• Title/Summary/Keyword: 교합관계

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Analysis of Primary Molar Relationship using Digital Photograph (구강 내 사진을 이용한 유구치 관계에 대한 분석)

  • Lim, Soyoung;Kang, Chung-min;Hwang, Dong hwan;Choi, Hyung-jun;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.1
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    • pp.36-43
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    • 2020
  • The aim of this study was to assess the occlusal relationships of primary dentition of Korean preschool children in Hwaseong city. Total 444 children of age group between 2 and 5 years were selected. One pediatric dentist took intraoral photos of children. Evaluation and categorization of the primary molar relationships were done by single examiner. Statistical analysis was performed with Pearson chi-squared test. Total 389 samples, which is consisted of 185 boys, 204 girls were satisfied with inclusion criteria. Bilateral mesial step was seen in 61.7%. Bilateral flush terminal plane was seen in 15.4%. When the primary molar relations of the right and left sides were not the same, the combination of the mesial step and flush terminal plane was 14.7%. The present study provides insight into occlusal relationships in the primary dentition of 2 - 5 years old of Korean children in Hwaseong city. Pediatric dentists should understand occlusal relationships of primary dentition for establishment of appropriate treatment strategies and occlusal guidance.

Full mouth rehabilitation on the patient with class II jaw relation and posterior bite collapse using reestablishment of occlusal vertical dimension: a case report (구치부 교합지지가 상실된 II급 악간관계 환자의 교합 재설정을 통한 완전 구강회복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won;Jung, Ji-Hye
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.262-272
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    • 2015
  • Loss of molar support and abnormal jaw relationship lead to occlusal disharmony and cause pathologic signs. Full mouth rehabilitations with reestablishment of occlusal schemes are needed. In this case, the 75 year-old female patient showed posterior bite collapse, irregular occlusal plane and Class II jaw relationship. By observing her profile and interocclusal distance, she was diagnosed as loss of occlusal vertical dimension. Treatment plan is to restore maxillay class I removable partial denture and mandibular fixed prosthesis and to establish vertical dimension and harmonious occlusal plane. Occlusal vertical dimension of 19 mm, which is obtained by 7.5 mm increase between maxillary right lateral incisor and mandibular canine, was established using temporary prosthesis via diagnostic wax-up. Patient adaptation with newly formed vertical dimension was verified during 8 week follow-up period. Within the information of interim prostheses, final restoration was constructed and delivered. The patient showed sound occlusal scheme and esthetic profile.

A STUDY ON THE RELATIONSHIP BETWEEN TONGUE FUNCTION AND MALOCCLUSION (설기능과 부정교합의 상관관계에 관한 연구)

  • Lee, Mi Dae
    • The korean journal of orthodontics
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    • v.2 no.1
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    • pp.15-21
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    • 1971
  • 부정교합과 구강영역의 악습관과의 관계를 구명해 보고자 본 저자는 구내 악습중 비교적 발생빈도가 높으며 부정교합에 미치는 영향이 크다고 생각되는 tongue-thrusting에 대한 다음과 같은 일연의 조사를 시행하였다. 1. Tongue-thrusting의 빈도와 부정교합의 유형과의 관계를 조사하였다. 2. 서울대학교 치과대학 부속병원에 내원한 263명의 부정교합 환자로부터 tongue-thrusting의 유무, 수유방법, 구내악습 및 상기도병변상태를 관찰하였다. 결과는 다음과 같았다. 1. 15세 내실 17세 남학생 1,356명중 tongue-thrusting을 보인 사람은 $12.7\%$였다. 2. Angle씨 3급 불정교합이 tongue-thrust swallowing과 가장 밀접한 관계가 있었다. 3. 인공 수유가 tongue-thrust swallowing의 원인이 된다는 명확한 근거는 없었다. 4. 상기도의 만성 병변은 tongue-thrust swallowing과 무관하였다.

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Relation of head posture and occlusal contact area using photo occlusion analysis (광조사교합분석법을 이용한 머리 위치와 교합접촉면적의 관계)

  • Kim, Chang-Hwan;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.90-97
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    • 2019
  • Purpose: Previous studies related with occlusal contact area were limited that interocclusal thickness level or the method of measurement has not been accurate in measuring. The purpose of this study was to investigate the relation between head posture and occlusal contact area using photo occlusion analysis. Materials and Methods: 54 subjects with complete dentition (44 men, 10 women / 23 to 33 years of age) were included. To identify the relationship between head posture and occlusal contact area, subjects took interocclusal record in maximal intercuspal position with three different positions(supine position ($0^{\circ}$) / inclined position ($45^{\circ}$) / upright position ($90^{\circ}$)) on the dental unit chair. Occlusal contact area was analyzed using photo occlusion analysis. Statistical analyses were performed with SPSS ver.25.0 at 95% confidence interval. Results: Head posture has no significant effect on the changes of occlusal contact area (P > 0.05). Conclusion: When interocclusal relation is stable, head posture does not change a interocclusal record because head posture has no significant effect on occlusal contact area. Analysis of occlusal contact area using photo occlsion analysis device is useful due to its material property and simplicity.

Compensatory changes of occlusal plane angles in relation to skeletal factors (골격적 요소에 따른 교합평면 검사도의 보상적 변화)

  • Kim, Hyun-Sook;Kim, Seon-Young;Lee, In-Seong;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.34 no.3 s.104
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    • pp.229-240
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    • 2004
  • The purpose of this study was to evaluate the compensatory changes of occlusal plane angle in relation to skeletal factors. Lateral cephalograms of 61 adults with normal occlusion and 92 adults with skeletal malocclusions were traced and measured to analyze skeletal factors and occlusal plane angles. In terms of horizontal relationships, the normal occlusion group and malocclusion group were classified Into subgroups of skeletal Classes I, II, and III, while in terms of vertical relationships, each group was also classified into horizontal , average, and vertical subgroups. Some measurements were evaluated statistically by ANOVA and Post Hoc, and the others were reviewed by Paired t-tests. In this study, only the occlusal plane angle to AB plane did not show a significant difference between the normal occlusion group and malocclusion group. After treatment, the occlusal plane angle to the AB plane of the malocclusion group was approximated to that of normal occlusion group. The LOP to AB plane angle of the normal occlusion group was 91.7 in skeletal Class I, 88.8 in skeletal Class II, and 93.5 in skeletal Class III. This study was done to assess the treatment changes of the occlusal plane in the malocclusion group, and to draw a comparison with the normal occlusion group in order to present a reference to establish a new occlusal plane inclination.

Interrelationships between occlusal plane angle and vertical skeletal patterns of skeletal Class III malocclusion individuals (골격성 III급 부정교합자의 수직적 안면골격형태와 교합평면과의 관계)

  • Jung, Woo-Joon;Son, Woo-Sung;Kim, Yong-Deok;Kim, Seong-Sik
    • The korean journal of orthodontics
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    • v.37 no.4
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    • pp.260-271
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    • 2007
  • The purpose of this study was to evaluate the relationships between the occlusal plane angle and craniofacial skeletal pattern in relation to anterior overbite. Methods: Lateral cephalograms of 90 adults with skeletal class III malocclusions were traced and measured to analyze skeletal factors and occlusal plane angles. In terms of anterior overbite, all patients were classified into 3 subgroups of positive overbite, edgebite, and negative overbite groups. All measurements were evaluated statistically by ANOVA and Duncan's Post Hoc, and correlation coefficients were evaluated among measurements. Results: In this study, some skeletal measurements (saddle angle, articular angle, Y axis, AFH, SN-FH, SN-Mn, FH-Mn) showed a significant difference among the 3 groups in relation to overbite changes. Correlation coefficient showed that PFH/AFH, SN-Mn, Mx-Mn, and FH-Mn showed a significant difference with FH-Occ, Mx-Occ, and Mn-Occ. Regression analysis showed that Mx-Mn had a determination coefficient of 0.714, 0.560, and 0.677 in relation to FH-Occ, Mx-Occ, and Mn-Occ, respectively. Conclusion: This study suggests that consideration of the occlusal plane in relation to the maxillomandibular vertical skeletal state enable the establishment of a more predictable orthognathic surgery result.

교합과 저작근 활동

  • Kim, Jung-Su
    • The Journal of the Korean dental association
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    • v.25 no.10 s.221
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    • pp.913-916
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    • 1987
  • 저작운동을 중추신경계와 말초조직의 작용에의해 일생동안 학습과 적응의 가정을 통해 이루어진다. 저작의 양상은 유치가 구강내에 맹출되면서 이루어지며, 상하악 치아의 접촉, 점막과 혀 및 치아상호간에 일어나는 접촉과 치근막의 고유수용기와 악관절 수용기등에 의해 조정되어 최종적으로 에너지소비가 적고 동통이나 불편함이 없이 최대의 효율을 나타내는 양상으로 된다. 그러나 원활한 저작과 하악은동을 이룩하기 위해서는 저작근, 악관절, 상하악 치아의 교합등이 서로 조화를 이루어야 한다. 만일 외상에 의해 악관절의 기능장애가 오면 저작근활동이 변화하고 이에따라 교합장애를 야기한다. 또한 치아를 상실하거나 대합치아간의 조기접촉이 있으면 교합장애가 원인이 되어 근육활동이 변화와 악관절 기능장애를 초래한다. 그리고 때로는 지나친 근육의 활동(이갈이, 지속적 긴장성 수축)에 의해 지나친 치아의 마모로인한 교합장애나 악관절장애를 일으킬 수 있다. 따라서 하악의 기능을 충분히 이해하기 위해서는 교합의 형태학적 관계와 더불어 저작계의 기능적인 면도 고려하여 그 상호관계를 검토하여야 하며 본문에서는 교합에 관련된 저작근의 작용과 이에 영향을 주는 요인 및 교합장애와 근육활동장애의 연관성에 관해 고찰코자 한다.

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Dentoalveolar Characteristics according to facial types of Class III Malocclusion (골격성 III급 부정교합의 골격유형에 따른 치아치조특성)

  • Park, Song-Soo;Kim, Hyun-Deog;Lee, Dae-Hee;Kim, Jong-Ghee;Jeon, Young-Mi
    • The korean journal of orthodontics
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    • v.32 no.1 s.90
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    • pp.33-42
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    • 2002
  • This study was performed to compare the pattern of dentoalveolar characteristics in different vertical and anteroposterior skeletal types in skeletal Class III malocclusion. The samples selected for this study were consisted of 60 subjects(29 males and 31 females, mean age; 19.7 years) in Class III group, 43 subjects(14males and 29 females, mean age : 20.5 years) in normal group. The findings of this study were as follows : 1. The IMPA of the Class III group was smaller than that of the Class I group(p<0.01). 2. In the Class III groups, SNB and NtoPog had negative correlation with IMPA(p<0.01). The SNB and NtoPog had correlations with SNU1, FHU1 and PalU1(p<0.01) in the male samples, and in the female samples, the SNB and NtoPog had correlations with SNU1(p<0.01). 3. In the Class III male samples, SNMP, FMA, PalMP had negative correlation with IMPA(p<0.01). SNMP, FMA, PalMP had not significant correlation with SNU1, FHU1, PalU1. In the Class III female samples, FMA, PalMP had negative correlation with IMPA(p<0.01). 4. In the high angle group of Class III samples, SNU1, IMPA is smaller than that of low angle group of Class III samples(p<0.05).

총의치를 위한 교합

  • Jo, In-Ho
    • The Journal of the Korean dental association
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    • v.24 no.12 s.211
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    • pp.1003-1011
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    • 1986
  • 총의치 교합에는 관계되는 많은 개념, 기술, 철학이 있다. 이 교합의 기본 법칙들을 이해하고, 어떤 system의 교합이 사용되던 간에 이를 현명하게 잘 적용해야할 것이다. 어떤 교합이, 인공치를 어떻게 배열해야만이 환자에게 가장 안전하면서 효율적인가를 알아내 이를 환자에 적용토록 부단히 노력하는 것이 치과의사의 책임일 것이다.

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A COMPARATIVE STUDY ON THE GENIOGLOSSUS MUSCLE AND ORBICULARIS ORIS MUSCLE ACTIVITY IN THE ANTERIOR OPEN BITE AND NORMAL OCCLUSION (전치부 개방교합자와 정상교합자의 이설근 및 구륜근 활성도에 관한 비교 연구)

  • Kang, Yong;Song, Hyung-Geun;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.25 no.2 s.49
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    • pp.175-185
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    • 1995
  • This study was undertaken to investigate the activities of genioglossus and orbicularis oris muscle between normal occlusion and anterior open bite group. 39 subjects without the experience of orthodontic treatment and T.M.disorder were selected for this study. 20 subjects were normal occlusion. 19 subjects were anterior open bite. The twenty items were measured from the cephalometric headplates, and EMG recording of the genioglossus, orbicularis oris muscle were taken at rest position, water swallowing, jaw opening, isometric tongue protrusion, maximum tongue protrusion. All data were analyzed and processed with the computer statistical method. The following results were obtained: 1. Except at rest position. the muscle activities of genioglossus muscle in anterior open bite were higher than in normal occlusion with singificatn difference. 2. Except druing water swallowing, the muscle activities of orbicularis oris muscle in anterior open bite were higher than in normal occlusion with significant difference. 3. During maximum tongue protrusion, the geniolossus muscle of anterior open bite subjects showed the highest muscle activity. 4. Anterior open bite showed closer interrelationship between facial morphology ad the genioglossus, orbiculars oris muscle activities than that of nomral occlusion with significatn difference.

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