• Title/Summary/Keyword: 하악 제 2대구치

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FINITE ELEMENT ANALYSIS OF MANDIBULAR STRESSES AND DENTURE MOVEMENTS INDUCED BY VARIOUS DENTURE BASE MATERIALS (의치상 재료에 따른 하악응력 및 의치의 변위에 관한 유한요소법적 분석)

  • Chung, Chae-Heon;Yoon, Chang-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.25 no.1
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    • pp.281-302
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    • 1987
  • 의치상 재료 종류에 따라 의치, 점막 및 하악골에 발생되는 변위 및 응력을 연구하기 위하여 컴퓨터를 이용한 수치적 해석인 2차원 유한 요소법을 이용하였다. 2차원 유한 요소 모형으로선 표준 크기의 하악골 및 의치를 고려하여 231개의 사변형 요소 및 268개의 절점으로 분할한 후 각 구성 성분의 물리적 성질인 탄성률 및 프와송비를 대입시켰다. 사용된 의치로서는 일반 합성수지의치, 2mm후경의 탄성재를 의치상 하부에 이장한 합성수지의치, 2mm후경의 탄성재를 치아와 의치상 중앙에 삽입한 합성수지의치 및 0.5mm후경의 금속상의치의 4종류였으며, 하중시에 하악의 고정 부위로선 생체와 동일 조건을 부여하기 위하여 교근, 내측익돌근, 측두근등의 하악 폐구근이 부착되는 하악각 부위 및 하악 근돌기 부위의 16절점을 고정점으로 하였다. 하중 조건으로선 하악 제1대구치의 일점에 10kg의 수직 집중하중, 하악 중절치의 일점에 7kg의 수직 집중하중 및 하악 제 1소구치로 부터 하악 제2대구치까지의 교합면에 10kg의 수직 분산하중을 부여하여 분석한 결과는 다음과 같다. 1. 하중이 의치 교합면위의 가해진 부위에 따라 다양한 의치 회전 및 강하 현상을 보였으며, 탄성재를 이장 및 삽입한 합성 수지 의치의 변위가 일반 합성수지의치 및 금속상 의치의 변위보다 더 컸다. 2. 주응력을 고려할때 점막 부위에는 주로 압축 응력이 작용하였으며 치조제 부위는 압축응력과 인장 응력이 함께 작용하였다. 3. 탄성재를 삽입한 합성수지의치에 최고 등가 응력이 집중되었으며 그 다음은 탄성재를 이장한 합성수지의치, 일반 합성수지의치의 순이였으며 금속상의 경우는 금속을 따라서 높은 등가 응력이 넓게 분산되었다. 4. 의치상 종류에 관계없이 동일 하중 조건하에선 점막에 나타나는 등가 응력의 크기 및 분산양태는 유사하였다. 5. 하악골에서 등가 응력은 의치지지 부위에만 국한되지 않고 넓게 분산 되었으며 의치상 종류 및 하중 조건에 관계없이 치조제 후방 및 하악연의 후방 부위에 특히 높은 등가응력이 집중되었다. 6. 하악 중절치의 일점에 수직 하중을 가한 경우가 다른 하중 조건에 비하여 지지점과의 거리차이로 인하여 하악골에 가장 높은 등가 응력을 유발하였다. 7. 의치상 재료에 따른 하악 골에 발생되는 응력의 크기 및 분산에는 큰 차이가 없으나 금속상의 경우가 교합압을 분산하는데는 효과적이었다.

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ORTHODONTIC TRACTION OF THE LOWER DECIDUOUS SECOND MOLAR IMPACTED BY AN ODONTOMA (치아종에 의해 매복된 하악 제2 유구치의 교정적 견인)

  • Han, Yoon-Beum;Kim, Seong-Oh;Lee, Jae-Ho;Choi, Hyung-Jun;Sohn, Hyung-Kyu;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.84-88
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    • 2009
  • Tooth impaction refers to situations where a tooth fails to erupt due to mechanical blocking and remains unerupted beyond the normal time of eruption. It is commonly found in permanent dentition, but rarely in deciduous dentition. Tooth impaction is caused by systemic or local factors, and most common etiology is odontoma. Odontoma is also commonly found in permanent dentition, and rarely in deciduous dentition. We are presenting case of 4 year and 4 month year old girl, who had impacted and disto-angulated lower left deciduous second molar due to odontoma. We removed odontoma and performed orthodontic traction of impacted lower left deciduous second molar. Then, the impacted primary molar was erupted and acceptable occlusion was obtained.

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MANDIBULAR DIFFERENTIAL PREMOLAR EXTRACTI0N IN GROWING PATIENTS (성장기 환자에서 하악의 차등적 소구치 발치)

  • Kim, Do-Hoon;Sung, Sang-Jin;Moon, Yoon-Shik
    • The korean journal of orthodontics
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    • v.31 no.1 s.84
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    • pp.1-13
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    • 2001
  • The extraction lot orthodontic treatment can be adopted for aligning crowded dentition, improving facial esthetics and solving a skeletal discrepancy as alternative for a surgical option. Mandibular second premolar extraction was often selected as treatment plan when there we very little or no space shortage in lower arch or limited retraction of the lower incisors was required. The primary object of this study was evaluate a pretreatment condition and examine the amount of tooth movement ior a mandibular second premolar extraction in growing patients. Pretreatment and posttreatment lateral cephalograms of 14 cases that had their four first premolar extracted (4/4 group), 15 cases with upper first and lower second premolar extraction (4/5 group) were selected. Structural method superimposition was conducted to evaluate a difference of dental change between 4/4 and 4/5 group. The results were as follows, 1. Pretreatment factor for 4/4 extraction or 4/5 extraction choice included maxillary incisor axis to occlusal plane, Class II molar relationship, IMPA and interincisal angle. 2. The amount of molar anterior movement in 4/5 group was greater than that of 4/4 group(p<0.05). 3. There was no significant difference between 4/4 group and 4/5 group in aspects of maxillary tooth movement(p<0.05).

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The Tooth Size RelaTionship Between Crowding Patients and Normal Subjects in Korean (총생치열을 갖는 교정환자와 정상인의 치아크기 비교)

  • Han, Man-Deuk;Jeon, Eun-Sook
    • Journal of dental hygiene science
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    • v.6 no.1
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    • pp.29-34
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    • 2006
  • This study was undertaken to compare the tooth and arch size between crowding patient and normal subjects. Two group of dental casts were selected on the basis of crowding patients and normal subjects. One group, consisting of 40 pair of dental casts(20 male and 20 female), exhibited noncrowded dentitions. A second group, consisting of 40 pairs of dental cast(21 male and 21 female), exhibited remarkably crowding need for orthodontic treatment. Tooth width measurements were made with a sliding digital caliper with Vernier scale neared 0.01 mm. Mean, standard deviation, T-test of the following parameters were used to compare two group : individual mesiodistal crown widths, arch width and arch length. The following result were obtained. In the mesiodistal crown widths, normal subjects had generalized larger teeth than Wheeler's results(human tooth size index), except for maxillary central incisor, maxillary 2nd premolar, mandibular canine, and mandibular 1st molar. In the orthodontic patients with crowded dentitions, the mesiodistal tooth crown widths were generalized larger teeth than noncrowded normal subjects. In the arch width and arch length, the crowded dentition group had smaller arch width and arch length than the normal group.

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A STUDY OF MANDIBULAR DENTAL ARCH FORM OF THE KOREAN WITH NORMAL OCCLUSION (한국인 정상교합자의 하악치열궁 형태에 관한 연구)

  • Nam, Jong-Hyun;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.535-546
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    • 1996
  • The purpose of this study was to classify mandibular dental arch forms based on Raberin's method, and to compare Raberin's arch forms with that of the Korean's, and to designate arch form of bracket level according to distance between cusp tip and buccal surface of bracket level. The sample consisted of 159 mandibular dental casts showing normal occlusion which was taken from 62 males and 97 females of the Korean, aging from 13 to 25 years. The model was taken by X-ray. The landmarks were cusp points which expressed the mandibular dental arch line of cusp tips and buccal points which were measured from cusp tips to buccal surfaces of bracket level. The landmarks on the film were digitized, and measurements and statistics were performed. The results were as follows; 1. The models were classified as type 1, type 2, type 3, type 4 and type 5 by the author, and polynomial functions of the six degree and R-square values were calculated using statistical method, and each calculated equations explained each group with the least R-square value of 0.97, and each arch forms' were plotted. 2. The distribution of type 1 was $17.6\%$, type 2 $20.8\%$, type 3 $20.8\%$, type 4 $16.3\%$ and type 5 $24.5\%$. 3. The Korean arch form was characterized by larger width, smaller height compared to the French arch form. 4. The designated arch form of bracket level, viz the distance between cusp point and buccal point was calculated. The distance between cusp point and buccal point of incisor was 1mm, canine 1.9mm, first premolar 2.5mm, second premolar 2.6mm, first molar 2.7mm and second molar 2.7mm.

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