• 제목/요약/키워드: Angulation

검색결과 295건 처리시간 0.032초

무지 외반증 치료로 사용된 제1 중족골 근위 반월형 절골술 후 발생한 제1 중족골 족배측 각형성 정도 (Dorsal Angulation after Proximal Dome Osteotomy for Hallux Valgus)

  • 서동현;박용욱;김도영;이상수;서영진;박현철;강승완
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.121-125
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    • 2004
  • Purpose: We try to retrospectively evaluated the amount of dorsal angulation angle of the first metatarsal commonly occurring as the complication of proximal dome osteotomy for hallux valgus. Materials and Methods: Between January 2004 and March 2004, 34 patients who underwent proximal dome osteotomy for moderate to severe hallux valgus. Two of 34 patients were male, and thirty-two were female. The average age was 57.6 years. We measured and compared hallux valgus angle, 1st-2nd intermetatarsal angle, dorsal angulation angle of 1st metatarsal on preoperative, postoperative, postoperative 3 weeks', postoperative 3 months' X-ray. Results: Osteotomy sites were completely united on plane X-ray in all cases. The hallux valgus angle averaged $41.2^{\circ}$ ($30{\sim}60^{\circ}$) at preoperative, $4.3^{\circ}$ ($-10{\sim}20^{\circ}$) at postoperative, $5.5^{\circ}$ ($-1{\sim}20^{\circ}$) at 3 weeks after operation, $7.8^{\circ}$ ($-2{\sim}20^{\circ}$) at 3 months after operation. The 1st-2nd intermetatarsal angle averaged $17.1^{\circ}$ ($12{\sim}24^{\circ}$) at preoperative, $6.3^{\circ}$ ($0{\sim}13^{\circ}$) at postoperative, $7.2^{\circ}$ ($0{\sim}15^{\circ}$) at 3 weeks after operation, $8.7^{\circ}$ ($0{\sim}18^{\circ}$) at 3 months after operation. The dorsal angulation angle averaged $0.4^{\circ}$ ($0{\sim}3^{\circ}$) at postoperative, $1.6^{\circ}$ ($0{\sim}7^{\circ}$) at 3 weeks after operation, $2.1^{\circ}$ ($0{\sim}8^{\circ}$) at 3 months after operation. There were no statistically correlation between increase of dorsal angulation angle of the distal segment of the first metatarsal and increase of hallux valgus angle or 1st-2nd intermetatarsal angle. Conclusion: Our results shows that the dorsal angulation of distal fragment occurring after the proximal dome osteotomy in the treatment of hallux valgus may be minimized with meticulous surgery and patient's education.

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악관절 내장증환자에서 관절돌기의 후방경사에 관한 연구 (A STUDY OF THE POSTERIOR SLOPE OF THE ARTICULAR EMINENCE IN PATIENTS WITH INTERNAL DERANGEMENT)

  • 이건일;유동수
    • 치과방사선
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    • 제21권2호
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    • pp.225-234
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    • 1991
  • This study was designed to investigate the effects of the posterior slope of the articular eminence and the condylar angulation to the posterior slope of the articular eminence on internal derangement of TMJ. The materials consisted of 78 transcranial oblique lateral projections of 31 normal subjects and 47 internal derangement patients. The results were as follows: 1. The posterior slope of the articular eminences in normal group were larger than that in abnormal group, but there were not significant differences between each group about the condylar angulation to the posterior slope of the articular eminences. 2. The differences between in the right and left sides in patients who were affected unilaterally and bilaterally were larger than that in normal groups. 3, In patients affected unilaterally, there were not significant differences between affected joints and unaffected joints about the posterior slope of the articular eminence and the condylar angulation to the posterior slope of the articular eminence. 4. In abnormal group, there were significant differences between each group about condylar angulation to the post, slope of the articular eminence (ant. disk displacement without reduction > fibrous adhesion > ant. disk displacement with reduction), but not about the post, slope of the articular eminence.

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Effects of ultrasonic instrumentation with different scaler-tip angulations on the shear bond strength and bond failure mode of metallic orthodontic brackets

  • Bonetti, Giulio Alessandri;Parenti, Serena Incerti;Ippolito, Daniela Rita;Gatto, Maria Rosaria;Checchi, Luigi
    • 대한치과교정학회지
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    • 제44권1호
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    • pp.44-49
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    • 2014
  • Objective: To evaluate the effects of ultrasonic instrumentation with different scaler-tip angulations on the shear bond strength (SBS) and bond failure mode of metallic orthodontic brackets. Methods: Adhesive pre-coated metallic brackets were bonded to 72 extracted human premolars embedded in autopolymerizing acrylic resin. The teeth were randomly divided into 3 groups (n = 24 each) to undergo no treatment (control group) or ultrasonic instrumentation with a scaler-tip angulation of $45^{\circ}$ ($45^{\circ}$-angulation group) or $0^{\circ}$ ($0^{\circ}$-angulation group). SBS was tested in a universal testing machine, and adhesive remnant index (ARI) scores were recorded. The Kruskal-Wallis test and Mann-Whitney U-test were used for statistical analysis. Results: The control group had a significantly higher mean SBS value than the treated groups, which showed no significant differences in their mean SBS values. The ARI scores were not significantly different among the groups. Conclusions: Ultrasonic instrumentation around the bracket base reduces the SBS of metallic orthodontic brackets, emphasizing the need for caution during professional oral hygiene procedures in orthodontic patients. The scaler-tip angulation does not influence the SBS reduction and bond failure mode of such brackets.

Straight Wire Appliance를 위한 한국인 정상교합자의 치관 형태에 관한 연구 (A MORPHOMETRIC STUDY OF TEETH ON THE KOREAN NORMAL OCCLUSION)

  • 이원유;박영철;임경수
    • 대한치과교정학회지
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    • 제28권4호
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    • pp.601-609
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    • 1998
  • 한국인에 적합한 preadjusted bracket을 개발하기 위하여 한국인 성인 정상 교합자 14명을 대상으로 crown angulation, inclination, in and out, molar offset angle을 구했다. 정상 교합자 14명의 cast를 3차원 스케닝한 후 스케닝한 모델을 대상으로 컴퓨터 프로그램을 이용하여 측정하였다. 이는 기존의 모델을 직접 수작업으로 측정할 때보다 정확하고 빨리 측정할 수 있었다. 다음과 같은 결론을 얻었다. 1. 한국인 정상교합자의 각 치아의 치축 경사(angulation), 치관 경사도(inclination), in and out, molar offset angle을 구하였다. 2. 3차원 스케너와 컴퓨터를 이용하여 측정하였기 때문에 보다 정확하고, 빠르게 측정할 수 있었다.

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Effects of Counter-rotation Position on Knee/Hip Angulation, Center of Mass Inclination, and Edging Angle in Simulated Alpine Skiing

  • Yoon, Sukhoon;Kim, Jin-Hae;Park, Jae-Hyeon;Ryu, Jiseon;Park, Sang-Kyoon;Kim, Joo-Nyeon
    • 한국운동역학회지
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    • 제27권2호
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    • pp.91-97
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    • 2017
  • Objective: To investigate rotation movement of segment for performing each position and its effect on knee/hip angulation, COM inclination, and edging angle changes. Method: Twelve Alpine skiers (age: $25.8{\pm}4.8years$, height: $173.8{\pm}5.9cm$, weight: $71.4{\pm}7.4kg$, length of career: $9.9{\pm}4.6years$) participated in this study. Each skier was asked to perform counter-rotation, neutral, and rotation positions. Results: Shank and thigh were less rotated in the counter-rotation position than in other positions, whereas the trunk and pelvis were more counter-rotated (p<.05). Hip angulation, COM inclination, and edging angle were significantly greater in the counter-rotation position than in other positions (p<.05). Conclusion: Our finding proved that the counter-rotation position increases hip angulation, COM inclination, and edging angle. Consequently, we suggest that skiers should perform counter-rotation of the trunk and pelvis relative to the ski direction in the vertical axis for the counter-rotation position. Further analysis will continue to investigate the effects of the counter-rotation position in real ski slope with kinetic analysis.

A comparative study of frictional force in self-ligating brackets according to the bracket-archwire angulation, bracket material, and wire type

  • Lee, Souk Min;Hwang, Chung-Ju
    • 대한치과교정학회지
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    • 제45권1호
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    • pp.13-19
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    • 2015
  • Objective: This study aimed to compare the frictional force (FR) in self-ligating brackets among different bracket-archwire angles, bracket materials, and archwire types. Methods: Passive and active metal self-ligating brackets and active ceramic self-ligating brackets were included as experimental groups, while conventional twin metal brackets served as a control group. All brackets were maxillary premolar brackets with 0.022 inch [in] slots and a $-7^{\circ}$ torque. The orthodontic wires used included 0.018 round and $0.019{\times}0.025$ in rectangular stainless steel wires. The FR was measured at $0^{\circ}$, $5^{\circ}$, and $10^{\circ}$ angulations as the wire was drawn through the bracket slots after attaching brackets from each group to the universal testing machine. Static and kinetic FRs were also measured. Results: The passive self-ligating brackets generated a lower FR than all the other brackets. Static and kinetic FRs generally increased with an increase in the bracket-archwire angulation, and the rectangular wire caused significantly higher static and kinetic FRs than the round wire (p < 0.001). The metal passive self-ligating brackets exhibited the lowest static FR at the $0^{\circ}$ angulation and a lower increase in static and kinetic FRs with an increase in bracket-archwire angulation than the other brackets, while the conventional twin brackets showed a greater increase than all three experimental brackets. Conclusions: The passive self-ligating brackets showed the lowest FR in this study. Self-ligating brackets can generate varying FRs in vitro according to the wire size, surface characteristics, and bracket-archwire angulation.

치아의 순(협)설 경사도 변화에 따라 파노라마 방사선 사진에 나타난 치아 길이 및 각도 변화 (Change in tooth length and angulation on panoramic radiographs taken at different labiolingual and buccolingual inclinations)

  • 최갑림;임성훈;김재덕;김광원
    • 대한치과교정학회지
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    • 제37권2호
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    • pp.114-124
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    • 2007
  • 파노라마 방사선 사진은 치아 및 주위 조직에 대한 많은 정보를 제공해 주며 교정치료 동안에도 치근의 근원심 경사도나 길이 평가를 위해 흔히 이용되고 있지만 파노라마 방사선 사진에서 보이는 치아의 근원심 각도와 길이는 순(협)설 경사도에 의해 영향을 받는 것으로 알려져 있다. 따라서 본 연구에서는 치아의 근원심 경사도를 정상교합자의 평균 근원심 각도로 유지하면서 순(협)설 경사도만 변화시킬 때 파노라마 방사선 사진에서 각 치아의 근원심 경사도와 길이가 어떻게 변화되는지 알아보고자 하였다. 성인 정상 교합자 30명의 평균 악궁을 기초로 하여 아크릴 모델을 제작한 후 치아를 대신하는. 와이어를 정상 근원심 및 순(협)설 경사도$(I^{\circ})$로 식립하고 여기에 순(협)설 경사도 만 $I-15^P{\circ}$에서 $I+15^{\circ}$까지 $5^{\circ}$씩 변화시켜 파노라마 방사선 사진을 촬영한 후 방사선 사진에 나타난 와이어의 길이와 각도를 각각 계측하였다. 와이어를 정상 근원심 및 순(협)설 각도로 식립했을 때 방사선 사진에서 계측된 길이는 중절치, 측절치, 견치의 경우 실제 길이의 $111%{\sim}117%$의 확대율을 보였고, 소구치와 대구치에서는 $121%{\sim}125%$의 확대율을 보였다. 이 때 근원심 경사도는 그대로 유지하면서 순(협)설 경사도만 $I-15^{\circ}$(순측경사)에서 $I+15^{\circ}$ (설측경사)로 변화시킨 경우 중절치 (p<0.01)와 측절치 (p<0.05)에서만 유의한 확대율 증가를 보였다. 파노라마 방사선 사진에서 치아의 경사도는 대부분 실제 근원심 경사도보다 더 크게 즉 원심경사된 것으로 계측되었고, 이러한 원심경사 경향은 측절치와 견치에서 가장 크게 나타났으며, 제1, 2소구치의 $I+10^{\circ},\;I+15^{\circ}$ 그룹과 제1, 2대구치의 $I+15^{\circ}$ 그룹에서만 실제 근원심 각도보다 더 작게, 즉 근심 경사된 것으로 계측되었다. 또한 순(협)설 경사도의 변화에 따라 파노라마 방사선 사진에서 모든 치아의 근원심 각도가 유의한 변화를 보였는데, 순(협)설 경사도가 작아질수록, 즉 순(협)측 경사될수록 파노라마 방사선 사진에서 더 원심경사되어 나타났다. 따라서 파노라마 방사선 사진에서 중절치와 측절치의 치아 길이와 모든 치아의 근원심 경사도를 평가할 때 치아의 순(협)설 경사도에 따라 영향을 받기 때문에 이를 고려해야 할 것이다.

Angle씨 III급 부정교합자의 Activator치료 전후 head posture변화에 관한 연구 (A STUDY ON THE ADAPTATION OF HEAD POSTURE AFTER ACTIVATOR THERAPY IN FUNCTIONAL CLASS III MALOCCLUSION PATIENTS)

  • 서형식;차경석
    • 대한치과교정학회지
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    • 제24권2호
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    • pp.319-329
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    • 1994
  • This study was carried out to research the adaptation patterns of head posture after activator therapy in functional class III malocclusion patients. For this purpose, 29 functional class III malocclusion patients, from the ages of 8 to 13 years old, were used. 1, Increse in capacity of oral cavity capacity were found in all the samples, but craniocervical angulation were varied into incresed group and decreased group after activator therapy. 2. Head posture exhibited the compensatory adaptation in the relative growth increments of the vertical dimension, ALFH and PLFH. 1) A group with more PLFH and less sagittal angle showed relatively small growth increment in PLFH during the treatment period, thus craniocervical angulation was increased. 2) A group with less PLFH and more sagittal angle showed relatively great growth incrmenet in PLFH during the treatment period, thus craniocervical angulation was decreased.

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고정성 보철치료에서 골유착성 임프란트의 경사도변화에 따른 변위와 응력에 관한 유한요소적 연구 (A FINITE ELEMENT ANALYSIS ON THE 3-UNIT FIXED PROSTHESIS SUPPORTED WITH A NATURAL TOOTH AND ANGLE VARIABLE IMPLANT)

  • 고현;우이형;박남수
    • 대한치과보철학회지
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    • 제31권4호
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    • pp.580-610
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    • 1993
  • The purpose of this study was to analyse the deflection and stress distribution at the supporting bone and it's superstructure by the alteration of angulation between implant and it's implant abutment. For this study, the free-end saddle case of mandibular first and second molar missing would be planned to restore with fixed prosthesis. So the mandibular second premolar was prepared for abutment, and the cylinder type osseointegrated implant was placed at the site of mandibular second molar for abutment. The finite element stress analysis was applied for this study. 13 two-dimensional FEM models were created, a standard model at $0^{\circ}$ and 12 models created by changing the angulation between implant and implant abutment as increasing the angulation mesially and distally with $5^{\circ}$ unittill $30^{\circ}$. The preprocessing decording, solving and postprocessing procedures were done by using FEM analysis software PATRAN and SUN-SPARC2GX. The deflections and von Mises stresses were calculated under concentrated load (load 1) and distributed load(load 2) at the reference points. The results were as follows : 1. Observing at standard model, the amount of total deflection at the distobuccal cusp-tip of pontic under concentrated load was largest of all, and that at the apex of implant was least of all, and the amount of total deflection at the buccal cusp-tip of second premolar under distributed load was largest of all, and that at the apex of implant was least of all. 2. Increasing the angulation mesially or distally, the amounts of total deflection were increased or decreased according to the reference points. But the order according to the amount of total deflection was not changed except apex of second premolar and central fossa of implant abutment under concentrated load during distal inclination. 3. Observing at standard model, the von Mises stress at the distal joint of pontic under concentrated load was largest of all, and that at the apex of implant was least of all. The von Mises stress at the distal margin of second premolar under distributed load was largest of all, and that at the apex of Implant was least of ail. 4. Increasing the angulation of implant mesially, the von Mises stresses at the mesial crest of implant were increased under concentrated load and distributed load, but those were increased remarkably under distributed load and so that at $30^{\circ}$ mesial inclination was largest of all. 5. Increasing the angulation of implant distally, the von Mises stresses at the distal crest of implant were increased remarkably under concentrated load and distributed load, and so those at $30^{\circ}$ distal inclination were largest of all.

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변연융선평면을 계측기준으로 한 정상교합자의 구치부 치관경사도에 관한 연구 (Crown angulations of posterior teeth of normal occlusion measured from marginal ridge plane)

  • 임성훈;윤영주;김광원
    • 대한치과교정학회지
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    • 제28권5호
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    • pp.731-740
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    • 1998
  • 이전의 preadjusted appliance 개발을 위한 치관경사도의 계측에 있어서는 교합평면을 계측기준으로 사용했는데, 교합평면은 Spee 만곡으로 인해 브라켓 부착점들을 연결하는 선(Andrews' plane)에 평행하지 않은 문제점이 있었다. 따라서 본 연구에서는 Spee 만곡에 영향받지 않으며, Andrews' plane에 보다 평행한 계측기준으로 각각의 구치의 근, 원심측 변연융선을 잇는 가상선을 설정하고, 이를 변연융선평면으로 명명하였다. 교합평면과 변연융선평면으로부터 각각 정상교합자의 구치부 치관경사도를 계측하여 비교한 결과 교합평면을 기준으로 한 치관경사도가 특히 상, 하악 제 1소구치(P<0.05) 및 제 2대구치(P<0.01)에서 Spee 만곡의 영향을 받음을 발견하였다. 구치부 치아들의 치관경사도는 Spee 만곡의 양에 따라 변해야만 인접치간 변연융선의 불일치가 생기지 않는다. 이전의 연구들에서는 다소의 Spee만곡을 갖는 정상교합자 표본에서 교합평면을 기준으로 계측한 치관경사도를 Spee 만곡이 없는 교합평면이 치료 목표의 일부인 bracket system에 적용하는 오류가 있었다. 이러한 치관경사도와 Spee 만곡 사이의 부조화는 Spee만곡이 straight wire에 의해 완전히 leveling되었을 때 변연융선 불일치를 초래할 수 있다. 이를 해결하기 위해서는 구치부 브라켓 slot이 변연융선평면에 평행하도록 브라켓 경사도를 결정하는 것이 추천된다.

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