• Title/Summary/Keyword: 교합점

Search Result 154, Processing Time 0.04 seconds

구치부 복합레진 수복시 고려사항

  • Lee, Gwang-Won
    • The Journal of the Korean dental association
    • /
    • v.34 no.12 s.331
    • /
    • pp.861-865
    • /
    • 1996
  • 복합레진의 성질과 삽입기술에 대한 많은 개선들이 1970년대부터 이루어져 왔으며 많은 실험적 연구와 임상적 연구를 통해 제 1급 및 제 2급 와동에 적용가능한 다양한 복합레진이 개발되었다. 1980년대 초반부터 많은 제품들이 아말감이나 금수복물의 대용물로써 소개되고 있으며, 장기적인 임상연구에서 색깔의 안정성, 적은 미세파절, 감소된 마모도와 재발성 우식증의 감소등 좋은 개선점들이 알려졌으며, 교합접촉을 하지 않거나 거의 하지 않는 구치부 복합레진 수복에서 표면 상실이 거의 나타나지 않음이 관찰되었다. 그러나 많은 힘이 가해질 때 외형을 상실한다는 점이 아직도 가장 큰 문제점으로 남아있다.

  • PDF

Size and forms of the mandibular dental arch in Korean malocclusion patients (한국인 부정교합자의 하악 치열궁의 크기와 형태)

  • Lee, Sung-Jun;Baek, Seung-Hak;Kim, Sang-Cheol;Kook, Yoon-An
    • The korean journal of orthodontics
    • /
    • v.35 no.1 s.108
    • /
    • pp.15-22
    • /
    • 2005
  • The Purpose of this study was to clarity morphological differences among mandibular dental arch forms in Korean malocclusion patients. The sample in this study consisted of 114 Class I. 119 Class II, and 135 Class III malocclusion cases. The most facial portions of 13 proximal contact areas were digitized from photocopied images of the mandibular dental arches. Clinical bracket points were calculated for each tooth based on the data on the mandibular tooth thickness. Four linear and two proportional measurements were undertaken The dental arches were classified into square. ovoid, and tapered forms to compare the frequency distributions. Our results suggested that there was no single arch form specific to any particular Angle classification or sex. It appeared to be the frequency of a particular arch form that varies among the Angle classifications. In comparison of arch measurements between male and female. there was no statistical difference except in the intermolar width. In comparison of arch size measurements among the different Angle classifications, there were statistically significant differences between Class I and Class III malocclusion groups and between Class II and Class III malocclusion groups. In comparison oi frequency distribution of arch forms in Class I and III malocclusion groups, the square form demonstrated the highest distribution followed by the ovoid and tapered forms in that order. In the Class II malocclusion group, the square form showed the highest distribution. followed by the tapered and ovoid forms in that order There was no statistical difference in the frequency distribution of arch forms between male and female groups.

Comparison of Bite Forces between Pre- and Post-Treatment in Patients with Temporomandibular Disorders (측두하악장애 환자의 치료 전후 교합력 비교)

  • Lee, Sang-Il;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
    • /
    • v.32 no.2
    • /
    • pp.211-218
    • /
    • 2007
  • The purpose of this study was to compare the maximum bite forces between pre- and post-treatment related to specific diagnostic groups of TMD including masticatory muscle disorder (MMD), disc derangement (DD), joint inflammation (JI) and osteoarthritis (OA). Bite force between pre- and post-treatment was compared in 36 patients with unilateral TMD, successfully-managed in the Department of Oral Medicine, Dankook University Dental Hospital, for this study. The ratio of men to women was 7:29 and their mean age of $28.1{\pm}13.7$ years. The patients were categorized, through clinical and radiographic examination, into aforementioned 4 groups; MMD (N=18), DD (N=6), JI (N=5) and OA (N=7). The maximum bite force measurements were done at the antagonizing canines and 1st molars using a bite force recorder. Paired t-test, ANOVA, Multiple Comparison t-tests were used for statistical analysis. The results of this study showed that the maximum bite force before treatment increased after TMD treatment, which was noticeable at the canines (p=0.001 and p=0.000 for the affected and unaffected sides, respectively). In comparison related to the diagnostic groups of TMD, patients with osteoarthritis of TMJ exhibited the lowest strength while those with inflammatory disorder of TMJ had the highest strength on the affected sides. Increase of bite force after treatment was also found in each group. Significant difference between pre- and post-treatment was found at canines on the affected sides in MMD (p=0.045) and DD groups (p=0.009) while on the unaffected sides in OA group (p=0.003). Conclusively, the reduced bite force due to TMD could be recovered by conservative TMD treatment and that the difference of bite forces between pre- and post-treatment was noticeable at the canines.

Analysis of occlusal contact and guidance pattern during maximal intercuspal position and protrusive movement (최대교두감합위 및 하악 전방운동 시의 교합접촉 및 교합유도 양상에 관한 분석)

  • Kim, Jiyeon;Kim, Kang-Hyun;Noh, Kwantae;Kim, Hyeong-Seob;Woo, Yi-Hyung;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.51 no.3
    • /
    • pp.199-207
    • /
    • 2013
  • Purpose: The importance of occlusal contacts of the natural dentition for durability of teeth, mandibular stabilization, and restorative dentistry is well known. The purpose of this study is to analyze the occlusal contact and guidance pattern of Koreans by evaluating the static occlusion on maximal intercuspal position and measuring dynamic occlusion during straight protrusion. Materials and methods: The occlusal contacts at maximal interincisal position and the occlusal guidance pattern during straight protrusion of 29 subjects were recorded with shimstock foil (Whaledent, Langenau, Germany), T-Scan III (Tekscan Inc., Boston, MA, USA), polyvinylsiloxane registration material (Genie Bite, Sultan Healthcare, Hackensack, NJ, USA) and compared. Occlusal registration procedures were repeated 3 times. The position was fixed to an upright position and the head position was fixed with the Frankfurt horizontal plane paralleling the horizontal plane. Fisher's Exact Test (R-General Public License, ver. 2.14.1) and Pearson's Test were used to assess the significance level of the differences between the experimental groups (${\alpha}=.05$). Results: When using shimstock foil, T-Scan III system, and polyvinylsiloxane registration material, most of the patients showed contact on anterior, premolar, and molar teeth during maximal intercuspal position. Approximately 51% of maximal intercuspal position showed anterior contact using shimstock foil. When examining the protrusive movement using shimstock foil and T-Scan III system, guidance pattern with the central incisor was the most common. Conclusion: During maximal intercuspal position, there were cases in which not all of the teeth showed occlusal contact. During mandibular protrusive movements, one or more maxillary central incisors frequently joined in straight protrusion and the posterior teeth were disoccluded. Therefore, the anterior teeth protect the posterior teeth, and vice versa. Thus, mutually protected occlusion should be applied when reconstructing occlusion.

THE TREATMENT OF AN ANTEIOR CROSS-BITE WITH THE ERUPTION OF A MAXILLARY INCISOR USING $FR\ddot{A}NKEL$ III : CASE REPORT (상악중절치 맹출시기의 $Fr\ddot{a}nkel$ III를 이용한 전치부 반대교합의 치험례)

  • Lee, Sang-Youp;Kim, Hyun-Jung;Nam, Sun-Heun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.26 no.2
    • /
    • pp.323-330
    • /
    • 1999
  • It is well recognized that a cross-bite tends to occur more frequently among Japanese, Chinese and Koreans more than among Europeans. A variety of functional appliances have already invented for the treatment of cross-bites. One of them is the FR III(by Rolf $Fr\ddot{a}nkel$) which applies a quite different philosophy based on the using vestibular region compared with other methods which utilize muscular forces applied directly on the teeth. The FR III also increases both the lack of muscular tension against the dental arch and the dentition and muscular forces which can then influence the teeth indirectly. This mechanism can achieve favorable developments with the basal bone, teeth, and alveolar bone. After using FR III to the anterior cross-bite patient with the eruption of a maxillary incisor the results were as follows: 1. Forward growth of maxilla and proclination of the upper incisor 2. Downward and backward rotation of the mandible 3. Increase the facial height 4. The case which was normal mandible, underdevelopmental maxilla, deeper overbite and more nagative overjet exhibited good prognosis

  • PDF

Pharyngeal Teeth and Masticatory Process of the Basioccipital Bone in Korean Bitterlings (Teleostomi : Cyprinidae) (韓國産 납자루아과어류(亞科魚類)의 인두치(咽頭齒)와 저작돌기(咀嚼突起))

  • Suzuki, Nobuhiro;Jeon, Sang-Rin
    • Korean Journal of Ichthyology
    • /
    • v.1 no.1_2
    • /
    • pp.83-92
    • /
    • 1989
  • The pharyngeal teeth and the masticatory process of the basioccipital bone were compared in ten species of Korean bitterlings. Three species, Acheilognathus lanceolata, A. limbatus, A. signifier and Rhodeus ocellatus, which are characterized by the absence of serrations on the side of the pharyngeal teeth, are found to, have reduced occlusal grooves on the outside of occlusal margin, Among Korean bitterlings, differences are found in the developmental degrees of the anterior part of the masticatory process, the grooves on the occlusal surface and the chewing area on the pharyngeal first tooth. The occlusal grooves in herbivorous species are considered to be more developed than those in omnivorous species. Considering these findings, the combination of developmental degrees in the three pharyngeal elements suggests generally the phylogenetic relationships among the Korean bitterlings.

  • PDF

THE MORPHOLOGIC CHARACTERISTICS OF CLASS I, NON-EXTRACTION PATIENTS (비발치로 치료된 I 급 부정교합의 형태적 특성)

  • Chang, Young-Il;Shin, Soo-Jung
    • The korean journal of orthodontics
    • /
    • v.28 no.3 s.68
    • /
    • pp.343-351
    • /
    • 1998
  • The purpose of this study was to investigate the pretreatment and posttreatment dentofacial characteristics of non-extraction patients with Class I malocclusion. And to compare this result with matched non-orthodontic normal occlusion and Class I premolar extraction patients. Such comparison might help identify morphologic characteristics of the non-extraction patients. Initial and final cephalometric evaluation were compared in a sample of 22 patients with Class I malocclusions treated in non-extraction manner with edgewise appliance and MEAW The mean age of the total population was 14 years 9 months and the average treatment time was 2 years 8 months. 32 landmarks were located and digitized on each cephalogram. From these landmarks, 24 linear and angular dimension were obtained. Student's t-test were used to compare the pretreatment - posttreatment results, Nonextraction - Normal groups, and nonextraction Extraction groups. Significance was predetermined at $p{\leq}0.05$. The results were as follows. 1. Before treatment, the mean value of the $ODI\;was\;69.9^{\circ},\;APDI\;was\;82.1^{\circ},\;CF\;was\;152^{\circ},\;EI\;was\;152^{\circ}$ in the non-extraction groups. 2. The skeletal pattern of the non-extraction groups were similar with non-orthodontic normal groupsr, but the non-extraction groups had larger interincisal angle. 3. Comparison between groups treated with and without extraction indicated at pretreatment, the extraction groups had more protrusive lips, smaller interincisal angle, and EI. 4. After treatment, there was no significant changes in the skeletal pattern of the non-extraction groups, but uprighting of the maxillary and mandibular first molar and decrease of the interincisal angle were seen.

  • PDF

CARIES ACTIVITY FACTORS OF CHILDREN IN ORTHODONTIC TREATMENT (교정치료를 받는 어린이의 우식활성요인에 대한 연구)

  • Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.29 no.4
    • /
    • pp.568-573
    • /
    • 2002
  • The purpose of study was to investigate the caries activity factors of children during orthodontic treatment. Fifty children with fixed or removable intraoral orthodontic appliances were examined for their Cariostat caries activity test scores, gender, age, duration of treatment, appliance type, treatment site, Angle's classification of malocclusion, and the number of teeth with caries experience. The mean age of the high caries activity group was significantly higher than that of the low caries activity group(P<0.01). The duration of treatment of the high caries activity group was longer than that of the low caries activity group, but the difference was not significant(P>0.05). The fixed appliance group showed higher caries activity than the removable appliance group(P<0.01). The caries activity of Angle Class III group was lower than that of Angle Class I group, not significant statistically(P>0.05). The number of teeth with caries experience in the high caries activity group was lower than that in the low caries activity group, not significant statistically(P>0.05).

  • PDF

The role of the orthodontist in diagnosis of hyperparathyroidism : rare case with general root resorption (부갑상선 기능항진증 진단에서의 교정의사의 역할 : 치근흡수를 동반한 희귀증례)

  • Cha, Bong-Kuen;Lee, Suk-Kuen
    • The korean journal of orthodontics
    • /
    • v.30 no.6 s.83
    • /
    • pp.669-675
    • /
    • 2000
  • Excessive production of parathyroid hormone causes bony disorder such as periosteal bone resorption and bone pain due to excessive skeletal demineralization. A Class III facial deformity case with generalized root resorption presented bete was fumed out to be due to hyperparathyroidism. Clinical and cephalometric analysis revealed a straight skeletal profile with a retruded maxilla and a prognathic mandible. The x-ray findings demonstrated generalized root resorption of entire dentition to different degree. There also appeared osteoporosis like immature trabecular structure with the evidence of ground glass appearance. Serum test showed elevated 1evel of parathyroid hormone and growth hormone. Change of cranial growth by hyperparathyroidism can be dependent up(In a decreased bone apposition in viscerocranial growth site and abnormalities in cranial suture growth. It is possible to hypothesize that growth retardation of maxilla at least partially be accounted lot hyperparathyroidism. Therefore, regarding to the definite etiology of skeletal Class III and orthodontic treatment planning considering root resorption and osteoporosis, the early diagnosis for the hyperparathyroidism should be carefully carried by clinical and laboratory studies.

  • PDF

EFFECT OF RESTORATION TYPE ON THE STRESS DISTRIBUTION OF ENDODONTICALLY TREATED MAXILLARY PREMOLARS; THREE-DIMENSIONAL FINITE ELEMENT STUDY (수복물의 종류가 근관치료된 상악 제2소구치의 응력분포에 미치는 영향: 3차원 유한요소법적 연구)

  • Jung, Heun-Sook;Kim, Hyeon-Cheol;Hur, Bock;Kim, Kwang-Hoon;Son, Kwon;Park, Jeong-Kil
    • Restorative Dentistry and Endodontics
    • /
    • v.34 no.1
    • /
    • pp.8-19
    • /
    • 2009
  • The purpose of this study was to investigate the effects of four restorative materials under various occlusal loading conditions on the stress distribution at the CEJ of buccal. palatal surface and central groove of occlusal surface of endodontically treated maxillary second premolar, using a 3D finte element analysis. A 3D finite element model of human maxillary second premolar was endodontically treated. After endodontic treatment, access cavity was filled with Amalgam, resin, ceramic or gold of different mechanical properties. A static 500N forces were applied at the buccal (Load-1) and palatal cusp (Load-2) and a static 170N forces were applied at the mesial marginal ridge and palatal cusp simultaneously as centric occlusion (Load-3). Under 3-type Loading condition, the value of tensile stress was analyzed after 4-type restoration at the CEJ of buccal and palatal surface and central groove of occlusal surface Excessive high tensile stresses were observed along the palatal CEJ in Load-1 case and buccal CEJ in Load-2 in all of the restorations. There was no difference in magnitude of stress in relation to the type of restorations. Heavy tensile stress concentrations were observed around the loading point and along the central groove of occlusal surface in all of the restorations. There was slight difference in magnitude of stress between different types of restorations. High tensile stress concentrations around the loading points were observed and there was no difference in magnitude of stress between different types of restorations in Load-3.