• Title/Summary/Keyword: 하악의 위치관계

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중심위(Centric relation)의 임상적 의의

  • Jang, Ik-Tae
    • The Journal of the Korean dental association
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    • v.21 no.9 s.172
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    • pp.705-711
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    • 1983
  • 교합의 기본이 되는 하악의 위치와 치아접촉상태는 중심교합위와 중심위의 두개의 기초적 개념으로 분류되는데 교합을 정상적으로 유지하고 기능적 상태로 부여하기 위해서는 다수의 논란이 지속되고 있으며, 하악의 중심성(Centricity)에 관한 개념간의 차이에 관하여 어떠한 관계를 나타내느냐는 문제가 최근의 임상적 쟁점의 초점이 되고 있는 것이다.

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Evaluation of hyoid bone position and airway size in Class III malocclusion (골격성 III급 부정교합자의 설골 위치와 기도에 대한 평가)

  • Son, Woo-Sung;Choi, Yang-Sook
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.247-254
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    • 1996
  • This study was performed to evaluate the hyoid bone position and airway in skeletal class III malocclusion and to prove the correlation between airway, hyoid bone position and mandibular position. The sample, considered of 47 class III malocclusion patients for experimmtal group and 52 class I malocclusion students for control group. Twenty three linear and angular measurements about hyoid bone position, airway size, mandibular position were taken from the lateral cephalograms. The differences between skeletal class III malocclusion group and normal occlusion group were compared and the correlation were evaluated statistically. The results obtained were as follows, 1. There were significant difference in S-APH, A-APH, N-APH, LAH-PBR, AA-PNS, PNS-ad between class I and class III malocclusion groups. 2. The hyoid bone was more anteriorly positioned in class III malocclusion group than class I malocclusion group and skeletal airway size in class III malocclusion group was smaller than class I malocclusion group. 3. There were significant difference in several measurements especially vertical and angular measurements of hyoid bone position and airway size between male and female. Usually the measurements in male were larger than female. 4. There were no significant correlation between hyoid bone position and airway size also airway size, and didn't showe significant correlation with mandibular position, 5. S-APH showed negative correlation with Wits appraisal and A-APH, N-APH showed positive correlation with Wits appraisal. On the contrary vertical measurements of hyoid bone position showed positive correlation with lower facial height.

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A study on treatment effects of different activator types in Angle's Class II div.1 malocclusion patients (2급 1류 부정교합 환자에서 activator유형에 따른 치료 효과에 관한 연구)

  • Kim, Duk-Sang;Lee, Jin-Woo;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.27 no.3 s.62
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    • pp.431-444
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    • 1997
  • This research was carried out to compares the treatment effects of Horizontal and Vertical type activators in Angle's Class II div. 1 maloccusion patients with mandibular retrusion dand to find out whether different treatment effects or growth pattern were observed between sexes in each study groups. The results were as follows: 1. In Horizontal activator group, forward positioning of mandible and vertical increase in anteror face as examplified by increase of LAFH and AEM were observed when pre and post-treatment datas were evaluated. 2. Males samples in Horizontal activator group showed increase in mandiular length accmpanied by posterior positioning of maxilla, wheras female samples in Horizontal activator group showed increase in mandibular body length, labial inclination of mandibular incisors and increase in lower anterior facial height .3. In vertical activator group, increase in AFH, LAFH, PFH and LPFH were observed when pre and post treatment datas were evaluated. 4. Male samples in Vertical activator group showed increase in mandibular body length and anterior and posterior facial heights, whereas females samples of Vertical activator group showed mainly increase in anterior facial height. 5. When pre and post treatment datas of Horizontal and Vertical activator groups were compared, skeletal difference were mainly observed in pretreatment datas but dental difference were observed in post treatment datas ,indicating that two actiators differ only in their effects to dental variables. 6. Difference between sexes were noted after treatment although no difference were observed between sexs in each groups before treatmentt. This indicates that inherent growth effects in each sex exerts more influence 1km appliances used for treatment.

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Effects of Occlusal Condition and Clenching Force on the Mandibular Torque Rotational Movement (교합조건 및 이악물기 힘의 변화가 하악의 비틀림 회전운동에 미치는 영향)

  • Oh, Min-Jung;Han, Kyung-Soo
    • Journal of Oral Medicine and Pain
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    • v.30 no.4
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    • pp.411-426
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    • 2005
  • The purpose of this study was to investigate the effects of occlusal condition and clenching level on the mandibular torque rotational movement. For this study, healthy 14 men without any symptoms and signs of temporomandibular disorders were selected. Mandibular torque rotational movement was observed in each circumstance of combination of three occlusal conditions such as natural dentition, with wafer of 3.6 mm thickness, and wafer with resin stop of 14 mm thickness total during hard biting of bite stick at maximum voluntary contraction(MVC) and 50% of MVC level of surface EMG activity of masseter muscle. Electromyographic activity and mandibular torque rotational movement were observed using BioEMG and BioEGN in $BioPak^{(R)}$ system. Each biting movement in each circumstance was composed of clenching one time and hard biting of wooden stick two times. The observed items were opening distance, velocity and amount of torque rotational movement in mandibular movement, and the data were statistically processed with $SPSS^{(R)}$ windows (ver.10.0). The results of this study were as follows: 1. There were no differences in the mandibular movement distance between those value in both biting sides, and between those in both clenching forces, but the mandibular velocity showed a different results by clenching force. For the amount of torque rotational movement, there were no difference in the value of the frontal plane but some significant difference was in the value of the horizontal plane by biting side. 2. The mandibular movement distance and the mandibular velocity in both planes were higher by maximum voluntary contraction than those by half maximum voluntary contraction, and amount of torque rotational movement in the horizontal plane was also increased by maximum voluntary contraction. 3. The opening distance in both planes were decreased with the increase of vertical dimension of occlusion, namely, by the occlusal appliances, and this pattern was also showed in the mandibular velocity in case of hard biting by maximum voluntary contraction. However, the amount of torque rotational movement were not different by the increase of vertical dimension of occlusion. 4. The value of angle and distance of the torque rotational movement in the hard biting of wooden stick were generally higher than those in the clenching without wooden stick in both planes without regard to occlusal conditions and/or clenching forces.

HYOID BONE POSITION IN CLASS I, II AND III MALOCCLUSIONS (I급.II급.III급 부정교합환아에서의 설골의 위치)

  • Song, Yun-Ju;Kim, Hyun-Jung;Nam, Soon-Hyeun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.564-571
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    • 1999
  • The importance of the hyoid bone lies in its unique anatomic relationships. It has no bony articulations but provides attachment for muscles, ligaments, and fascia of the pharynx, mandible, and cranium. Various studies have documented a variability of hyoid bone position in relation to changed mandibular position or head posture. The aim of this study is to investigate the hyoid bone position and inclination on cephalometric radiographs of three groups of patients exhibiting Class I, II, and III malocclusions. The conclusions obtained from this study can be summarized as follows ; 1. Class III malocclusion patients show a more anterior position of the hyoid bone and also less steep inclination of the hyoid bone. 2. The anteroposterior position of the hyoid bone relative to the cervical vertebra and mandible was very constant. 3. The hyoid bone represented the anterior bony boundary of the pharynx at a lower level than PNS.

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Routing for Location Privacy in the Presence of Dormant Sources (휴면 소오스들이 존재하는 환경에서의 위치 보호 라우팅)

  • Yang, G.;Shin, S.;Kim, D.;Park, S.;Lim, H.;Tscha, Y.
    • Proceedings of the Korean Information Science Society Conference
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    • 2008.06a
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    • pp.164-165
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    • 2008
  • 전장에서 임무 수행중인 병력이나 탱크 등을 지원하거나 보호 동물의 활동을 모니터링 하는 센서 네트워크에서는 전송 정보뿐만 아니라 그러한 대상들의 위치를 악의적 추적자로부터 보호할 수 있어야 한다. 본 논문에서는 활동 소오스 노드처럼 메시지 전송은 진행하고 있지 않지만 위치가 보호되어야 할 대상과 근접한 휴면(dormant) 소오스 노드들을 고려한 소오스 위치 보호 라우팅 기법 GSLP(GPSR-based Source-Location Privacy)를 제안한다. GSLP는 알고리즘의 간결성과 신장성(scalability)이 뛰어난 GPSR(greedy perimeter stateless routing)을 확장하여 메시지 전달 노드를 선정할 때 일정 확률로 임의의 이웃 노드를 선택하는 한편, perimeter 라우팅을 적용하여 소오스 노드들을 우회하도록 하여 위치를 보호하도록 하였다. 시뮬레이션 결과, 기존의 대표적인 소오스 위치 보호 라우팅 프로토콜인 PR-SP(Phantom Routing-Single Path)에 비해 GSLP는 휴면 소오스 노드들의 수에 거의 관계없이 높은 안전 기간(전송 메시지 수)을 일정하게 제공하면서도 전달 지연(경로의 평균 홉(hop) 수)은 도착지와의 최단 홉 수의 약 두 배 이내에 머물러 대규모 센서 네트워크에서의 소오스의 위치를 보호하기 위한 방안으로 적합한 것으로 평가되었다.

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Use of digital scan data for evaluation of edentulous ridge relationship: A case report for removable prosthesis with unilateral cross bite (디지털 스캔 데이터를 활용한 무치악 치조제 관계의 평가와 인공치 선택: 편측 교차교합의 가철성 의치 수복 증례)

  • Kim, Jeong-Hoon;Kim, Jong-Eun;Park, Young-Bum;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.304-311
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    • 2019
  • After the teeth were extracted, maxillary and mandibular alveolar ridges show the opposite resorption pattern and as a result, the mandibular arch is enlarged than maxillary arch relatively. In this situation, we should evaluate both alveolar ridge relationship and arrange the artificial teeth properly for stability of removable prosthesis. This case is a 77 years old male patient who wishes to make removable prosthesis and has atrophic alveolar ridge. By use of model scanner and CAD software, the angle between interalveolar crest line and occlusal plane was easily measured. Depending on the measurement, the artificial teeth are arranged in unilateral cross bite and after completion, patient was satisfied with the denture which showed proper stability, retention, support.

A RADIOGRAPHIC STUDY ON THE POSITIONAL RELATIONSHIP OF THE MANDIBLE TO THE HINGE AXIS (접번축에 대한 하악의 위치관계 및 변위에 관한 방사선학적 연구)

  • Kim Jae Duk;Kim Won Pyo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.91-98
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    • 1991
  • This study was made to analyze the positional relationship of mandible to hinge axis in normal subject as the diagnostic criteria of T.M.J. dysfunction. The author has conducted the study using the Cephalometric P-A view, and dental of 53 males and 51 females. By measurement, the standard value of cranio-facial and occlusal asymmetry in normal subject obtained. The following results were obtained: 1. Although the degree of the difference between right and left width in each measured line was small, asymmetry in normal subject could be identified. 2. In male, measurement between genial tubercle and hinge axis is 127.20±6.06㎜ in left, 125.83±6.25㎜ in right, and angle between genial tubercle and hinge axis is 48.48±3.53° in left, 49.58±3.72° in right. In female, measurement is 119.32±5.81㎜ in left, 118.82±5.35㎜ in right and angle is 48.06±2.15° in left, 48.17±2.31° in left, 48.17±2.31° in right. 3. In male, difference between left and right canine cusp tip of maxilla about X-bar is 0.70±0.59㎜, and that of central pit of first molar of maxilla is 0.98±0.75㎜. In female, difference is 0.64±0.52㎜ in canine and 0.92±0.76㎜ in molar.

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교정적 치료

  • Yang, Won-Sik
    • The Journal of the Korean dental association
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    • v.20 no.9 s.160
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    • pp.753-758
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    • 1982
  • 선천이상 중에서도 순열과 구개열은 특상한 성질의 것으로서 안모의 변형, 발음장애, 신체타부와의 관계기형, 이비인후과질환을 병발하기 쉽고, 호흡기, 소화기 질환에 이환되기 쉬으며 환자는 정신적, 사회적으로도 매우 불리한 위치에 놓여 있는 신체장애자로, Fogh-Anderson은 순열과 구개열은 열성반성유전(recessive sexlinked heredity)을 한다고 보고했다. 그러나 구개열은 유전적추적이 불가능하기 때문에 그 발생원인으로 물리적원인을 우선적으로 들고있다. 발생기전은 태생 8~12조경의 제2차구개형성기에 어떤 이유로 양측의 구개돌기(palatine process)와 비중격이 분리되있는 채로 있든가, 접근해서도 유합되지 않고 있든가의 조해요인으로 태아의 모태내에 있어서의 자세, 특히 흉부에 의한 하악골압박에 의해 발생하는 소악증(micromandible), 설하수(glossoptosis)를 동반하는 Pierr Robin syndrome, 태생 8~10조경까지의 혀의 만기정유, 지, 제대의 원시구강내로의 미입등을 들수있다. 순열 및 구개열환자의 치료에 있어서 종래에는 전과정이 외과의사에게만 맡겨졌었으나, 구순, 비부의 추형등의 문제, 특징적으로 발생되는 하악의 열성장, 이별궁이 왜형, 발음장애등의 문제점해결을 위하여 필연적으로 이에 관계있는 명기다른 전문분야의 전문의가 시술에 임하게되는 multidiscipline approach로서 종합진단, 장기치료계획의 입안, 전문적 의견의 교환을 통해서 치료시기, 치료순서의 결정으로 성공적인 순열및 구개열의 치료목표를 달성하리라고 생각한다.

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A Study of Root Canals Morphology in Primary Molars using Computerized Tomography (CT를 이용한 유구치 근관 형태에 관한 평가)

  • Sim, Dohee;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.400-408
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    • 2019
  • The purpose of this study is to identify the most common canal type in primary molars and the correlation between their roots and canals. A comprehensive understanding of root canal morphology will lead to more successful root canal treatment. Computed Tomography (CT) images from 114 children (81 boys, 33 girls) aged 3 - 7 years were obtained. The locations and numbers of roots and canals were evaluated, and the relationship between root and canal parameters was determined. The most commonly observed canal morphology in primary maxillary molars were mesio-buccal, disto-buccal and palatal canal. Primary mandibular molars most frequently contain mesio-buccal, mesio-lingual, disto-buccal and distolingual canal. All the roots of the primary maxillary molars except for the mesio-buccal root, each had 1 canal while there were 2 canals observed in each root of primary mandibular molars. Without exception, all mesial roots in primary mandibular 2nd molars had 2 canals. In case when either the palatal root in a primary maxillary molar or the distal root in a primary mandibular molar was separated into 2 roots, each root seemed to have its own canal. Even though the disto-buccal and palatal roots were fused into 1 root in primary maxillary molars, this fused root had tendency to have 2 separate canals. Primary mandibular molars showed similar canal morphologies between left and right molars in the same patient, while the primary maxillary molars did not.