• 제목/요약/키워드: Anterior dental arch form

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상하악 전치부 치열궁 형태에 대한 새로운 접근 - 한국성인 정상교합자 모델에서 (The new approach to maxillary and mandibular anterior dental arch forms - In Korean normal occlusion models)

  • 하만희;손우성;양훈철
    • 대한치과교정학회지
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    • 제31권3호
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    • pp.347-355
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    • 2001
  • 상하악 전치부 치열은 치아의 형태 변위, 선천결손 등에 의해 종종 교합관계나 심미성에 문제점을 나타내게 된다. 이러한 문제점을 극복하기 위해 임상의는 전치부 비율을 진단시 이용하게 되나, 치열궁 형태, 견치간 폭경(intercanine width), 치열궁 장경(segment depth)과 치열궁 둘레(arch perimeter)에 따른 전치부 비율의 변화로 인해 이러한 비율을 전치부 교합관계 예측에 직접 적용하는데는 한계가 있다. 이에 본 연구에서는 한국성인 정상교합자 모델(남자:20쌍, 여자:20쌍)에서 상하악 전치부 치열궁 형태를 least square method로 조사하였다. 한국인 정상교합자의 상하악 전치부 치열궁 형태는 다항 함수(polynomial function), 베타 함수(beta function), 하이퍼볼릭 코사인 함수(hyperbolic cosine function) 순으로 곡선 접합(curve fitting)하였으며, 이러한 곡선 접합도는 남녀, 상하악에 관계없이 일정하였다. 또한 곡선접합(curve fitting)된 치열궁 형태를 바탕으로 견치간 폭경(intercanine width), 치열궁 장경(segment depth)과 치열궁 둘레(arch perimeter)간의 상관관계를 구하였다. 이러한 상관관계는 견치간 폭경에 따른 치열궁 형태 예측과 보다 정확한 전치부 비율에 대한 정보를 제공할 것이다.

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한국인(韓國人)의 교합(咬合)과 상악치열궁(上顎齒列穹)에 관(關)한 형태학적(形態學的) 연구(硏究) (A Morphological study on Occlusion and Maxillary dental Arch in Korean)

  • 김성일
    • 대한치과보철학회지
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    • 제9권1호
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    • pp.9-15
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    • 1969
  • The purpose of this study was to examine arch form, occlusion in centric occlusion. Male 561 case, Female 305 case were impressioned with alginate impression material, and plaster models were made. Occlusion and maxillary dental arch were studied on plaster models in Korean adults aged from 18 to 60 Years. The results were as follows. 1. The upper dental arch was U-type(57.77%), O-type(23.52%), V-type(18.71%) in male, and U-type(60.66%), O-type(27.11%), V-type(12.13%) in female. 2. The commonest type of the anterior bite was 1-form($68.09{\pm}1.97%$) in male, ($72.46{\pm}2.56%$) in female, and posterior bite was 1-form($65.06{\pm}2.01%$) in male, ($69.51{\pm}2.64%$ in female. 3. In the maxillary dental arch U-type was frequented and the relationship of occlusion in upper and lower dental arch was mainly 1-form.

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안모, 치열궁 및 상악 중절치의 형태에 관한 상호 비교 연구 (A COMPARISON OF THE FORM OF THE FACE, THE DENTAL ARCH AND THE MAXILLARY CENTRAL INCISOR)

  • 이봉호;정재헌
    • 대한치과보철학회지
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    • 제30권2호
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    • pp.273-285
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    • 1992
  • The purpose of this study was to evaluate facial form, arch form and tooth form in young adults to determine if a correlation exists. 115 subjects who had healthy natural maxillary incisors and good occlusion consisted of 71 males and 44 females ranging from 20-30 years of age. Facial photographs and, intraoral photographs of upper anterior teeth and dental casts of upper jaws were taken to demonstrate facial form, dental arch form and tooth form. Form analysis is determined by comparing the ratio of the widths of the faces, dental archs and the teeth. The Chi-square test of independence between facial form, arch form and tooth form, was executed and the significance level determined. The results were as follows : 1. The distribution of facial forms was 66.1% square-tapering, 27.0% square, 5.2% ovoid, 2% tapering-square. 2. The distribution of tooth forms was 65.2% ovoid, 20.0% square-tapering, 11.3 % tapering-square, 3.5 % square. 3. The distribution of arch forms was 50.4 % square-tapering, 48.7 % tapering, 0.9 % reverse tapering-square. 4. There was no large differences in the distribution of facial forms, dental arch forms and tooth-forms between male and female. 5. No relationship existed between the tooth form and the facial form. 6. No relationship existed between the facial form and the dental arch form. 7. No relationship existed between the tooth form and the dental arch form. 8. This gave the impression that dental arch form and facial form could not be used as a true index in tooth selection.

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Associations among the anterior maxillary dental arch form, alveolar bone thickness, and the sagittal root position of the maxillary central incisors in relation to immediate implant placement: A cone-beam computed tomography analysis

  • Somvasoontra, Suttikiat;Tharanon, Wichit;Serichetaphongse, Pravej;Pimkhaokham, Atiphan
    • Imaging Science in Dentistry
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    • 제52권2호
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    • pp.197-207
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    • 2022
  • Purpose: This study evaluated the associations of the dental arch form, age-sex groups, and sagittal root position (SRP) with alveolar bone thickness of the maxillary central incisors using cone-beam computed tomography (CBCT) images. Materials and Methods: CBCT images of 280 patients were categorized based on the dental arch form and age-sex groups. From these patients, 560 sagittal CBCT images of the maxillary central incisors were examined to measure the labial and palatal bone thickness at the apex level and the palatal bone at the mid-root level, according to the SRP classification. The chi-square test, Kruskal-Wallis test, and multiple linear regression were used for statistical analyses. Results: Significant differences were found in alveolar bone thickness depending on the arch form and SRP at the apex level. The square dental arch form and class I SRP showed the highest bone thickness at both levels of the palatal aspect. The taper dental arch form and class II SRP presented the highest bone thickness at the apex level of the labial aspect. No association was found between the dental arch form and SRP. Elderly women showed a significant association with thinner alveolar bone. Age-sex group, the dental arch form, and SRP had significant associations with alveolar bone thickness at the apex level. Conclusion: The patient's age-sex group, dental arch form, and SRP were associated with alveolar bone thickness around the maxillary central incisors with varying magnitudes. Therefore, clinicians should take these factors into account when planning immediate implant placement.

한국인(韓國人) 성인(成人) 치열궁(齒列弓)의 형태학적(形態學的) 연구(硏究) (A Morphological Study of Dental Arches in Korean Adults)

  • 우상민
    • 대한치과보철학회지
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    • 제8권1호
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    • pp.30-36
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    • 1968
  • The measurements on the various items, such as arch form, kinds of anterior dental arch, degree of curvature in anterior dental arches, relationship between direction of the disto-incisal edge of the canine and first premolar, and kinds of posterior dental arch in upper dental arches were studied on 311 cases of the Korean adults aged from 20 to 30years. The results were as follows. 1. The commonest type of the upper dental arches was U-type (53.7%), the remaining were O-type (25.4%) and V-type (20.0%). 2. A slight curvature type (71.87%) prevailed against angulated curvature type in upper anterior dental arches. 3. The degree of curvature from $121^{\circ}$ to $160^{\circ}$ in anterior dental arches was common, and the degree of curve of 1-type with on curvature was smaller than 4, 5 type with two curvature. 4. The direction of the disto-incisal edge of canine went between the tip of the buccal cusp and the lingual incline of the buccal cusp of the first premolar in most dental arches and went lingual incline of the buccal cusp of the first premolar in U-type, from buccal cusp to lingual cusp of the first premolar in O-type and were distributed from buccal edge to central groove of the first premolar in V-type. 5. A posterior dental arch with almost straight curvature was common in 60.87%, and 4-type with a half rounded curve from first premolar to second molar was next.

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한국인 성인의 정상 치열궁 형태에 관한 연구 (A STUDY ON THE NORMAL DENTAL ARCH FORM OF KOREAN ADULT)

  • 정하익
    • 대한치과교정학회지
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    • 제3권1호
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    • pp.7-13
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    • 1972
  • 정상 치열궁에 관한 연구는 많은 학자들에 의해 시행되어온 바 학자들 간에는 아무런 일관성이 없다는 의견과 치열궁을 대표할 만한 기하학적 곡선이 존재한다는 의견이 상충되어 왔다. 그중 후자의 이론이 지배적인 것으로 보이나 그 중에서도 곡선의 형태에 관하여서는 다시 많은 논란이 있었다. Bonwill과 Hawley등에 의한 Circle론, Black의 반타원론, Angle의 포물선론, 이외에도 많은 의견이 있는 가운데 저자는 정상교합을 유지하는 한국인 성인을 대상으로 Bonwill과 Hawley의 이론을 기초로 한 연구를 시행한 바 다음과 같은 결과를 얻었다. 1. 정상교합을 유지하는 한국인 성인의 치열은 전치에 있어서 원호에 근사한 배열을 갖는다. 2. 원의 지름은 6전치의 폭경의 합에 대하여 다양하므로, 전치 배열이 치아의 크기에 엄격히 연관됐다고 단정 할 수는 없다. 3. 그러나 6전치 폭경의 합에 대한 원의 지름의 비율은 그 평균치가 상하악 모두 1 : 1에 매우 근접하고 이 사실은 Bonwill의 결론에 부합한다. 4. 견치간 폭경과 구치간 폭경은 육전치의 합에 대한 비율이 상하악에 있어서 그 형태가 다름에 따라 상이하나 비교적 일정하게 나타난다.

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New classification of lingual arch form in normal occlusion using three dimensional virtual models

  • Park, Kyung Hee;Bayome, Mohamed;Park, Jae Hyun;Lee, Jeong Woo;Baek, Seung-Hak;Kook, Yoon-Ah
    • 대한치과교정학회지
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    • 제45권2호
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    • pp.74-81
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    • 2015
  • Objective: The purposes of this study were 1) to classify lingual dental arch form types based on the lingual bracket points and 2) to provide a new lingual arch form template based on this classification for clinical application through the analysis of three-dimensional virtual models of normal occlusion sample. Methods: Maxillary and mandibular casts of 115 young adults with normal occlusion were scanned in their occluded positions and lingual bracket points were digitized on the virtual models by using Rapidform 2006 software. Sixty-eight cases (dataset 1) were used in K-means cluster analysis to classify arch forms with intercanine, interpremolar and intermolar widths and width/depth ratios as determinants. The best-fit curves of the mean arch forms were generated. The remaining cases (dataset 2) were mapped into the obtained clusters and a multivariate test was performed to assess the differences between the clusters. Results: Four-cluster classification demonstrated maximum inter-cluster distance. Wide, narrow, tapering, and ovoid types were described according to the intercanine and intermolar widths and their best-fit curves were depicted. No significant differences in arch depths existed among the clusters. Strong to moderate correlations were found between maxillary and mandibular arch widths. Conclusions: Lingual arch forms have been classified into 4 types based on their anterior and posterior dimensions. A template of the 4 arch forms has been depicted. Three-dimensional analysis of the lingual bracket points provides more accurate identification of arch form and, consequently, archwire selection.

상하악 전치부 치열궁 형태에 대한 새로운 접근 - 컴퓨터 프로그램을 이용한 상하악 전치부 교합관계에 대한 예측 (The new approach to maxillary and mandibular anterior dental arch forms - The prediction to maxillary and mandibular anterior occlusal relationship by computer program)

  • 하만희;양훈철;김기태;손우성
    • 대한치과교정학회지
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    • 제32권1호통권90호
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    • pp.43-49
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    • 2002
  • 치아의 형태 이상, 선천결손 등에 의해 손상된 상하악 전치부 치열에서는 교정치료만으로는 적절한 기능 교합관계를 설정하지 못하는 경우가 많다. 치료후 상하악 전치부 치열에서 어떠한 치료가 필요할지를 미리 예측할 수 있다면 치료효율을 높일 수 있을 뿐 아니라, 타 분야와의 협진에도 보다 유리할 것이다. 이를 위해 이전의 연구에서는 한국인 정상 교합자를 이용한 견치간 폭경(intercanine width), 치열궁 장경(segment depth)과 치열궁 둘레(arch perimeter)간의 상관관계를 구했으며, 이번에는 이러한 관계를 이용한 컴퓨터 프로그램을 제작한 후 손상된 상하악 전치부 치열을 보이는 두 환자에게 이 프로그램을 치료 계획시 적용하여 보았다. 프로그램 적용 결과, 치료 계획시 필요한 변화량에 대한 정보와 각 변수간 변화(견치간 폭경, 치열궁 장경, 치열궁 둘레)에 따른 전치부 교합관계 변화를 보다 명확히 보여주었다. 추후 악안면 형태에 따른 전치부 치축변화와 치열궁 변화의 관계, 안정성 있는 견치간 폭경에 대한 정보를 제공한다면, 전치부에 대한 3차원 occlusogram의 제작이 가능할 것으로 기대된다.

성인 구순구개열환자의 교정치료 전략 (The orthodontic strategies for adult patients of cleft lip and palate)

  • 김재훈
    • 대한치과의사협회지
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    • 제53권7호
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    • pp.450-456
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    • 2015
  • Even the adult cleft lip and palate patient who has not had timely treatment during the growth period, can be treated with orthodontic treatment without the necessity of orthognathic surgery if only the patient is treated under correct diagnosis and fitting appliances. Initially, maxillary arch form is established by constructing trifocal circles. Posterior region can be expanded and derotated laterally with pentahelix and anterior teeth are aligned with Tiggle brackets and "ㄷ"-shaped spring. Thereafter, anterior and posterior regions are consolidated. Mandibular intercanine width should be adjusted to maxillary intercanine width which was unavoidably reduced. Mandibular anterior tooth extraction will be helpful to attain proper mandibular intercanine width and better anterior dental showing.

한국인의 부분 치아 결손 증례와 국소의치 설계에 관한 연구 (A SURVEY OF PARTIAL EDENTULISM AND REMOVABLE PARTIAL DENTURE DESIGNS FOR PATIENTS IN KOREA)

  • 이시혁;장익태;김광남
    • 대한치과보철학회지
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    • 제32권2호
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    • pp.235-248
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    • 1994
  • There were many studies that distribute the partial edentulous states and examine the removable partial denture designs in the planning of removable partial denture treatment. This study was performed in the point of removable partial denture prescription to evaluate partial edentulism and its removable partial denture designs. The data was collected from the dental laboratory of each three dental colleges in Seoul and from two dental laboratories only for removable partial dentures as a prescription form. A total of 1411 cases with prescription form collected from dental laboratories were distributed for this study, then 788 cases were selected for this study. The case selection was done according to the contents of prescription form. The selected cases were divided into maxillary arch and mandibular and classified in terms of types of major connector and direct retainer, unbroken anterior teeth, Kennedy classification, the number of remaining teeth, and distribution of age and sex. The analyzed results were as follows : 1. The Kennedy classification I showed highest frequency both in maxilla and mandible. 2. The arch distribution of removable partial denture was 50.08% for maxilla and 49.92% for mandible. 3. The highest frequency in the distribution of direct retainer was the RPA clasp design. 4. The frequency of unbroken anterior 6 was 73.36% for maxilla and 82.30% for mandible. 5. The design of broad palatal strap and lingual bar revealed the highest prevalence in the major connector construction. 6. The mean number of remaining teeth per arch was 8.25 for maxilla and 8.37 for mandible. 7. The mean age of the patients supplied with removable partial denture was 52.25 years for men, 51.68 years for women, 52.11 years for maxilla, and 51.76 years for mandible and women showed more prevalence.

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