• The Journal of Korean Academy of Prosthodontics
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• v.53 no.2
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• pp.128-137
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• 2015

Purpose: Most of the former studies about the occlusal contact patterns during the mandibular movement focused on foreigner. The purpose of this study is analyzing the occlusal contacts of young Koreans by using T-Scan system. Materials and methods: The sample size was 87 and the occlusal contacts of each right and left lateral movements were measured from the maximum intercuspation to the 3mm excursive position for three times respectively. All of the occlusal contacts were double checked through the thin metal foil. The results were categorized as two; 1) considering occlusal contact patterns on working side only, 2) considering occlusal contact patterns on working and nonworking sides. Results: The results showed that the nonworking side occlusal contacts play major roles in the lateral mandibular movement. In both cases of considering with and without the nonworking side occlusal contacts, the group function was the most prevalent. In the working side, the contacts were the most frequent in canine and the frequency of contacts was decreased as the distance was increased from canine to molar. In the nonworking side, the contacts were the most frequent in second molar. And the gender factor was statistically significant (${\alpha}$=.05), as females have more nonworking side occlusal contacts in this study. Conclusion: Among the three factors of anterior guidance, the group function was the most dominant factor. The analysis of 87 samples showed that canine contact was the most frequent in the working side and second molar contact was the most common in the nonworking side.

• 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.

• 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.

• 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.

• The Journal of Korean Academy of Prosthodontics
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• v.33 no.2
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• pp.269-280
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• 1995

저작은 교합과 악운동 뿐만 아리라 근신경계, 고위 중추까지 복합적으로 관여하는 기능적 행위이다. 교합 양상은 다양하게 저작 형태에 영향을 끼치며 저작 효율에도 관여한다. 저작 형태는 다양한 모양을 가지나 두가지 전형적인 군 즉, 전방에서 관찰시 그 양상이 수직적이며 chopping운동을 닮은 군과 저작 형태가 주로 측방으로 이루어지며 grinding을 하는 군으로 나눌 수 있다. 본 연구의 목적은 저작 형태의 치아가 교합접촉 및 저작 효율에 미치는 영향을 고찰해 보고자 하는 것이다. 하악운동궤적기록기를 이용하여 정상교합을 가진 치과대학생중 전형적인 2가지 저작형태를 보이는 각 10명씩을 피검자로 선택하였다. 3가지 하악위 즉, 중심위, 작업측 비작업측에서의 교합접촉을 고무형 교합인기재로 기록하여 천공부의 직경이 1mm이하면 1점, 1-2mm또는 직선상이면 2점, 2mm이상이면 3점으로 평가하여 각 점수의 합으로 좌우 소구치 및 대구치의 접촉 지수를 측정하였다. 저작 효율을 평가하기 위해 땅콩 3g(${\pm}0.01g$)을 20회 저작하게 한 후 3회 입을 헹구어 뱉게 하였다. 체눈 크기가 각 0.425, 0.60, 0.85, 2.0, 4.0인 체에 거른 후 $65^{\circ}C$로 오븐에서 세시간 말려 무게를 측정하고 중심 크기$(M_{50})$과 저작효율치(R)를 계산 비교하여 다음과 같은 결론을 얻었다. 1. Chopping형은 grinding형에 비해 중심위에서 더 넓은 교합접촉을 보였다(P<0.01). 2. Grinding형은 chopping형에 비해 측방위에서 더 넓은 교합접촉을 보였다(P<0.01). 3. Chopping형은 중심크기($(M_{50})$)과 저작효율치(R)로 비교하였을 때 더 좋은 저작 효율을 보였다(P<0.01).

• Journal of Oral Medicine and Pain
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• v.15 no.1
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• pp.45-53
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• 1991

저자는 두개하악 장애로 교합상치료를 받고있는 42명의 환자를 대상으로 치료전, 치료후 1개월, 3개월, 6개월째에 주관적 평가, 임상적 검사, 근전도 검사, 컴퓨터 교합 분석을 시행하여 다음과 같은 결론을 얻었다. 1. 주관적 평가인 visual analogue scale과 Helkimo's anamnestic dysfunction index는 유의하게 감소하였다. 임상적 검사시 MM(mandibular movement), TM(TMJ capsule palpation), EM(extraoral muscle palpation), Di(Helkimo's clinical dysfuction index)는 유의하게 감소하였고 무통성 개구량은 유의하게 감소하였다. 2. 42명의 환자중 10명에서 교합변화가 관찰되었으며, 5명에서 치주질환, 2명에서 치아 과민감, 1명에서 구토경향이 관찰되었다. 3. 치주칠환을 보이는 10명의 환자중 3명은 교합상치료 이전부터 치주질환에 이환된 상태였으며 3명에서는 교합변화가 함께 관찰되었다. 4. 교합변화를 보인 10명의 환자중 교합상의 장착시간을 줄였을 때, 3명이 원래의 교합상태로 회복되었고 4명은 부분적으로 회복되었으며 3명에서는 변화를 관찰할 수 없었다. 5. 악관절 내장 제 5기 환자에서 교합변화가 더 빈번히 나타났으며 통계적으로 유의한 차이를 보였다. 6. Habitual clenching 시와 Maximal clenching 시 사이의 치아접촉점 수, maximal clenching 시의 치아 접촉점의 수와 접촉 치아수 사이에 매우 유의한 상관관계를 보였고, habitual clenching 시의 치아접촉점의 수와 접촉 치아수, Habitual clenching 시와 maximal clenching시 사이의 치아 접촉시간에서도 유의한 상관관계를 보였다.

• 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.

• Journal of Dental Rehabilitation and Applied Science
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• v.29 no.1
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• pp.45-58
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• 2013

The purpose of this study was to analyze the area of occlusal contact points using visual method. One subject was selected who had Angle Class I, normal dentition, without dental caries, periodontal disease and temporomandibular disorders. Forty times PVS impressions were taken and 10 pairs casts were fabricated using dental super hard stone. After mounting the casts with customized loading apparatus, 78.9kg/f force was loaded as a maximum biting force. In T-Scan method, occlusal contact points measurement was repeated twice. Then, using Photoshop program (Adobe photoshop CS3, Adobe. San Jose, USA), the pixels which indicated occlusal contact points by color was recognized, and the distribution of recognized pixels were calculated to area. In Add picture method, polyether bite material applied to the occlusal surface of the casts. Then, the image of the translucent areas was recorded and classified $0{\sim}10{\mu}m$, $0{\sim}30{\mu}m$, $0{\sim}60{\mu}m$ area by the amount of transmitted light. To acquire occlusal surface, the numbers of pixels from the photograph of the contact area indicated cast converted to $mm^2$. The mean occlusal contact area by two methods was statistically analyzed (paired t-test). Part of the red and pink area in T-Scan image were almost equivalent to the $0{\sim}10{\mu}m$, $0{\sim}30{\mu}m$, $0{\sim}60{\mu}m$ area in Add picture image. The distribution of occlusal contact points were similar, but the average area of occlusal contact points was wider in T-scan image (P<.05). Pink and red area in T-scan image was wider than $0{\sim}10{\mu}m$, $0{\sim}30{\mu}m$ area in Add picture image (P<.05), but similar to $0{\sim}60{\mu}m$area in Add picture image (P>.05). Occlusal contact points in T-scan image did not indicate real occlusal contact points. Occlusal contact areas in T-scan method were enlarged results comparing with those in Add picture method.

• Journal of Oral Medicine and Pain
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• v.17 no.1
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• pp.73-87
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• 1992

저자는 28명의 측두하악장애 환자와 31명의 정상인을 대상으로 최적기능교합의 개념에 입각하여 교합시의 치아접촉점을 동적이며 정량적인 방법으로 평가하여 교합안정장치의 사용으로 인한 교합안정성의 개선여부를 알아보고자 하였다. 이와 동시에 교근과 전측두근의 활성도를 측정하여 치료의 경과에 따른 근활성의 변화를 알아보기 위해 본 연구를 시행하였다. 측정항목은 개구범위, 두개하악장애지수, 치아접촉점 좌우균형치, 치아접촉점 전후균형치, 치아접촉점 평균시간간격, 치아접촉점의 개수, 접촉시간, 좌우측 교근과 좌우측 전측두근의 근활성, 근활성 비대칭 지수 등이었다. 이의 측정을 위해 T-Scan System, K-6 Diagnostic System 그리고 EM 2등을 사용하였으며 얻어진 자료에 대해 검정한 후 다음과 같은 결론을 얻었다. 1. 교합안정장치를 이용하여 측두하악장애 환자들을 4주간 치료한 결과 전반적인 임상증상이 호전되어 개구범위와 두개하악장애지수에 있어서 뚜렷한 개선이 있었다. 2. 측두하악장애 환자에서 최대 악물기시의 치아접촉점 좌우균형치및 평균시간 간격이 큰 것으로 나타나 치아접촉이 일어나는 순간의 교합안정성이 좋지 않은 것으로 평가되었다. 3. 치료 4주후 교하안정장치를 장착한 상태에서 측정한 치아접촉점 좌우균형치및 치아접촉점 평균시간간격은 치료전에 비해 개선된 것으로 나타났다. 4. 치료 4주후 치아접촉점의 전후방 분포가 구치부위로 이동되는 양상을 보였다. 5. 측두하악장애 환자에서 최대 악물기시의 좌우측 교근 및 전측두슨의 근활성은 정상인에 비해 낮에 나타났으며, 이는 치료기간 동안 감소되는 경향을 나타내었다. 6. 측두하악장애 환자에서 전측두근의 근활성 비대칭지수는 정상인에 비해 상당히 높게 나타났으며 이는 치료기간 동안 감소되는 경향을 나타내었다.

• The korean journal of orthodontics
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• v.30 no.1 s.78
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• pp.91-99
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• 2000

This study was done to identify the changes of bite force and occlusal contact between before and after stabilization splint therapy. 16 female patients, accepted for orthodontic treatment at the Department of Orthodontics, College of Dentistry, Chosun University, were selected as the sample of this investigation. For comparisons, the samples of 16 were divided into just before stabilization splint, 1 month after stabilization splint, 2 months after stabilization splint, and 3 months after stabilization splint and used the T-scan system to identify the bite force and occlusal contact changes for each group. Statistical analysis of the data was carried out ANOVA tests, and Turkey tests using $SPSS/PC^+$. The results were as follows : 1. Bite force change from just before treatment to 1 month after stabilization splint therapy was statistical significantly decreased (P<0.05). 2. Bite force changes from 1 to 3 months after stabilization splint therapy showed no statistical significance (p>0.05). 3. The changes of anterior occlusal contacts showed no statistical significance regardless of the wearing periods of stabilization splint (P>0.05). 4. The changes of posterior occlusal contacts from just before treatment to 1 month after stabilization splint therapy was statistical significantly decreased (P<0.05). 5. The changes of posterior occlusal contacts Outing 1 to 3 months after stabilization splint therapy showed no statistical significance (P>0.05). 6. Posterior teeth rather than anterior teeth were more influenced by the changes of the number of occlusal contacts. To sum up above results, we may respect to capturing and stabilizing centric relation Position just 1 month after stabilization splint therapy.