• Title/Summary/Keyword: 교합분석

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Evaluation of occlusal strength using T-Scan Novus and Dental prescale II in dental prosthodontic treatments: A case report (보철물 수복 형태에 따른 T-Scan Novus와 Dental prescale II를 이용한 교합력 평가 활용 증례)

  • Su-Hyun Choi;Yu-Sung Choi;Jong-Hyuk Lee;Seung-Ryong Ha
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.160-178
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    • 2023
  • Diagnosis and analysis of occlusal relationships are important factors in prosthetic treatment. A thorough occlusion analysis and evaluation should be performed before treatment to restore a stable interocclusal relationship. Analysis and evaluation are essential during the treatment process and at regular follow-ups. Recently, with the development of dental equipment and digital processing methods, new quantitative analysis methods that can record the patient's occlusal relationship have been introduced. Among them, the T-Scan Novus (Tekscan Inc., S. Boston, MA, USA) displays the strength of the initial contact point and the occlusal contact point of the teeth using a pressure sensor. With this, occlusal contact time of the teeth, anteroposterior and left-right balance of occlusal force can be compared. The Dental prescale II (GC Co., Tokyo, Japan) scans the occlusal contact point using a pressure-sensing film and analyzes the density of the contact point. It can measure the distribution and strength of the occlusal force of the teeth in the most natural occlusion state. Based on this, appropriate prosthetic treatment (four-unit fixed partial denture, removable partial denture, complete denture, and complete oral restoration cases) was performed according to the area and extent of the patient's tooth loss. The patient's occlusion at the first visit, treatment stage, right after treatment, and regular follow-up were compared and evaluated using a quantitative method for appropriate occlusion analysis using T-Scan Novus and Dental prescale II. This report enhances the understanding of occlusion analysis during prosthetic restoration. The results satisfied both the clinician and patients in terms of function and aesthetics.

Pattern Analysis of Occlusal Contacts During Lateral Excursion Using T-scan III System (T-scan III 시스템을 이용한 하악 측방운동 시 교합접촉 양상의 분석)

  • Lee, Sang-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.1
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    • pp.59-68
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    • 2013
  • The objective of this study was to analyze occlusal contact pattern of 33 young adult males with normal occlusion during lateral excursion using T-scan III system which can measure the dynamic occlusion. Occlusal contact patterns were examined and categorized in non-working side disclusion point(more functionally acceptable position) not canine-to-canine position. Disclusion time, occlusal force, and occlusal force distribution ratio of upper canine at disclusion point during lateral excursion movement was also measured and compared among the groups divided according to contact patterns. The results showed that group function was clearly more dominant than canine guidance and other occlusal contact patterns different with existing patterns were found. There were significantly difference between groups in variables of T-scan measurement. T-scan III system is effective tools to analyze and evaluate occlusal contact patterns, disclusion time, occlusal force, and occlusal force distribution ratio of upper canine at disclusion point.

Changes of bite force and dynamic functional occlusion analysis after occlusal stabilization splint therapy in sleep bruxism patients: a pilot study (수면이갈이 환자에서 교합안정장치 사용 후 교합력 및 동기능적교합분석: 예비 연구)

  • Jaeyeon, Kim;Yiseul, Choi;Yool Bin, Song;Wonse, Park;Seong Taek, Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.204-212
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    • 2022
  • Purpose: The aim of this study was to compare changes of bite force, occlusal contact area, and dynamic functional occlusion analysis after occlusal stabilization splint therapy during sleep for one month in a patient with bruxism. Materials and Methods: From October 2021 to July 2022, sleep bruxism of 30 patients who visited the Department of Oral Medicine at Yonsei University College of Dentistry Hospital were recruited. The participants were divided into two groups: using an occlusal stabilization splint during sleep (treatment; n = 15) and not using an occlusal stabilization splint (control; n = 15). Before using the occlusal stabilization splint and one month after, bite force, occlusal contact area and dynamic functional occlusion analysis (ratio of left/right bite forces, average bite forces, maximum bite forces, and maximum contact areas during lateral and anterior and posterior mandibular movements) were performed. Results: There was no difference in bite force and occlusal contact area between the treatment group using the occlusal stabilization splint and the control group not using the occlusal stabilization splint during sleep for one month. However, there were significant differences in the average bite force and maximum bite force in the lateral and anterior and posterior mandibular movements and the maximum contact areas in the anterior and posterior mandibular movements. Conclusion: The occlusal stabilization splint is helpful for sleep bruxism patients who lateral and anterior and posterior mandibular movements. In addition, further studies are needed a double-blind study with a large population.

A correlation between bruxism and eccentric occlusal interferences (이갈이와 편심위 교합간섭의 상관관계 분석)

  • Lee, Ho-Sun;Kim, Mi-Gyeong;Jin, Soo-Yoon;Kim, Hee-Jung;Lee, Gyeing-je
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.4
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    • pp.253-261
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    • 2018
  • Purpose: The purpose of this study was to analyze correlation between bruxism and occlusal contacts on balancing side. Materials and Methods: The purpose of this study is to compare the difference of group function and balancing side occlusal contacts according to bruxism and sex, A total of 100 adults that aged 26-37 years (39 bruxers and 61 non-bruxers) were examined. The lateral excursion and balanced occlusal contacts were analyzed to determine the correlation with bruxism. The occlusal contacts were recorded by T-Scan system and articulating paper. Results: The group function was the highest in 61.5% of bruxers and 47.5% of non-bruxers. In comparison between males and females, group function was 58.9% in males and 37.0% in females. Occlusal contacts on non-working side occurred in 48 out of 100 patients. There were 51.2% of the cases in the bruxers and 46.0% in the non-bruxers. Statistically, there was no correlation between the bruxism and occlusal contacts on non-working side. There was no correlation between sex and balancing occlusal contacts. Conclusion: There was no significant correlation between bruxism and occlusal contacts on non-working side. The group function was the highest in bruxers when lateral excursion was occurred.

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.

A STUDY ON OCCLUSAL CONTACT USING COMPUTERIZED OCCLUSAL ANALYSIS SYSTEM (Computerized Occlusal Analysis System을 이용한 Occlusal Contact에 관한 연구)

  • 연태호;김영구
    • Journal of Oral Medicine and Pain
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    • v.14 no.1
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    • pp.81-88
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    • 1989
  • 저자는 정상 치열을 가지며 두개하악장애의 증상 및 병력이 없는 성인 21명을 대상으로 computerized occlusal analysis system인 T-Scan system을 이용하여 교합력에 따른 치아접촉수와 총치아접촉시간을 측정한 후 정량적인 분석을 시도하여 다음과 같은 결론을 얻었다. 1. 최대 측두근 전부 근활성도의 약 20%, 50%, 80% 수준의 교합력에서 치아접촉수의 평균은 각각 1.6개, 8.8개, 16.7개로 교합력이 증가할수록 유의하게 증가하였다. 2. 최대 측두근 전부 근활성도의 약 20%, 50%, 80% 수준의 교합력에서 치아당 치아접촉수이 평균은 대구치에서는 0.2, 1.4, 2.2 개였으며 소구치에서는 0.1, 0.5, 1.1개였고, 전치에서는 0.1, 0.2, 0.6개로 교합력이 증가함에 따라 유의하게 증가하였다. 3. 치아접촉분포로 구분된 대칭군과 비대칭군간의 총치아접촉시간에는 유의한 차이가 없었다.

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Design and Implementation of Occlusion Force Analysis Software for Malocclusion Diagnosis : A Pilot Study (부정교합 진단을 위한 교합력 분석 소프트웨어의 설계 및 구현 : A Pilot Study)

  • Park, Kyoung-Jong;Kim, Tae-Yun;Choi, Heung-Kook
    • Journal of Korea Multimedia Society
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    • v.12 no.1
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    • pp.147-155
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    • 2009
  • Occlusion force measuring and analysis is a diagnostic method of tooth dynamics through the related force analysis. In this paper, we design and implement a series of occlusion force measuring software and evaluate its utility as a base system for a new occlusion force measure and analysis system development. For the reason, we developed a group of tools to measure the normal and abnormal occlusion force. Firstly, we have visualized the occlusion force distribution with quantitative figures. The center of force (COF) variation was visualized the path of marker according to teeth dynamics and the distribution of occlusion forces in 14 tooth regions. Secondly, we have implemented a left and right tooth force balance measurement ratio tool to estimate a specific tooth region force. Furthermore, the measured occlusion force variation recorded in the software each 0.5 second. As the result of the physical examination by the accessed hardware of sensor sheet method, we confirmed the distribution and balance of forces effectively.

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Considerations in the reliability of occlusal indicators and occlusal contact marks (교합점 기록재와 교합점 표식의 신뢰도에 관한 고려사항)

  • Kim, hang-Hwan;Kim, Dae-Gon;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-La;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.147-156
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    • 2018
  • On the reliability of occlusal contact marks with occlusal indicators, it must be important to consider the affecting results of using methods. With affecting the accuracy and validity of results, there are many variables such as thickness and material of indicator, occlusal force, number of usage and etc. Nevertheless, researches on the occlusal contact marks have limited to focusing thickness of indicators and occlusal force. For the control of variables, it is clinically recommended to do use new indicators in every trial and to secure dry condition and to use thinner ones. In addition, alternatives might be helpful to understand more appropriate results.

Electromyographic Conmparative Study on Elevator Muscles before and after Occlusal Splint Therapy in Group Function Patients (Group function군에 대한 교합장치치료 전후에서 저작근의 근전도학적 연구)

  • Soo-Guen Lee;Keum-Back Shin;Bok Choi
    • Journal of Oral Medicine and Pain
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    • v.20 no.1
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    • pp.205-215
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    • 1995
  • 저자는 두개하악장애 환자에 대한 교합장치 치료시 group function 교합이 있는 환자에서도 canine guidance교합으로 변화시켜 치료함이 정당한지를 근전도학적 측면과 임상적 측면에서 알아보고자 Group function 교합을 가진 20명의 두개하악장애환자와 10명의 정상인을 대상으로 교합장치치료 전, 도중, 후의 좌우측 교근 및 전측두근의 근전도를 측정하고 두개하악장애지수를 조사한 수 이들 자료를 분석 평가하여 다음과 같은 결론을 얻었다. 1. 정상인군에서 최대이악물기상태의 좌우측 교근 및 전측두근의 근전도는 교합장치치료 도중의 cannine guidance교합시가 교합장치치료전후의 group function 교합시에 비해 낮게 나타났다(P<0.01). 2. 두개하악장애군에서 최대이악물기 상태의 좌우측 교근 및 전측두근의 근전도는 교합장치치료 도중의 canine guidance교합시 교합장치치료전후의 group functin교합시에 비해 낮게 나타났다. (P<0.01). 3. 두개하악장애지수는 교합장치치료 전에 비해 치료 후 감소되는 경향을 나타냈었다(P<0.01)

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Occlusal Analysis in the Policemen with Temporomandibular Disorders Using T-scan II System (경찰 종사자의 측두하악장애환자에서 T-scan II System을 이용한 교합분석)

  • Lim, Hyun-Dae;Jung, Seung-Ah;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.31 no.4
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    • pp.365-373
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    • 2006
  • This study suggested correction of excessive mouth opening or maximum occlusal contact to analyse occlusal contact time, occlusal contact number and force through evaluation of occlusal pattern in policemen with temporomandibular disorders. The community of policemen influence on temporomandibular disorder's development and progress due to other condition of mouth opening and maximal occlusal contact. Repeated training or changes of usual life style may cause imbalance of stomatognathic system including the masticatory muscle, then develop or aggravate pain of temporomandibular joints and associated structures. This study uses T-scan II system(Tekscan Co., USA) for evaluation on occlusal pattern may influence temporomandibular disorders, and then the subjects take a sensor at 20 mm opening for maximal occlusal contact force. The policemen with temporomandibualr disorders get more long time on maximum contact timing, more short on end contact timing, and more force on end contact force than general society's. So they get closure of mouth with more short time and more force, then transfer remaining load to temporomandibular joint. There are no statistically significances between affected side and occlusal pattern of occlusal contact time and force. There are Left -right dental arch imbalances seems on Rt. dental arch if affected side is right and Lt. dental arch if affected side is left. In above results, It's worth due consideration that policemen with temporomandibular disorders get more smooth mandibualr movement and less force on maximal occlusal contact position.