• Title/Summary/Keyword: 두부 위치 변화

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A ROENTGENOEPHALOMETRIC STUDY OF HYOID BONE POSITION ON CENTRIC AND REST POSITION IN MALOCCLUSION (부정교합자의 중심교합위와 하악안정위시 설골위치에 관한 두부 X선학적 연구)

  • Lee, Jun-Gyu;Nam, Dong-Seok;Yang, Won-Sik;Seo, Jeong-Hun
    • The Journal of the Korean dental association
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    • v.13 no.10
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    • pp.941-946
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    • 1975
  • 치과교정학 분야에 있어서 부정교합자의 다양한 하악골 위치변화에 따른 Hyoid bone 위치변화에 대한 연구는 부족한 감이 있어, 저자등은 Hellman의 치령ⅢA 이후의 부정교합을 가진 남ㆍ녀 97명을 Angle씨 각급 부정교합의 분류에 의해 중심교합위와 안정위시의 두부 X선 사진을 가각 탐득하고 Hyoid bone의 위치변화를 측정하여 다름과 같이 결과를 얻었다. 1. 중심교합위에서의 Cranial base에 대한 Hyoid bone 위치변화에서는 Angle씨 ClassⅢ에서 남ㆍ녀 모두 물징적으로 전방에 위치하며, Mandibular plane에 대한 Hyoid bone위치변화에서는 각급 부정교합사이에 특기할 차이가 없다. 2. 안정위에서의 Hyoid bone위치는 중심교합위에서의 위치와 비슷한 분포를 나타내고 있다. 3. 중심교합위에서는 안정위로싀 위치변화에서 각급 부정교합 똑같이 후ㆍ하방 이동을 나타내고 있다.

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A RADIOGRAPHIC STUDY OF THE POSITION AND SHAPE OF MENTAL FORAMEN IN PANORAMIC RADIOGRAPHS (파노라마방사선사진상의 이공에 관한 연구)

  • CHOI Karp-Shik;BAE Yong-Chul;KIM Dong-Youn;SOHN Jeong-Ick
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.189-201
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    • 1997
  • The purpose of this study was to evaluate the position and shape of mental foramen in panoramic radiographs. For this study, panoramic radiographs were obtained from the 200 adults and evaluated the position and shape of mental foramen. According to various positional changes in panoramic radiographs of the patients, the author also obtained panoramic radiographs from the 100 adults and then evaluated the positional and shape changes of mental foramen. The following results were obtained: 1. Shapes of mental foramen were observed elliptical(43.3%), round or oval(42.5%), unidentified(7.5%) and diffuse (6.7%) type in descending order of frequency. 2. Horiwntal position of mental foramen were most frequently observed at the 2nd premolar area(54.2%), and area between the 1st premolar and 2nd premolar(43.1%), area between the 2nd premolar and 1st molar(2.7%) in descending order of frequency. 3. Vertical position of mental foramen were most frequently observed at the inferior of apex(88.2%), and at apex (9.7%), overlap with apex(1.9%), superior of apex(0.2%) in descending order of frequency. 4. According to various positional changes in panoramic radiographs of the patients, shape changes of mental foramen were more obviously observed at the forward 10mm and chin down 100 positioned panoramic radiographs. And changes of horiwntal and vertical position were observed in similar to compared with normal positioned panoramic radiographs.

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THREE DIMENSIONAL ANALYSIS OF MAXILLOFACIAL STRUCTURE BY FRONTAL AND LATERAL CEPHALOGRAM (두부 방사선 규격사진을 이용한 악안면 구조의 3차원적 분석법)

  • Kwon, Kui-Young;Lee, Sang-Han;Kwon, Tae-Geon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.2
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    • pp.174-188
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    • 1999
  • The purpose of this study is to evaluate the precision and accuracy of a three dimensional cephalogram constructed by using the frontal and lateral cephalogram of twelve human dry skulls. After achieving the three dimensional image reconstruction program, we tried to apply this program to two dentofacial deformity patients. 1. Conventional nasion relator in cephalostat was used to reproduce the same head position for the same dry skull. The mean difference of the three dimensional cephalogram for the same dry skull was $0.34{\pm}0.33mm$. Closeness of repeated measures to each skull reveals the precision of this method for the three dimensional cephalogram. 2. Concerning the accuracy, the mean difference between the three dimensional reconstruction data and actual lineal measurements was $1.47{\pm}1.45mm$ and the mean magnification ratio was $100.24{\pm}4.68%$. This Diffrerence is attributed mainly to the ill defined cephalometric landmarks, not to the positional change of the dry skull. 3. Cephalometric measurement of lateral and frontal radiographs had no consecutive magnification ratio because of the different focus-object distance. The mean difference between the frontal and lateral cephalogram to the actual lineal measurements was $4.72{\pm}2.01mm$ and $-5.22{\pm}3.36mm$. Vertical measurements were slightly more accurate than horizontal measurements. 4. Applying to the actual patient analysis, it is recommendable to use this program for analyzing the asymmetry or spatial change after operation. The orthodontic bracket would be a favorable cephalometric landmark for constructing the three dimensional images.

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Distortion of tooth axes on panoramic radiographs taken at various head positions (두부 위치 변화에 따른 파노라마 방사선사진상의 치축각도의 왜곡)

  • Jeon, Hyun-Sang;Choi, Gab-Lim;Lim, Sung-Hoon;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.38 no.4
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    • pp.240-251
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    • 2008
  • Objective: The purpose of this study was to evaluate the effect of head position changes on the root parallelism between adjacent teeth on panoramic radiographs. Methods: A model with normal occlusion was constructed in the SolidWorks program, then RP (rapid protyping) model was fabricated. The model was repeatedly imaged and repositioned five times at each of the following nine positions: ideal head position, $5^{\circ}$ up, $10^{\circ}$ up, $5^{\circ}$ down, $10^{\circ}$ down, $5^{\circ}$, right, $10^{\circ}$, up, and $5^{\circ}$ right rotation, $10^{\circ}$ right rotation. Panoramic radiographs were taken by Planmeca ProMax and the angle between the long axes of adjacent teeth was directly measured in the monitor. Results: Axes of adjacent teeth tended to converge toward the occlusal plane when the head tilted up and converged in the opposite direction to the occlusal plane when the head tilted down. Anterior teeth showed the most notable differences. When one side of the head tilted up $5^{\circ}$ and $10^{\circ}$ along the anteroposterior axis (Y axis), tooth axes of the same side tended to converge toward the occlusal plane and tooth axes of the opposite side tended to converge in the opposite direction to the occlusal plane. When the head rotated to one side along the vertical axis (Z axis), the canine and lateral incisor of the same side converged in the opposite direction to the occlusal plane and the canine and lateral incisor of the other side converged toward the occlusal plane. Conclusions: When assessing the root parallelism on panoramic radiographs, the occlusal plane cant (anteroposterior or lateral) or asymmetry of the dental arch should be considered because these can cause distortion of tooth axes on panoramic radiographs.

Correction of positional change of frontal cephalometric landmarks caused by vertical head rotation (두부의 수직회전 시 정모두부방사선사진상의 계측점 변화와 이의 보정)

  • Kim, Mi-Young;Lee, Kyung-Min;Cho, Jin-Hyoung;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.41 no.2
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    • pp.98-111
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    • 2011
  • Objective: Superimposition of frontal cephalograms cannot be performed when the cephalograms are taken with different vertical head rotations. The purpose of the present study was to evaluate the validity of correcting the positional change of frontal cephalometric landmarks caused by vertical head rotation. Methods: In 30 adult individuals, frontal and lateral cephalograms were taken at a $90^{\circ}$ angle. Geometric principles of radiography were used to calculate the possible vertical and horizontal landmark changes if the head should be rotated down $5^{\circ}$ about an ear rod axis. The calculated changes were then compared with cephalometric changes measured on frontal cephalogram actually taken with the head rotated down $5^{\circ}$. Results: When the frontal cephalograms were taken with the head rotated down $5^{\circ}$ about an ear rod axis, significant changes in the vertical position of the landmarks occurred, particularly in the landmarks located farther anteriorly from the ear rod axis. The comparison of calculated changes and real cephalometric changes showed that the differences were less than 0.4 mm in the vertical direction and less than 0.2 mm in the horizontal direction. The differences between calculated and real changes were smaller in the landmarks less affected by vertical head rotation. Conclusions: Even when frontal cephalograms are taken at different vertical head rotations, the concomitant changes in the position of the landmarks can be corrected through calculation using the geometric principle of radiography as long as frontal and lateral cephalograms are taken perpendicular to each other.

The effects of mandibular setback osteotomy on the oropharyngeal airway space in mandibular prognathic patients (하악전돌 환자에서 하악골 후퇴수술이 기도공간에 미치는 영향)

  • Kim, Hyo-Young;Choi, Hyun-Gue;Kim, Eun-Kyung;Kim, Jong-Ghee
    • The korean journal of orthodontics
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    • v.27 no.5 s.64
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    • pp.733-741
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    • 1997
  • As a result of surgical orthodontic treatment of mandibular prognathism, changes take place in the skeletal and soft orofacial components. Although some investigators had stated that permanent reduction of airway space was observed after mandibular setback surgery, it was not clear that this permanent reduction was sustained during long-term follow-up. The purpose of this study was to assess the changes in oropharyngeal airway space and soft tissue orofacial component following the mandibular setback surgery and during the follow-up period. The correlation between the changes of the oropharyngeal airway space and the changes of other soft tissue orofacial component was also assessed. The findings of this study were as follows ; 1. The oropharyngeal airway space area decreased following mandibular setback surgery for mandibular prognathism and continued to decrease during the follow-up period(p<0.05). 2. The pharyngeal depth at Xi point level and the 2nd cervical vertebra point level decreased after the surgery and remained during the follow-up period(p<0.05). The decrease of these pharyngeal depth was correlated with the decrease of oropharyngeal airway space area(p<0.01). 3. The decrease of pharyngeal depth at the 3rd and 4th cervical vertebra point level was not significant after the surgery and during the follow up period. 4. The hyoid bone moved downward after the surgery(p<0.05), but returned to its original position during the follow-up period. 5. The length & height of tongue and the Position of epiglottis base did not change significantly(p>0.05). 6. The soft palate was displaced posteriorly after the surgery and remained to its changed position during the follow-up period(p<0.05) due to posterior displacement of tongue. The changes of soft palate were significantly correlated with the decrease of oropharyngeal airway space area(p<0.01). 7. The narrowing of oropharyngeal airway space was due to the posterior displacement of tongue above the level of epiglottis tip. The posterior displacement of tongue following mandibular setback osteotomy remained during the follow-up period.

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A Study on Damage Analysis of Tributary Streams by Headward Erosion and Installation Plan of River Bed Protection using Numerical Simulation (두부침식에 의한 지류하천 피해분석과 수치모형을 이용한 하상유지공에 관한 연구)

  • Lim, Won Chang;Moon, Young Il
    • Proceedings of the Korea Water Resources Association Conference
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    • 2018.05a
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    • pp.259-259
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    • 2018
  • 최근 우리나라는 기후변화에 따른 태풍발생빈도 증가 및 이상강우, 유역내 토지이용의 고도화로 인한 유역특성 변화로 유역내 홍수량은 증가하고 홍수 도달시간이 짧아지는 양상을 보이고 있다. 이로 인해 홍수에 따른 치수방어 대책으로 하천의 제방축조 및 보강방법이 주로 채택되었으나, 최근에는 홍수시 직접적인 하천내 수위 저감을 위한 방안으로 하도내 저류효과를 확대하기 위한 보 설치 및 하도정비를 통한 하도준설을 시행하고 있다. 그러나 본류 하상저하에 따른 지류하천의 하상변동(두부침식)으로 하도내 세굴 침식에 의한 하천시설물 피해 사례가 늘게 되면서 과거 홍수에 의한 제방월류 피해에서 하상변동에 의한 하천시설물 붕괴로 하천피해 양상이 바뀌게 되었다. 이와 같은 피해를 방지하기 위해 지류하천 합류부에 하상변동 방지책으로 하상유지공을 설치하고 있지만 국내에는 이와 관련된 구체적 설계기준 및 연구가 미비하여 일선에서는 아직도 하천구조물의 용도가 다른 보나 낙차공의 설계기준을 준용하는 등 하상유지공 용도에 특성화된 설계기준(최적 위치선정 및 형식 등)이 없는 실정이다. 본 연구에서는 감천(낙동강 지류하천)유역내 하도준설 및 홍수로 인한 하상유지공의 유실에 따른 지류하천의 피해사례를 통해 수치해석결과 및 실측자료를 바탕으로 하상유지공 계획의 중요성을 검증하고자 하였다. 또한 하도준설로 생성된 지류합류부의 단차구간에 안정성을 확보한 최적의 하상유지공 위치 및 형식 등을 선정 검토하고 설치 유 무에 따른 유수흐름 및 하상변화양상을 비교 분석하였다. 본 연구의 결과를 토대로 향후 하도굴착 및 하상유지공 계획시 고려해야할 사항(지형현황 및 수리특성 등)을 인지하고 극한상황에서도 안전한 하상유지공의 위치 및 형식 등을 선정하는데 활용 가능할 것으로 판단된다.

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The Effect of an Interocclusal Appliance on Head and Neck Posture (교합장치물이 두경부 자세에 미치는 영향)

  • Eun-Ha Kim;Keum-Back Shin;Ik-Jun Lim
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.81-97
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    • 1994
  • 두개하악장애는 환자의 신체적 소인, 관련조직의 구조적 변화, 정신적 스트레스 등의 복합적 요인에 의 발생하는 다인성 질환으로 최근 대두되는 원인중의 하나가 신체, 특히 두경부의 자세이상이다. 비정상적인 두경부자세는 하악의 위치변화를 수반하여 종종 두개하악장애를 야기시키게 되나 이를 설명할 수 있는 과학적 증거는 아직 부족한 실정이다. 저자는 두경부 자세가 교합장치물에 의해 변화되는지를 저작근의 근전도학적 측면에서 규명하고자 21세에서 26세의 치과대학생으로 치아상실 및 교합간섭이 없고 두 개하악장애의 증후 및 경부운동제한을 가지지 않은 정상인 20명을 대상으로 각도계를 사용하여 시상면상에서 인위적으로 유도한 세 가지의 두경부자세변화 (0$^{\circ}$, 30$^{\circ}$ 굴절, 45$^{\circ}$ 신전)에 따른 교합안정장치의 장착(1시 간) 전후 및 안정위와 근접촉위(초기치아접촉위)에서의 두경부 근육(측두근, 교근, 악이복근)의 근전도를 Bioelectric Microprocessor EM2ⓡ를 사용하여 측정한 후 통계학적으로 비교, 분석, 평가하여 다음과 같은 결과를 얻었다. 1. 교합안정장치 장착전 하악 안정위 및 근접촉위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰다.(p<0.05) 2. 교합안정장치 장착후 하악 안정위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰으며, 하악 근접촉위에서 두부의 45$^{\circ}$신전은 악이복근의 근활성도를 증가시켰다(p<0.05). 3. 교합안정장치 장착 전후 및 두부의 30$^{\circ}$굴절, 45$^{\circ}$신전에 따른 측두군 및 교근의 하악 근접촉위에서의 근활성도가 안정위에서의 근활성도에 비해 유의한 증가를 나타냈다(p<0.05).

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A Study of Image Characteristics due to Focus-Grid and Head Phantom Decentering from the Armorphos Silicon Thin Film Transistor Detector the Fixed Focus-Grid is Applied (고정식 초점형 격자가 적용된 비정절 실리콘 평판형 검출기에서 초점-격자와 두부 팬텀의 중심 변위에 의한 화질 특성에 관한 연구)

  • Choi, Jun-Gu;Kim, Byeong-Gi;Cha, Seon-Hwa;Kim, Gyeong-Su
    • Korean Journal of Digital Imaging in Medicine
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    • v.9 no.1
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    • pp.7-15
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    • 2007
  • This study aim to investigate image characteristics due to focus-grid and head phantom decentering from the armorphos silicon thin film transistor detector the fixed focus-grid is applied, wish to propose right use method of digital medical equipment. Acquired image according to focus-grid and head phantom position decentering using head phantom on armorphos silicon thin film transistor detector the fixed focus-grid is applied. acquired image evaluate pixel value, histogram, plot profile, surface plot using NIB (Image J) image analysis program and compared decentering image with standard image. Mean value and standard deviation value of focus-grid lateral decentering and duplex decentering of focus-grid and head phantom decreased by ratio, consequently increase of horizontality, diagonal decentering. also, deteriorated contrast of image because frequency of high pixel value decreases fairly. according increases decentering, image distortion phenomenon was increase, by next time, pixel mean value of head phantom decentering was no big change but horizontality, diagonal, mean value and standard deviation value of pixel decreased by ratio. Even if increase pixel noise of image because wide latitude and post processing ability of digital detector, radiotechnologist can not recognize. Therefore, radiotechnologist must recognize correctly the photographing factors which increases pixel noise on the grid system installation digital detector and should exam.

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Comparison of landmark position between conventional cephalometric radiography and CT scans projected to midsagittal plane (3차원 CT자료에서 선정된 계측점을 정중시상면으로 투사한 영상과 두부계측방사선사진상의 계측정의 위치 비교)

  • Park, Jae-Woo;Kim, Nam-Kug;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.38 no.6
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    • pp.427-436
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    • 2008
  • Objective: The purpose of this study is to compare landmark position between cephalometric radiography and midsagittal plane projected images from 3 dimensional (3D) CT. Methods: Cephalometric radiographs and CT scans were taken from 20 patients for treatment of mandibular prognathism. After selection of land-marks, CT images were projected to the midsagittal plane and magnified to 110% according to the magnifying power of radiographs. These 2 images were superimposed with frontal and occipital bone. Common coordinate system was established on the base of FH plane. The coordinate value of each landmark was compared by paired t test and mean and standard deviation of difference was calculated. Results: The difference was from $-0.14{\pm}0.65$ to $-2.12{\pm}2.89\;mm$ in X axis, from $0.34{\pm}0.78$ to $-2.36{\pm}2.55\;mm$ ($6.79{\pm}3.04\;mm$) in Y axis. There was no significant difference only 9 in X axis, and 7 in Y axis out of 20 landmarks. This might be caused by error from the difference of head positioning, by masking the subtle end structures, identification error from the superimposition and error from the different definition.