• Title/Summary/Keyword: 하악의 위치관계

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FUNCTIONAL TREATMENT OF PEDIATRIC CONDYLAR FRACTURES : A CASE REPORT (Activator를 이용한 소아의 하악과두골절의 치험례)

  • Lee, Jung-Ha;Park, Heon-Dong;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.477-482
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    • 2003
  • The pediatric condylar fracture occurs very frequently in the mandible, but this injury is occasionally ignored due to difficulty of diagnosis and no cooperation of patient. The adequate initial diagnosis and active treatment must be performed because delayed and improper treatment lead to possible severe complication such as TMJ ankylosis and reta rdation of mandibular development. Most pediatric condylar fracture is mainly performed by the conservative or functional treatment, but it may be required open reduction according to cases. In this study, activator is applied for functional treatment of pediatric condylar fracture and fair recovery of jaw function is acquired.

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Ad hoc network Security Mechanism for Secure Data Sharing in Mobile Social Network (모바일 소셜 네트워크에서 안전한 데이터 공유를 위한 애드혹 네트워크 보안 메커니즘)

  • Kim, Ga-Rin;Hong, Choong-Seon
    • Proceedings of the Korean Information Science Society Conference
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    • 2012.06d
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    • pp.363-365
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    • 2012
  • 최근 빠르게 확산되고 있는 소셜 네트워크 서비스(Social Network Service)는 사용자의 인맥을 관리하며 새로운 인맥을 형성하는 것을 목표로 한다. 또한 사용자들이 자신의 관심사에 관한 지식이나 정보를 공개함으로써 정보의 효율성을 높이고 다른 사용자들에게 정보를 전파한다. 하지만 현재의 소셜 네트워크 서비스는 새로운 인맥을 형성하는 것보다 실제 사회에서의 인맥을 가상의 공간에서도 유지하고 관리하여 실제로 만나지 않더라도 관계를 유지할 수 있도록 하는 용도로 사용되어 소셜 네트워크의 목표를 달성하지 못하고 있다. 하지만 특정한 공간의 동일한 관심사를 가진 사람들 간의 제한적 정보 공유는 소셜 네트워의 단점을 보안하고 궁극적 목표를 달성할 수 있다. 또한 특정 관심사를 기반으로 그룹을 생성함으로써 정보의 신뢰도를 높이며 새로운 인맥을 형성에도 효과적 일 것이다. 하지만 이러한 네트워크는 모바일 환경의 특징으로 인해 빠르게 변화할 수 있으며 위치를 기반으로 특정 공간의 다른 사용자들과 통신함으로 완전히 새로운 인맥을 형성하게 된다. 그러므로 안전하게 신뢰관계를 구축하기위해 사용자의 평판 관리가 필요하다. 본 논문에서는 소셜 네트워크에서 동일한 관심사를 가진 폐쇄적 정보공유에서의 악의적 노드의 고립을 위한 평판 메커니즘을 제안한다.

Effect of MAD Snoring Design on Pharyngeal Airway Dimension (하악전방이동 코골이 장치의 수직 교합량이 상기도에 미치는 영향)

  • Ra, In-Sil;Lee, Jang-Hoon
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.307-314
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    • 2017
  • In this study, a minimum amount of the vertical occlusion was secured differently in each type of mandibular advance devices snoring and Class I malocclusion patients wore these devices. This study analyzes, after the use of devices, a different amount of the vertical occlusion results in a change of the area of upper airway by additional changes such as mandibular position, muscle changes, tongue position. The higher the vertical amount, the area of the upper airway was shown smaller, And if the patient's tongues was prevented from the distal movement, the area of the upper airway had increased, To reduce snoring, doctors should accurately diagnose patients' occlusal relationships and select a MAD snoring that is appropriate for the occlusion. The dental technician who builds the selected device should also consider design settings such as the amount of vertical occlusion, the finish lines, and the thickness of the device to increase the effectiveness of the device.

ANTERIOR CROSSBITE CORRECTION IN PRIMARY DENTITION USING INTRAORAL APPLIANCE AND CLASS III ELASTIC (구강 내 장치와 III급 고무줄을 이용한 유치열기 전치부 반대 교합 치료)

  • Choi, A-Mi;Choi, Byung-Jai;Choi, Hyung-Jun;Song, Je-Seon;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.306-313
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    • 2012
  • Class III malocclusion or anterior crossbite is commonly seen in Asian. This problem is easily recognized by dentists and parents. During the primary dentition period, anterior crossbite with functional shift and deep overbite could develop to skeletal protrusive mandible. So, early and proper diagnosis of anterior crossbite which needs prompt treatment is important. These cases showed the early management of crossbite with functional shift in primary dentition using intraoral removable appliance resulting in improvement of intermaxillary relationship. And I analyzed the positional change and the dimensional change during treatment with lateral cephalometric x-ray analysis. Our patients showed vertical dimensional change of lower anterior facial height and clockwise rotation which results crossbite correction in 1 year of treatment period.

ORTHODONTIC MANAGEMENT OF CLASS III MALOCCLUSION WITH HORSESHOE APPLIANCE (Horseshoe Appliance를 이용한 III급 부정교합의 교정적 접근)

  • Han, Ji-Hye;Baik, Byeong-Ju;Yang, Yeon-Mi;Seo, Jeong-Ah;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.675-681
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    • 2005
  • The Horseshoe appliance was introduced by Dr. Schwarz, and it is used to correct sagittal relationships by elastic force in class III malocclusion. It minimizes the increment of lower anterior facial height and allows the mandible to be repositioned harmoniously with the soft tissue and muscle matrix of the jaw It has the advantages of better patient cooperation, easier construction, and more effective modification. In the patients who were treated with Horseshoe appliance, forward growth of maxilla and counterclockwise rotation of occlusal plane with labioversion of maxillary incisors and linguoversion of mandibular incisors were obtained. Minimum downward and backward rotation of mandible was accepted, so increasing of lower anterior facial height was minimized.

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Gothic arch tracing to record centric relation for dentures (Gothic arch tracing을 이용한 의치의 중심위 기록)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.238-245
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    • 2014
  • In order to create denture occlusion that is functional, comfortable and balanced, it is necessary to both determine a vertical dimension of occlusion that is in harmony with the patient's musculature and to record a relatively repeatable jaw relation position. This require clinical skill to establish an accurate, verifiable and reproducible vertical dimension of occlusion (VDO) and centric relation (CR). Correct vertical relation depends upon a consideration of several factors, including muscle tone, inter-dental arch space and parallelism of the ridges. Centric relation is considered to be a repeatable position from which all opening and lateral mandibular movements begin and recording this position is a critical step in the fabrication of dentures. Any errors made while taking maxillo-mandibular jaw relation records will result in denture that are uncomfortable. The purpose of this paper is to review a very simple and efficient technique for accomplishing these two important steps in denture fabrication.

Prosthetic treatment with correcting edentulous maxillomandibular relation (무치악치조제의 개선을 통한 보철치료)

  • Rhee, Ye-Kyu;Huh, Yoon-Hyuck;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.4
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    • pp.339-349
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    • 2014
  • If the maxillomandibular relationship is unstable or requires treatment for improved function and esthetics, the first treatment objective is to provide stable occlusal contacts. The patient has moderate mental retardation. Due to inadequate vertical overjet, horizontal arch malrelation and excessive tooth loss, full mouth rehabilitation was required. The purpose of treatment planning is to establish physiologic maxillomandibular relation. Using cephalometrics for occlusal analysis is an aid to make a decision. The amount of horizontal bone reduction was calculated with evaluating soft tissue profile. After provisional denture placement, healing of the surgical site and newly adapted arch relationship was evaluated. The patient satisfied with esthetics and showed stable holding contacts. Periodic examination is needed to exclude occlusal disharmony.

AN EVALUATION OF TREATMENT EFFECTS OF BIONATOR IN CLASS II DIVISION 1 MALOCCLUSION BY FINITE ELEMENT METHOD (II급 1류 부정교합에서 bionator의 치료효과에 관한 유한요소법적 연구)

  • Ahn, Sug-Joon;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.26 no.2 s.55
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    • pp.219-232
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    • 1996
  • The purpose of this study was to evaluate treatment effects of bionator in Class II division 1 malocclusion by FEM(Finite Element Method). The 73 subjects were classified into good result group and poor result group in reference to posttreatment molar relation, posttreatment overbite and overjet, posttreatment profile, and relapse. Pretreatment and posttreatment lateral cephalograms were taken and FEM was performed. The results were as follow; 1. There was no statistical significance in treatment changes between the sexes, and between the treatment result groups. 2. Treatment changes were not significantly different among the age groups. 3. The effect of treatment period groups on skeletal and dentoalveolar changes were analyzed using ANOVA. Body of maxilla, upper incisor, anterior face, ramus, upper anterior face, lower anterior face and treatment effect were correlated with the treatment period, but correlation coefficients were low. 4. The results of present investigation confirm that Class II bionator can assist in the correction of Class II division 1 malocclusion, mainly due to dentoalveolar changes. 5. There is significant difference in skeletal and dentoalveolar pattern between good result group and poor result group. In poor result group, maxilla was relatively downward and backward rotated, mandible was relatively backward rotated, upper incisor was in relatively lingual position, lower incisor was in relatively labial position.

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Neutral zone and alveolar relation consideration for fabricating complete denture in a patient with severe alveolar bone resorption: a case report (치조제 흡수가 심한 환자에서 중립대 및 치조제 관계를 고려한 총의치 수복 증례)

  • Hyung-Jun Kim;Woo-hyung Jang;Chan Park;Kwi-dug Yun;Hyun-Pil Lim;Sang-Won Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.214-221
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    • 2023
  • In order to fabricate stable dentures in patients with severe resorption of residual ridges, various factors must be considered. One of them is the neutral zone, which is defined as the potential region in which the pressure of the tongue outward in the oral cavity and the pressure of the cheeks and lips directed inward from the outside of the oral cavity equalize during functioning. In patients with severe ridge resorption, if the teeth are usually arranged above the residual ridge, the teeth are located on the lingual side rather than the original position. Therefore, the functional space of the tongue is invaded, the tongue is positioned backward, and the sealing of the lingual border is broken, which acts as a factor reducing the maintenance of denture. In addition, it is also important for the stability of dentures to assume an interalveolar crest line connecting the maxillary and mandibular ridge crests, and to arrange the maxillary and mandibular artificial teeth to match the masticatory force to the interalveolar crest line. Therefore, good clinical results were obtained by fabricating dentures for the patient with poor alveolar residual ridge using neutral zone impression and ridge relationship analysis.

EVALUATION OF CONDYLAR DISPLACEMENT USING COMPUTER TOMOGRAPHY AFTER THE SURGICAL CORRECTION OF MANDIBULAR PROGNATHISM (전산화단층촬영법을 이용한 하악전돌증 환자의 외과적 악교정술후 하악과두 위치 변화 검토)

  • Lee, Ho-Kyung;Jang, Hyun-Jung;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.3
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    • pp.191-200
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    • 1998
  • This study was intended to perform the influence of condyle positional change after surgical correction of skeletal Class III malocclusion after orthognathic surgery in 37 patients(male 13, female 24) using computed tomogram that were taken in centric occlusion before, immediate after, and long term after surgery and lateral cephalogram that were taken in centric occlusion before, 7 days within the period of intermaxillary fixation, at the 24 hours later removing intermaxillary fixation and long term after surgery. 1. Mean intercondylar distance was $84.42{\pm}5.30mm$ and horizontal long axis of condylar angle was $12.79{\pm}4.92^{\circ}$ on the right, $13.53{\pm}5.56^{\circ}$ on the left side. Condylar lateral poles were located about 12mm and medial poles about 7mm away from the reference line(AA') on the axial tomogram. Mean intercondylar distance was $83.15{\pm}4.62mm$ and vertical axis angle of condylar angle was $76.28{\pm}428^{\circ}$ on the right, $78.30{\pm}3.79^{\circ}$ on the left. 2. In amount of set back, We found the condylar change(T2C-T1C) which had increasing tendency in group III (amount of setback : 10-15mm). but there was no statistical significance(p>0.05). 3. There was some correlation between condylar change(T2C-T1C) and TMJ dysfunction. It seemed that postoperative condylar change had influenced postoperative TMJ dysfunction, through there was no statistical significance (p>0.05). As we have observed the change of condylar axis in the group that complained of TMJ dysfunction in cases of large amount of mandibular setback. So we consider that the more trying to conserve condylar position will decrease occurrence rate of post operational TMJ dysfunction.

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