• 구강회복응용과학지
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• 제26권1호
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• pp.1-12
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• 2010

총의치가 잔존치조제에 가하는 응력은 지지골의 흡수를 야기할 수 있으며, 이는 하악골에서 더 흔히 발생한다. 이러한 응력은 측방력과 관련이 있고, 이는 총의치의 교합력에 따라 차이를 보이게 된다. 그러므로 본 연구의 목적은 총의치의 교합양식(양측성 균형교합-33도 해부학적 치아, C군 ; 무교두교합-0도 비해부학적 치아, M군 ; 설측교두교합,-상악은 33도 해부학적 치아와 하악은 0도 비해부학적 치아, L군)에 따른 하악잔존치조제에 미치는 응력의 크기를 중심위, 측방위, 전방위 상태에서 비교하는 것이다. 기성 아크릴릭 무치악 모델을 이용하여 양측성 균형교합, 무교두교합, 설측교두교합 양식을 갖는 총의치를 제작하여 이를 T-ScanII(Tekscan, Boston, U.S.A)를 이용해 기록했다. 하악 무치악 아크릴 모형을 1.5 mm 일정하게 삭제한 뒤 실리콘으로 점막을 재현하여 제1소구치와 제1대구치 부위에 각각 $4{\times}6$의 linear strain gauge를 부착했다. 교합기에 모형을 부착한 상태에서 Universal Testing Machine(instron$^{(R)}$ 5567, Bluehill 2.0 software ,U.S.A.)으로 50 N과 150 N의 힘을 중심위, 측방위, 전방위 상태에서 일정하게 가하여 교합양식에 따른 응력값을 측정했다. 중심위와 전방위 상태에서는 전방과 후방의 응력값을 교합양식에 따라 비교하고, 측방위에서는 작업측과 비작업측에서의 응력값을 비교하였다. 이상과 같은 실험으로 양측성 균형교합에서의 응력값이 비작업측을 제외하고는 모든 위치에 서 설측교두교합과 무교두교합보다 더 컸으며, 비작업측과의 차이값과 비작업측에서의 응력 변화율도 가장 컸다. 그러나, 측방운동시 비작업측의 응력은 양측성 균형교합에서 가장 작은 것으로 나타났다.

• 치과방사선
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• 제17권1호
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• pp.89-106
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• 1987

The author obtained individualized lateral cephalometric tomograms from 23 young adults (46 of left and right normal TMJ) with normal occlusion and 20 patients (14 of patient asymptomatic TMJ and 26 of patient symptomatic TMJ) with clicking and painful TMJ after the analysis of submental vertex view. Individualized lateral cephlometric tomogram analysis and TMJ space analysis were performed after tracing each film. All data from these analysis was recorded and statistically processed with CYBER computer system. 1. The results were obtained as follows. In submental vertex view, the mean condylar angulation of Rt. side in normal group was 20.348°±6.358°, Lt. side was 18.870°±7.777° and Rt. side in patient group was 19.350°±7.576° Lt. side was 17.750°±6.146° respectively. The mean condylar angulation of Rt. side was larger than Lt. side in normal and patient group. 2. When the mandible was moved from centric occlusion to centric relation, condylar position relating to the glenoid fossa was placed posteriorly and superiorly in normal TMJ group and patient symptomatic TMJ group. 3. In centric relation position, the proportion of anterior space to posterior space was 1.593 for normal TMJ group, 1.604 for patient asymptomatic TMJ group and 1.671 for patient symptomatic TMJ group. In centric occlusion position, 1.390 for normal TMJ group, 1.539 for patient asymptomatic TMJ group and 1.196 for patient symptomatic group. Normal TMJ group, patient asymptomatic TMJ group and patient symptomatic TMJ group and patient symptomatic TMJ group revealed significant difference in ∠C₂ measurement. (ANOVA-test, p<0.05) 5. Normal group and patient group revealed significant difference in Fh, ∠C₁and ∠C₂ measurement. (T-test, p<0.05) 6. There were strong positive correlation (0.8771) between Fp and Fm, and strong negative correlation (-0.9039) between ∠C₂ and ∠C₁ from the lateral cephalometric tomogram analysis.

• Journal of Oral Medicine and Pain
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• 제8권1호
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• pp.43-60
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• 1983

In order to obtain the basic data for diagnosis of occlusion the author investigated the occlusal sounds produced by mandibular closing movement from rest position to centric occlusion by using the Korotkoff sounds microphone electrodes and physiograph for Korean 20S without TMJ problems. And the author analyzed the correlation of the occlusal sounds with height, body weight, mandibular closing movement distance, maxillary sinus size and masseter muscle activities relating to the production of occlusal sounds. The obtained results were as follows : 1. The occlusal sounds prouduced by mandibular closing movements from rest position to centric occlusion were ranged from 3.08mV to 52.00mV, their maen value 19.07mV in right side, and ranged from 2.41mV to 18.33mV, their mean value 9.19mV in left side in group of Angel's class I occlusion subjects having right habitual side of mastication. 2. In general the occlusal sounds in the habitual side of mastication were greater than those in the opposite side. 3. The correlations of the occlusal sounds with height and maxillary sinus size were not significant. 4. The correaltions of the occlusal sounds with body weight, mandibular closing movement distance and masster muscle activities were significant.

• 대한치과보철학회지
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• 제1권1호
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• pp.33-36
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• 1959

• 대한치과의사협회지
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• 제53권6호
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• pp.402-410
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• 2015

The aims of occlusal adjustment are as follows: to eliminate occlusal interference, to redirect force generated during function to which is favorable for teeth, to improve mastication efficiency and simultaneously establish stable maximal intercuspation or centric occlusion. Also, it should permit mandible to move freely from all positions. The sequence of occlusal adjustment in natural teeth and fixed prosthesis shall be as follows: 1) Eliminate interference that prevent optimal intercuspation and recontouring adjustment 2) Establish maximal intercuspation 3) Eliminate interference in lateral mandibular movement 4) Eliminate interference in anterior mandibular movement 5) Refine occlusal relationships.

• 대한치과보철학회지
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• 제27권2호
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• pp.189-200
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• 1989

The purpose of this study was to investigate the muscle activity of the group function occlusion and the changed canine guided occlusion using EM2. In this study, 13 subjects with group function occlusion and without temporomandibular disorders were selected, each subject was changed to the canine guided occlusion by forming the lingual ramps in the upper canines with light curing composite resin. The muscle activities of the anterior temporal and masseter muscle were recorded in the group function occlusion and immediately, one week, and two weeks after changing to the canine guided occlusion under the condition of maximum voluntary clenching in centric occlusion, lateral excursion, and during gum chewing. The results were as follows: 1. In case of maximum voluntary clenching in centric occlusion, the muscle activities of the anterior temporal and masseter muscle of working and balancing side didn't show any difference immediately after changing to the canine guided occlusion, one week after changing to the canine guided occlusion, one week after changing to it the muscle activities of the anterior temporal masseter muscle of working and balancing side were increased significantly, and two weeks after changing to it the muscle activities of the masseter muscle were increased significantly in comparison with the group function occlusion. 2. In case of maximum voluntary clenching in lateral excursion, the muscle activities of the anterior temporal and masseter muscle of working and balancing side were reduced significantly immediately after changing to the canine guided occlusion, one week after changing to it the muscle activities of the anterior temporal muscle of balancing side and of the anterior temporal and masseter muscle of working side were reduced significantly, and 2 weeks after changing to it the muscle activities of the anterior temporal and masseter muscle of working side were reduced significantly in comparison with the .group function occlusion. 3. During gum chewing, the muscle activities of the anterior temporal and masseter muscle of working and balancing side didn't show any difference immediately after changing to the canine guided occlusion, one week after changing to it the muscle activities of the masseter muscle of working and balancing side were increased significantly, and two weeks after changing to it only the muscle activities of masseter muscle of working side were increased significantly.

• 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.

• 치과방사선
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• 제27권1호
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• pp.25-41
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• 1997

The purpose of this study was to observe mandibular condyle shape and position in an asymptomatic population. In order to carry out this study, 142 temporomandibular joints in 71 adults(35 males, 36 females), who were asymptomatic for temporomandibular joint disorders and had no history of prosthodontic or orthodontic treatments, were selected, and radiographed using the Accurd-200 head holder(Denar Co., U.S.A) for transcranial radiograms and the Sectography(Denar Co., U.S.A) for lateral individualized corrected tomograms. Mandibular condyles were classified morphologically and evaluated in positional relationships with articular fossae and articular eminences at centric occlusion and 1 inch mouth opening. The obtained results were as follows; 1. In the classification of mandibular condyle shape, the convex type was more prevalent in transcranial radiograms and tomograms taken at medial, central, and lateral locations. 2. In the mandibular condyle position at centric occlusion, the mandibular condyles were placed posterior to the center of articular fossae in transcranial radiograms and anterior to the center of articular fossae in tomograms taken at medial, central, and lateral locations. 3. In the mandibular condyle position in right and left TMJs at centric occlusion, the mandibular condyles were placed bilateral asymmetric relationships to the articular fossae in transcranial radiograms and tomograms taken at medial, central, and lateral locations. 4. In the mandibular condyle position at 1 inch mouth opening, the mandibular condyles were placed anterior to the articular eminences in transcranial radiograms and tomograms taken at central location and posterior to the articular eminences in tomograms taken at medial and lateral locations.

• 구강회복응용과학지
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• 제31권3호
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• pp.273-282
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• 2015

중심위에서 벗어나 있는 최대교두감합위는 상하악 치아의 조기접촉 및 사면활주의 직접적인 원인이며, 악관절 내장증, 치아마모, 치주질환 등을 일으킬 수 있다. 그러므로 광범위한 보철수복이 필요한 환자에서 중심위와 최대교두감합위의 불일치가 존재하는 경우 반드시 이를 제거하여 생리적인 교합양식을 회복해야 한다. 본 증례의 환자는 초진 시 약 3.5 mm의 사면활주와 다수의 우식 및 중등도의 치주질환을 앓고 있었다. 보철수복을 통해 기능 및 심미성을 회복하는 동시에 중심위와 최대교두감합위를 일치시켜 사면활주를 제거하였으며, ARCUSdigma II와 경두개 방사선 사진을 이용하여 생리적인 위치로 수정된 하악위와 변화된 개폐구 경로를 관찰하였다.

• 구강회복응용과학지
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• 제17권3호
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• pp.145-154
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• 2001

In the past, many dentist were interested mainly in the mechanical aspects such as tooth preparation and retainer types for making dental restoration. But, these days, the concept of restorative treatment emphasizes the importarce of gnatic system and masticatory muscles in addition to oral cavity. So, the current considerations for the fixed prosthodontic treatment include the stabilization of temporomandibular joint and neuromuscualr system and the relationship of periodontal ligament and occlusion. To achieve the above objectives, occlusal splint has been used as one of the mouth preparations for restorative treatment. The objectives of occlusal splint are as follows; 1. To use as preliminary application for periodontal-occlusal treatment 2. To provide proper vertical dimension 3. To control abnormal habits and parafunction 4. To treat the temporomandibular disease and myofascial pain 5. To establish the new therapeutic position In some cases, the patients had improper vertical dimension and occlusal interferences caused by prostheses reconstucted using centric relation recorded without considering the health of TMJ and manticatory muscle. And these prosthesis act as primary source that cause pathologic phenomenon in periodontal ligament, muscles and TMJ. Physiologically, in order to make the treatment occlusion guided by proper centric relation method, the method should be guided after the use of occlusal splint for some period. The main objective of prosthetic treatment is to maintain the function and health of stomatognathic system. So, one of the most important things that have to be performed by clinicians is a clinical ability to do the correct diagnosis and treatment planning based on the stomatognatic function and occlusion.