• Title/Summary/Keyword: 고경

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Evaluation methods of occlusal vertical dimension and their clinical applications: A narrative review (수직 고경 평가법의 임상적 적용: 문헌 고찰)

  • Sun, Minji;Moon, Hong Seok;Kim, Jaeyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.301-312
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    • 2022
  • In an extensive oral rehabilitation, determining a proper occlusal vertical dimension is a critical step and the starting point for successful treatment. Since changing the occlusal vertical dimension could be time-consuming, financially challenging, and physically demanding for both clinicians and patients, multi-faceted analysis and careful consideration are essential in the diagnosis and further treatment process. The purpose of this narrative review is to discuss the occlusal vertical dimension and its current issues, and to summarize previous methods of evaluating occlusal vertical dimension to propose clinical guidance for determining a viable occlusal vertical dimension for full-mouth rehabilitation.

Evaluation of factors influencing the change of vertical dimension fo face after orthodontic treatment (안모의 수직고경에 영향을 미치는 교정적 요인에 관한 연구)

  • Choi, Woo-Jeong;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.31 no.2 s.85
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    • pp.187-197
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    • 2001
  • The change of the vertical dimension is of fundamental importance to the orthodontist. However, the choice between the two methods of treatment, extraction versus nonextraction, is not clear. It is not verified that the extraction method decreases vertical dimension, or nonextraction methods result in an increase in vertical dimension. The purpose of this study was to evaluate the changes of vertical dimension of face after the orthodontic treatment with standard edgewise technique, and to compare them in relation to facial types and bicuspid extraction. The subjects consisted of 165 orthodontic patients (77 of adolescents, 88 of adults), and was divided into vertical nonextraction (VN) group, vertical extraction (VE) group, horizontal nonextraction (HN) group, horizontal extraction (HE) group. Pre-and Post-treatment cephalograms were taken with standard method, traced, and digitized for each subject. The comparison of the measurements were statistically executed with Student's t-test. The results were as follows : 1. The facial height and molar height were increased after orthodontic treatment in the all groups. 2. No significant difference was found in the facial height change between the vertical and horizontal groups. 3. No significant difference was found in the facial height change between the extraction and nonextraction groups. 4. As the upper molars were extruded in adolescents group and lower molars were extruded in adults group, lower anterior facial height (LAFH) was increased. 5. None of the pretreatment variables correlates to the change of lower anterior facial height (LAFH).

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A study on the skeletal and dentoalveolar dimensions in relation to vertical facial patterns (안모의 수직적 양태에 따른 골격 및 치조골의 위치 관계에 관한 연구)

  • Oh, JungSik;Yoon, Jung Hyun;Kook, Yoon-Ah;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.339-347
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    • 1999
  • The purpose of this study was to investigate the variations of the skeletal and dentoalveolar dimensions in relation to vertical facial patterns. Lateral cephalogram of 200 cases (100 cases of male and 100 cases of female, average age of which was 23.2 years) were traced and some measurements of skeletal and dentoalveolar dimensions were measured. The ratio of UAFH/LAFH was employed to classify the samples into groups of excess and short lower anterior facial height. And the comparison between two groups were taken statistacally. The following results were obtained. 1. The dentoalveolar height, lower anterior facial height, lower genial angle, and FMA in the excess-lower-anterior-facial-height group were significantly larger than those in short-lower-anterior-facial-height group. 2. The dentoalveolar height, facial height, ramus height, and Jarabak ratio in the male subjects were significantly larger than those in the female subjects. 3. The UAFH/LAFH ratio showed a significant correlation to upper, lower facial height, AUDH, PUDH, ALDH, PLDH, Lower gonial angle, FMA, and $Bj\"{o}rk's$ Sum.

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고경사 절리 암반에서의 터널 굴착

  • 이영남;김대영;서영호
    • Proceedings of the Korean Society for Rock Mechanics Conference
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    • 2001.03a
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    • pp.132-138
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    • 2001
  • 홍콩 HMRT(Hongkong Mass Railway Tunnel) 지하철 공사현장에서는 터널굴착시 나타난 고경사절리로 인해 상당한 여굴이 발생하였다. 이에 대한 원인을 규명하기 위하여 각 터널별로 발생한 여굴의 양과 위치 등을 조사하고 이를 입찰설계단계에서 이루어진 시추공조사와 굴착단계에서의 막장검측에 의한 지질조건과 서로 비교, 분석하였다. 터널굴착에서 발생하는 여굴은 막장의 고경사 절리의 분포와 방향에 의해 영향을 받았으며, 암반조건 RQD, Q'와도 밀접한 관계를 가지는 것으로 나타났다. 본 현장의 분석에 따르면 터널설계시 고경사절리의 존재여부 및 분포, 방향성 등을 면밀히 조사하고 해석하여 사전에 여굴의 발생 가능성을 확인하는 것이 필요하다.

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Study of Plasma Coating Technology to High Hardness and Transmittance Thin Film (고경도 투명 박막 구현을 위한 플라즈마 코팅 기술 개발 연구)

  • Byeon, Eun-Yeon;Sin, Min-Ho;Kim, Do-Geun
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2015.11a
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    • pp.308-309
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    • 2015
  • 선형 이온빔 적용 플라즈마 표면처리 기술 및 코팅 공정을 통해서 고경도 투명 박막 형성 연구를 수행하였다. 플라즈마 전처리를 통해서 박막과 기판 사이의 밀착력을 향상시키고, advanced linear PECVD와 advaced plasma source를 적용하여 SiOxNy계의 박막을 형성하였다. 그 결과 투과도 92 % 이상, 표면 경도 6.3~6.9 GPa 이상의 고경도 투명 박막을 개발하였다. 본 연구 공정을 바탕으로 고경도의 투명 보호 필름 및 투명 디스플레이에 응용이 가능할 것으로 기대된다.

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Full mouth rehabilitation of the elderly patient on anticoagulant medication with loss of vertical dimension due to severely worn dentition (전반적인 치아 마모로 수직 고경이 상실된 항응고제 복용 고령 환자의 전악 수복 증례)

  • Kang, Cheol-Keun;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.56-63
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    • 2018
  • Severe dental attrition causes pathological changes of the tooth, collapsed occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension. Before increasing the vertical dimension with full-mouth rehabilitation, it is important to determine the amount of vertical dimension through accurate diagnosis. In this case, a 77 year old elderly male patient on anticoagulant medication with generalized attrition and fracture of teeth was treated with full-mouth rehabilitation in order to recover vertical dimension and aesthetics. Accurate clinical and radiographic examination, diagnostic, wax-up, and occlusal vertical dimension evaluation were step by step performed considering pre-medical history and old age. Patient adaptability was evaluated using an occlusal splint and interim restoration. After 3 months of stabilization with interim restoration, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes are observed after 6 months of follow up.

Full mouth rehabilitation with vertical dimension elevation in the patient with severely worn dentition: case report (과도한 치아 마모 환자에서 수직고경 증가를 동반한 전악 수복 증례)

  • Lee, Eun-Jee;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.4
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    • pp.315-323
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    • 2014
  • Excessive teeth abrasion causes pathologic changes of oral environment and masticatory system due to decrease in occlusal vertical dimension. When establishing new occlusal plane and recovering vertical dimension, accurate diagnosis and analysis are essential. In this case, after appropriate centric relation in elevated vertical dimension was taken using Gothic arch tracer, full mouth rehabilitation was performed. A 70-year-old male patient had the chief complaint that he could not eat due to teeth wear. He showed generalized teeth wear and decreased vertical dimension. Elevation of vertical dimension was planned by model analysis. According to increased vertical dimension, centric relation was recorded using Gothic arch tracer and temporary prostheses were applied. Appropriate occlusion was established by temporary prostheses for 4 months. Final prostheses were fabricated using vertical dimension adapted by temporary prostheses. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

REMOVABLE DENTURE FOR CHILD WITH LOSS OF VERTICAL DIMENSION USING T-SCAN : A CASE REPORT (T-Scan을 이용한 감소된 수직고경을 가진 소아의 가철성 의치 제작)

  • Chung, Yang-Seok;Lee, Chang-Seop;Lee, Sang-Ho;Lee, Nam-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.1
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    • pp.103-108
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    • 2006
  • Loss of permanent molar by multiple dental caries traumatic influence or hereditable disease can cause loss of the vertical dimension in children. However traditionally reconstructive treatment to restore vertical dimension in children has been provided by using simple methods such as celluloid crown form and stainless steel crown. The presented case report describes an alternative treatment modality of vertical dimension by using removalbe appliance This appliance is made with average of facial height and maximal clenching force by using T-scan.

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A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear (치아 마모로 인한 수직고경감소와 과개교합을 가진 환자에서 전악 수복 증례)

  • Seo, Seong-Yong;Lee, Na-Young;Kang, Jeong-Kyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.31-39
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    • 2018
  • The collapse of the posterior occlusion destroys the normal occlusal plane and causes excessive wear reducing the vertical dimension. Reduced vertical dimension of occlusion causes not only aesthetic and functional problems but also overloading on the temporomandibular joints and abnormalities of muscle nerve system. In order to improve the collapsed occlusal relationship, it is necessary to consider the change of the vertical dimension. It is necessary to make a precise diagnosis and analysis before the treatment and to evaluate the adaption of patient to the new vertical dimension of occlusion. A patient with excessive overbite often has occlusal problems of tooth wear and tooth eruption. Considering these considerations, overall prosthodontic restoration is required to solve the problem. A patient of 68 year old man in this case who suffered major tooth wear and maxillary posterior teeth loss was treated with elevation of vertical dimension of occlusion by maxillary removable dental prosthesis and mandibular fixed prosthesis.

Oral rehabilitation of excessive tooth wear patient using zirconia fixed prosthesis with increased vertical dimension (과도한 치아 마모 환자의 수직 교합 고경 증가를 동반한 지르코니아 고정성 보철물 전악 수복 증례)

  • Jang, Ju-Ho;Choi, Yeon-Jo;Ryu, Jae-Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.121-129
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    • 2020
  • From the point of view of oral rehabilitation, the treatment of extensive tooth wear requires a prosthetic approach. Physiological tooth wear is considered as a normal process and generally does not require treatment, but excessive tooth wear causes problems like inadequate occlusion and esthetics. Changes of occlusal vertical dimension should be made through accurate diagnosis and analysis. Also, the patient's adaptation to the changed occlusal vertical dimension should be assessed over time. This case was a 60-year-old male patient who complained of a decrease in chewing function and esthetics due to severe tooth wear. Full-mouth rehabilitation was performed with a tooth supported fixed prosthesis. An occlusal stabilization splint and provisional restoration were used to evaluate the adaptation to increased occlusal vertical dimension and induce a stable centric relation position. After that, monolithic zirconia prosthesis was delivered. We report this as a satisfactory functional recovery and esthetics.