• Title/Summary/Keyword: 안모

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A CASE REPORT OF SEVERE FACIAL ASYMMETRY WITH TMD (악관절 장애를 동반한 심한 안모 비대칭 환자의 치험례)

  • Kim, Yeo-Gab;Lee, Sang-Chull;Ryu, Dong-Mok;Oh, Sung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.4
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    • pp.255-268
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    • 1992
  • There are various modalities in the treatment of facial asymmetry, but in severe case with TMD by actively growing deformed condyle, the treatment choice is removing the condyle growth center and TMD symptom such as click or muscular discomfort. In our one case, the patient was complain of facial asymmetry. There are severe deformed condyle head with bird-head fashion and enlarged mandibular ramus and body vertically about 18 mm, overgrowthed Rt. mandible body horizontally about 20 mm. She had intermittent Lt. TMJ clicking and muscular discomfort. The author diagnosed it as Lt. hemimandibular hyper-plasia & R, hemimandibular elongation, a combination form with TMD. the condyle was in active growing state in scintigraphic analysis. So we extirpated the deformed condyle by intrasoral sagittal split ramus osteotomy and reshaped the condyle and mandibular distal fragment extraorally. The distal fragment was readapted in glenoid fossa and fixated. In Rt. mandibular body area, autogenous onlay bone graft on the inferior border of mandible was performed to correct the asymmetry. The clicking and facial asymmetry was corrected and we report this results with other literature findings.

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CONSIDERATION OF TRANSVERSE MOVEMENT OF POSTERIOR MAXILLA IN ORTHOGNATHIC SURGERY OF FACIAL ASYMMETRY : CASE REPORTS (안모 비대칭 환자의 악교정수술에서 상악 후방부의 수평이동에 대한 고려)

  • Chang, Hyun-Ho;Yoon, Seok-Chae;Rhyu, Sung-Ho;Kim, Jae-Seung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.2
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    • pp.172-178
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    • 2000
  • When we establish treatment planning of facial asymmetry, we must predict each asymmetrical element that will be changed upon coronal, axial, sagittal plane. At the visual point, prediction of the change of coronal plane is most important. It is important difference between Rt. and Lt. mandibular angle belonging to posterior coronal plane, as well as anterior coronal plane, such as upper and lower incisor, or midline of chin point. Several methods for control bulk of mandibular angle are additional angle shaving after osteotomy, grinding contact area between proximal and distal segment for decrease the volume, or bone graft for increase the volume. But, at the point of bimaxillary surgery, transverse position of posterior maxilla is an important factor for control it. So, we would report transverse movement of posterior maxilla for decrease asymmetry on the posterior coronal plane of face, that is, asymmetry of mandibular angular portion.

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A Study on Multi-Objective Fuzzy Optimum Design of Truss Structures

  • Mu, Zai-Gen;Ge, Xin;Yan, Mou;Chen, Yun-Zhou
    • Journal of Korean Association for Spatial Structures
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    • v.3 no.2 s.8
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    • pp.77-83
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    • 2003
  • This paper presents decision making method of structural multi-objective fuzzy optimum problem. The data and behavior of many engineering systems are not know precisely and the designer is required to design the system in the presence of fuzziness in the multi-goals, constraints and consequences of possible actions. In this paper, in order to find a satisfactory solution, the membership functions are constructed for the fuzzy objectives subject to the fuzzy constraints, and two approaches are presented by using the different types of fuzzy decision making. Thus, multi-objective fuzzy optimum problem can be converted into single objective non-fuzzy optimum problem and satisfactory solution of the multi-objective fuzzy optimum problem can be found with general optimum programming. Illustrative numerical example of the ten bar truss for minimum weight and minimum deflection is provided to demonstrate the process of finding the solution and the results are discussed.

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Considerations for sound periodontal condition of the esthetic restoration by dental technician (심미보철물의 건강한 치주환경을 위해 치과기공사가 생각해야 할 고려점)

  • Jang, won-pil
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.1
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    • pp.42-53
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    • 2019
  • I think the following conditions should be met for a successful anterior aesthetic restorations. They include the patient's facial and dental harmony, the coordination between the tooth and periodontal tissue, and the continuity with the adjacent teeth. However, in the laboratory process of making restorations, the dental technician works on the model without meeting the patient in person, so he or she has to rely on his or her knowledge and skills to make restoration within limited information. In this article, I discuss the biological criteria that I think as a dental technician and the forms of restorations and how to grant them to the sound periodontal condition.

A LONGITUDINAL STUDY OF KOREAN CHILDREN'S PROFILE CHANGE IN RELATION WITH MANDIBULAR GROWTH PATTERN (한국인 아동의 하악골 성장유형에 따른 안모변화에 관한 누년적 연구)

  • Kim, Ui-Hwan;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.15 no.2
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    • pp.175-195
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    • 1985
  • Vertical and horizontal growth occur in the craniofacial complex which ensues continuous changes in facial morphology, until the end of active growth period. Longitudinal study for individual is essential, in the research on growth and development, however, the difficulties in obtaining long term subjects in Korea, the research has been limited. The author analyzed the cephalometric roentgenogrems of 43 boys and 47 girls taken from the ages 6 to 10. The subjects were divided into 3 groups according to SN-MP angle and 2 groups according to gonial angle. In this longitudinal study, 21 variables were measure 4. The obtained results were as follows: 1. SN-MP angle and genial angle had no significant changes in each group with age. 2. With age, facial convexity of hard tissue decreased in all groups, facial angle of hard tissue increased in low SN-MP angle group, but facial convexity of soft tissue had no significant changes in all groups with age. 3. In comparison of high SN-MP angle group and low SN-MP angle group, the former had greater facial convexity and smaller facial angle than the latter. 4. SN-MP angle and the ratio of posterior dental height to anterior dental height had reverse correlation in all groups. 5. High genial angle group revealed larger SN-MP angle, anterior dental height facial convexity, but smaller mandibular length, and the ratio of posterior dental height to anterior dental height compared with low genial angle group.

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A PHOTOMETRIC STUDY OF THE FACIAL PROFILES OF KOREAN ADULT WOMAN (한국 성인 여성의 안모에 대한 실물 사진 계측학적 연구)

  • Park, Moo-Chull;Kim, Yeo-Gab
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.54-64
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    • 1992
  • The balance of facial sop tissue is important factor for the treatment of maxillofacial deformity patients. There are many cephalometric analysis of facial bone but a few soft tissue analysis of face for the orthognathic surgery, especially in the oriental people. This study aimed at examining the mean value of the soft tissue measurement of 120 Korean adult women with the linear and angular measurement and comparing with Caucasian. The results ere as follows. 1. In the frontal linear measurement, Korean women have larger interocular distant and width of nose, but the width of mouth appeared less than Caucasian. 2. In the frontal angular measurement, Korean women have larger inclination of the eye than Caucasian. 3. In the lateral linear measurement, Korean women have more prominent upper and lower lip position than Caucasian and have longer upper facial height comparing with lower facial height than Caucasian. 4. In the lateral angular measurement, Korean women have more convex facial profile and less nasolabial and geniolabial angle. 5. In the lateral facial ratio, Korean women have larger proportion in the lower department below the stomion.

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Roentgenographic Cephalometric Study for Normal Occlusion in Korean Adults According to the Ricketts Analysis (Ricketts 분석법에 의한 한국 성인 정상교합자에 대한 두부방사선 계측학적 연구)

  • Chin, Byung-Rho
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.131-139
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    • 1990
  • The purpose of this study was to assess the skeletal characteristics of the maxillofacial norms and the interpretation of craniofacial relations in korean adults by applying the Ricketts Analysis. The factors of the applied lateral cephalometric measurements were composed of the 10 factor analysis (Summary Analysis) and 7 internal structures to be suggested by Ricketts. Lateral cephalograms were obtained from 60 subjects over 21 years old, that consisted of 30 males and 30 females with normal occlusion, acceptable profile. The results were as follows : 1. The tables of means, standard deviations in each item and sex were made. 2. The author performed whether there was significance(P<0.05) between the registered male and female's measurement in each item..

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Aesthetic treatment of patient with facial asymmetry and severe gingival retraction (안면비대칭과 치은퇴축이 심한 환자의 심미치료)

  • Choi, Moon-Shik
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.1
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    • pp.50-63
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    • 2016
  • Successful treatment in the anterior esthetic prosthetic can be a balance between aesthetics in the facial, tooth, and periodontal tissue in the oral. In the case of facial symmetry of patients with normal occlusal plane, If you establish criteria of finding balance of aesthetics such as a several books and articles and manufacture a prostheses by the established-criteria, you can manufacture a harmonious and aesthetic prostheses without any trouble. However, in the case of patients with facial asymmetry, if you manufacture a tooth as patient's facial aesthetic symmetry by force even facial asymmetry case, you can't get a result not only aesthetic but also functional prostheses. Also, to produce the prosthetic of harmonious and aesthetic with periodontal tissue, and excellent self-cleansing function, you must apply to the form of the prosthetic changed dental environment.

INTERRELATION BETWEEN THE ANGLE FORMED BY THE MIDSAGITTAL PLANE AND THE MANDIBULAR ANGLE AND THE HORIZONTAL INCLINATION OF THE CONDYLAR LONG AXIS (시상정중면에서 하악우각부 사이의 각도와 하악과두장축의 수평경사도간의 상호관계)

  • Oh Wan Soo;Choi Soon Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.1
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    • pp.109-116
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    • 1992
  • To determine the horizontal inclination of the condylar long axis without taking the submentovertex radiograph, the author studied the interrelation between the angle formed by the midsagittal plane and the mandibular angle and the horizontal inclination of the condylar long axis. In 56 subjects, the author measured the angle formed by the midsagittal plane and both mandibular angle using the modified Twirl Bow and the horizontal inclination of the both condylar long axis from submentovertex radiographs. The result were as follows: The mean value of the angle formed by the midsagittal plane and the mandibular angle was l8.50±1.48° in right side and 19.30±1.55° in left side. The mean value of the horizontal inclination of the condylar long axis was 19.25±7.56° in right side and 20.27±7.050 in left side. The interrelation of the two angles was represented as follows: y = 20.31-0.0094× (r = -0.482, p<0.01) in right side and y = 20.64-0.066×(r =-0.301, p<0.05) in left side (y; the horizontal inclination of the condylar long axis, x; the angle formed by the midsagittal plane and the mandibular angle).

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CEMENTIFYING FIBROMA IN BOTH SIDES OF THE MANDIBLE (하악골 양측에 발생된 백악질섬유종)

  • Park Mi-Kyung;Choi Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.2
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    • pp.367-373
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    • 1992
  • The author observed a 35-year-old male patient who came to the Dental Infirmary of Kyungpook National University Hospital who had complained of gradual swelling on both side of the mandible for 15 years. As a result of careful analysis of clinical, radiological and histopathological findings, the authors diagnosed it as cementifying fibroma and obtained the results as follows: 1. In clinical examination, main clinical symptom was facial deformity due to gradual swelling on both side of the mandible. 2. In radiographic examination, radiolucent lesions with central radiopaque foci were seen on both mandibular body areas bilaterally, and cortical thinning and expansion of the mandibular body were seen buccolingually. And loss of lamina dura and root resortption of adjacent teeth were also seen. In histopathological examination, this lesion was composed of delicate interlacing collagen fibers interspersed by the fibroblasts and cementoblasts. And round or oval shaped basophilic masses of cementum-like tissue were observed in the connective tissue.

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