• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.29 no.3
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• pp.163-168
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• 2003

Three-dimensional solid model has not been widely used in surgical prediction of orthognathic surgery because frequent artifacts from occlusal restorations or prosthesis limited the usefulness of simulated surgery involving occlusion. We prepared three-dimensional(3D) solid model from CT data and integrated the 3D solid model with dental cast using a face-bow transfer technique combined with skeletal reference measurement and confirmation with cephalometric radiographs. With this simple and easy method, it was possible to predict bony interference between the proximal and distal segment of the mandible so that we can prevent condylar displacement after sagittal split ramus osteotomy of the mandible with prominent asymmetry. The method error was within 2mm and it seemed to be useful in preoperative planning for maxillofacial surgery with maxillo-mandibular occlusal change.

• Journal of Technologic Dentistry
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• v.21 no.1
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• pp.67-75
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• 1999

The purpose of this study is to evaluate the friction coefficients between abutment materials and clasp materials, and to an estimation formula for retention force. The coefficients of friction between three clasp materials and four abutment materials were measured under various conditions, polished and sandblasted and wet and dry. The measurement was repeated for each combination up to a total measurement of 1200 times. Estimation formula for retention force is measured as sum of two terms, which the one time is proportional to the product of friction coefficient ${\mu}$ and undercut u and the other term is proportional to u-squared. Two proportional coefficient were obtained by least square method. The results are as follows: 1. Friction coefficients were ranged from 0.08 to 0.53 under various conditions. 2. Friction coefficients of non-metal abutment materials are greater in wet conditions than dry conditions. 3. Friction coefficients of sandblasted clasp against abutment are greater than that of polished clasp. 4. Clasp retention force can be estimated with the model as F=$F_d(3.0{\mu}u+1.5u^2/h)$ with minor error.

• Imaging Science in Dentistry
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• v.49 no.1
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• pp.35-43
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• 2019

Purpose: The goal of this study was to assess the accuracy and reliability of a low-cost portable scanner (Scanify) for imaging facial casts compared to a previously validated portable digital stereophotogrammetry device (Vectra H1). This in vitro study was performed using 2 facial casts obtained by recording impressions of the authors, at King's College London Academic Centre of Reconstructive Science. Materials and Methods: The casts were marked with anthropometric landmarks, then digitised using Scanify and Vectra H1. Computed tomography (CT) scans of the same casts were performed to verify the validation of Vectra H1. The 3-dimensional (3D) images acquired with each device were compared using linear measurements and 3D surface analysis software. Results: Overall, 91% of the linear Scanify measurements were within 1 mm of the corresponding reference values. The mean overall surface difference between the Scanify and Vectra images was <0.3mm. Significant differences were detected in depth measurements. Merging multiple Scanify images produced significantly greater registration error. Conclusion: Scanify is a very low-cost device that could have clinical applications for facial imaging if imaging errors could be corrected by a future software update or hardware revision.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.49 no.5
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• pp.304-307
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• 2023

Venous malformation (VM) is a benign lesion of blood vessels caused by an error in vascular morphogenesis during the embryologic phase. This entity mostly affects the head and neck region, including the lips, tongue, buccal mucosa, gingiva, or palate. VM may cause functional and aesthetic impairments. The anatomical structure and shape of the lips provide an important aesthetic accent for an individual. Therefore, management of VM in the lip area without postoperative defects or scarring is challenging. In this brief communication article, we present a conservative approach to lip VM in a nine-year-old boy using a bleomycin injection that had good aesthetic and functional outcomes. Injection of 2 mL of 1/10 of 15 mg bleomycin in a saline dilution into the lip mucosa may present a drug reaction as a white plaque and reddish owl eye lesion that takes up to three weeks to resolve without a scar. It is important to recognize the characteristics and self-limiting nature of postoperative bleomycin complications to avoid unnecessary treatment.

• Journal of the Korean Society of Radiology
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• v.7 no.2
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• pp.131-136
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• 2013

Panorama of dental radiation generators can observe the wide anatomical structures of oral and maxillofacial areas but there can be distortion of lengths, angles, or shapes. CBCT can diagnose 3D images and get the ones whose errors by superposition and interference are remarkably smaller between anatomical structures. But the quality of the images by movement of subjects can be lowered as it takes long to diagnose them. And if there are impermeable radiation objects like metal in mouths, impermeable radiation lines can radially appear with the objects as center. This study tries to analyze accuracy of panorama and CBCT and get useful anatomical information in dental treatment by comparing the length of wisdom teeth which were measured by Panorama and CBCT with the teeth which were actually extracted and analyzing distortion of the teeth. The test result could be found that Panorama is expanded by average 7.3% as the errors of Panorama and Digital Vernier Caliper range from 110.7% to 103.9%. The length of wisdom teeth which were measured in CBCT and Digital Vernier Caliper could be found that the error range is 1.3%. And the length of wisdom teeth which were measured in Panorama and Digital Vernier Caliper has found that the error range shows 7.3%. So it could be found that the images of CBCT is about 6% more exact than those of Panorama. It could be found that CBCT shows the more exact images than those of Panorama. But because the examination expenses of CBCT are higher than those of Panorama and exposure dose of CBCT is much more than that of Panorama, it is thought to find proper ways in examination.

• The korean journal of orthodontics
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• v.35 no.5 s.112
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• pp.388-397
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• 2005

The purpose of this study was to redefine the cephalometric landmarks in three-dimensional (3D) images, which are used in orthodontic cephalometric radiography, and to evaluate the reproducibility of each landmark for 3D cephalometric analysis. Eighteen CT scans were taken at the Department of Diagnostic Radiology at Seoul National University Dental Hospital and manipulated with V works 4.0(Cybermed Inc., Seoul, Korea). The coordinate system was established using 7 reference points, with no more than 4 points on the same plane. These 7 points were generated as a volume model, the voxel size of which was 4 by 4 by 2 (threshold value=639). The cephalometric landmarks were selected at the multiplanar reformation (MPR) window on the volume mode of V works 4.0. The selected landmarks were exported to V surgery (Cybermed Inc., Seoul, Korea) for the calculation of coordinate values. All the data were taken twice with a lapse of 2 weeks by one investigator The reproducibility of each landmark was $0.17\~1.21mm$ in the x axis, $0.30\~1.53mm$. In the y axis, and $0.27\~1.81mm$ in the z axis. In all three axes, the range of error was similar. These error ranges were acceptable with regards to the pixel space and slice thickness. The most reproducible points were 1 points which were selected on the basis of the volume model. The least reproducible points were J points that were defined by sutures.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.24 no.2
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• pp.317-326
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• 1994

Panoramic radiographs of a dry skull were used to evaluate the accuracy of four panoramic dental X-ray systems in determining tooth angulations in the buccal segments. The four machines evaluated were the Philips Oralix Pan DC, the GE panelipse, the SS White panorex 1, and the SS White Panorex 2. Panoramic radiographs were taken at six different patient positions for each machine to evaluate the effects of patient positioning on determining tooth angulations in the buccal segments. All of the machines studied showed a significant correlation between the mean radiographic estimates and the actual measurements regardless of positioning(p<0.05). With correct placement of the skull, the results were analyzed for an error tolerance of +/-3/sup 0/ between the actual measurements and the radiographic estimates for tooth angulation. The SS White Panorex 1 was accurate 74% of the time, the GE Panelipse was accurate 67% of the time, the Philips Oralix Pan DC and the SS White Panorex 2 were accurate 64% of the time. When an error tolerance of +/-5/sup 0/ was permitted, the accuracy was 89% for the SS White Panorex 1 and the GE Panelipse, 85% for the Philips Oralix Pan DC, and 81% for the SS White Panorex 2.

• Proceedings of the KSPS conference
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• 2007.05a
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• pp.155-157
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• 2007

Objective : There are close relationship between intraoral abnormal structure and speech-functional problem. Patients with cleft palate & ankyloglossia are typical examples. Patients with abnormal structure can be repaired toward normal structure by operation. Ankyloglossia may cause functional limitation - for example, speech disorder - even if adequate surgical treatment were done. And, each individuals have each speech disorders. The objective of this study is to evaluate the speechs of childrens with ankyloglossia, and to determine whether ankyloglossia is associated with articulation problem. We wanted to present criteria for indication of frenectomy. Study design The experimental group is composed of 10 childrens who visited our department of oral and maxillofacial surgery, dental hospital, Chonbuk university, due to ankyloglossia and articulation problem,. The average age is 5 Y 7M, M : F ratio is 4 : 1 at the time of speech test. The VPI consonant discrimination degree, PPVT, PCAT, Nasometer II, Visi-Pitch test result were obtained from each group. Result : There was significant difference for 'language development' through PPVT. Except 3 members of experimental group, all remainder showed retardation for 'language development'. For 'errored consonant rate', data showed more higher scores in alveolar consonant. There 'consonant error' in experimental group, mostly showed 'alveolar consonant', also a major modality of 'consonant error' was mostly distortion. Conclusion : We can judge the severity of ankyloglossia patient by examinig language development degree & speech test of 'alveolar consonant' . And we can make a decision for frenulotomy using these results.

• The korean journal of orthodontics
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• v.52 no.4
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• pp.287-297
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• 2022

Objective: To investigate the pattern of accuracy change in artificial intelligence-assisted landmark identification (LI) using a convolutional neural network (CNN) algorithm in serial lateral cephalograms (Lat-cephs) of Class III (C-III) patients who underwent two-jaw orthognathic surgery. Methods: A total of 3,188 Lat-cephs of C-III patients were allocated into the training and validation sets (3,004 Lat-cephs of 751 patients) and test set (184 Lat-cephs of 46 patients; subdivided into the genioplasty and non-genioplasty groups, n = 23 per group) for LI. Each C-III patient in the test set had four Lat-cephs: initial (T0), pre-surgery (T1, presence of orthodontic brackets [OBs]), post-surgery (T2, presence of OBs and surgical plates and screws [S-PS]), and debonding (T3, presence of S-PS and fixed retainers [FR]). After mean errors of 20 landmarks between human gold standard and the CNN model were calculated, statistical analysis was performed. Results: The total mean error was 1.17 mm without significant difference among the four time-points (T0, 1.20 mm; T1, 1.14 mm; T2, 1.18 mm; T3, 1.15 mm). In comparison of two time-points ([T0, T1] vs. [T2, T3]), ANS, A point, and B point showed an increase in error (p < 0.01, 0.05, 0.01, respectively), while Mx6D and Md6D showeda decrease in error (all p < 0.01). No difference in errors existed at B point, Pogonion, Menton, Md1C, and Md1R between the genioplasty and non-genioplasty groups. Conclusions: The CNN model can be used for LI in serial Lat-cephs despite the presence of OB, S-PS, FR, genioplasty, and bone remodeling.

• Composites Research
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• v.28 no.1
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• pp.6-14
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• 2015

Polymerization shrinkage stress analysis of dimethacrylate-based composite (Clearfil AP-X, Kuraray) and silorane-based composite (Filtek P90, 3M ESPE) used for dental composite restorations was performed using strain-gage measurement and FEM analysis. A theoretical equation based on Young's modulus and polymerization shrinkage of the composite resin was proposed to predict the polymerization shrinkage stress. Experimental results showed that the maximum shrinkage stress of Clearfil AP-X was about 2.8 times higher than Filtek P90. FEM analysis agreed with such experimental stress behaviours and showed that the maximum Von-Mises stress appeared near the margin of the filled resin adhered with PMMA ring. The stress concentration at the interface on the specimen surface was higher than that in the interior. The maximum error of shrinkage stress by the theoretical equation was reasonable within 5% in comparison to FEM results under plane stress.