• Title/Summary/Keyword: Insufficient vertical space

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Posterior maxillary segmental osteotomy for management of insufficient intermaxillary vertical space and intermolar width discrepancy: a case report

  • Baeg, SeungWoo;On, SungWoon;Lee, JeongKeun;Song, SeungIl
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.28.1-28.6
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    • 2016
  • Backgrounds: Insufficient intermaxillary space is caused by non-restoration following tooth extraction in the past, and this involves eruption of the opposing teeth and changes of the arch structure. Such cases are difficult just by a simple prosthetic approach, and diversified treatment plans should be established. Among these, posterior maxillary segmental osteotomy (PMSO) is an efficient treatment option than extraction of opposing teeth as it surgically repositions multiple erupted teeth and alveolar bone. PMSO can preserve the natural teeth; therefore, it is being regarded as a treatment method which can improve insufficient intermaxillary space significantly. Case presentation: In this case report, the first patient received PMSO in order to place an implant in the mandibular edentulous space after decreased vertical dimension is restored, and the second patient received PMSO along with orthodontic treatment to obtain the intermaxillary space and balance the interarch molar width. Conclusion: PMSO is the treatment of choice when occlusion is compromised in the presence of decreased vertical dimension or arch length discrepancy.

An Experimental Study on the Analyze the Pressure Difference in case of Fire in Vertical Space of High-Rise Buildings (고층건축물 수직공간의 화재 시 압력차 분석을 위한 실험적 연구)

  • Huh, Yerim;Kim, HyeWon;Jin, SeungHyeon;Kwon, YoungJin
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2020.06a
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    • pp.111-112
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    • 2020
  • As buildings in South Korea become more skyscrapers, the risk of fire is also emerging. Thus, regulations, regulations, and guidelines are being improved to prevent the spread of smoke in the event of a fire in high-rise buildings, but research on smoke flow and pressure distribution in vertical spaces is insufficient. Therefore, in this study, the temperature of each floor in the vertical space according to the size of the fire is measured through the miniature model experiment, and the pressure difference is calculated to establish the basic data for the improvement of the performance of domestic air supply facilities in the future. Thus, a scale model of one-sixth the size of the actual building was produced to measure the temperature, and the pressure difference was derived by substituting the value for the expression. The pressure difference varies depending on the size of the cause of the fire, and it is believed that the differential pressure and conditions of the building should be taken into account before calculating the supply volume for the analysis of the pressure difference according to the size of the cause of the fire in the event of fire.

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Full mouth rehabilitation using transfer coping pick up impression in a patient with severe bleeding: A case report (출혈이 심한 환자에서 개별치아 인상채득후 트랜스퍼 코핑 픽업 인상법을 이용한 전악수복증례)

  • Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.134-145
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    • 2021
  • In the case of excessively worn dentition, there is often insufficient space for the prosthesis, and if physiologically acceptable, the prosthesis can be fabricated by increasing the vertical dimension of occlusion. Various methods have been introduced to determine the vertical dimension of occlusion. Clinicians have to choose a method that can comfort the patient among several methods. A removable appliance can be used as a reversible method to ensure that the determined vertical dimension of occlusion does not cause physiological problems. When making impressions of many teeth, it is often difficult to make accurate impressions at once. In this case, after making an accurate impression of the individual teeth, a transfer coping was made and a pickup impression was taken in the oral cavity to create a master cast. In this case, a fixed partial denture was fabricated and full mouth rehabilitation was performed by increasing the vertical dimension of occlusion in a patient with excessively worn dentition and lack of space for restoration. As a result of follow-up of the patient for 7 years, satisfactory results were obtained both esthetically and functionally.

The Planning Characteristics Analyzed by Spatial Composition of Domestic Share House

  • Lee, Jae-Hyouck;Kim, Young-Hoon
    • KIEAE Journal
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    • v.17 no.4
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    • pp.5-12
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    • 2017
  • Purpose: Recently, a sudden increase in one household in Korea has become an important social problem. Changes in lifestyles such as population change, marriage, childbirth, and divorce are becoming increasing factors for single-family households. As a result of these changes, the government has implemented policies for one accredited state. However, the policy for one domestic applicant is insufficient compared to other countries. As a measure to cope with the increase in the number of applicants, Shared House has emerged and research on Shared House is necessary. Method: First, we analyze the overall characteristics of domestic share house. And it does a spatial analysis of domestic share house. Especially, it analyzes the relationship between private space and public space. Finally, the plan characteristics are derived based on the analysis results. Result: The results are as follows. First, the type of share house is classified according to the combination of the arrangement of private space and the public space. Second, the larger the scale, the more vertical arrangement than horizontal arrangement. Finally, the character of the share house changes according to the characteristics of the resident.

Mandibular full-arch rehabilitation with increased vertical dimension of a patient with severe tooth wear (심한 치아 마모 환자의 수직 교합고경 증가를 동반한 하악 편악 수복 증례)

  • Kim, Hyun-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.162-170
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    • 2022
  • In the case of patients with pathological tooth wear, it is necessary to evaluate the loss of the vertical dimension. Setting the appropriate vertical dimension is important to rehabilitate the patient's stable intermaxillary relationship. A 77-year-old female patient's chief complaint was the pain of the mandibular incisors and the lack of molars. At the first visit, pathologic tooth wear of the mandibular incisors were observed. After diagnosis and evaluation, loss of vertical dimension was not observed, but insufficient intermaxillary space for prosthetic restoration was confirmed. Mandibular rehabilitation was performed with vertical dimension increase and this showed satisfactory results both functionally and aesthetically.

Assessment of maxillary third molars with panoramic radiography and cone-beam computed tomography

  • Jung, Yun-Hoa;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.45 no.4
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    • pp.233-240
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    • 2015
  • Purpose: This study investigated maxillary third molars and their relation to the maxillary sinus using panoramic radiography and cone-beam computed tomography (CBCT) Materials and Methods: A total of 395 maxillary third molars in 234 patients were examined using panoramic radiographs and CBCT images. We examined the eruption level of the maxillary third molars, the available retromolar space, the angulation, the relationship to the second molars, the number of roots, and the relationship between the roots and the sinus. Results: Females had a higher frequency of maxillary third molars with occlusal planes apical to the cervical line of the second molar (Level C) than males. All third molars with insufficient retromolar space were Level C. The most common angulation was vertical, followed by buccoangular. Almost all of the Level C molars were in contact with the roots of the second molar. Erupted teeth most commonly had three roots, and completely impacted teeth most commonly had one root. The superimposition of one third of the root and the sinus floor was most commonly associated with the sinus floor being located on the buccal side of the root. Conclusion: Eruption levels were differently distributed according to gender. A statistically significant association was found between the eruption level and the available retromolar space. When panoramic radiographs showed a superimposition of the roots and the sinus floor, expansion of the sinus to the buccal side of the root was generally observed in CBCT images.

Full mouth rehabilitation through re-establishment of occlusal plane in partially edentulous patient with reduced vertical dimension accompanied by loss of posterior occlusal support (구치부 교합지지 상실과 수직고경 감소를 동반한 부분 무치악 환자에서 교합평면 회복을 통한 완전구강회복 증례)

  • Cho, Young Eun;Leesungbok, Richard;Lee, Suk Won;Choi, Joseph June Sirk
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.263-275
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    • 2022
  • The loss of posterior occlusal support leads to further complications such as collapsed occlusal plane and reduced vertical dimension, and it may cause problems such as facial appearance change, reduced chewing efficiency, and temporomandibular joint disorders. In such case, it is necessary to re-establish occlusal plane and vertical dimension properly through accurate diagnosis and predictable treatment plan. This case report presents a 71-year-old female, whose occlusal plane was collapsed and posterior restorative space was insufficient. To perform a patient-friendly full mouth rehabilitation, proper vertical dimension and occlusal plane were decided by evaluation of interocclusal space at her physiologic mandibular rest position, swallowing, pronunciation, facial appearance, and the average length of anterior teeth. And then, the fixed provisional restorations were fabricated with the new occlusal position, and evaluated for 5 months with checking adaptation of masticatory muscles and any kind of clinical symptoms occurs or not. After confirmation of functional stability and esthetic satisfaction with the newly established occlusion, final definitive restorations were fabricated and inserted in the mouth. Through the above process, the treatment result was functionally and aesthetically satisfactory.

Development of Temporary Facility Planning System for High-rise Building Constructions through the Analysis of Influence Factors (영향요소 분석에 의한 고층건축공사의 가설계획시스템 개발)

  • Jang Myung-Houn
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.164-173
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    • 2002
  • The high-rise building construction field in the urban area is short of working space because it is surrounded by adjacent buildings and nearby roads. The insufficient space causes problems of interference and conflicts in transporting materials and working at the site. These problems can be resolved partly through the proper selection and layout of temporary facilities. A method proposed in this paper supports a decision-maker to evaluate and select the alternatives of temporary facilities plans by establishing and analyzing processes and influence factors of them. Knowledges considered in planning temporary facilities layout are structurized and a program is implemented for a field manager. Case studies are performed to evaluate the feasibility and applicability of the proposed method.

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Rehabilitation in a patient with limited restorable space using double scanning technique: A case report (구치부 보철 수복 공간이 부족한 환자에서 이중 스캔을 이용한 구강회복 증례)

  • Kim, Jun-Yub;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Yang, Hongso
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.205-211
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    • 2017
  • Loss of posterior support may cause extrusion of antagonistic teeth and excessive wear of remaining teeth which often leads to the destruction of the occlusal plane. In such cases, it is critical to verify the need to increase vertical dimension of occlusion (VDO). Should you increase VDO, provisionalization is crucial in evaluating function and esthetics. Double scanning technique is a useful method when fabricating definitive restoration that mimic provisional restoration. In this case, a patient with apparently no loss of VDO and insufficient interocclusal space for dental materials due to loss of posterior support and extrusion of antagonistic teeth was rehabilitated using double scanning technique.

Full-mouth rehabilitation with increasing vertical dimension on the patient with severely worn-out dentition and orthognathic surgery history: A case report (악교정수술 병력을 가진 과도한 치아 마모를 보이는 환자의 수직고경 증가를 동반한 전악 수복 증례)

  • Sang-Myeong Tak;Chang-Mo Jeong;Jung-Bo Huh;So-Hyoun Lee;Mi-Jung Yun
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.33-43
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    • 2023
  • Pathological wear across the entire dentition causes problems such as collapsed occlusal plane, reduced vertical dimension, anterior premature contact, inadequate anterior guidance, and tooth migration, thereby induce symptoms such as temporomandibular joint disorder, reduced masticatory efficiency, and tooth hypersensitivity. For the treatment of patients with excessive wear, evaluation of vertical dimension should be preceded along with analysis of the cause. The patient in this case was a 45-year-old female with a history of orthognathic surgery. Through clinical examination, radiographic examination, and model analysis, overall tooth wear, interdental spacing in the anterior maxillary region, retruded condylar position, and insufficient interocclusal space for prosthetic restoration were confirmed. Full mouth rehabilitation with increased vertical dimension was planned, the patient's adaptation to the new vertical dimension was evaluated with a removable occlusal splint and temporary prosthesis, and cross-mounting was performed based on the temporary restoration to fabricate the definitive zirconia prosthesis, maintaining the adjusted vertical dimension. It showed satisfactory functional and esthetic results through stable restoration of the occlusal relationship.