대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제53권2호
  • /
  • Pages.128-137
  • /
  • 2015
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

T-Scan system을 이용한 하악 측방운동 시 교합접촉 분석

An occlusal contact analysis of lateral mandibular movement using T-Scan system

  • 송주헌 (조선대학교 치과대학 치과보철학교실) ;
  • 주세진 (조선대학교 치과대학 치과보철학교실) ;
  • 이호선 (조선대학교 치과대학 치과보철학교실) ;
  • 강동완 (조선대학교 치과대학 치과보철학교실) ;
  • 이경제 (조선대학교 치과대학 치과보철학교실)
  • Song, Joo-Hun (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Joo, Se-Jin (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Ho-Sun (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Kang, Dong-Wan (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Gyeong-Je (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 투고 : 2015.02.23
  • 심사 : 2015.04.08
  • 발행 : 2015.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 교합접촉 분석에 대한 연구는 외국인을 대상으로 이루어져왔다. 이번 연구에서는 T-Scan을 이용하여 하악 측방운동시 교합접촉 분석을 통해 한국인의 교합 양상을 파악해보고자 한다. 재료 및 방법: 87명을 대상으로 T-Scan을 이용하여 하악 측방운동시 교합접촉을 분석하였다. 최대교두감합위에서 측방으로 3 mm범위까지 교합접촉을 측정하였으며, 최대교두감합위, 우측방운동, 좌측방운동을 각각 3회씩 측정하였다. 교합접촉은 thin metal foil을 이용하여 재확인하였다. 결과는 균형측 교합접촉 고려하지 않은 경우와 고려한 경우로 나누어 정리하였다. 결과: 하악 측방운동시 균형측 접촉 고려 유무에 따라 결과에서 많은 차이가 관찰되었으며, 두가지 분류 모두에서 군기능유도가 가장 우세하게 나타났다. 작업측에서는 견치에서 가장 많은 접촉빈도가 관찰되었으며, 견치에서 구치부로 멀어질수록 접촉빈도는 감소하는 양상을 보였다. 균형측에서는 제 2대구치에서 압도적으로 많은 빈도로 관찰되었다. 성별에 따른 균형측 접촉 빈도는 여성에서 더 높은 균형측 교합접촉이 관찰되었으며 이는 통계적으로 유의성이 있었다(${\alpha}$=.05). 결론: 전방유도의 양상 중 군기능유도가 가장 우세하게 나타났다. 작업측에서는 견치에서 가장 높은 접촉빈도가 관찰되었으며, 균형측에서는 제 2 대구치에서 가장 높은 접촉빈도가 관찰되었다.

Purpose: Most of the former studies about the occlusal contact patterns during the mandibular movement focused on foreigner. The purpose of this study is analyzing the occlusal contacts of young Koreans by using T-Scan system. Materials and methods: The sample size was 87 and the occlusal contacts of each right and left lateral movements were measured from the maximum intercuspation to the 3mm excursive position for three times respectively. All of the occlusal contacts were double checked through the thin metal foil. The results were categorized as two; 1) considering occlusal contact patterns on working side only, 2) considering occlusal contact patterns on working and nonworking sides. Results: The results showed that the nonworking side occlusal contacts play major roles in the lateral mandibular movement. In both cases of considering with and without the nonworking side occlusal contacts, the group function was the most prevalent. In the working side, the contacts were the most frequent in canine and the frequency of contacts was decreased as the distance was increased from canine to molar. In the nonworking side, the contacts were the most frequent in second molar. And the gender factor was statistically significant (${\alpha}$=.05), as females have more nonworking side occlusal contacts in this study. Conclusion: Among the three factors of anterior guidance, the group function was the most dominant factor. The analysis of 87 samples showed that canine contact was the most frequent in the working side and second molar contact was the most common in the nonworking side.

키워드

참고문헌

  1. Thornton LJ. Anterior guidance: group function/canine guidance. A literature review. J Prosthet Dent 1990;64:479-82. https://doi.org/10.1016/0022-3913(90)90048-H
  2. Ogawa T, Ogimoto T, Koyano K. Pattern of occlusal contacts in lateral positions: canine protection and group function validity in classifying guidance patterns. J Prosthet Dent 1998;80:67-74. https://doi.org/10.1016/S0022-3913(98)70093-9
  3. The glossary of prosthodontic terms. J Prosthet Dent 2005;94:10-92. https://doi.org/10.1016/j.prosdent.2005.03.013
  4. Schuyler CH. Factors of occlusion applicable to restorative dentistry. J Prosthet Dent 1953;3:772-82. https://doi.org/10.1016/0022-3913(53)90146-2
  5. Weinberg LA. A cinematic study of centric and eccentric occlusions. J Prosth Dent 1964;14:290-3. https://doi.org/10.1016/0022-3913(64)90088-5
  6. Goldstein GR. The relationship of canine-protected occlusion to a periodontal index. J Prosthet Dent 1979;41:277-83. https://doi.org/10.1016/0022-3913(79)90007-6
  7. Madone G, Ingervall B. Stability of results and function of the masticatory system in patients treated with the Herren type of activator. Eur J Orthod 1984;6:92-106. https://doi.org/10.1093/ejo/6.1.92
  8. Agerberg G, Sandstrom R. Frequency of occlusal interferences: a clinical study in teenagers and young adults. J Prosthet Dent 1988;59:212-7. https://doi.org/10.1016/0022-3913(88)90017-0
  9. Saracoglu A, Ozpinar B. In vivo and in vitro evaluation of occlusal indicator sensitivity. J Prosthet Dent 2002;88:522-6. https://doi.org/10.1067/mpr.2002.129064
  10. Maness WL, Benjamin M, Podoloff R, Bobick A, Golden RF. Computerized occlusal analysis: a new technology. Quintessence Int 1987;18:287-92.
  11. Baba K, Tsukiyama Y, Clark GT. Reliability, validity, and utility of various occlusal measurement methods and techniques. J Prosthet Dent 2000;83:83-9. https://doi.org/10.1016/S0022-3913(00)70092-8
  12. Harvey WL, Hatch RA, Osborne JW. Computerized occlusal analysis: an evaluation of the sensors. J Prosthet Dent 1991;65:89-92. https://doi.org/10.1016/0022-3913(91)90056-3
  13. Olivieri F, Kang KH, Hirayama H, Maness WL. New method for analyzing complete denture occlusion using the center of force concept: a clinical report. J Prosthet Dent 1998;80:519-23. https://doi.org/10.1016/S0022-3913(98)70025-3
  14. Pokorny PH, Wiens JP, Litvak H. Occlusion for fixed prosthodontics: a historical perspective of the gnathological influence. J Prosthet Dent 2008;99:299-313. https://doi.org/10.1016/S0022-3913(08)60066-9
  15. Mann AW, Pankey LD. Oral rehabilitation : Part I. Use of the PM instrument in treatment planning and in restoring the lower posterior teeth. J Prosthet Dent 1960;10:135-50. https://doi.org/10.1016/0022-3913(60)90098-6
  16. D'Amico A. Functional occlusion of the natural teeth of man. J Prosthet Dent 1961;11:899-915. https://doi.org/10.1016/0022-3913(61)90148-2
  17. Nagao M. Comparative studies on the curve of Spee in mammals, with a discussion of its relation to the form of the fossa mandibularis. J Dent Res 1919;1:159-202. https://doi.org/10.1177/00220345190010020201
  18. Ingervall B, Hahner R, Kessi S. Pattern of tooth contacts in eccentric mandibular positions in young adults. J Prosthet Dent 1991;66:169-76. https://doi.org/10.1016/S0022-3913(05)80043-5
  19. Takai A, Nakano M, Bando E, Hewlett ER. Evaluation of three occlusal examination methods used to record tooth contacts in lateral excursive movements. J Prosthet Dent 1993;70:500-5. https://doi.org/10.1016/0022-3913(93)90262-M
  20. Scaife RR Jr. Holt JE. Natural occurrence of cuspid guidance. J Prosthet Dent 1969;22:225-9. https://doi.org/10.1016/0022-3913(69)90249-2
  21. Ingervall B. Tooth contacts on the functional and nonfunctional side in children and young adults. Arch Oral Biol 1972;17:191-200. https://doi.org/10.1016/0003-9969(72)90147-1
  22. Ogawa T, Koyano K, Suetsugu T. The relationship between inclination of the occlusal plane and jaw closing path. J Prosthet Dent 1996;76:576-80. https://doi.org/10.1016/S0022-3913(96)90432-1
  23. Anderson GC, Schulte JK, Aeppli DM. Reliability of the evaluation of occlusal contacts in the intercuspal position. J Prosthet Dent 1993;70:320-3. https://doi.org/10.1016/0022-3913(93)90215-A
  24. Rinchuse DJ, Sassouni V. An evaluation of functional occlusal interferences in orthodontically treated and untreated subjects. Angle Orthod 1983;53:122-30.
  25. Yaffe A, Ehrlich J. The functional range of tooth contact in lateral gliding movements. J Prosthet Dent 1987;57:730-3. https://doi.org/10.1016/0022-3913(87)90373-8
  26. Sadowsky C, BeGole EA. Long-term status of temporomandibular joint function and functional occlusion after orthodontic treatment. Am J Orthod 1980;78:201-12. https://doi.org/10.1016/0002-9416(80)90060-3
  27. de Laat A, van Steenberghe D. Occlusal relationships and temporomandibular joint dysfunction. Part I: Epidemiologic findings. J Prosthet Dent 1985;54:835-42. https://doi.org/10.1016/0022-3913(85)90483-4
  28. Ingervall B, Meyer D, Stettler B. Tooth contacts in eccentric mandibular positions and facial morphology. J Prosthet Dent 1992;67:317-22. https://doi.org/10.1016/0022-3913(92)90237-5
  29. Ogawa T, Koyano K, Suetsugu T. The influence of anterior guidance and condylar guidance on mandibular protrusive movement. J Oral Rehabil 1997;24:303-9. https://doi.org/10.1046/j.1365-2842.1997.00479.x
  30. Koyano K, Ogawa T, Suetsugu T. The influence of canine guidance and condylar guidance on mandibular lateral movement. J Oral Rehabil 1997;24:802-7. https://doi.org/10.1046/j.1365-2842.1997.00568.x
  31. Mohlin B, Kopp S. A clinical study on the relationship between malocclusions, occlusal interferences and mandibular pain and dysfunction. Swed Dent J 1978;2:105-12.
  32. Troeltzsch M, Troeltzsch M, Cronin RJ, Brodine AH, Frankenberger R, Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. J Prosthet Dent 2011;105:410-7. https://doi.org/10.1016/S0022-3913(11)60084-X
  33. Brandini DA, Trevisan CL, Panzarini SR, Pedrini D. Clinical evaluation of the association between noncarious cervical lesions and occlusal forces. J Prosthet Dent 2012;108:298-303. https://doi.org/10.1016/S0022-3913(12)60180-2
  34. Droukas B, Lindee C, Carlsson GE. Occlusion and mandibular dysfunction: a clinical study of patients referred for functional disturbances of the masticatory system. J Prosthet Dent 1985;53:402-6. https://doi.org/10.1016/0022-3913(85)90522-0
  35. Kahn J, Tallents RH, Katzberg RW, Ross ME, Murphy WC. Prevalence of dental occlusal variables and intraarticular temporomandibular disorders: molar relationship, lateral guidance, and nonworking side contacts. J Prosthet Dent 1999;82:410-5. https://doi.org/10.1016/S0022-3913(99)70027-2

피인용 문헌

  1. An analysis of temporomandibular joint vibration about the balancing side occlusal contacts and temporomandibular joint noises vol.42, pp.1, 2015, https://doi.org/10.21851/obr.42.01.201803.37