• 제목/요약/키워드: Duplicated maxilla

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양측성 안면열과 중복 상악골:증례보고 (Case report of bilateral facial cleft and duplicated maxilla)

  • 엄민용;송민석;김현민;구현모;이준규;정종선;라주일
    • 대한구순구개열학회지
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    • 제8권1호
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    • pp.23-29
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    • 2005
  • The facial cleft and duplicated maxilla are lire congenital anomaly. After Rushton and Walker had reported a unilateral facial cleft with excess tooth and bone formation in 1937, few authors described similar cases. The etiology of this anomaly is not well understood, but considered embryologically as a neurocristopathy. A neurocristopathy is defined as a condition arising from aberrations in early migration, growth and differentiation of neural crest cells. This aberrations result in facial malformation such as facial clefts and loss or duplication of facial structures. We experienced a male newborn baby with bilateral facial cleft and duplicated maxilla. The cleft was surgically corrected when he was 5 months old. The function and appearance of lip are improved. Duplicated maxilla will be surgically removed. We report this case with review of literatures.

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치과용 스캐닝 시스템의 개발과 가변형 상악용 트레이의 재현성 (Development of Dental Scanning System and Reproduction of Adjustable Upper Dental Impression Tray)

  • 차영엽;엄상호
    • 제어로봇시스템학회논문지
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    • 제16권3호
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    • pp.300-304
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    • 2010
  • This study was performed to development a dental three-dimensional laser scanning system and measure the accuracy of new adjustable upper dental impression tray. The metal stock, individual, and new adjustable stock trays were used for 30 stone casts(10 casts each) duplicated a resin master model of maxilla. The dental stone was poured in a vinyl polysiloxane impressions and allowed to set for on hour. The master model and the duplicated casts were digitized using an dental scanning system. The distance between the reference points were measured and analyzed on the graphic image of 3D graphic software of CATIA. The statistical significance of the differences between the groups was determined by a two-way ANOVA. There were no significant differences between the accuracies of the adjustable stock tray and the master model except only anterior arch width on the upper arch. The adjustable upper stock tray showed clinically acceptable accuracies of the study cast produced by them.

선천성 상악골 중복기형의 치험례 (CASE REPORTS OF CONGENITAL DUPLICATED MAXILLA)

  • 이백수;최현정;류동목;오정환
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권5호
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    • pp.434-437
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    • 2004
  • Neural crest cells have embriologically important role for the development and growth in oral and maxillofacial region. If the early hereditary defect occurs or environmental factors affect these cells diminutive mesenchymal cells are disabled to make neural plate and decreased proliferation of mesenchymal cells result in hypoplastic development of neural crest. As a result, this brings about severe facial malformations such as various located facial clefts and/or loss or duplication of facial structure. These are two cases of accessory maxilla and zygomatic deformity with and without facial cleft.

가변형 치과 인상용 트레이로 제작된 모형의 재현성에 관한 연구 (ACCURACY OF STONE CAST PRODUCED BY ADJUSTABLE DENTAL IMPRESSION TRAY)

  • 엄상호;오상천
    • 대한치과보철학회지
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    • 제43권4호
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    • pp.453-465
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    • 2005
  • Purpose: This study was performed to measure the accuracy of adjustable dental impression trays by a scanning laser three-dimensional digitizer. Materials and methods: The metal stock, individual, and adjustable stock trays were used for 60 stone casts(10 casts each) duplicated a resin master model of mandible and maxilla. The type IV dental stone was poured in a vinyl polysiloxane impressions and allowed to set for one hour. The master model and the duplicated casts were digitized using an optical digitizer. The distance between the reference points were measured and analyzed on the graphic image of 3-D graphic software(CATIA version 5.0). The statistical significance of the differences between the groups was determined by a two-way ANOVA. Results : There were no significant differences between the accuracies of the adjustable stock tray and the master model except only anterior arch width on the upper arch and the diagonal arch length and arch length on one side of the lower arch. Conclusion: The adjustable stock trays showed clinically acceptable accuracies of the study cast produced by them.

A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form

  • Shambharkar, Vaibhao I.;Puri, Santosh B.;Patil, Pravinkumar G.
    • The Journal of Advanced Prosthodontics
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    • 제3권2호
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    • pp.106-109
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    • 2011
  • Oral cancer treatment involves the surgical removal of all or part of the maxilla, leaving the patient with a defect that compromises the integrity and function of the oral cavity. The postoperative restoration of esthetics, deglutition, and speech shortens recovery time in the hospital and expedites the patient's return to the community as a functioning member. The surgical obturator is the proven treatment option in such situations. This article describes a simple technique to fabricate a surgical obturator that restores patient's original dentition and facial and palatal tissue form. The obturator fabricated with this technique utilizes the vacuum formed index of patient's original tissue form and duplicated partly in heat and partly in auto polymerizing acrylic resin. Duplication of the original tissue form helps patient to minimize the immense physiological trauma immediately after the surgical resection. The obturator fabricated with this technique supports soft tissues after surgery and minimizes scar contracture and disfigurement, and thus may have a positive effect on the patients' psychology.

가변형 치과 인상용 트레이로 제작된 모형의 재현성 (Accuracy of Stone Cast Produced by Adjustable Dental Impression Tray)

  • 박광수;동진근;심헌보;오상천
    • 구강회복응용과학지
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    • 제22권4호
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    • pp.317-328
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    • 2006
  • Purpose: This study was performed to measure the accuracy of adjustable dental impression trays by a scanning laser three-dimensional digitizer. Materials and Methods: Metal stock tray and adjustable stock trays were used for 40 stone casts(10 casts each) duplicated a resin master model of mandible and maxilla. The type IV dental stone was poured in a allginate impressions and allowed to set for one hour. The casts were digitized using an optical digitizer. The distance between the reference points were measured and analyzed on the graphic image of 3-D graphic software (CATIA version 5.0). The statistical significance of the differences between the groups was determined by a two-way ANOVA. Results: There were no significant differences between the accuracies of the adjustable stock tray and the master model except anterior arch width of the upper arch and the diagonal arch length and arch length(one side) of the lower arch. Conclusion: The adjustable stock trays showed clinically acceptable accuracies of the study casts produced by them.

Surgical Jaw Relator를 이용한 양악 수술 치험례 (Two-jaw surgery by use of Surgical Jaw Relator)

  • 양상덕
    • 대한치과교정학회지
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    • 제35권3호
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    • pp.238-249
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    • 2005
  • 악골부조화가 심할수록 기능향상을 위해 악골 및 치아 치조부에서의 보상반응이 현저해진다. 대표적인 현상으로 하악과두의 변위와 상악교합평면의 변화 등을 들 수 있다. 이러한 상하악골에서의 적응성 변화는 안모의 심미성과 교합의 기능 향상을 위해, 술후 안정성을 높이기 위해서 악교정수술을 통해 반드시 수정해야 할 요소이다 적절한 상악골 수술을 위해서 통상적으로 model surgery를 시행하여 왔으나 이의 단점을 보완하기 위해 Surgical Jaw Relator를 고안하였으며 이는 교합기의 mounting plate 대신에 부착함으로써 상하악 모형의 삼차원적 이동과 회전이 가능하도록 설계되어 있으며 기존의 모든 종류(Panadent. Sam, Denar, Hanau 등)의 교합기에 손쉽게 부착하여 수술용 스프린트의 제작 시간을 대폭 줄일 수 있는 장점이 있다 상악골 상방 이동이 필요한 하악전돌 증례와 상악골 하방 이동이 요구되는 하악후퇴 증례 등에 본 기구를 적용한 결과 양호한 수술 결과를 얻었으며, 이로써 정교한 상악 수술을 요하거나 명확한 수술 계획이 설정된 증례 등에서 본 기구를 적절하게 사용할 경우 수술용 스프린트를 효율적으로 제작하는데 다소 도움이 될 것으로 생각된다.

구치부 상실로 인해 교합 평면이 기울어진 환자에서 임플란트를 이용한 구강 회복 증례 (Oral rehabilitation of a patient with collapsed occlusal plane resulting from loss of posterior teeth)

  • 한진우;장재승;표세욱;김선재
    • 대한치과보철학회지
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    • 제62권2호
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    • pp.165-173
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    • 2024
  • 상실 부위를 수복하는 경우 정출된 치아에 대한 치료는 반드시 필요하다. 특히 치아 상실이 구치부에서 발생하여 구치부 지지의 상실이 지속되면 하악의 점진적인 위치를 이동시키면서 교합의 변화를 유발하기도 한다. 본 임상 증례는 상악 좌측 구치부 및 하악 우측 제1대구치 상실이 장기간 지속됨에 따라 대합치가 정출되고 교합평면이 무너진 환자에서 임플란트를 이용하는 고정성 보철물로 구치부 지지를 회복하고자 하였다. 정출된 부위의 교합평면을 수정하기 위해, 상실 부위의 진단 왁스업을 레진으로 복제하여 이를 상악에 장착한 후 교합면을 삭제하였다. 또한 임플란트 식립을 위해 디지털 기술을 활용한 임플란트 식립 가이드를 제작하였다. 임플란트의 식립으로 구치부의 지지가 회복된 이후에 진단 납형을 반영한 임시 수복물을 통해 충분한 시간동안 안정적인 교합 상태를 관찰하였고, 이후 임시 수복물의 형태를 복제한 단일 결정 지르코니아 보철물을 환자에게 장착함으로써 기능적, 심미적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.