• Title/Summary/Keyword: Combination arch

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Rehabilitation of a patient with crossed occlusion using mandibular implant-supported fixed and maxillary Kennedy class IV removable dental prostheses: A case report (엇갈린 교합 환자의 임플란트 지지 고정성 보철물과 Kennedy class IV 가철성 국소의치를 이용한 수복 증례)

  • Kang, Seok-Hyung;Han, Jung-Suk;Kim, Sung-Hun;Yoon, Hyung-In;Yeo, In-Sung
    • The Journal of the Korean dental association
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    • v.55 no.12
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    • pp.842-849
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    • 2017
  • The term, 'crossed occlusion' implies clinical situation in which the residual teeth in one arch have no contact with those in the antagonistic arch, resulting in the collapse of occlusal vertical dimension. The treatment goal of this pathologic condition is restoration of the collapsed vertical dimension and stabilization of abnormal mandibular position. Previously, konus removable prostheses or tooth supported overdentures were suggested to solve crossed occlusion. Nowadays, dental implants have been used for definitive support to solve this problem. In this case report, a 65 years old female patient had a crossed occlusion, in which the maxillary posterior residual teeth and mandibular anterior residual teeth cross. Interim removable and fixed dental prostheses were used to confirm the proper vertical and horizontal jaw relation. After that, the mandibular posterior edentulous region was restored with implant-supported fixed dental prostheses. Computer tomography guided implant surgery was performed according to the concept of the restoration-driven implant placement. The maxillary anterior edentulous region was restored with Kennedy class IV removable prosthesis, considering the patient's economic status. The patient's jaw position and prostheses have been well maintained at the follow-up after 6 months of definitive restoration. The antero-posterior crossed occlusion problems appeared to be effectively solved with the combination of removable in one arch and implant-supported fixed prostheses in the other.

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Risk Assessment for a Steel Arch Bridge System Based upon Response Surface Method Compared with System Reliability (체계신뢰성 평가와 비교한 응답면기법에 의한 강재아치교의 위험성평가)

  • Cho, Tae-Jun
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.20 no.3
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    • pp.273-279
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    • 2007
  • Probabilistic Risk Assessment considering statistically random variables is performed for the preliminary design of an Arch Bridge. Component reliabilities of girders have been evaluated using the response surfaces of the design variables at the selected critical sections based on the maximum shear and negative moment locations. Response Surface Method (RSM) is successfully applied for reliability analyses lot this relatively small probability of failure of the complex structure, which is hard to be calculated by Monte-Carlo Simulations or by First Order Second Moment method that can not easily calculate the derivative terms in implicit limit state functions. For the analysis of system reliability, parallel resistance system composed of girders is modeled as a parallel series connection system. The upper and lower probabilities of failure for the structural system have been evaluated and compared with the suggested prediction method for the combination of failure modes. The suggested prediction method for the combination of failure modes reveals the unexpected combinations of element failures in significantly reduced time and efforts, compared with the previous permutation method or conventional system reliability analysis method.

THE MANAGEMENT OF A COMPLEX IMPLANT CASE USING CAD-CAM TECHNOLOGY: A CLINICAL REPORT

  • Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.6
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    • pp.634-638
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    • 2008
  • PURPOSE: The application of computer-aided technology to implant dentistry has created new opportunities for treatment planning, surgery and prosthodontic treatment, but the correct selection and combination of available methods may be challenging in times. Hence, the purpose of this case report is to present a combination of several computer-aided tools as approaches to manage complicated implant case. MATERIAL AND METHODS: A 47 year-old female patient with severe dental anxiety, high expectations, financial restrictions and poor compliance presented for a fixed rehabilitation. A CT scan with a radiographic template obtained with software (SimPlant, Materialize, Leuven, Belgium) was used for treatment planning. The surgical plan was created and converted into a stereolithographic model of the maxilla with bone-supported surgical templates (SurgiGuide, Materialise, Leuven, Belgium), that allowed for the precise placement of 7 implants in a severely resorbed edentulous maxilla. After successful osseointegration, an accurate scan model served as the basis for the fabrication of a one-piece milled titanium framework using the Procera (Nobel Biocare, Gothenburg, Sweden) technology. The final rehabilitation of the edentulous maxilla was rendered in the form of a screw-retained maxillary metal-reinforced resin-based complete prosthesis. RESULTS: Despite challenging circumstances, 7 implants could be placed without bone augmentation in a severely resorbed maxilla using the SimPlant software for pre-implant analysis and the SurgiGuide-system as the surgical template. The patient was successfully restored with a fixed full arch restoration, utilizing the Procera system for the fabrication of a milled titanium framework.

A Study on the Stabilization Process of Tensegrity System using the Force Density Method (내력밀도법을 이용한 텐세그러티 구조물의 안정화 기법에 관한 연구)

  • Sur, Sam-Yeol;Koh, Kwang-Ung
    • Journal of Korean Association for Spatial Structures
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    • v.3 no.4 s.10
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    • pp.77-84
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    • 2003
  • Tensegrity systems are stable structures which are reticulated spatial structures composed of compressive straight members, struts and cables. But there are some difficulties concerning surface stability, surface formation and construction method. One of the ways to solve this problem reasonably is combination of tesile members and rigid members. This structure is a type of flexible strutural system which is unstable initially because the cable material has little initial rigidity. Therefore tensegrity structure need to be introduced to the Initial stress for the self-equilibrated system having stable state. The rigidification of tensegrity systems is related to selfstress states which can be achieved only when geometrical and mechanical requirements are simultaneously satisfied. In this paper, for the stabilization of tesnsegrity structure it is proposed the modified self-equilibrated equation and the range of the various geometrical parameter about unit system. And we generate the model of double layed single curvature arch using the new squew quadruplex unit system.

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Assessment of seismic behavior stone bridge using a finite element method and discrete element method

  • Naderi, Melika;Zekavati, Mehdi
    • Earthquakes and Structures
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    • v.14 no.4
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    • pp.297-303
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    • 2018
  • Seismic behavior of Osmanli and Senyuva stone bridges was addressed in this study. A combination of FEM and DEM was employed for getting closer to the real behavior of the bridge. One of the unique features of this combinational method is simulation close to reality. Modal numerical analysis was also used to verify the modeling. At the end of earthquake, a part of two lateral walls of Osmanli bridge was broken. The growth of arch cracks also increased during the earthquake. A part of right-hand wall of Senyuva Bridge was destructed during the earthquake. The left-hand side of the bridge wall was damaged during the earthquake but was not destructed.

CLINICAL CONSIDERATION IN THE CHOICE OF ALIGNMENT ARCHES (치아배열을 위한 교정용 탄선의 선택에 대한 고찰)

  • Park, E. Woong;Kim, Sang Cheol
    • The korean journal of orthodontics
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    • v.19 no.3
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    • pp.79-86
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    • 1989
  • The wires for initial alignment purposes require a combination of excellent strength, excellent springiness, and a long rang of action. The variables in selecting appropriate arches for alignment are the arch wire material, its diameter, and the distance between attachments. The principle that there should be 0.02 inch clearance for initial wires means that an .016 diameter wire is the largest that should be considered for initial alignment in the .018 slot system. The three major possibilities for alignment arches are multistranded steel wires, nickel-titanium wires, and single-stranded steel wires with loops. The excellent choice for initial alignment in .018 bracket is .014 steel wire with loops.

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Anomalous Origin of the Right Subclavian Artery in a Patient with D-transposition of the Great Arteries

  • Park, Hyojung;Song, Jinyoung;Huh, June;Kang, I-Seok;Jun, Tae-Gook;Yang, Ji-Hyuk
    • Journal of Chest Surgery
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    • v.51 no.6
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    • pp.403-405
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    • 2018
  • This case report concerns a young patient with an extremely rare combination of d-transposition of the great arteries (d-TGA) and anomalous origin of the right subclavian artery. In our patient, the right subclavian artery originated from the pulmonary artery, which is why he did not show reversed differential cyanosis. We conclude that the presence of an aortic arch anomaly should be considered in patients with d-TGA who do not present with reversed differential cyanosis. A further imaging work-up, including computed tomography or magnetic resonance imaging, might be helpful.

A Digitally Designed All-on-4 Restoration with Screwmentable Concept

  • Park, Koungjin;Han, Jung-Suk;Lee, Jae-Hyun
    • Journal of Korean Dental Science
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    • v.15 no.1
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    • pp.84-91
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    • 2022
  • An all-on-4 restoration allows edentulous patients to use a fixed prosthesis with a minimum number of implants. These implant-supported fixed complete dentures have traditionally been fabricated as screw-retained or cement-retained prostheses. However, it is difficult to passively fit the long-span full-arch prosthesis using the screw-retained type restoration, and predictable retrievability is not obtained with the cement-retained type. This case report describes a prosthesis fabricated using a combination of the two retention types. The screwmentable method allows the implant-supported fixed complete denture to achieve a passive fit at the connection with retrievability. In addition, a framework with an optimized size was designed by using digital dental technology.

CORTICOTOMY IN PATIENT WITH NARROW PALATAL ARCH (피질골절단술을 이용한 상악협소증환자의 치험례)

  • Kim, Eun-Cheol;Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Baek-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.371-374
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    • 1999
  • The treatment of adults with dentofacial deformities is frequently complicated by existence of discrepancies in transverse dimension. Control of the transverse dimension through surgical technique is now a valuable treatment consideration in non-growing patients. Proper diagnosis of relative and absolute maxillary transverse deficiency is imperative prior to surgical intervention. Therapeutic purpose should be implemented accordingly to facilitate correction of transverse discrepancies concomitant with treatment objectives in sagittal dimension in order to provide the patient with the most stable and functional result possible. Concomitant surgical correction of narrow palate require less treatment time, treatment cost and post-treatment relapse is less than to do only orthodontic therapy. This report is concerned with rapid palatal expansion by a combination of corticotomy and orthodontic treatment.

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Strain-based structural condition assessment of an instrumented arch bridge using FBG monitoring data

  • Ye, X.W.;Yi, Ting-Hua;Su, Y.H.;Liu, T.;Chen, B.
    • Smart Structures and Systems
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    • v.20 no.2
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    • pp.139-150
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    • 2017
  • The structural strain plays a significant role in structural condition assessment of in-service bridges in terms of structural bearing capacity, structural reliability level and entire safety redundancy. Therefore, it has been one of the most important parameters concerned by researchers and engineers engaged in structural health monitoring (SHM) practices. In this paper, an SHM system instrumented on the Jiubao Bridge located in Hangzhou, China is firstly introduced. This system involves nine subsystems and has been continuously operated for five years since 2012. As part of the SHM system, a total of 166 fiber Bragg grating (FBG) strain sensors are installed on the bridge to measure the dynamic strain responses of key structural components. Based on the strain monitoring data acquired in recent two years, the strain-based structural condition assessment of the Jiubao Bridge is carried out. The wavelet multi-resolution algorithm is applied to separate the temperature effect from the raw strain data. The obtained strain data under the normal traffic and wind condition and under the typhoon condition are examined for structural safety evaluation. The structural condition rating of the bridge in accordance with the AASHTO specification for condition evaluation and load and resistance factor rating of highway bridges is performed by use of the processed strain data in combination with finite element analysis. The analysis framework presented in this study can be used as a reference for facilitating the assessment, inspection and maintenance activities of in-service bridges instrumented with long-term SHM system.