• Title/Summary/Keyword: 상악 고경

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A longitudinal study on the developmental changes of dental arch width and length (치열궁 폭경과 고경의 성장 변화에 관한 누년적 연구)

  • Kim, Young-Suck;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.30 no.1 s.78
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    • pp.19-31
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    • 2000
  • Developmental changes of dental arch width and length from 6.6 to 13.6 yews of age have been studied in twenty boys and thirteen girls in Korean school children. A series of 8 dental casts obtained from each child was measured in the intercanine width, intermolar width and arch length. Afterwards, mean value and each standard deviation of each age group and each gender were obtained, and corresponding graphs were drawn. The finding of this study can be summarized as follows : 1. Maxillary intercanine widths increased until age of 13.5 in males and age of 12.5 in females. On the other hand, mandibular intercanine widths increased until age of 11.5 in males and age of 9.6 in females and after there were no changes. 2. Maxillary intermolar widths increased until age of 13.5, but annual increments reduce from age of 12.5 in both sex. Mandibular intermolar widths increased until age of 13.5 in males and age of 12.5 in females. Annual increments of maxillary intermolar width greater than those of mandibular intercanine width in both sex. 3. Maxillary dental arch lengths increased until age of 10.6 in both sex, and after decreased until age of 13.6. Mandibular dental arch lengths increased until age of 10.5 in males and age of 9.6 in females, and after decreased until a9e of 13.6. 4. Developmental changes of dental arch width and length showed individual variation.

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A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear (치아 마모로 인한 수직고경감소와 과개교합을 가진 환자에서 전악 수복 증례)

  • Seo, Seong-Yong;Lee, Na-Young;Kang, Jeong-Kyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.31-39
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    • 2018
  • The collapse of the posterior occlusion destroys the normal occlusal plane and causes excessive wear reducing the vertical dimension. Reduced vertical dimension of occlusion causes not only aesthetic and functional problems but also overloading on the temporomandibular joints and abnormalities of muscle nerve system. In order to improve the collapsed occlusal relationship, it is necessary to consider the change of the vertical dimension. It is necessary to make a precise diagnosis and analysis before the treatment and to evaluate the adaption of patient to the new vertical dimension of occlusion. A patient with excessive overbite often has occlusal problems of tooth wear and tooth eruption. Considering these considerations, overall prosthodontic restoration is required to solve the problem. A patient of 68 year old man in this case who suffered major tooth wear and maxillary posterior teeth loss was treated with elevation of vertical dimension of occlusion by maxillary removable dental prosthesis and mandibular fixed prosthesis.

Full mouth rehabilitation of iatrogenic attrition patient (의원성 마모 환자의 전악 수복 증례)

  • Lim, Na-Kyung;Shin, Soo-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.228-237
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    • 2021
  • Physiologic tooth attrition is accepted as a natural change. But when pathologic changes, such as loss of occlusal vertical dimension, masticatory pain, loss of masticatory function, and loss of esthetics occur, restorative measures should be taken by dentist. A patient visited the clinic with the chief complaint of 'My lower teeth bite the palate and it hurts'. It was diagnosed as iatrogenic attrition of lower natural dentition caused by inappropriate upper restorations, resulting in traumatic overbite. Through model analysis and diagnostic wax up, increase in vertical dimension was decided. Upper and lower dentitions were restored with new prostheses. After restoration, satisfactory outcomes were achieved both in functional and esthetic aspects.

A STUDY ON THE PATTERN OF SKELETAL CHANCE FOLLOWING CERVICAL HEADGEAR THERAPY IN GROWING CHILDREN (성장기 아동에서 Cervical Headgear사용시 골격적 변화 양상에 대한 연구)

  • Hyun, Ha-young;Lee, Jin-Woo;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.523-534
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    • 1996
  • This study was to investigate the horizontal & vertical bone change pattern when using cervical headgear in Class II malocclusion of growing children and compared the skeletal features between the group with increased lower facial height and the group without increase in lower facial height. The results are as follows ; 1. Forward growth of maxilla was inhibited, downward tipping of anterior palatal plane could be seen and distal movement of maxillary first molar was observed. 2. There was relative forward movement of Mandible against the Maxillary cranial base, and relative forward movement of mandibular 1st molar against the Maxilla and vertical increase due to alveolar growth of Mandible. 3. There was significant increase in anterior and posterior facial heights but the ratio of facial height showed no significant difference. 4. The group with increased lower facial height has shorter ramus length, than the smaller palatal plane angle, and more distal movement of Maxillary 1st molar than the group without increase Ha-young Hyun

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Rehabilitation of posterior support and vertical dimension in a class 3 malocclusion patient: A case report (III급 부정교합 환자에서 상악 가철성 국소 의치와 하악 임플란트 지지 고정성 보철물을 이용한 구강 회복 증례)

  • Oh, Ji-Hwan;Pyo, Se-Wook;Chang, Jae-Seung;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.175-186
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    • 2022
  • A crossed occlusion resulting from the presence of posterior teeth in one arch but no opposing teeth in the opposite arch results in collapse of the vertical dimension. In this case, the patient has a class III malocclusion with crossed occlusion and anterior crossbite. In order to evaluate the proper vertical dimension, provisional denture was used to stabilize the vertical occlusal dimension for 3 months. After, provisional fixed restoration was used for the stabilizing occlusal relationship and aesthetic improvement for lip support. Definitive prosthesis in implants in the mandible and abutments in the maxillary were using Porcelain-fused-to-metal crown (PFM) crown and the maxillary unilateral edentulous area was treated with removable partial dentures. Through this, proper support of the posterior region and normal anterior occlusal relationship were formed, and the patient was able to obtain aesthetically and functionally satisfactory treatment results.

A cephalometric evaluation of anterior j hook headgear traction to the maxilla (Anterior j hook headgear를 이용한 상악골 성장억제에 관한 연구)

  • Chung, Kyu-Rhim;Kang, Jang-Yun
    • The korean journal of orthodontics
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    • v.30 no.4 s.81
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    • pp.387-398
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    • 2000
  • This study was aimed to observe the effect of Anterior J hook headgear on the craniofacial structures in mixed dentition with Class II malocclusion. The laterial cephalograms of 20 children treated by Anterior J hook headgear were traced, digitized and statistically analyzed. The results were as follows : 1. Forward growth of maxilla was inhibited. 2. Rotational effect of maxilla was not observed. 3. There was distal movement of maxillary dentition. 4. Maxillarly_dentoalveolar growth changes were more effective in anterior portion than posterior portion. 5. Mandible maintained a normal growth and mandibular plane angle was maintained during treatment period. 6. The ratio of anterior facial height to posterior facial height was almostly not changed.

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Full mouth rehabilitation in a patient with loss of vertical dimension caused by severe tooth loss: a case report (광범위한 치질 상실로 인해 수직 고경 감소 환자의 전악 수복 증례)

  • Yun, Ah-Young;Shim, Hye-Won;An, Jin-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.42-47
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    • 2014
  • Decrease of occlusal vertical dimension (OVD) due to loss of teeth structure and destruction of the occlusal plane by severely worn dentition may cause cross bite or temporomandibular joint disorder by following change of facial feature or the loss of anterior guidance. Full mouth rehabilitation via an increase of the OVD can be considered to avoid this problem and proper evaluation of patient's OVD is essential. An 80 year old male visited for overall prosthodontic treatment, cross bite due to continuous wear and following decrease of the OVD were observed. We analyzed the existing occlusal relationship using the diagnostic cast, the radiographic evaluation and clinical test, and then proper increase of OVD was selected. The new OVD on diagnostic wax up was placed by the temporary restoration. After 3 months of observation period, final restoration with fixed partial dentures and implant overdenture were made. Throughout the follow-up period of 8 months, the aesthetic and functional improvement can be obtained.

Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report (교합 고경이 감소된 보철물을 가진 환자의 전악 수복 증례)

  • Chung, So-Mi;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.305-310
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    • 2012
  • It is a great challenge for dentists to do prosthetic restorations of a patient with reduced occlusal vertical dimension (OVD). Proper determination of the OVD is significant. An 85-year-old male patient came in with missing right maxillary posterior teeth. After diagnostic wax-up, reversible provisional prostheses were used to evaluate the new OVD in the maxilla and mandible. After that, the patient was evaluated clinically based on the criteria of esthetic, phonetic, and OVD. After 8 weeks, teeth with excessive wear were treated with root canal therapy and fiber post and core and irreversible provisional prostheses were done. After 8 weeks of observation period, final restorations with fixed partial dentures and removable partial dentures were made. Throughout the follow-up period of 6 months, no symptoms related with increased OVD and mechanical complications were observed.

Maxillary full-arch fixed dental prosthesis of the elderly patient with worn dentition (마모된 치열을 지닌 고령 환자의 상악 전악 고정성 수복 증례)

  • Lee, Jae hyun;Choi, Yeon jo;Ryu, Jae jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.154-162
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    • 2017
  • Tooth wear, one of the physiological changes in the elderly patient's mouth, generally does not require treatment, but requires prosthodontic restoration when occlusal disharmony, poor masticatory function, pulp exposure occurs. One of the primary considerations in prosthodontic restoration for tooth wear is vertical dimension. It is necessary to make an accurate diagnosis and analysis, correct judgement of the interdental relationship for predictive treatment plan. A step-by-step approach considering dental care for aged is also required. In this case, a 93-year-old male patient presented with worn dentition and mobility of existing fixed dental prosthesis. After diagnosis and evaluation, maxillary rehabilitation without any change in the occlusal vertical dimension was performed and this shows satisfactory results both functionally and morphologically.