• Title/Summary/Keyword: Jaw upper

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Oral rehabilitation with magnetic overdentures for an old patient with complex systemic diseases (복합적인 전신질환이 있는 안면마비 환자의 양악 자성 피개의치 수복 증례)

  • Ko, Eunjin;Ahn, Sujin;Lee, Sukwon;Park, Sujung;Lee, Richard Sungbok
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.150-156
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    • 2015
  • As dental implant treatment becomes popular for both partial and complete edentulous patients, old people with complex systemic diseases also tend to prefer implant-assisted-overdenture or implant-supported-fixed prostheses to conventional complete denture. In this case, 77-year-old female who was on medication for hypertension and osteoporosis and paralyzed on right side due to stroke visited for implant-assisted-overdenture on lower jaw. After oral and radiographic examination, root-assisted magnet overdenture on upper jaw and implant-assisted magnet overdenture on lower jaw are planned. Consequently, overdentures using self-adjusting magnetic attachment(SA) system on both jaws resulted in recovering satisfying function and retention, which is enable to insert and remove with only one hand.

Eye and Mouth Images Based Facial Expressions Recognition Using PCA and Template Matching (PCA와 템플릿 정합을 사용한 눈 및 입 영상 기반 얼굴 표정 인식)

  • Woo, Hyo-Jeong;Lee, Seul-Gi;Kim, Dong-Woo;Ryu, Sung-Pil;Ahn, Jae-Hyeong
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.7-15
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    • 2014
  • This paper proposed a recognition algorithm of human facial expressions using the PCA and the template matching. Firstly, face image is acquired using the Haar-like feature mask from an input image. The face image is divided into two images. One is the upper image including eye and eyebrow. The other is the lower image including mouth and jaw. The extraction of facial components, such as eye and mouth, begins getting eye image and mouth image. Then an eigenface is produced by the PCA training process with learning images. An eigeneye and an eigenmouth are produced from the eigenface. The eye image is obtained by the template matching the upper image with the eigeneye, and the mouth image is obtained by the template matching the lower image with the eigenmouth. The face recognition uses geometrical properties of the eye and mouth. The simulation results show that the proposed method has superior extraction ratio rather than previous results; the extraction ratio of mouth image is particularly reached to 99%. The face recognition system using the proposed method shows that recognition ratio is greater than 80% about three facial expressions, which are fright, being angered, happiness.

Change of the upper airway after mandibular setback surgery in patients with mandibular prognathism and anterior open bite

  • Lee, Kyungjin;Hwang, Soon Jung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.51.1-51.8
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    • 2019
  • Purpose: It has been reported before that the amount of pharyngeal airway space (PAS) significantly decreases following mandibular setback (MS) surgery in patients with mandibular prognathism (MP). Further, MP patients with an anterior open-bite (AOB) presentation may show a larger decrease in PAS compared with those without AOB. However, studies on postoperative PAS changes in MP patients with AOB remain rare. This study sought to evaluate changes in PAS and hyoid bone positioning following MS surgery in MP patients with and without AOB. Patients and methods: Twenty patients who underwent two jaw surgery involving MS movement were included. Patients were divided into a non-AOB group (n = 10; overbite > 2 mm) and an AOB group (n = 10; overbite < - 4 mm). Three-dimensional changes in PAS and hyoid bone positioning were compared and statistically evaluated pre- and postoperatively using computed tomography (CT). Results: The mean magnitude of MS was 6.0 ± 2.8 mm and 5.6 ± 3.2 mm in the non-AOB group and AOB group, respectively. The oropharyngeal volume and upper hypopharyngeal volume were significantly reduced after surgery in both the groups (p = 0.006 and p = 0.003), while the retroglossal cross-sectional area was significantly reduced only in the AOB group (p = 0.028). Although the AOB group showed a larger decrease in PAS, the difference was not statistically significant between the groups. The position of the hyoid bone showed significant posterior and inferior displacement only in the AOB group, while the vertical displacement of the hyoid bone showed a statistically significant difference between the two groups. Conclusion: PAS was significantly decreased after MS in both the groups, while only the AOB group presented a statistically significant reduction in the retroglossal cross-sectional area. Vertical displacement of the hyoid bone showed a statistically significant difference between the groups, while the PAS change was not. Surgeons should be aware of potential postoperative airway problems that may arise when performing MS surgeries.

Case of making maxillary palatal augmentation complete denture for patient with dysphagia after partial glossectomy (부분 혀 절제술로 인해 연하 장애가 있는 환자에서 상악 구개 증대 총의치 제작 증례)

  • Kim, Hyung-Seok;Park, Ji-Young;Yim, Sun-Young;Heo, Yu-Ri;Son, Mee-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.239-245
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    • 2018
  • If complication arises after glossectomy which leads to trouble in forming food bolus or transfer of the food, it is possible that either food bolus may block the airway or dysphagia may occur as the food bolus goes down into the airway. To solve the issue, palatal augmentation prosthesis could be used. In this case, the patient with an oral cancer is having difficulties swallowing food after glossectomy. Through taking impressions of polishing surface of his denture referring his tongue movement, the complete denture for the upper jaw was created using the concept of palatal augmentation prosthesis. This new upper denture increases the palatal-tongue contact pressure, allowing the patient to perform better swallowing and better pronunciation.

Facial asymmetry: Critical element of clinical successful treatment (임상가를 위한 특집 4 - 안면비대칭의 외과적 교정)

  • Hong, Jongrak
    • The Journal of the Korean dental association
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    • v.52 no.10
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    • pp.623-632
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    • 2014
  • The facial asymmetries include maxillary, mandibular, and chin asymmetries, although the most common deformity is primarily in the mandible. Common causes of this type of asymmetry can include asymmetric growth of the condyle or the mandible. In these patients, the location of the Me would be deviated to the shorter side because of the asymmetric growth of the mandible, and, commonly, the maxillary occlusal plane would be tilted toward the deviated side because the maxilla likely grows asymmetrically according to the pattern of asymmetric mandibular growth. Three-dimensional CT images are ideal for evaluating the size and location of anatomic structures, and such reconstructed images allow the use of software that can show anatomic structures from numerous angles, allowing actual measurements of distances and angles without problems of magnification, distortion, or superimposition caused by 2-dimensional imaging. In the present study using 3D-CT imaging, the 8 parameters, including measurements of the upper midline deviation, maxillary canting in the canine and first molar regions, width of the upper arch, width of the mandible at the Go, vertical length of the ramus, inclination of the ramus, and deviation of the Me were easily measured. The dentition should be orthodontically decompensated and dental midline should ensure incisor midlines positioned in the midline of each jaw before surgical correction. Surgical correction could be considered such as canting or yawing correction in the frontal or horizontal aspect, respectively.

Embryonic Developmen Larvae and Juveniles of the Small Yellow Croaker (Larimichthys polyactis) Reared in Aquarium (실내수조에서 사육한 참조기 배발생 및 자치어의 형태)

  • MYOUNG Jung-Goo;KIM Young Uk;PARK Yong-Joo;KIM Pyeong-Ki;KIM Jong-Man;HUH Hyung Tak
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.37 no.6
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    • pp.478-484
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    • 2004
  • On 11 June 1991, eggs from the brood stock of small yellow croaker (Larimichthys polyactis) were artificially fertilized using the standard dry method and were hatched. Each of the fertilized eggs (1.1-1.2 mm in diameter) had an oil globule and was transparent and buoyant. The fertilized eggs hatched in a range of water temperatures $(17.5-20.3^{\circ}C)$ 44 hrs after fertilization. The total lengths of the newly hatched larvae were 3.1-3.3 mm, and these hatchlings had 31 myotomes (10+21). Melanophores and yellow-brown chromatophores were concentrated on the head, at the ventral part of the yolk, and in the middle of the tail. Four days after hatching, the larvae completely absorbed the yolk and became flexions of 5.1-5.5 mm in total length. Fifteen days after hatching, one spine (the anterior tip of the maxillary) appeared in the upper jaw and three spines developed at the upper parts of the eyes and on the posterior part of the head. At this stage, the larvae were approximately 8.3 mm long. Thirty-nine days after hatching, juveniles (1.9-3.4 mm in total length) had a pointed tail fin. By 66 days after hatching, the juvenile fish (about 4.0-6.5 mm in total length) were similar to adult fish in body shape. The larvae of L. polyactis could be distinguished from those of L. croacea by two distinct characteristics: the large number of vertebrae (28-29), and a relatively small bony ridge on the occipital region of the head.

Bony Stability and Soft Tissue Changes after Orthognathic Surgery on Patients with Cleft (구순구개열 환자의 악교정 수술 후의 골조직 안정도와 연조직 변화율)

  • Shin, Heakyeong;Hsieh, Yuh-Jia;Liao, Yu-Fang;Lo, Lun-Jou;Jo, Myoung-Soo
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.4-10
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    • 2012
  • Purpose: The objective of this retrospective study was to assess the skeletal stability after orthognathic surgery for patients with cleft lip and palate. The soft tissue changes in relation to the skeletal movement were also evaluated. Methods: Thirty one patients with cleft received orthognathic surgery by one surgeon at the Craniofacial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan. Osseous and soft tissue landmarks were localized on lateral cephalograms taken at preoperative (T0), postoperative (T1), and after completion of orthodontic treatment (T2) stages. Surgical movement (T0.T1) and relapse (T1.T2) were measured and compared. Results: Mean anteroposterior horizontal advancement of maxilla at point A was 5.5 mm, and the mean horizontal relapse was 0.5 mm (9.1%). The degree of horizontal relapse was found to be correlated to the extent of maxillary advancement. Mean vertical lengthening of maxilla at point A was 3.2 mm, and the mean vertical relapse was 0.6 mm (18.8%). All cases had maxillary clockwise rotation with a mean of 4.4 degrees. The ratio for horizontal advancement of nasal tip/anterior nasal spine was 0.54/1, and the ratio of A' point/A point was 0.68/1 and 0.69/1 for the upper vermilion/upper incisor tip. Conclusion: Satisfactory skeletal stability with an acceptable relapse rate was obtained from this study. High soft tissue to skeletal tissue ratios were obtained. Two-jaw surgery, clockwise rotation, rigid fixation, and alar cinch suture appeared to be the contributing factors for favorable results.

Fabrication of definitive complete-arch implant-supported fixed prosthesis in upper and lower completely edentulous patient using temporary prosthesis scan: a case report (상하악 완전 무치악 환자에서 임시 보철물 스캔을 이용한 일체형 임플란트 지지 고정성 보철물 수복 증례)

  • Seung-Mi Jeong;Hyun-Lak Son;Kang-Duck Choi;Byung-Ho Choi
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.243-252
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    • 2024
  • When fabricating definitive implant-supported fixed prostheses in upper and lower completely edentulous patients, it is crucial to get information about the vertical dimension, jaw relationship, implants, abutments and gingival contour. In this case, temporary prostheses were used to take the information. The temporary prosthesis was scanned outside of the mouth so that it increased the efficiency of scanning it. During the scan of the prosthesis, a scan zig which connected both posterior parts of the prosthesis was used to minimize the scan errors. We report this case because we obtained satisfactory functional and esthetic results by using the digital technology.

Nevoid Basal Cell Carcinoma Syndrome: A Case Report and Review of Korean Cases

  • Jung, Eun-Joo;Shin, Hyokeun;Baek, Jin-A;Leem, Dae-Ho;Ko, Seung-O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.6
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    • pp.292-297
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    • 2014
  • Nevoid basal cell carcinoma syndrome (NBCCS) is a rare autosomal genetic disease caused by a PTCH mutation. The disease is characterized by multiple basal cell carcinomas of the skin, multiple keratocystic odontogenic tumors (KCOTs) in the jaw, palmar and/or plantar pits, bifid ribs, ectopic calcification of the falx cerebri, and skeletal abnormalities. Early diagnosis is difficult in many cases because there may be a number of systemic symptoms. The purpose of this study is to report the case of a 12-year-old girl who was hospitalized with multiple KCOTs that occurred in the upper and lower jaws. Through characteristic clinical symptoms and radiologic findings, she was finally diagnosed as having NBCCS. This study also aims to organize the symptoms often observed in Korea using previously published case reports to provide useful information for the early diagnosis of NBCCS.

CLINICAL AND HISTOPATHOLOGICAL STUDIES ON THE GLOBULOMAXILLARY CYSTS -Case report- (Globulomaxillary Cyst의 임상 및 병리조직학적 관찰)

  • Lim, Chang-Youn;Park, Jae-Ho;Chun, Dong-Jin;Choi, Poo-Pyoung
    • The Journal of the Korean dental association
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    • v.9 no.3
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    • pp.117-121
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    • 1971
  • The authors had observed clinically and histopathologically on the 5 cases of globulomaxillary cysts. The results are as follows: 1. All cases occurred in men, and the average age was 33.6 year,; the oldest was 38 year and the youngest was 31 year old. 2. Four cases occurred in upper left jaw and the one was in right. 3. By the roentgenogram, well demarkated line between the cyst and intact bone were observed as pea shaped radiolucency between the canine and the lateral incisor. In most cases alveolar bone was involved from the central incisor to the premolar region. 4. Thick stratified squamous epithelium was covering the connective tissue wall. There were no keratinization except one case of parakeratosis which had massive inflammatory infiltration. Inflammatory infiltration was obsereved in most cases.

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