• Title/Summary/Keyword: 중심위 변위

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RELATIONSHIP BETWEEN CO-CR DISCREPANCY AND FACIAL SKELETAL TYPE (안면골격 형태와 중심교합위-중심위 변위간의 상관성에 관한 연구)

  • Cho, Jin-Young;Lee, Young-Jun;Park, Young-Guk;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.28 no.5 s.70
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    • pp.839-853
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    • 1998
  • The present study was performed to prove the relationship between CO-CR discrepancy and facial skeletal type. In this study, 242 subjects were randomly selected and devided into 9 groups(devided into class I, II, III by ANB and each one devided into dolicho-, brachy-, mesofacial skeleton by Ricketts' vertical index). Lateral cephalometric radiographs with the mandible in centric occlusion were taken and measured and CO and CR bites were registered on all subjects. Diagnostic casts were mounted on Panadent articulator using an estimated face-bow and centric relation bite registration. The amount and direction of CO-CR discrepancy present was recorded using a Condylar Position Indicator(CPI) and a centric occlusion wax bite registration. CPI measurements and cephalometric measurements were statistically analyzed. The finding of this study can be summerized as follows : 1. There is little correlation between right and left sides for magnitude or direction of CO-CR discrepancies. The correlation between the magnitude of CO-CR discrepancy of left A-P and right A-P is higher than that of left S-I and right S-I. 2. Correlation of Class II malocclusion group was higher than that of the other groups between the magnitude of CO-CR discrepancy of left CPI and right CPI. 3. There is no difference between the pattern of CO-CR discrepancy of 9 malocclusion groups. 4. There is very little, if any, correlation between Skeletofacial measurements and CO-CR discrepancy. 5. In Class II brachyfacial skeleton and Class III mesofacial skeleton there was Lateral cephalometric measurements by that we predict CPI measurements was detected. That was overbite, overjet, upper genial angle, lower genial angle, saddle angle, articular angle, convexity of point A, ANS-Me/Na-Me, PCBL/RH, Posterior FH/anterior FH.

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The effect of CR-CO discrepancy on cephalometric measurements in Class III malocclusion patients (골격성 III급 부정교합자에서 중심위 변위가 두부 방사선 계측치에 미치는 영향)

  • Park, Yang-Soo;Kim, Jong-Chul;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.255-265
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    • 1996
  • The purpose of this study was to investigate if there were a significant difference between cephalometric measurements of mandibular position derived from a centric occlusion tracing compared to those of a converted centric relation tracing in the Class III malocclusion. The sample consisted of 25 Class III malocclusion and 25 normal occlusion persons who had no orthodontic treatment. The records included an lateral cephalometrics in centric occlusion, centric relation and centric occlusion bite registration and diagnostic casts mounted on the SAM II articulator in CR. The amount of CR-CO discrepancy of condyle was recorded using a MPI(Mandibular Position Indicator, MPI $200^{(R)}$, Great Lakes Orthodontics, USA). The conversion of the CO cephalogram to CR using the MPI readings was performed on the Conversion work sheet. Measures of mandibular position were chosen for the purpose of this study. The comparison of the difference between CO and CR cephalometric measurements in the normal occlusion and Class III malocclusion group were studied. The results were as follows: 1. In the features of CR-CO discrepancy of the condyle, the condyle was displaced posterior and inferior when the teeth were in centric occlusion. The horizontal component(${\Delta}X$) in Class HI malocclusion group was greater than the vertical component(${\Delta}Z$) and also greater than the horizontal component(${\Delta}X$) in normal occlusion group. There was no statistically significant correlation between MPI measurements and the groups of normal occlusion and Class III malocclusion group. 2. In the comparison of the cephalometric measurements in each group, Normal occlusion group showed significant difference in measurements such as ANB, Facial angle, Facial convexity and ODI. Class HI malocclusion group showed significant difference in measurements such as ANB, Facial angle, Facial convexity, ODI, SNB, APDI, L1-FP and it had more significance than the normal occlusion group. 3. The Value of cephalometric measurements was significantly different between CO and CR but there were no differences between the groups of normal occlusion and Class III malocclusion. The results of this study suggest that if the discrepancies are greater than the amount of normal displacement from clinically captured centric relation, centric relation should be considered as the starting point for proper diagnosis and treatment planning.

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Deformation Characteristics of Diaphragm Wall Induced by Deep Excavation(I) -Instrumentation and Experiments- (대규모 굴착공사에 따른 지중연속벽체의 변형특성(I) -계측 및 실험-)

  • 김동수;이병철;김동준;양구승
    • Journal of the Korean Geotechnical Society
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    • v.17 no.4
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    • pp.93-105
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    • 2001
  • 해성토층(풍화토 및 모래질 충적토가 암반 위에 쌓인) 위에 준설매립된 수도권 해안매립지역에서 원형의 대심도 굴착공사로 인하여 발생하는 지중연속벽의 수평변위에 대한 현장계측을 중심으로 연구를 수행하였다. 현장측정으로는 지중연속벽의 8방향에서 벽체수평변위와 철근응력, 토압, 간극수압 등이 측정되었고, 정확한 측정결과를 얻기 위하여 합리적인 해석 및 보정방법이 연구되었다. 현장측정결과 굴착시공단계에 따라서 벽체수평변위가 증가하였으며, 일정깊이에 존재하는 점토층을 굴착함으로써 간극수압의 급격한 변화가 측정되었다. 한편, 굴착전후의 구속압감소에 따른 지반물성치의 변화를 정리하였다. 굴착전후의 탄성계수는 일정깊이까지 상당한 정도로 감소됨을 알 수 있었고 굴착전후 여러 가지 시험방법에 따른 탄성계수의 차이들을 비교하였다.

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A Study on Variation Types in Celiac Axis and Superior Mesenteric Artery using 3D Volume Rendering of MDCT (MDCT의 3차원 볼륨렌더링을 이용한 복강축과 위창자간막동맥의 변위 형태에 관한연구)

  • Lee, Jeong-Keun;Jang, Young-Ill;Jang, Seong-Joo
    • Journal of radiological science and technology
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    • v.36 no.2
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    • pp.131-139
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    • 2013
  • The aim of this study was to evaluate the variation which based on Celiac axis and SMA using by CT volume rendering images. 613 patients underwent abdominal CTA, there were 552 patients (99.05%, TypeI, II) with normal anatomical form and 61 (9.95%, Type III~XII) with variation. TypeI was 339(55.31%), Type II was 213 (34.74%), Type III was 18 (2.93%), Type IV was 12 patients (1.95%), Type V was 11 patient (1.79%), Type VI was 9 patients (1.46%), Type VII was 6 patients (0.97%), Type VIII was 1 patient (0.16%), Type IX was 1 patient (0.16%), Type X was 1 patient (0.16%), Type XI was 1 patient (0.16%), and Type XII was 1 patient (0.16%) into totally new types of variation. In conclusion, we could found 9 new types of variation by classifying based on celiac axis and superior mesenteric artery. These results were considered to be an important opportunity for a new vessel map.

A study of mandibular positional changes by the stabilization splint in TMD patients (측두하악장애환자에서 교합안정장치가 하악골위치변화에 미치는 영향에 관한 연구)

  • Cheon, Hun;Park, Young-Guk;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.30 no.4 s.81
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    • pp.491-507
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    • 2000
  • The purpose of this study was to investigate if there were a significant differences in mandibular position between cephalometric measurements from a centric occlusion tracing compared to those of a acquired centric relation by stabilization splint on malocclusion patient with TMD. 60 malocclusion patients, who had TMD and CO-CR discrepancy beyond normal range, were selected and subdivided into Class I, II, III by Angle's classification and also subdivided into clockwise, straight downward, and counterclockwise group by Jarabak's posterior facial height/anterior facial height ratio. Lateral cephaolmetric radiographs with the mandible in centric occlusion were taken and measured, and for each Patient the stabilization splint with mutually protected occlusal scheme was applied for minimum 3months. After each patient's CO-CR discrepancy was in normal range, lateral cephalometric radiographs were retaken and measured. The comparison of the difference between CO-CR cephalometric measurements in all sample, Class I, II, III groups, and Clockwise, Straight downward, Counterclockwise groups were studied. The finding of this study can be summarized as follows: 1 In all sample, the value of cephalometric measurements was significantly different between CO-CR. The mandible rotated to down and posterior position and the vertical change was greater than the horizontal change (overjet-1.3mm increase, overbite-1.9mm decrease). 2. In Class II malocclusion group, most of the mean difference value between CO-CR is higher than that of the other groups and more measurements was statically significant. 3. In clockwise and counterclockwise group, some of the mean difference value is higher than that of straight downward group and more measurements was statically significant. 4. There ware no measurements that explain centric relation measurements from the type of malocclusion, facial pattern and centric occlusion measurements. Henceforth, it is strongly recommended that stabilization splint therapy for orthodontic treatment on TMD patient should be excuted upon overall facial types prior to orthodontic diagnosis and treatment planning.

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Complete denture rehabilitation of a fully edentulous patient with unilateral facial nerve palsy: A case report (편측성 안면 신경마비 환자에서의 총의치 수복 증례)

  • Choi, Eunyoung;Lee, Ji-Hyoun;Choi, Sunyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.451-457
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    • 2017
  • Bell's palsy is an acute-onset unilateral peripheral facial neuropathy. For patients with sequelae of facial paresis, the successful rehabilitation of fully edentulous arches is challenging. This case report described the treatment procedures and clinical considerations to fabricate complete dentures of a patient who showed unilateral displacement of mandible, unilateral chewing pattern and parafunctional jaw movement due to sequelae of Bell's palsy. Gothic arch tracing was used to record reproducible centric relation and lingualized occlusion was performed to provide freedom to move between centric relation and the patient's habitual functional area in fabricating satisfactory dentures in terms of function and esthetics.

Finite Element Analysis of Stress Distribution in using Face Mask according to Traction Point (훼이스 마스크의 견인위치에 따른 응력분포에 관한 유한요소법적 연구)

  • Oh, Kyo-chang;Cha, Kyung-Suk;Chung, Dong-hwa
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.2
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    • pp.171-181
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    • 2009
  • The objective of this study was to analyse stress distribution of maxillary complex by use of face mask. The construction of the three-dimensional FEM model was based on the computed tomography(CT) scans of 13.5 years-old male subject. The CT image were digitized and converted to the finite element model by using the mimics program, with PATRAN. An anteriorly directed force of 500g was applied at the first premolar 45 degrees downwards to the FH plane and at the first molar 20 degrees downwards to the FH plane. When 45 degrees force was applied at maxillary first premolar, there were observed expansion at molar part and constriction at premolar part. The largest displacement was 0.00011mm in the x-axis. In the y-axis, anterior displacement observed generally 0.00030mm at maximum. In the z-axis, maxillary complex was displaced 0.00036 mm forward and downward. When 20 degrees force was applied at maxilla first molar, there were observed expansion at lateral nasal wall and constriction at molar part. The largest displacement was 0.001mm in the X-axis. In the Y-axis, anterior displacement observed generally 0.004mm at maximum. In the Z-axis, ANS was displaced upward and pterygoid complex was displaced downward. The largest displacement was 0.002mm.

A RADIOGRAPHIC STUDY ON THE CONDYLAR DISPLACEMENT FROM CENTRIC RELATION TO CENTRIC OCCLUSION (중심위에서 중심교합으로 전위될 때의 과두의 변위에 관한 방사선학적 연구)

  • Rhyee In Suk;Ahn Hyung Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.12 no.1
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    • pp.15-20
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    • 1982
  • The purpose of this study was to investigate the normal range of condylar displacement of normal adults. The author has observed two roentgenographic images of condylar head taken by transcranial projection. Two roentgenographic images are centric occlusion and centric relation. The results were obtained as follow: 1. Total subjects are 72 condyles. The condylar displacement from centric relation to centric occlusion was shown in 65 condyles (90%) anteriorly. 59 condyles (82%) inferiorly. Two condyles (3%) showed neither anterior displacement nor inferior displacement. 2. The average displacement of right condyles was 0.54±0.06㎜ anteriorly, 0.34±0.05㎜ inferiorly. The average displacement of left condyles was 0.74±0.09㎜ anteriorly, 0.45±0.05㎜ inferiorly. 3. The subjects of synmetrical displacement are 7 cases (20%) anteriorly, 2 cases (6%) inferiorly.

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A case of treatment denture and implant-assisted removable partial denture in a patient with collapsed occlusion caused by partial loss of posterior and anterior teeth (편측 구치 및 전치 상실로 인한 교합 붕괴 환자에서 치료 의치와 임플란트 보조 국소의치를 이용한 수복 증례)

  • Ahn, Hye-Bin;Lee, Keun-Woo;Lee, Yong-Sang;Yim, Sun-Young;Kim, Sung Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.110-118
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    • 2022
  • Multiple tooth loss can cause disharmonious occlusial plane, loss of vertical dimension and deflection of mandibular movement. Therefore, restoring proper vertical dimension and occlusion in the centric relation is an important treatment goal. Implant-assisted removable partial denture is a recently used clinical technique, because it increases patient satisfaction by improving retention, support, and stability of conventional denture. The objective of this article is to present a case report describing the fabrication of treatment denture and implant assisted removable partial denture using previously placed implants for a patient with partial loss of posterior support and anterior stop.