• Title/Summary/Keyword: 과개 교합

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Segmented Arch Technique에 의한 최신교정방법IV.(완)

  • Park, Yeong-Cheol
    • The Journal of the Korean dental association
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    • v.24 no.10 s.209
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    • pp.870-876
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    • 1986
  • Segmented Arch technique 은 edgewise mechanics의 한 줄기로서, 미국 코네티컬 주립대학 교정과 과장인 Dr. Burstone에 의하여 1950년대 이래로 꾸준히 개발되어온 치료술식으로서 그 특징을 한마디로 요약하면 생역학적인 개념(biomechanical concept)을 가장 효율적으로 치료에 적용하고자 함에 있다고 하겠다. 저자는 Segmented arch technique의 최근의 경향과 치료이론 및 술식을 다음의 순서로 4회에 걸쳐서 소개하고자 한다. 1. 전치의 Intrusion에 의한 과개교합의 치료법 -Deep Overbite Correction 2. Space closure - 수평방향의 치아이동방법 3. 치근의 이동방법 - Root movement 4. 구치를 Upright 시키는 방법 - Tip back mechanics

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Full mouth rehabilitation of iatrogenic attrition patient (의원성 마모 환자의 전악 수복 증례)

  • Lim, Na-Kyung;Shin, Soo-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.228-237
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    • 2021
  • Physiologic tooth attrition is accepted as a natural change. But when pathologic changes, such as loss of occlusal vertical dimension, masticatory pain, loss of masticatory function, and loss of esthetics occur, restorative measures should be taken by dentist. A patient visited the clinic with the chief complaint of 'My lower teeth bite the palate and it hurts'. It was diagnosed as iatrogenic attrition of lower natural dentition caused by inappropriate upper restorations, resulting in traumatic overbite. Through model analysis and diagnostic wax up, increase in vertical dimension was decided. Upper and lower dentitions were restored with new prostheses. After restoration, satisfactory outcomes were achieved both in functional and esthetic aspects.

A STUDY OF MASSETERIC SILENT PERIOD OF DEEP MITE, OPEN BITE AND NORMAL OVER BITE (과개교합, 개교합 및 정상교합의 교근침묵기에 관한 연구)

  • Moon, Cheol-Hyun;Chung, Hyun-Soo
    • The korean journal of orthodontics
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    • v.17 no.1
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    • pp.15-21
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    • 1987
  • The present study was carried out to investigate the relationships between the depth of overbite and the masseteric silent period. Normal subjects of 44 were selected, which consisted of 9 open bites, 24 normal overbites and 11 deep bites, all were 19-29 years of age. EMG activity was recorded on the bilateral masseteric muscles and craniofacial radiography was done. The following results were obtained. 1. The mean duration of masseteric silent period was $18.58{\pm}4.50$ msec in open bite, $17.37{\pm}7.05$ msec in normal overbite and $19.30{\pm}7.62$ msec in deep bite groups. 2. There were no significant differences on masseteric silent period among open bite, normal overbite and deep bite groups. 3. There were no significant correlations between masseteric silent period and craniofacial variables.

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A Case Study on the Effect of Deep Bite Treatment Using TMJ Balancing Therapy on Growth (턱관절균형요법을 이용한 과개교합 치료가 성장에 미치는 영향 치험례)

  • Joon Hyuck Park;Jiyoung Lee
    • Journal of TMJ Balancing Medicine
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    • v.13 no.1
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    • pp.13-20
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    • 2023
  • This case is intended to present the effectiveness of TMJ balance therapy, which normalizes the yin-yang balance of the cranial nervous system, including the meridian system. Temporomandibular joint balance therapy was performed on growing children with occlusal abnormalities, and clinical results were measured through specific observation of height and weight. The patient showed improvement in deep bite and satisfactory increase in growth after treatment. From these observations, it can be inferred that temporomandibular joint balance therapy has a positive effect not only on the brain nervous system but also on the action of pituitary hormones. For a more accurate evaluation, clinical and biological research on temporomandibular joint balance therapy (TBT) is needed.

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Full mouth rehabilitation with vertical increase in patient with severe tooth wear using monolithic zirconia prosthetic restoration (과도한 치아마모를 보이는 환자에서 수직교합고경의 증가를 동반한 단일구조 지르코니아 보철물 전악수복)

  • Bang, Ji Won;Kim, Seong-A;Lim, Sun Yong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.369-377
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    • 2020
  • Gradual teeth wear is normal physiological progress, severe tooth wear can causes dysfunction, occlusal plane disharmony and esthetic problems. If additional space is needed for prosthetic restoration due to severe attrition, full mouth rehabilitation with increase of occlusal vertical dimension may be considered. In this case, 72 year old male patient with severe worn dentition, irregular gingival zenith and deep anterior bite was treated by full mouth rehabilitation for regaining the space for restoration, improving relationship and esthetic of anterior teeth. Provisional restoration obtained by systemic analysis, diagnosis and re-evaluation for a sufficient time was replicated to final restorations through double scanning technique using monolithic zirconia blocks. Satisfactory functional and esthetic outcomes were obtained.

New anterior guidance induction through spontaneous gap closure after an increase in vertical dimension: a case report (교합고경 증가로 발생한 전치부 공간을 자연 폐쇄시켜 새롭게 유도한 전방유도: 증례 보고)

  • Jung Hyun Nam;Jong-Hee Kim;Yang-Jin Yi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.146-157
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    • 2023
  • The bite collapses due to posterior teeth loss or wear results in inadequate space for restoration and esthetic concerns. Increasing the occlusal vertical dimension to improve space deficiency rotates the mandible posteriorly, creating a gap between the maxillary and mandibular anterior teeth, leading to loss of anterior guidance. To solve this problem, the prosthodontics or orthodontics treatments are the commonly used methods for proper anterior guidance. However, it is reasonable to assume that the anterior teeth can naturally relapse to their original position when the occlusal force is eliminated. Therefore, this case report aimed to test whether natural relapse could recover the lost anterior guidance to develop a less invasive and more convenient treatment method. Digital superimposition was used to evaluate the changes in anterior teeth alignment to confirm the change of the recovered anterior guidance. The appropriate indications for this new treatment method were defined and applied clinically.

Prosthetic treatment for patient with anterior overbite and partial edentulism using maxillary hybrid telescopic double crown RPD and mandibular fixed prostheses: A 11-yr follow-up (전치부 과개교합을 가진 상하악 부분 무치악 환자에서의 상악 하이브리드 텔레스코픽 이중관 국소의치와 하악 고정성 보철물을 이용한 치료의 11년 경과관찰 증례)

  • Choi, Hyunsuk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.415-421
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    • 2021
  • The biomechanical prognosis of conventional removable partial denture is questionable in case of patient with few remaining teeth or periodontally compromised teeth. In this case, hybrid telescopic double crown RPD may be a successful treatment alternative. Hybrid telescopic double crown RPD has following advantages over conventional RPD: secondary splinting effect between abutments, more vertical stress direction and more convenient in repairing the denture after extraction of abutment tooth. In this clinical case, patient had deep overbite in anteriors and partially edentulous. The maxilla was restored with hybrid telescopic double crown RPD and the mandible was restored with implants and fixed prostheses. Long-term follow-up and supportive periodontal treatment were performed, and satisfactory results were achieved in terms of function and aesthetics.

Full mouth rehabilitation accompanied by phonetic analysis of a patient with reduction of vertical dimension of occlusion, and inaccurate pronunciation due to numerous tooth loss: a case report (다수의 치아 상실로 인해 교합수직고경의 감소와 부정확한 발음을 가진 환자의 발음평가를 동반한 전악 수복 증례)

  • Ji-Young Park;Jong-Jin Kim;Jin Baik;Hyun-Suk Cha;Joo-Hee Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.119-132
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    • 2023
  • The loss of posterior occlusal support due to tooth loss is likely to lead to compensatory protrusion and labial tilt of the anterior teeth, which may be accompanied by a deep bite and a decrease in vertical dimension. The patient may suffer from a decrease in masticatory efficiency, inaccurate pronunciation, facial appearance changes, and temporomandibular joint disorder, so stable occlusal formation with support of posterior occlusion and restoration of vertical dimension is necessary. We report the case of a patient with reduction of vertical dimension, and inaccurate pronunciation due to multiple tooth loss who underwent full mouth rehabilitation with increased vertical dimension accompanied by phonetic analysis and achieved satisfactory functional and aesthetic results.

The Prevalence of Malocclusion and Related Self-Esteem of Adolescents in Yangsan (양산시 청소년의 부정교합 유병률 및 관련 자존감 조사)

  • Ryu, Hyunjung;Kim, Hyungjun;Jeong, Taesung;Kim, Jiyeon;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.4
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    • pp.296-305
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    • 2013
  • For the purpose of evaluating the prevalence of malocclusion and self-esteem in adolescents, 1,380 middle-school students in the Yangsan area were surveyed by oral examination and questionnaires and the obtained results were as follows: The distribution of 1st molar occlusion by Angle's classification was 69.0, 19.4, 10.6% for Class I, II and III respectively. In the horizontal relationship, the prevalence of normal overjet and crossbite was 86.9% and 5.6% respectively whereas larger and extremely larger overjet was found in 6.6% and 0.8%. In the vertical relationship of anterior teeth, normal, deep overbite and openbite was shown in 94.1%, 4.7%, and 1.2%. For the midline discrepancy, the distribution of groups with 0~1 mm, 2~4 mm and over 5 mm was 98.2%, 1.4%, and 0.4%. Crowding only in the maxilla was found in 9.6%, while that only in the mandible and in both arches was 14.1% and 24.1% respectively. Spacing only in the maxilla was seen in 3.0%, while that only in the mandible and in both arches was 2.4% and 1.7% respectively. Significant difference in self-esteem was revealed in female and malocclusion groups of crossbite and openbite(p < 0.05).

POSTERIOR OPEN BITE (구치부 개교)

  • Sohn, Young-Hwa;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.641-654
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    • 1995
  • The purpose of this report is to present the cause and treatment of posterior open bite. Posterior open bite is the open bite limited to posterior teeth. These problem usually are attributed to a mechanical interference with the eruption process, either ankylosis or some soft tissue interference. But, in some patient, lateral open bite is due to a disturbance of the eruptive mechanism itself and other disease or side effect following other treatment. Distinguising cause of posterior open bite, lack of eruption due to some external interference with eruption or primary failure of eruption mechanism, is important clinically because this determines the prognosis for orthodontic treatments. The characteristics, differential diagnosis with posterior open bite due to other etiologies and the treatment of these problems are presented and discussed,.

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