• Title/Summary/Keyword: 교합점

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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
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    • v.34 no.1
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    • pp.8-19
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    • 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.

The effect of CR-CO discrepancy on cephalometric measurements in Class III malocclusion patients (골격성 III급 부정교합자에서 중심위 변위가 두부 방사선 계측치에 미치는 영향)

  • Park, Yang-Soo;Kim, Jong-Chul;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.255-265
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    • 1996
  • The purpose of this study was to investigate if there were a significant difference between cephalometric measurements of mandibular position derived from a centric occlusion tracing compared to those of a converted centric relation tracing in the Class III malocclusion. The sample consisted of 25 Class III malocclusion and 25 normal occlusion persons who had no orthodontic treatment. The records included an lateral cephalometrics in centric occlusion, centric relation and centric occlusion bite registration and diagnostic casts mounted on the SAM II articulator in CR. The amount of CR-CO discrepancy of condyle was recorded using a MPI(Mandibular Position Indicator, MPI $200^{(R)}$, Great Lakes Orthodontics, USA). The conversion of the CO cephalogram to CR using the MPI readings was performed on the Conversion work sheet. Measures of mandibular position were chosen for the purpose of this study. The comparison of the difference between CO and CR cephalometric measurements in the normal occlusion and Class III malocclusion group were studied. The results were as follows: 1. In the features of CR-CO discrepancy of the condyle, the condyle was displaced posterior and inferior when the teeth were in centric occlusion. The horizontal component(${\Delta}X$) in Class HI malocclusion group was greater than the vertical component(${\Delta}Z$) and also greater than the horizontal component(${\Delta}X$) in normal occlusion group. There was no statistically significant correlation between MPI measurements and the groups of normal occlusion and Class III malocclusion group. 2. In the comparison of the cephalometric measurements in each group, Normal occlusion group showed significant difference in measurements such as ANB, Facial angle, Facial convexity and ODI. Class HI malocclusion group showed significant difference in measurements such as ANB, Facial angle, Facial convexity, ODI, SNB, APDI, L1-FP and it had more significance than the normal occlusion group. 3. The Value of cephalometric measurements was significantly different between CO and CR but there were no differences between the groups of normal occlusion and Class III malocclusion. The results of this study suggest that if the discrepancies are greater than the amount of normal displacement from clinically captured centric relation, centric relation should be considered as the starting point for proper diagnosis and treatment planning.

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Evaluation of Bonwill triangle using cone beam computerized tomography in Korean (콘빔형 전산화단층영상을 이용한 한국인의 본윌 삼각에 대한 평가)

  • Kong, Hyun-Jun;Oh, Sang-Chun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.97-103
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    • 2018
  • Purpose: The aim of this study was to evaluate the Bonwill triangle of Korean using the cone beam computerized tomography (Cone-beam CT). Materials and Methods: 120 Koreans (60 males and 60 females) who visited Daejeon Dental College Hospital of Wonkwang University and who underwent the Cone-beam CT were selected. The Cone-beam CT images were analysed with Invivo 5.1 (Anatomage, San Jose, USA). After reorientation of axis, the intercondylar distance was measured by clicking both middle points of condyle. And the condyle-incisor distance was measured by clicking the middle point of condyle and contact point of the mandibular central incisor's incisal edge. The collected data were analysed using the SPSS Version 23.0 (IBM Inc., Armonk, USA) and statistical significance was verified by gender using independent t-test. Results: The mean intercondylar distance of Korean was 105.9 mm, and the male (108.3 mm) was statistically significantly larger than the female (103.4 mm). The mean condyle-incisor distance of Korean was 105.2 mm, and the male (108.1 mm) was statistically significantly larger than the female (102.3 mm). Conclusion: The mean intercondylar distance of Korean in this study was 105.9 mm that was smaller than well-known 110 mm of Caucasian and the male was statistically significantly larger than the female. Within the limitations of this study, it would be necessary to use the articulator which can adjust the intercondylar distance according to the individual for prosthodontic treatment of Korean.

A STUDY OF MANDIBULAR DENTAL ARCH FORM OF THE KOREAN WITH NORMAL OCCLUSION (한국인 정상교합자의 하악치열궁 형태에 관한 연구)

  • Nam, Jong-Hyun;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.535-546
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    • 1996
  • The purpose of this study was to classify mandibular dental arch forms based on Raberin's method, and to compare Raberin's arch forms with that of the Korean's, and to designate arch form of bracket level according to distance between cusp tip and buccal surface of bracket level. The sample consisted of 159 mandibular dental casts showing normal occlusion which was taken from 62 males and 97 females of the Korean, aging from 13 to 25 years. The model was taken by X-ray. The landmarks were cusp points which expressed the mandibular dental arch line of cusp tips and buccal points which were measured from cusp tips to buccal surfaces of bracket level. The landmarks on the film were digitized, and measurements and statistics were performed. The results were as follows; 1. The models were classified as type 1, type 2, type 3, type 4 and type 5 by the author, and polynomial functions of the six degree and R-square values were calculated using statistical method, and each calculated equations explained each group with the least R-square value of 0.97, and each arch forms' were plotted. 2. The distribution of type 1 was $17.6\%$, type 2 $20.8\%$, type 3 $20.8\%$, type 4 $16.3\%$ and type 5 $24.5\%$. 3. The Korean arch form was characterized by larger width, smaller height compared to the French arch form. 4. The designated arch form of bracket level, viz the distance between cusp point and buccal point was calculated. The distance between cusp point and buccal point of incisor was 1mm, canine 1.9mm, first premolar 2.5mm, second premolar 2.6mm, first molar 2.7mm and second molar 2.7mm.

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THE ROENTGENOCEPHALOMETRIC STANDRDS OF THE KOREANS ACCORDING TO THE HIGLEY'S ANALYSIS (Higley씨 분석법에 의한 한국인 Roentgenographic Cephalometry의 기준치에 관하여)

  • Yu, Yeong-Se
    • The Journal of the Korean dental association
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    • v.8 no.11
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    • pp.629-644
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    • 1970
  • Higley씨 법에 의한 한국인의 Roentgenographic Cephalometry의 기준치를 조사하기 위하여 남자 150명,여자140명 합계 290명을 대상으로 하여 이를 분석계측하였다. 대상자의 대부분은 정상적인 교합자중에서 선택되었으며 악골과 안면이 잘 조화되고 있었다. 연구성적은 표의 형식으로 요약되었고 5,7,10,15,20,23세등의 연령군에 대하여 17항목의 선상계측과 20항목의 각도계측을 시행하였으며 당 계측치의 Mean, Standard deviation,Minimum,Maximum등을 산출하였다. 본 연구를 통하여 Cranial depth는 배인이 한국인에 비하여 큰 차이를 보이며(Line-NZ,FT)원부에 있어서는 한국인이 백인에 비하여 후퇴되었음을 알았다.(Angle-MNS),이것이 한국인과 백인의 안모의 판이점이라고 사료된다.

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TREATMENT OF SELF-INJURIOUS LIP BITING WITH POSTERIOR BITE BLOCK APPLIANCE IN A BRAIN LESION PATIENT (교합 거상판을 이용한 뇌병변장애 환아의 자해성 구강 손상의 치료)

  • Jun, Hyelim;Song, Je-Seon;Lee, Jae-Ho;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.2
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    • pp.93-96
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    • 2014
  • Brain disorder disability is assessed when organic brain lesion such as cerebral palsy, traumatic brain injury, or stroke causes physical impairment which limits daily activites substantially according to its level and range of paralysis or the presence of involuntary movement. According to the disabled person welfare law in Korea, grade I brain disorder is assessed when one is in continuous irreversible state of coma without the ability to prolong one's life without other's help. Self-injurious behavior is defined as the non-suicidal intentional or unintentional injury to one's own body which can occur repetitively temporarily or chronically. People with decreased consciousness often exhibit increased self-injurious behavior which is most commonly associated with tongue or lip biting. This report documents a successful self -injurious lip biting treatment of a brain lesion patient within a short time by applying a removable acrylic resin appliance including posterior bite block.

Complete denture rehabilitation of fully edentulous patient with severe bone resorption and class II jaw relation using piezography (심한 골 흡수와 2급 악간관계를 보이는 완전 무치악 환자의 Piezography를 이용한 총의치 수복)

  • Kwon, Wooil;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.445-450
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    • 2016
  • Piezography, prosthetic space recorded by pronunciation, can be used as a reference for arrangement of artificial teeth and polishing surface of a denture. In this case, a 67 year old female patient was presented for new dentures. Old dentures had class II relationship and poor retention. For fabrication of stable dentures, using piezography and lingualized occlusion was planned. After taking impressions with conventional method, conventional denture bases with wax rim were fabricated. Then, additional mandibular denture base was fabricated for piezography. With fast setting silicon impression material, piezography was recorded by using six pronunciations, 'si', 'so', 'me', 'te', 'de', and 'mu'. According to the piezographic space, mandibular artificial teeth were arranged and modified for lingualized occlusion. As a result, the patient was satisfied with new dentures functionally and esthetically.

THE DENTAL ARCH FORM IN NORMAL OCCLUSION (정상교합자의 치열궁 형태)

  • Kwon, Yong-Chul;Sung, Jung-Ok;Kwon, Oh-Won;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.19 no.1 s.27
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    • pp.95-106
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    • 1989
  • This study was designed to investigate dental arch shapes buccally and lingually at Bracket Level of Koreans. This involved studying 63 inviduals (37 males, 26 females) with normal occlusion ranging in age from 17 to 24 years old. The landmarks were digitized and measurements and statistical analysis were performed by NEC 9801 V-M computer. The Results were as Follows: Bicanine width, Bipremolar width and Bimolar width were larger in males than in females. Buccal and lingual arch form and coordination form were obtained by NEC 9801 V-M computer. The parabolic equations which represents buccal and lingual arch form were obtained.

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A CLINICAL CONSIDERATION ON TREATMENT OF ANTERIOR CROSS-BITE IN GROWING CHILDREN (THE EFFECT OF CHIN CAP) (성장기아동(成長期兒童)의 반대교합치료(反對咬合治療)에 관(關)한 임상적(臨床的) 고찰(考察) (- 신모효과(?帽?果) -))

  • Sung, Jae Hyun
    • The korean journal of orthodontics
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    • v.12 no.2
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    • pp.117-126
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    • 1982
  • The author evaluated the effect of chin cap for the growing patient with cross-bite. The date were obtained from superimposition of pre and post-treatment lateral cephalograms. The results might be as follows; 1. increase ANB angle, Y-axis angle, SN-MP angle. 2. made anterior facial height more greater than posterior facial height. 3. as a results, rotate mandible backward.

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FINITE ELEMENT ANALYSIS OF MANDIBULAR STRESSES AND DENTURE MOVEMENTS INDUCED BY VARIOUS DENTURE BASE MATERIALS (의치상 재료에 따른 하악응력 및 의치의 변위에 관한 유한요소법적 분석)

  • Chung, Chae-Heon;Yoon, Chang-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.25 no.1
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    • pp.281-302
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    • 1987
  • 의치상 재료 종류에 따라 의치, 점막 및 하악골에 발생되는 변위 및 응력을 연구하기 위하여 컴퓨터를 이용한 수치적 해석인 2차원 유한 요소법을 이용하였다. 2차원 유한 요소 모형으로선 표준 크기의 하악골 및 의치를 고려하여 231개의 사변형 요소 및 268개의 절점으로 분할한 후 각 구성 성분의 물리적 성질인 탄성률 및 프와송비를 대입시켰다. 사용된 의치로서는 일반 합성수지의치, 2mm후경의 탄성재를 의치상 하부에 이장한 합성수지의치, 2mm후경의 탄성재를 치아와 의치상 중앙에 삽입한 합성수지의치 및 0.5mm후경의 금속상의치의 4종류였으며, 하중시에 하악의 고정 부위로선 생체와 동일 조건을 부여하기 위하여 교근, 내측익돌근, 측두근등의 하악 폐구근이 부착되는 하악각 부위 및 하악 근돌기 부위의 16절점을 고정점으로 하였다. 하중 조건으로선 하악 제1대구치의 일점에 10kg의 수직 집중하중, 하악 중절치의 일점에 7kg의 수직 집중하중 및 하악 제 1소구치로 부터 하악 제2대구치까지의 교합면에 10kg의 수직 분산하중을 부여하여 분석한 결과는 다음과 같다. 1. 하중이 의치 교합면위의 가해진 부위에 따라 다양한 의치 회전 및 강하 현상을 보였으며, 탄성재를 이장 및 삽입한 합성 수지 의치의 변위가 일반 합성수지의치 및 금속상 의치의 변위보다 더 컸다. 2. 주응력을 고려할때 점막 부위에는 주로 압축 응력이 작용하였으며 치조제 부위는 압축응력과 인장 응력이 함께 작용하였다. 3. 탄성재를 삽입한 합성수지의치에 최고 등가 응력이 집중되었으며 그 다음은 탄성재를 이장한 합성수지의치, 일반 합성수지의치의 순이였으며 금속상의 경우는 금속을 따라서 높은 등가 응력이 넓게 분산되었다. 4. 의치상 종류에 관계없이 동일 하중 조건하에선 점막에 나타나는 등가 응력의 크기 및 분산양태는 유사하였다. 5. 하악골에서 등가 응력은 의치지지 부위에만 국한되지 않고 넓게 분산 되었으며 의치상 종류 및 하중 조건에 관계없이 치조제 후방 및 하악연의 후방 부위에 특히 높은 등가응력이 집중되었다. 6. 하악 중절치의 일점에 수직 하중을 가한 경우가 다른 하중 조건에 비하여 지지점과의 거리차이로 인하여 하악골에 가장 높은 등가 응력을 유발하였다. 7. 의치상 재료에 따른 하악 골에 발생되는 응력의 크기 및 분산에는 큰 차이가 없으나 금속상의 경우가 교합압을 분산하는데는 효과적이었다.

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