• Title/Summary/Keyword: 간접 교정

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Implant surgery and prosthodontic treatment of Temporomandibular disorder patient combined SERAFIN clear aligner system : Clinical case report (세라핀 투명교정 시스템을 활용한 교합 장애 및 치아 결손 증례의 치료)

  • Won-Gun, Chang
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.31 no.1
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    • pp.11-18
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    • 2022
  • Adult patients who need implant and prosthodontic treatment often need treatment to improve the existing occlusion through orthodontic treatment for long-term stable treatment results. However, due to non-aesthetic and uncomfortable orthodontic treatment with orthodontic brackets and wires, many adult patients give up treatment even though they know the need for it. Recently, as digital dentistry has affected all areas of dentistry, clear aligner orthodontic systems have begun to be widely used, and their use is increasing in adults and old-aged people due to the esthetic advantage and convenient oral care. SERAFIN clear aligner system developed in Korea has been developed with the aim of implementing a functional occlusion harmony and is used not only for partial orthodontic treatment but also comprehensive orthodontic treatment. This patient presentation is shown the treatment using SERAFIN clear aligner system for the treatment of patient with TMD, severe extrusion of maxillary second molars, and extracted teeth.

Three dimensional analysis of tooth movement using different sizes of NiTi wire on NiTi scissors-bite corrector (NiTi scissors-bite corrector의 와이어 굵기에 따른 3차원적 치아 이동 양상)

  • Jeon, Hyun-Ju;Park, Sun-Hyung;Jung, Sang-Hyuk;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.39 no.1
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    • pp.43-53
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    • 2009
  • Objective: The purpose of this study was to compare the difference in three dimensional tooth movement using three different wire sizes($0.018{\times}0.025-in,\;0.016{\times}0.022-in$ 0.016-in) on a NiTi scissors-bite corrector. Methods: Computed tomography(CT) images of the experimental model before and after tooth movement were taken and reconstructed into three dimensional models for superimposition. The direction and the amount of tooth movement were measured and analyzed statistically. Results: The lingual and intrusive movements of the crown of the maxillary second molar were increased as the size of the NiTi wire increased. The roots of the maxillary second metals moved buccally except for the 0.016-in group. The intrusive movement of the roots of the maxillary second molars was increased as the size of the NiTi wire increased. Due to the use of orthodontic mini-implants, anchorage loss was under 0.2 mm on average. Conclusions: The $0.018{\times}0.025-in$ NiTi wire was most effective in lingual and intrusive movement of the maxillary second molar which was in scissors-bite position. Indirect skeletal anchorage with a single orthodontic mini-implant was rigid enough to prevent anchorage loss.

The Diagnosis and Treatment of Anterior Openbite Malocclusion (전치부 개방교합의 진단과 치료)

  • Chang, Young-Il;Moon, Seong-Cheol
    • The korean journal of orthodontics
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    • v.28 no.6 s.71
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    • pp.893-904
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    • 1998
  • There are varieties of severe malocclusions, which can be treated orthodontically, but with a great deal of effort. Anterior openbite, in particular, is one malocclusion thought to be more difficult to treat, and therefore, most of them have to be corrected by means of surgical intervention. To solve these problems, numerous studies pertinent to treatment modalities have been introduced with controversies on the effectiveness of treatment. Suggested treatment modalities for anterior openbite are based directly or indirectly on the neuromuscular and morphological features and on the etiologic and/or the environmental factors. Even though the vertical relationship of the face is increased due to the growth variation, the normal occlusal relationship can be achieved by the adequate dentoalveolar compensatory mechanism, but in the case of inadequate or negative dentoalveolar compensation, openbite is likely to be present. If the skeletal dysplasia is too severe to be solved by orthodontic treatment alone, combined treatment with surgery should be done to restore the function and the esthetics of the orofacial complex. In many cases, however, orthodontic alteration of the dentition pertinent to the given skeletal pattern with the proper diagnosis and treatment planning can bring satisfactory results. The treatment changes with the Multiloop Edgewise Archwire(MEAW) therapy occurred mainly in the dentoalveolar region and showed a considerable similarity to the natural dentoalveolar compensatory mechanism. In other words, the MEAW technique allows orthodontists to produce the natural dentoalveolar compensation orthodontically. Even if an openbite is corrected by the orthodontic dentoalveolar compensation suitable for the skeletal pattern, relapse may still occur by the persisting etiologic factors which originally prohibited the natural dentoalveolar compensation. The etiologic factors should be determined at the time of initial diagnosis and should be controlled during treatment and retention.

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The validation of Periotest values for the evaluation of orthodontic mini-implants' stability (즉시 부하 교정용 미니임플랜트의 안정성 평가를 위한 Periotest$^{(R)}$의 유효성)

  • Cha, Jung-Yul;Yu, Hyung-Seog;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.40 no.3
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    • pp.167-175
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    • 2010
  • Objective: The aim of this study was to validate the Periotest values for the prediction of orthodontic mini-implants' stability. Methods: Sixty orthodontic mini-implants (7.0 mm $\times$ $\emptyset1.45$ mm; ACR, Biomaterials Korea, Seoul, Korea) were inserted into the buccal alveolar bone of 5 twelve month-old beagle dogs. Insertion torque (IT) and Periotest values (PTV) were measured at the installation procedure, and removal torque (RT) and PTV were recorded after 12 weeks of orthodontic loading. To correlate PTV with variables, the cortical bone thickness (mm) and bone mineral density (BMD) within the cortical bone and total bone area were calculated with the help of CT scanning. Results: The BMD and cortical bone thickness in mandibular alveolus were significantly higher than those of the maxilla (p < 0.05). The PTV values ranged from -3.2 to 4.8 for 12 weeks of loading showing clinically stable mini-implants. PTV at insertion was significantly correlated with IT (-0.51), bone density (-0.48), cortical bone thickness (-0.42) (p < 0.05) in the mandible, but showed no correlation in the maxilla. PTV before removal was significantly correlated with RT (-0.66) (p < 0.01) in the mandible. Conclusions: These results show that the periotest is a useful method for the evaluation of mini-implant stability, but it can only be applied to limited areas with thick cortical and high density bone such as the mandible.

A Study of shear bond strength of bonded retainer according to the bonding method and type of wires (접착방법 및 multistranded wire의 종류에 따른 접착식 보정장치의 전단접착강도에 관한 연구)

  • Lee, Hyoung-Cheol;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.32 no.2 s.91
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    • pp.143-153
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    • 2002
  • The bonded orthodontic retainer constructed from composite and multistrand orthodontic wire provides an esthetic and efficient system for maintained retention. This study was designed to measure shear bond strength of bonded retainers and to suggest a optimal combination of a multistrand wire and bonding method used when bonded retainer was fabricated. 160 sound maxillary and mandibular premolars were used for 80 test samples. After Uniformizing bonding area, length of wire, and thickness of composite, multistrand wire was bonded to fabricated a bonded retainer by direct or indirect bonding method. Shear bond strength and extension length of each sample were measured by a universal testing machine. The results of this study were as follows : 1. In vitro shear bond testing found 6-stranded, 0.0155 inch wires to have the largest shear bond strength and 3-stranded, 0.0195 inch wires to have the least shear bond strength. But, These difference was not statistically significant(p<0.05). 2. In vitro extension testing found 3-stranded, 0.0155 inch wires to have the largest extension length and 3-stranded, 0.0195 inch wires to have the least extension length(p<0.05). The larger diameter wire was used, the larger extension length was shown. But, the strand of wire is not related to the extension length of wire. 3. In comparison with direct bonding method, larger shear bond strength and extension length was shown in indirect bonding method(p<0.05).

Construction of an ideal set-up model for lingual orthodontic treatment (설측 교정치료를 위한 셋업 모형 제작의 정밀도)

  • Bae, Gi-Sun;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.35 no.6 s.113
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    • pp.459-474
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    • 2005
  • Making a precise and ideal set-up model is an essential part in the indirect bonding procedure for lingual orthodontic treatment. To evaluate the accuracy of the making a set-up model, 22 adult patients who received lingual orthodontic treatment with 4 bicuspid extractions were selected, and 3 sets of dental models (before, set-up, and after treatment) were measured using the set-up model gauge, an instrument for measuring the inclination and angulation of the clinical crowns on the dental model. Two sets of lateral cephalograms (before and after) from each patient were also evaluated. The mean difference between the before treatment model and the set-up model was $-3.93{\pm}6.98^{\circ}$ for the inclination and $1.87{\pm}5.79^{\circ}$ for the angulation. And the mean difference between the set-up model and the after treatment model was $-4.31{\pm}5.91^{\circ}$ labiolingually and $-2.16{\pm}3.27^{\circ}$ mesiodistally, The after treatment model differed from the before treatment model about $-8.24{\pm}5.39^{\circ}$ in inclination. There were no significant difference between the measured gauge that measured from the dental model using the set-up model gauge and the calculated gauge angle measured from the lateral cephalogram using constructed points and lines. Using the set-up model gauge, it is possible to evaluate the study model 3-dimensionally in relation with the patient's lateral cephalogram and establish whether the doctor's prescription or overcorrection is built in the set-up model precisely.

Installation Effects on the Characteristics of Multi-path Ultrasonic Flowmeter with Valve (밸브후단에서의 다회선 초음파 유량계의 특성변화)

  • Hwang, S. Y.;Seo, K. H.;Kim, B. C.;Kim, K. S.;Tyan, H. S.
    • 유체기계공업학회:학술대회논문집
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    • 2000.12a
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    • pp.65-74
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    • 2000
  • A five path ultrasonic and/or magnetic flowmeter were installed after valve. Five path ultrasonic flowmeter were tested to obtain it's performance in a water flow standard system and magnetic flowmeter. It's varied with straight pipe length(nD), install direction and valve position. All the results are summerized. The multi-path flowmeters(MUF) showed up to $\pm0.5{\%}$ at a 2, 4, 8, 15D spacing : the MUF was significantly better than magnetic flowmeter at disturbed flow conditions.

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용접잔류응력과 그 제어

  • 암전광정
    • Journal of Welding and Joining
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    • v.3 no.2
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    • pp.64-73
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    • 1985
  • X선응력측정법은 결정의 각자간 거리를 표점으로 하는 각자변형도를 X선회절현상을 이용하여 직접규정하여 응력을 구하는 것이다. 따라서 비교재의 교정곡선으로 부터 간접적으로 응력을 측 정하는 자기법이나 초음파법 등의 비파괴측정법에 비하여 X 선응력측정법은 잔류응력과 같은 내부응력의 비파괴측정법에 알맞고 지금까지 많은 연구자에 의하여 용접부에 적용시키기 위한 시도가 행해졌었다. 앞서 말한 국제회의에서도 X선응력측정법을 취급한 논문이 6편이고 그 가운 데서 3편이 용접구조물 또는 이음부에 이 방법을 적용한 것이다. 그래서 본고에서는 먼저 용접 잔류응력의 발생기구와 계산법, 측정법에 대하여 기술하겠다. 똔 잔류응력이 용접이음부의 파괴 강도 및 용접균열에 미치는 영향, 용접잔류응력의 대책과 이용법에 대하여 일본에서의 연구를 중심으로 소개하겠다.

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SHEAR BOND STRENGTH AND FAILURE PATTERNS ACCORDING TO THE THICKNESS OF RESIN BASE IN BRACKET BONDING (브라켓 부착시 레진 베이스의 두께에 따른 전단결합강도와 파절양상에 관한 연구)

  • Kim, Jae-Hyuk;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.28 no.4 s.69
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    • pp.659-668
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    • 1998
  • The purpose of this study was to evaluate the possibility of the decrease of bond strength due to increased thickness of resin base in indirect bracket bonding technique. Metal brackets were bonded to the resin blocks involving bovine lower incisors and the thickness of resin bases was increased by increments of 0.5 mm from 0.0 mm to 2.0 mm. They were divided into two groups, one group is that the thickness of resin base was increased but the loading point from the tooth surface was maintained constantly, the other group is that the loading point from the tooth surface and the resin base thickness were increased concomitantly. The shear bond strength was tested on universal testing machine and the failure patterns were assessed with the adhesive remnant index(ARI). The results were as follows: 1. When the distance from the tooth surface to the loading point was maintained constantly, shear bond strength was increased significantly according to the decrease of distance from the bracket base to the loading point and the increase of resin base thickness. 2. When the distance from the tooth surface to the loading point and the resin base thickness were increased concomitantly, shear bond strength was decreased according to the increase of resin base thickness but significant differences were ignorable. 3. There were no significant differences in ARI scores according to the change in the thickness of resin base. The results of the present study indicated that shear bond strength was not much affected by the thickness of resin base, whereas was decreased according to the increase of distance from bracket base to the loading point.

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THE STUDY ON THE RELATIONSHIP BETWEEN THE MENARCHE AND THE BONE MATURITY OF MALOCCUSION GROUP (초경시기와 골성숙도의 연관성에 관한 연구)

  • Chang, Youn-Hee;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.415-423
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    • 1995
  • In order to investigate the relationship between the menarche and the bone maturity of growing girls, the author interviewed about the date of menarche of 70 girls and assessed their bone maturity by hand-wrist radiographs. The results and conclusion were as iollows ; 1. The mean menarcheal age was $12.04{\pm}0.82$ year. 2. There was significant correlation between the time interval after menarche and the ossification stage. 3. The skeletal maturation level at menarche was stage SMI 7 and SMI 8. 4. There was statistically different among the time intervals after menarche according to the ossification stage. 5. The epiphyseal union of radius began about 2 years after menarche. According to this study, the probability of clinical use can be accepted in some range. In another words, skeletal age can be predicted by just interviewing the date and time interval of menarche without hand-wrist radiograph, also, with this information, the level of maxillofacial growth can be assessed.

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