• Title/Summary/Keyword: 구치

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Implant-Supported Fixed Prostheses for the rehabilitation of distal free end in periodontally compromised dentitions Number of fixtures affecting bone tissue change (치주질환에 이환된 환자에서 구치 상실 치열 수복을 위한 임플란트 수복)

  • Yi, Seung-Won;Kim, Young-Soo
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.53-63
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    • 2005
  • Number of fixtures supporting prosthesis for rehabilitation of partial edentulism in distal area is an important factor in distal area to the bone tissue response around dental implant. Optimal number and optimal positioning of dental implant has leaded to the stable condition of bone tissue and successful long-term treatment outcome. This clinical and radiographic study was performed to document and evaluate the short-term result of occlusal rehabilitation by means of implant-supported fixed prostheses (ISPs) especially for partial edentulism in distal area in patients treated for advanced periodontal disease and to verify the number of fixture affecting the bone tissue response. A total of 30 consecutive patients referred because of advanced periodontal disease were included. Before the implant therapy was initiated, periodontal treatment was performed and the outcome evaluated during at least a 6-month period. An individual maintenance care program was designed for each patient. All 75 implants were placed using a 2-stage surgical approach. The patients were divided into 2 groups, in one of which two fixtures were placed and in the other of which three fixtures were placed with tripodal geometry. Following installation of the ISPs, all patients underwent a baseline examination including evaluation of i) oral hygiene, and ii) periodontal/ peri-implant conditions, and iii) radiographs. These examinations were repeated annually during the 1 or 2-year observation period. The results were as follows: 1.No single implant was lost during the observation follow-up period. 1.The percentage of plaque harboring surfaces and bleeding units upon probing were found to be low (<10%), and no soft tissue complications were recorded. 1.Two-fixture group showed bone destruction ranged from 0.0mm to 1.5mm and the mean was 0.31mm. Three-fixture group showed more bone destruction of 0.51mm. There was no statistically difference between two groups. These results suggested that the factor for success is not the number of fixture but the strict maintenance of peri-implant tissue health and initial stability of fixture.

Full Mouth Rehabilitation in a Patient with Severely Worn Dentition (심하게 마모된 치열을 가진 환자의 완전구강회복)

  • Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.463-476
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    • 2010
  • Inadequate or unstable posterior support cause extrusion of antagonistic teeth and overloading of remaining teeth. Extrusion of antagonistic teeth result in collapsed occlusal plane and decreased prosthetic space. Also, overloading of remaining teeth increase occlusal wear or anterior extrusion of anterior teeth, which is resulting in loss of anterior guidance, disharmony of occlusion and decreased prosthetic space. In this case, careful evaluation of OVD(occlusal vertical dimension) is the general first trial to regain appropriate function and esthetics. Simultaneously, adequate anterior guidance and harmonious occlusal plane should be established in the repeatable reference position of the mandible. We report this case because severely worn dentition achieved functional and esthetic results from full mouth rehabilitation with increased vertical dimension and use of centric relation.

Relationship of Dental Crowding to Tooth Size and Arch Width (치아 크키와 치열궁 폭경이 치아밀집에 미치는 영향)

  • Hwang, Hyeon-Shik;Kim, Jeong-Tae;Cho, Jin-Hyoung;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.34 no.6 s.107
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    • pp.488-496
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    • 2004
  • The purpose of the present study was to investigate the relationship of dental crowding to tooth size and arch dimension in Korean subjects. Two groups of dental casts with Class I molar relationship, were selected on the basis of crowding. One group, consisting of 82 pairs of study cast (29 males and 53 females), exhibited at least 7 millimeters of crowding in each arch. A second group, consisting of 82 sets of study cast (37 males and 45 females), exhibited normal occlusion with little or no crowding. Mesiodistal tooth diameters, and buccal and lingual dental arch widths were measured and compared between the crowding and normal occlusion groups. Significant differences were observed between the two groups not only in arch widths but also in tooth sizes. The results of the present study suggest that both extraction and expansion can be used as a treatment approach for the crowding cases.

Malocclusion with Congenital Missing of Lower Incisors (하악 전치의 선천적 결손을 동반한 부정 교합의 치험례)

  • Kim, Kyung-Ho;Choy, Kwang-Chul;Chung, Kil-Yong;Yun, Hee-Sun
    • The korean journal of orthodontics
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    • v.28 no.6 s.71
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    • pp.981-989
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    • 1998
  • Positions, angulation and mesiodistal dimension of lower incisors are important in esthetics, occlusion and post-treatment stability of tower arch. When lower incisor is congenitally missing, problems such as increased overjet and overbite, closing in of adjacent teeth and size/space discrepancies may occur. When creating treatment plans, incisor position and angulation, lip support, anteroposterior skeletal relationship canine-molar relationship, overjet overbite, remaining growth potential, crowding and anterior tooth ratio have to be considered. For an accurate analysis of incisal size discrepancy, diagnostic model set-up may be helpful. The two patients in this presentation both had two lower incisor missing, but the degree of crowding, skeletal relationship, lip support, molar relationship are different and therefore treatment plan was different as well. Long term follow-up may be necessary for stability and retention.

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Effects of Method, Number of Times for Spraying and! Ventilation Condition on the Growth in Greenhouse (관수방법, 관수회수 및 송풍처리에 따른 초화류의 생장에 미치는 영향)

  • 민병로;김웅;이범선;이대원
    • Journal of Bio-Environment Control
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    • v.13 no.3
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    • pp.149-155
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    • 2004
  • On this study, a multipurpose operating system was developed to adjust a configuration of a moving path which have no connection with a form of greenhouse. To being performance the multipurpose working system, we have experienced growth quality on the plants in greenhouse. Some of the results are as follows. While watering by the hand spray. the condition of plant was generally no good. It was shown that plant height and leaf area were all high without wind during watering by the automatic spray. The effect to retrain a plant growth was high as a ventilation was strong. The diameter of a plant stem was small without ventilation condition during watering 3 times by automatic spray. The number of leaf was relatively large during 3 times by automatic spray compared to 2 times by automatic spray or hand spray. Growth of plant was fast as the times of spray were large.

Effect of Compressive Loading on the Chloride Penetration of Concrete Mixed with Granulated Blast Furnace Slag (고로슬래그미분말을 혼입한 콘크리트의 염분침투성에 미치는 압축하중의 영향)

  • Kim, Dong-Hun;Lim, Nam-Gi;Horiguchi, Takashi
    • Journal of the Korea Institute of Building Construction
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    • v.9 no.6
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    • pp.71-78
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    • 2009
  • The analysis of the effect of loading on chloride penetration into concrete is very important. In this study, we confirmed that the chloride penetration rates for plain and BFS concrete were increased by 47% and 89% under compressive stress, respectively. The diffusion coefficient of BFS concrete was lower than for conventional concrete with no BFS, no loads, and under stressed states. Therefore, BFS substitution plays an important role in the repression of chloride penetration even under compressive stress. Under compressive stress,the diffusion coefficient for BFS concrete was higher with increasing stress, and this was also the case for plain concrete. However, BFS concrete was strongly influenced by compressive stress in comparison to plain concrete. We investigated the effect of the difference of specific surfaces on the diffusion coefficient. As a result, the larger specific surface of BFS exhibited a lower diffusion coefficient. This tendency was most pronounced under the high stress conditions.

Orthodontic treatment using indirect bonding technique in periodontitis (치주염환자에서 Indirect Bonding Technique를 이용한 교정치료)

  • Lee, Young-Seok;Ko, Eun-Young;Kim, Chin-Dok;Kim, Song-Uk;Yum, Chang-Yup;Kim, Byung-Ock;Han, Kyung-Yoon
    • Journal of Periodontal and Implant Science
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    • v.28 no.1
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    • pp.177-185
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    • 1998
  • Periodontal disease and/or loss of teeth brings pathologic tooth migration that can result in esthetic and occlusal problems. Diastema and general spacing of the teeth, particularly in the anterior segments of the dentition are frequently developed in individuals with advanced periodontal disease. Thus, the overall treatment plan for a patent with advanced periodontal disease often involves periodontal orthodontic combined therapy. Orthodontic treatment in adults with periodontal disease is restricted to tooth alignment with special caution. Indirect bonding can achieve accurate bracket placement. A 38 year old woman with adult periodontitis was treated by periodontal therapy. Subsequently, her diastema was orthodontically corrected by indirect bonding technique. It must be an appropriate case report of periodontal-orthodontic combined therapy.

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Retrospective Study of Survival Rates According to the Type of Dental Restoration of Proximal Caries in Primary Molars (치과용 수복재료에 따른 유구치부 인접면 수복물의 생존율연구 : 후향적연구)

  • Jih, Myeongkwan;Lee, Sangho;Lee, Nanyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.249-256
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    • 2015
  • Restorative dental materials have advanced rapidly, with improved physical properties that improve survival rates. Accordingly, various materials can be selected. Amalgam, composite resin, glass-ionomer cement, and preformed stainless steel crowns have all been used widely for the restoration of dental caries in primary molars. The various dental materials used to treat proximal caries in the primary molars have distinct advantages and disadvantages. However, few studies have examined their survival rates. This retrospective study examined the 2-year survival rates of more than 700 class II restorations of proximal caries in primary molars clinically and radiologically according to the type of restoration. The study results should help in the selection of class II restorations for molars, one of the biggest concerns of pediatric dentists.

The Effect of Occlusal Stabilization Splint Therapy on the Occlusal Contact Stability and Masticatory muscle Activities in the Patients with Temporomandibular Disorders (측두하악장애환자에 있어서 교합안정장치가 교합안정성 및 저작근활성에 미치는 영향)

  • Jye-Jynn Ann;Jae-Kap Choi;Jae-Hyun Sung
    • 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.

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Microleakage of class II posterior composite resin filling using various light curing methods (구치부 광중합 복합레진 수복시 여러 광조사 방법에 따른 미세변연누출에 관한 연구)

  • Jong-Uk Par;Byeong-Hoon Cho;Ho-Hyun Son;Chung-Moon Um;Hyuk-Choon Kwon
    • Restorative Dentistry and Endodontics
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    • v.26 no.4
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    • pp.326-331
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    • 2001
  • 목적 - 최근 복합레진의 미세변연누출을 줄이기 위한 새로운 광중합 조사방법이 연구되고 있다. 또한 구치용 복합레진이 개발되면서 그 제조회사에서는 5mm 깊이까지 광중합이 가능하다고 소개하고 있다. 본 연구에서는 논리적 가설에 근거한 몇가지 광중합 조사방법이 구치부 class II 와동의 복합레진 충전시 미세변연누출에 어떠한 영향을 미치는지를 관찰하였다. 재료 및 방법 - 100개의 우식증이 없는 사람의 상하악 대구치를 사용했다. 각 치아에 교합-치은방향으로 4mm, 협설 4mm, 깊이 2mm의 class II 와동을 형성하여 인접치와 함께 베이스플레이트 왁스에 매몰하고 구치용 복합레진인 Surefil을 제조 회사의 지시대로 충전하였다. 이때 5가지의 광조사방법을 이용하여 5개의 군으로 나누어 중합하였다(Table 1). 수복된 치아들을 5$^{\circ}C$와 55$^{\circ}C$의 수조에서 번갈아 1분씩 총 500회의 온도변화를 주어 thermocycling을 실시한 후 근첨을 폐쇄하고 수복와동의 치은경계를 제외한 전 표면에 nail varnish를 2회 도포하였다. 2%의 methylene blue용액에 24시간 침적시키고 흐르는 물에 세척한 후 시편을 투명한 에폭시 레진에 매몰하였다. 매몰된 시편을 치아 장축에 평행하게 절단 연마하였다. 입체 현미경으로 미세변연누출을 관찰하고 Kruskal-Wallis One Way ANOVA 와 Dunn's Method로 통계처리 하였다. 결과 - 1. 미세누출은 1군, 4군과 5군, 2군 3군 순으로 증가였다. 이때 1군, 4군과 5군은 통계적 유의성이 없었다(P>0.05). 2. 2군의 경우 1군, 4군, 5군에 비교하여 유의성 있게 미세누출이 많았으며(P<0.05) 3군에 비하여 유의성 있게 적게 나타났다(P<0.05). 3. 3군의 경우 다른 방법들에 비교하여 통계적으로 유의성 있게 미세누출이 많았다(P<0.05).

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