 Cephalometric assessment in anterior open bite patients √à«¡°—∫°“√„™â·≈–‰¡à„™âÀ¡ÿ¥¬÷¥∑“ß∑—πμ°√√¡®—¥øíπ treated with and without mini-implant anchorages ‡æÁ≠ª√–¿“ ™‘«™√—μπå ÿ«√√≥’ ≈—¿π–æ√≈“¿ Penprapa Chiewcharat Suwannee Luppanapornlarp ÿæ—≤™—¬ ∫ÿ≠ª√–∂—¡∂å æß»∏√ æŸà∑Õߧ” Supatchai Boonpratham Pongstorn Putongkam ª√– ‘∑∏‘¿“æ„π°“√μâ“π‡™◊ÈÕ·∫§∑’‡√’¬¢Õß 131 Antimicrobial Efficacy of Propolis against Enterococcus faecalis ‚ª√æÕ≈‘ μàÕ‡™◊ÈÕ‡ÕÁπ‡∑Õ‚√§Õ°§— ø輪≈≈‘ and Porphyromonas gingivalis ·≈–‡™◊ÈÕæÕ√åøî‚√‚¡·π ®‘π®‘«“≈‘ Jintana Sarabunchong Thaniya Muadcheingka ®‘πμπ“ “√–∫√√®ß ∏𑬓 À¡«¥‡™’¬ß§– °“√®”·π°‡æ»§π‰∑¬¥â«¬¥—™π’øíπ‡¢’È¬« 141 Sexual dimorphism in Thais using canine index ∑«’æß»å Õ“√¬–æ‘»‘…∞ «π‘¥“ »√’‰æ‚√®πå∏‘°Ÿ≈ Tawepong Arayapisit Wanida Sripairojthikoon Õ—§√‘π ¿“πÿ ∂‘μ¬å 𗬫‘π‘μ ¡ ÿ¢∑«’°Ÿ≈ Akkarin Panusatid Naiwinit Somsuktaweekoon æß»å ∂‘μ ∫—≥±μπ‘ ‘æ‘∞ ÿ¿“®“√ÿæ—π∏å Pongstit Bundit Nipit Supajarupan ¡∫—쑇™‘ß°“¬¿“æ¢Õߪ≈“ ‡μÕ√åÀ‘π∑’Ë®”Àπà“¬ 151 Physical properties of dental stones available in Thailand „πª√–‡∑»‰∑¬ Potchaman Sinavarat Kallaya Suputtamongkol 殡“π »√’π«√—μπå °—≈¬“ »ÿæÿ∑∏¡ß§≈ Chatcharee Suchatlampong ™—™√’ ÿ™“μ‘≈È”æß»å ∫∑§«“¡ª√‘∑»π— å 161 Review article ø≈ŸÕÕ‰√¥å‡®≈·≈–ø≈ŸÕÕ‰√¥å«“√åπ‘™ Fluoride Gel and Fluoride Varnish ∑‘æπ“∂ «‘™≠“≥√—μπå Tippanart Vichayanrat √Õ¬§√“∫ ’¥”∫πøíπ∫√‘‡«≥‡Àπ◊Õ¢Õ∫‡Àß◊Õ°„π‡¥Á° 175 Black Stains in Children: An update ‡¢Á¡∑Õß ¡‘μ√°Ÿ≈ Kemthong Mitrakul A 3 «‘∑¬“ “√∑—πμ·æ∑¬»“ μ√å¡À‘¥≈ ©∫—∫π’ȇªìπ©∫—∫ ÿ¥∑⓬¢Õߪï æ.». 2554 ∑’ˉ¥â√«∫√«¡§«“¡√Ÿâ „À¡à Ê π«—μ°√√¡„À¡à Ê ®“°∑—πμ·æ∑¬åÀ≈“°À≈“¬ “¢“ ´÷Ëß≈â«π·μà¡’ª√–‚¬™πå ”À√—∫∫ÿ§≈“°√∑“ß∑—πμ·æ∑¬å ∑ÿ°∑à“π ‡√◊ËÕß∑’Ë 1: ‡ªìπß“π«‘®—¬¢Õßß“π®—¥øíπ∑’ˬ—ß¡’°“√æ—≤π“Õ¬à“ßμàÕ‡π◊ËÕß π”‡ πÕ‡√◊ËÕß Cephalometric assessment in anterior open bite patients treated with and without mini-implant anchorages ‚¥¬ ºŸâ™à«¬»“ μ√“®“√¬å∑—πμ·æ∑¬åÀ≠‘ß ÿ«√√≥’ ≈—¿π–æ√≈“¿ √à«¡°—∫Õ“®“√¬å¿“§«‘™“∑—πμ°√√¡®—¥øíπ ‡√◊ËÕß∑’Ë 2: ª√– ‘∑∏‘¿“æ„π°“√μâ“π‡™◊ÈÕ·∫§∑’‡√’¬¢Õß‚ª√æÕ≈‘ μàÕ‡™◊ÈÕ‡ÕÁπ‡∑Õ‚√§Õ°§— ø輪≈≈‘ ·≈–‡™◊ÈÕæÕ√åøî‚√‚¡·π ®‘π®‘«“≈‘ ‚¥¬∑—πμ·æ∑¬åÀ≠‘ß®‘πμπ“ “√–∫√√®ß ®“°‚√ß欓∫“≈‡®√‘≠°√ÿß ª√–™“√—°…å ·≈–§ÿ≥∏𑬓 À¡«¥‡™’¬ß§– ®“°¿“§«‘™“®ÿ≈™’««‘∑¬“ §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬ ¡À‘¥≈ ‡√◊ËÕß∑’Ë 3: °“√®”·π°‡æ»§π‰∑¬¥â«¬¥—™π’øíπ‡¢’È¬« ‚¥¬Õ“®“√¬å∑«’æß»å Õ“√¬–æ‘»‘…∞ ·≈–§≥– ®“°¿“§«‘™“°“¬«‘¿“§»“ μ√å ‡√◊ËÕß∑’Ë 4: Physical properties of dental stones available in Thailand ‚¥¬√Õß»“ μ√“®“√¬å∑—πμ·æ∑¬åÀ≠‘ß殡“π »√’π«√—μπå ®“°¿“§«‘™“∑—πμ°√√¡ª√–¥‘…∞å ·≈–§≥– ‡√◊ËÕß∑’Ë 5: ø≈ŸÕÕ‰√¥å‡®≈·≈–ø≈ŸÕÕ‰√¥å«“√åπ‘™ ‚¥¬Õ“®“√¬å∑—πμ·æ∑¬åÀ≠‘ß∑‘æπ“∂ «‘™≠“≥√—μπå ®“°¿“§ «‘™“∑—πμ°√√¡™ÿ¡™π ‡√◊ËÕß∑’Ë 6: √Õ¬§√“∫ ’¥”∫πøíπ∫√‘‡«≥‡Àπ◊Õ¢Õ∫‡Àß◊Õ°„π‡¥Á° ‚¥¬Õ“®“√¬å∑—πμ·æ∑¬å À≠‘߇¢Á¡∑Õß ¡‘μ√°Ÿ≈ ®“°¿“§«‘™“∑—πμ°√√¡‡¥Á° ª≈“¬ªï 2554 ¥Ÿ‡ªìπªï∑’Ë¡’Õÿª √√§Àπ—°Àπ“ “À— ”À√—∫‡√“™“«‰∑¬ ∑’Ë„π™à«ß‰μ√¡“ À≈—ߢÕߪï μâÕߺ®≠°—∫ªí≠À“Õÿ∑°¿—¬§√—Èß„À≠à·≈–¬“«π“π°«à“∑ÿ° Ê ªï∑’˺à“π¡“ ∑”„Àâ¡’º≈°√–∑∫‰ª¬—ß°“√∑”ß“π„π À≈“¬ Ê à«πÕ¬à“ß∑—Ë«∂÷ß °Õß∫√√≥“∏‘°“√®÷ߢÕ√à«¡‡ªìπ°”≈—ß„®„À⺟âÕà“π∑ÿ°∑à“π∑’ËøíπΩÉ“Õÿª √√§μà“ß Ê ¡“¥â«¬°—π‡ªìπÕ¬à“ߥ’ ∑“ß«‘∑¬“ “√∑—πμ·æ∑¬»“ μ√å¡À‘¥≈°Á‰¡à‡§¬À¬ÿ¥∑’Ë®–ª√—∫μ—«·≈–æ—≤π“‡æ◊ËÕ„Àâ «‘∑¬“ “√π’È𔇠πÕº≈ß“π∑“ß«‘™“°“√∑’Ë¡’§ÿ≥¿“æ·≈–πà“ π„®μàÕ‰ª ·≈–À“°∑à“π„¥ π„® “¡“√∂ àß ∫∑§«“¡¢Õß∑à“π¡“‰¥â∑’Ë Õ“§“√ 4 ™—Èπ 9 Àπ૬«“√ “√«‘™“°“√ §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À‘¥≈ μ‘¥μàÕ §ÿ≥‡®π≥’»“ ∏√√¡«– “ (‡®â“Àπâ“∑’Ë«“√ “√«‘™“°“√) ‚∑√. 02-660-7769 ‡æ◊ËÕ°“√‡º¬·æ√μà àÕ‰ª ∫√√≥“∏‘°“√ “ «∑‘‘ ¬ “√ « ∑—πμ·æ∑¬»“ μ√å¡À‘¥≈ MAHIDOL DENTAL JOURNAL « ∑—πμ ¡À‘¥≈ ªï∑’Ë 31 ‡≈à¡∑’Ë 3, 2554 Original article Cephalometric assessment in anterior open bite patients treated with and without mini-implant anchorages Penprapa Chiewcharat Abstract Postgraduate Student of Orthodontic Objective: The aims of this study were to determine pre- and posttreat Residency Training Programme Department of Orthodontics, ment of cephalometric measurements in the skeletal anterior open bite Faculty of Dentistry, Mahidol University patients with and without mini-implant anchorages (MIAs), and to compare Suwannee Luppanapornlarp the measurements between both groups. The hypothesis is that there B.Sc., D.D.S., M.Sc. (Orthodontics), are differences of treatment changes between groups. A.B.O., Tha.B.O., Ph.D. (Dental Sciences) Assistant Professor, Materials and methods: A retrospective study was performed in fifteen Department of Orthodontics, skeletal anterior open bite patients. The MIAs were used to intrude molars Faculty of Dentistry, Mahidol University in six patients (mean age of 25±8.1 years). Another nine patients (mean Supatchai Boonpratham age of 24.3 2.6 years) were treated without MIAs and served as a D.D.S., Ph.D. (Dental Sciences) ± Department of Orthodontics, control group. Paired t-test and Mann-Whitney U test were used to Faculty of Dentistry, Mahidol University determine changes within and between groups, respectively (P<0.05). Pongstorn Putongkam Results: There were no significant differences of skeletal and soft tissue D.D.S., M.Sc., Dip. Thai Board profile changes between the 2 groups, except LL-E plane. For dental (Orthodontics) Department of Orthodontics, changes, both groups show successful open bite correction with significant Faculty of Dentistry, Mahidol University treatment changes of U1-NA, overbite, overjet (P<0.05). It was found that the upper first molars in the MIAs group were more intruded significantly when compared with the control group (P<0.05). Upper incisors in the control group seem to be more extruded but not significantly. Conclusion: Molar intrusion using MIAs could be another choice of treatment for skeletal anterior open bite patients with minimal patient cooperation. Key words: cephalometric, mini-implant anchorages, open bite, orthodontic treatment Correspondence author: Suwannee Luppanapornlarp Assistant Professor Department of Orthodontics, Faculty of Dentistry, Mahidol University 6 Yothi Street, Rachathewi, Bangkok 10400, Thailand Tel: 02-203-6431-2 Fax: 02-203-6430 E-mail: [email protected] Research grant: - Received: 15 August 2011 Accepted: 16 December 2011 Cephalometric assessment in anterior open bite patients treated with and without mini-implant anchorages 121 Penprapa Chiewcharat Suwannee Luppanapornlarp Supatchai Boonpratham Pongstorn Putongkam “ «∑‘‘ ¬ “√ « ∑—πμ·æ∑¬»“ μ√å¡À‘¥≈ « ∑—πμ ¡À‘¥≈ ªï∑’Ë 31 ‡≈à¡∑’Ë 3, 2554 MAHIDOL DENTAL JOURNAL ∫∑«‘∑¬“°“√ §à“‡´ø“‚≈‡¡μ√‘°„πºŸâªÉ«¬øíπÀπâ“ ∫‡ªî¥∑’Ë®—¥øíπ√à«¡°—∫ °“√„™â·≈–‰¡à„™âÀ¡ÿ¥¬÷¥∑“ß∑—πμ°√√¡®—¥øíπ ‡æÁ≠ª√–¿“ ™‘«™√—μπå ∫∑§—¥¬àÕ π—°»÷°…“À≈—ߪ√‘≠≠“ À≈—° Ÿμ√°“√Ωñ°Õ∫√¡ «—μ∂ÿª√– ߧå: °“√»÷°…“π’ȇæ◊ËÕª√–‡¡‘π§à“∑“߇´øø“‚≈‡¡μ√‘°„πºŸâªÉ«¬∑’Ë¡’ ∑πμ·æ∑¬— ‡©æ“–∑“ßå “¢“∑πμ°√√¡®— ¥ø— πí ¿“§«‘™“∑—πμ°√√¡®—¥øíπ ≈—°…≥–‚§√ß √â“ß°√–¥Ÿ°·∫∫øíπÀπâ“ ∫‡ªî¥°àÕπ·≈–À≈—ß°“√√—°…“∑“ß §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À‘¥≈ ∑—πμ°√√¡®—¥øíπ‚¥¬„™â·≈–‰¡à„™âÀ¡ÿ¥¬÷¥∑“ß∑—πμ°√√¡®—¥øíπ ·≈–‡æ◊ËÕ‡ª√’¬∫- ÿ«√√≥’ ≈—¿π–æ√≈“¿ ‡∑’¬∫ º≈ ”‡√Á®À≈—ß°“√√—°…“√–À«à“ß°≈ÿà¡ ‚¥¬μ—Èß ¡¡ÿμ‘∞“π«à“¡’§«“¡·μ°μà“ß «∑.∫., ∑.∫., «∑.¡. (∑—πμ°√√¡®—¥øíπ) °—πÀ≈—ß°“√√—°…“√–À«à“ß Õß°≈ÿà¡π’È American Board of Orthodontics Õ.∑., Ph.D. (Dental Sciences) «— ¥ÿÕÿª°√≥å·≈–«‘∏’°“√: °“√«‘®—¬π’ȇªìπ°“√»÷°…“·∫∫¬âÕπÀ≈—ß ‚¥¬°≈ÿà¡»÷°…“ ¿“§«‘™“∑—πμ°√√¡®—¥øíπ ¡’≈—°…≥–‚§√ß √â“ß°√–¥Ÿ°·∫∫øíπÀπâ“ ∫‡ªî¥μ“¡‡°≥±å∑’Ë°”Àπ¥‰¥â®”π«π §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À‘¥≈ ∑—Èß ‘Èπ 15 §π ‡ªìπ°≈ÿà¡»÷°…“∑’Ë„™âÀ¡ÿ¥¬÷¥ 6 §π (Õ“¬ÿ‡©≈’ˬ 25±8.1 ªï) ·≈– ÿæ—≤™—¬ ∫ÿ≠ª√–∂—¡∂å Õ’° 9 §π ‡ªìπ°≈ÿà¡∑’ˉ¡à„™âÀ¡ÿ¥¬÷¥‚¥¬®—¥‡ªìπ°≈ÿࡧ«∫§ÿ¡ (Õ“¬ÿ‡©≈’ˬ 24.3 2.6 ∑.∫., Ph.D. (Dental Sciences) ± ¿“§«‘™“∑—πμ°√√¡®—¥øíπ ªï) »÷°…“‡ª√’¬∫‡∑’¬∫‚¥¬„™â ∂‘μ‘ Paired t-test ·≈– Mann-Whitney U test §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À‘¥≈ (P<0.05) æß»∏√ æŸà∑Õߧ” º≈°“√»÷°…“: °“√»÷°…“π’Èæ∫«à“‰¡à¡’§«“¡·μ°μà“ßÕ¬à“ß¡’π—¬ ”§—≠¢Õß§à“ ∑.∫., «∑.¡. (∑—πμ°√√¡®—¥øíπ) ‡´øø“‚≈‡¡μ√‘°°àÕπ°“√√—°…“√–À«à“ß°≈ÿà¡∑’Ë„™â·≈–‰¡à„™âÀ¡ÿ¥∑“ß∑—πμ°√√¡ Õ.∑. (∑—πμ°√√¡®—¥øíπ) ¿“§«‘™“∑—πμ°√√¡®—¥øíπ ®—¥øíπ ¬°‡«âπ§à“ LL- E plane πÕ°®“°π’È∑—Èß Õß°≈ÿà¡ “¡“√∂·°â‰¢ªí≠À“ §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À‘¥≈ °“√ ∫‡ªî¥¢ÕßøíπÀπⓉ¥â‚¥¬¡’°“√‡ª≈’ˬπ·ª≈ߢÕß§à“ U1-NA, §à“°“√‡À≈◊ËÕ¡ ·π«¥‘Ëß (overbite) ·≈–§à“°“√‡À≈◊ËÕ¡·π«√“∫ (overjet) Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (P<0.05) ‡¡◊ËÕ‡ª√’¬∫‡∑’¬∫§à“°àÕπ·≈–À≈—ß°“√√—°…“ Õ¬à“߉√°Áμ“¡æ∫«à“ „π°≈ÿà¡∑’Ë„™âÀ¡ÿ¥¬÷¥∑“ß∑—πμ°√√¡®—¥øíπ®–¡’°“√°¥ (intrude) øíπ°√“¡‰¥â ¡“°°«à“°≈ÿà¡∑’ˉ¡à‰¥â„™âÀ¡ÿ¥¬÷¥Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (P<0.05) ·≈–°≈ÿà¡∑’Ë ‰¡à‰¥â„™âÀ¡ÿ¥¬÷¥®–¡’·π«‚πâ¡¢Õß°“√¬◊Ë𬓫¢ÕßøíπÀπâ“∫π¡“°°«à“°≈ÿà¡∑’Ë „™âÀ¡ÿ¥·μà‰¡à·μ°μà“ßÕ¬à“ß¡’π—¬ ”§—≠ ∫∑ √ÿª: °“√„™âÀ¡ÿ¥¬÷¥∑“ß∑—πμ°√√¡®—¥øíπ‡æ◊ËÕ°“√°¥ (intrude) øíπ°√“¡ “¡“√∂∑”‰¥â·≈–‡ªìπ∑“߇≈◊Õ°Õ’°∑“ßÀπ÷Ëß„π°“√·°â‰¢ºŸâªÉ«¬∑’Ë¡’≈—°…≥– μ‘¥μàÕ‡°’ˬ«°—∫∫∑§«“¡: ‚§√ß √â“ß°√–¥Ÿ°·∫∫øíπÀπâ“ ∫‡ªî¥ ´÷ËßÕ“»—¬§«“¡√à«¡¡◊Õ„π°“√√—°…“∑“ß ÿ«√√≥’ ≈—¿π–æ√≈“∂ ∑—πμ°√√¡®—¥øíπ¢ÕߺŸâªÉ«¬πâÕ¬ ¿“§«‘™“∑—πμ°√√¡®—¥øíπ §≥–∑—πμ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À‘¥≈ √À— §”: ‡´øø“‚≈‡¡μ√‘° À¡ÿ¥¬÷¥∑“ß∑—πμ°√√¡®—¥øíπ øíπÀπâ“ ∫‡ªî¥ °“√ 6 ∂.‚¬∏’ ‡¢μ√“™‡∑«’ °√ÿ߇∑æœ 10400 √—°…“∑“ß∑—πμ°√√¡®—¥øíπ ‚∑√»—æ∑å: 02-203-6431-2 ‚∑√ “√: 02-203-6430 Õ’‡¡≈å: [email protected] ·À≈à߇ߑπ∑ÿπ: - «—π√—∫‡√◊ËÕß: 15 ‘ßÀ“§¡ 2554 «—π¬Õ¡√—∫°“√μ’æ‘¡æå: 16 ∏—𫓧¡ 2554 122 Cephalometric assessment in anterior open bite patients treated with and without mini-implant anchorages Penprapa Chiewcharat Suwannee Luppanapornlarp Supatchai Boonpratham Pongstorn Putongkam “ «∑‘‘ ¬ “√ « ∑—πμ·æ∑¬»“ μ√å¡À‘¥≈ MAHIDOL DENTAL JOURNAL « ∑—πμ ¡À‘¥≈ ªï∑’Ë 31 ‡≈à¡∑’Ë 3, 2554 ∫∑«‘∑¬“°“√ ª√– ‘∑∏‘¿“æ„π°“√μâ“π‡™◊ÈÕ·∫§∑’‡√’¬¢Õß‚ª√æÕ≈‘ μàÕ‡™◊ÈÕ ‡ÕÁπ‡∑Õ‚√§Õ°§— ø輪≈≈‘ ·≈–‡™◊ÈÕæÕ√åøî‚√‚¡·π ®‘π®‘«“≈‘ ®‘πμπ“ “√–∫√√®ß ∫∑§—¥¬àÕ ∑.∫., ª.∫—≥±‘μ («‘∑¬“‡ÕÁπ‚¥¥Õπμå) °≈ÿà¡ß“π∑—πμ°√√¡ «—μ∂ÿª√– ߧå: ‡æ◊ËÕ»÷°…“ª√– ‘∑∏‘¿“æ°“√μâ“π‡™◊ÈÕ·∫§∑’‡√’¬¢Õß‚ª√æÕ≈‘ μàÕ ‚√ß欓∫“≈‡®√‘≠°√ÿߪ√–™“√—°…å ‡™◊ÈÕ·∫§∑’‡√’¬∑’Ëæ∫‰¥â„π§≈Õß√“°øíπ∑’Ëμ‘¥‡™◊ÈÕ 2 ™π‘¥ ∏𑬓 À¡«¥‡™’¬ß§– «— ¥ÿÕÿª°√≥å·≈–«‘∏’°“√»÷°…“: 𔂪√æÕ≈‘ (‚°≈∫Õ≈ μ“√傪√æÕ≈‘ ) ´÷Ëß «∑.¡.