• Title/Summary/Keyword: Jaw upper

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Skeletal stability after 2-jaw surgery via surgery-first approach in facial asymmetry patients using CBCT

  • Hwang, Dae Seok;Seo, Jeong Seok;Choi, Hong Seok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.11.1-11.8
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    • 2020
  • Background: The purpose of this study is to compare the skeletal stability of two-jaw surgery via surgery-first approach with conventional two-jaw surgery in facial asymmetry patients by measuring the skeletal changes after surgery from a three-dimensional analysis. From January 2010 to January 2014, 40 patients with facial asymmetry who underwent two-jaw surgery in Pusan National University Hospital were included in this study. They were classified into experimental group (n = 20) who underwent two-jaw surgery via surgery-first approach and control group (n = 20) who underwent conventional two-jaw surgery. After selection of 24 landmarks and the construction of horizontal and sagittal, coronal reference planes, changes in 10 linear measurements and 2 angular measurements were compared between the surgery-first approach and conventional groups in the preoperative, immediate postoperative, and postoperative periods. The paired t test and Student t test were used for statistical analysis. The mean and standard deviation of the measurement were calculated for the experimental and control groups. Results: The statistical analysis showed that changes in skeletal measurements were similar between the surgery-first approach and conventional groups, according to each period. However, U1-SRP measurement showed statistically significant changes in surgery-first approach groups at postsurgical change (T1 to T2). Also, the mean treatment duration in the treatment group was 15.9 ± 5.48 months whereas that in the control group was 32.9 ± 14.05 months. Conclusion: In facial asymmetry patients, similar results were observed in the postoperative skeletal stability when 2-jaw surgery via surgery-first approach was compared with conventional 2-jaw surgery. However, significant lateral deviation of upper incisor midline was observed. In addition, a shorter average treatment duration was observed. To stabilize the unstable occlusion after surgery, increased wearing of the stent and proactive rubber guidance will be needed.

A STUDY ABOUT CLINICAL APPLICATION OF GROWTH CHANGES IN SAGITTAL JAW RELATION AND INCISOR POSITION (상하악 전돌상태와 상하악전치위치의 성장변화에 대한 임상적 응용에 관한 연구)

  • Kang, Goo Han;Kim, Il Bong
    • The korean journal of orthodontics
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    • v.12 no.1
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    • pp.27-30
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    • 1982
  • The growth changes in position of upper and lower jaws, incisal inclination in relation to inferior cranial base have been described. Twenty five males was studied quantitavely by means of serial cephalometric reontgenogram from seven to thirteen years of age. The findings seem to warrant the following conclusions: 1. Growth change in anteroposterior relationship of upper and lower jaws to the anterior cranial base showed very little change before eleven years of age but axial inclination of incisal teeth tended to become labiaization in relation to the anterior cranial base. 2. kiter eleven years of age, there wasn't nearly labialization of incisal teeth but jaw prognathism occurred a little in relation to the anterior cranial base.

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Implant-assisted Removable Prosthetic Rehabilitation of a Patient with Crossed Occlusion

  • Oh, Hyun-Su;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • Journal of Korean Dental Science
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    • v.14 no.1
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    • pp.32-39
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    • 2021
  • 'Crossed occlusion' is the condition in which occlusal intercuspation is lost when several teeth on upper and lower jaw remain. This report describes a clinical case in which a patient had two upper-left posterior teeth and two lower-right posterior teeth; typically known as left-right crossed occlusion. Considering the patient's general condition and financial situation, the treatment plan included placement of two implants on each jaw against the remaining teeth using surgical guide. To find out the ideal position of implants, digital diagnostic wax-up was preceded by superimposing the cast and cone beam computed tomography image, which was aided with radiographic stents. The consequent surveyed implant bridge provided stable vertical stop for fabrication of the implant assisted removable partial dentures. The patient was satisfied with the functionality and esthetics of definitive prosthesis.

DIFFERENTIAL DIAGNOSIS BY JOINT CAVITY PUMPING WITH LOCAL ANESTHETIC FOR PAIN OF TEMPOROMANDIBULAR JOINT ARTHROSIS (악관절증의 동통에 대한 국소마취제의 관절강내 Pumping에 의한 감별법)

  • Chung, Hoon;Jung, Hak;Kino, Koji
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.146-153
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    • 1992
  • In the outpatient clinic, we have many patients who suffer from temporomandibular joint disorders. These vary from MPD syndrome to osteoarthrosis, and many cases have tender spots or areas on the temporomandibular joint region and/or masticatory muscles. Further, they frequently have masticatory muscle pain when opening the jaw. This paper presents the results of our research on the differential diagnosis for tendernesses and pain on opening the jaw in the temporomandibular joint region and the masticatory muscles by joint cavity pumping with local anesthestic. The areas of tenderness and jae-opening paw in 65 patient suffering from temporomandibular joint disorder were examined and recorded before and after anesthetizing the upper joint cavity with 2% lidocaine. Maximum interincisal distance was similarly recorded. The results were as follows : In the area surrounding the upper joint cavity including the lateral pterygoid muscle, the tenderness and jaw-opening pain vanished almost entirely after anesthesia. This was considered a direct infiltrative effect of the local anesthesia. After the anesthesia, 86% of the tendernesses on the sternocleidomastoid muscles, and 66% of those on the posterior belly of the diagstric muscles vanished, while the disappearance rates on the masseter, temporal, and medial pterygoid muscles were 50~60%. Apart from the temporomandibular region, pain on opening the jaw was found on the masseter, temporal, posterior belly of the digastric muscles, and medial pterygoid muscles before anesthesia. The disappearance rates after anesthesia were 90~100% except for the pain of the posterior belly of the digastric muscles, for which the rate was 66%. These results suggest that more than 88% of the tendernesses on the sternocleidomastoid muscle, more than 60% of the tendernesses and jaw-opening pains on the digastric muscle, and more than half of the tendernesses and almost all of the jaw-opening pains in the jaw-closing muscles are referred pains from the temporomandibular joint. The tendernesses that had no change after anesthesia were considered to be derived from spasms of the muscles proper. Generally, maximum interincisal distance increased after anesthesia. The average distance was 34mm before anesthesia, but increased to 41mm after anesthesia. In a few cases, however little or no change was found in those distances. In these cases, pathological changes were found in the joint cavities arthrographically or arthroscopically.

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Morphological study of Oncorhynchus spp.(Pisces : Salmonidae) in Korea- III. Sexual dimorphism of chum salmon, Oncorhynchus keta. (한국산 연어속 어류의 형태학적 연구- III 연어, oncorhynchus keta의 성별 형태 차이)

  • Myoung, Jung-Goo;Hong, Kyung-Pyo;Kim, Yong-Uk
    • Korean Journal of Ichthyology
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    • v.5 no.1
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    • pp.85-95
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    • 1993
  • Sexual dimorphism of the matured chum salmon, Onchorhynchus keta, have been studied based on biometrical measurements and osteological characters. Male chum salmon has an elongated and hooked upper jaw and canine-like teeth on the upper and lower jaw. The ratios of snout length (SnL) and upper jaw length (UJ) to head length of male were larger than those of the female, whereas eye diameter (ED) and postorbital part of head (CK) of the male were smaller than those of the female's. The ratios of body depth, caudal peduncle depth, anal fin length and adipose fin length to the standard length (PBL) of the male were also larger than those of the female. On sexual dimolrphism was detected in number of fin rays, gill rakers and pyloric ceaca, where as number of lateral line scales and caudal vertebrae of the female was larger than those of the male. Glossohyal and vomer bones has no sexual difference. The ratio of width to length of supraethmoid bone of the male was larger than that of the female. The ratio of frontal part to posterior part of parasphenoid bone of the male was smaller than that of the female.

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A CLINICAL STUDY OF MAXILLARY SINUS GRAFT FOR IMPLANT PLACEMENT (임프란트 식립시 상악동점막거상술후 예후에 관한 임상적 연구)

  • Park, Lae-yeun;Lee, Jong-han;Kim, O-hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.166-172
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    • 1998
  • Missing of the upper posterior dentition can cause alveolar bone resorption & pneumatization of Maxillary sinus wall, which makes traditional implant placement impossible, The solution includes various methods to the posterior maxilla to provide adequate bone support for implant installation and long-term survival. -- sinus floor elevation, sinus-lift graft, inlay graft using LeFort I osteotomy, onlay graft, This is a clinical Sr. retrospective study on implant surgery & prosthodontic restoration with upper edentulous posterior jaw from Jan. 1990. to Jun. 1997 at implant clinic of Chonbuk National University Hospital. The results obtained were as follows: 1. Six hundred ninety-nine implants were placed on upper posterior jaw of two hundred seventeen patients, among them one hundred sixty-five implants were placed in forty-four patients with sinus lift. 2. The height of the remained alveolar bone was classified on the base of Misch's concept. This included seventy-nine SA-1s, ninety-seven SA-2s, sixty-five SA-3s and sixty SA-4s. 3. Ninety percent of implants were successfully integrated in non-grafted area and eighty-seven percent of implants were successully integrated in sinus lift area.

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CLINICO-RADIOLOGICAL STUDY OF CYST OF THE JAW (악골낭종의 임상 방사선학적 연구)

  • Park Tae Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.13 no.1
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    • pp.163-168
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    • 1983
  • The author analyzed 243 cases clinically and radiographically which were diagnosed as odontogenic cyst in SNUH during 10 years (1974. 1 - 1983. 12). The obtained results were as follows: 1. This cyst occurred more frequently in male than in female and the incidence was the highest in the 3rd decade. 2. Maxilla was more frequently affected than mandible 3. Most of the odontogenic cysts were unilocular type (236 cases, 97.1%), showing distinct border (242 cases, 99.6%) with smooth margin (222 cases, 91.7%). 4. The adjacent teeth showed root resorption in 57 cases (23.5%), and root divergence in 52 cases (21.4%). 5. The cyst in lower jaw caused the displacement of the mandibular canal wall in 30 cases (31.25) 4. and root divergence in 52 5. 6. The cyst in upper jaw extended to the maxillary sinus in 61 cases (41.5%)

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Calculation of Impact Force between Teeth of Upper and Lower Jaw-Bones while Masticating for Dental Implant System Design (임프란트설계를 위한 저작시 상.하악골치아 사이의 충격력 계산)

  • 권영주
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2000.11a
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    • pp.425-428
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    • 2000
  • In this paper the impact force which occurs on each tooth of jaw-bones while masticating is calculated through the rigid body dynamic analysis. This analysis is done by ADAMS. The impact force calculated in this paper is required for the structural stress analysis of implant system which is needed for the implant system design. The analysis results show that the impact time decreases as the impact force increases, the largest impact force occurs on the front tooth and the impact force is almost normal to the tooth surface together with slight tangential force.

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Sexual Dimorphism of Three Species of Gymnogobius (Gobiidae) from Korea (한국산 날망둑속 3종 (망둑어과)의 성적이형)

  • Kim, Young-Ja;Kim, Jong-Man
    • Korean Journal of Ichthyology
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    • v.13 no.2
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    • pp.117-122
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    • 2001
  • Three species, Gymnogobius urotaenia, G. sp. 1 and G. sp. 2, collected at Hosan-river, Hosan-ri, Samcheock-si, Gangwon-do, Korea, were examined for the study of sexual dimorphism. The three species have peculiar nuptial pigmentation during the breeding season: all females of the three species showed an intense black coloration on the ventral part of the head, the pelvic fin, the anal fin and the margin of the first dorsal fin. There was a difference between G. sp. 1 and the other two species in 1/3 from margin of first dorsal fin. Namely, G. sp. 1 showed an intense black coloration, whereas the other two species had an intense yellow coloration. All females of the three species showed the same, intensely yellow coloration in the ventral part of the body. Males of G. urotaenia and G. sp. 2 had almost the same nuptial pigmentation, however the former showed diffuse black coloration in the anal fin, whereas the latter had an intensely black anal fin. Males of G. sp. 1 differed from those of the other two species in their yellow color on the ventral part of the head, the pelvic f ins, the anal fin, in contrast to the diffuse black coloration in those parts in the other species. The genital papilla of males was triangle-shaped, but that of females was heart-shaped. Significant differences between sexes include: G. urotaenia, 7 characters (body depth, head length, snout length, upper jaw length, head depth, pectoral fin ray length, eye diameter); G. sp. 1, 11 characters (body depth, head length, caudal peduncle length, caudal peduncle depth, snout length, upper jaw length, head width, head depth, anal fin ray length, pectoral fin ray length and caudal fin ray length); G. sp. 2, 10 characters (body depth, head length, caudal peduncle depth, snout length, upper jaw length, head width, anal fin ray length, pectoral f in ray length, caudal fin ray length and eye diameter). Of the 5 characters which showed differences in all three species (body depth, head length, snout length, upper jaw length and pectoral fin ray length), females had higher values than males only in body depth, whereas males values in all other characters. The upper jaw length was the most distinctive sexually dimorphic feature, the upper jaw extended beyond the posterior margin of the eyes (p<0.001) in males but not in females.

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A Changeological Interpretation on the Function and Malfunction of the Oromaxillary Structure (악관절의 기능과 이상에 관한 역학적(易學的) 해석)

  • Chi, Gyoo-yong;Lee, Young Jun
    • Journal of TMJ Balancing Medicine
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    • v.7 no.1
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    • pp.11-16
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    • 2017
  • In order to understand Changeologically on the meaning of FCST's TMJ (temporo-mandibular joint) treatment procedure, Yi, Shike, Bi, Gen trigrams concerning the jaw and change by treatment were analyzed from the viewpoint of semiotic context of hexagon and holistic interpretation on disease. Yi is meant by jaw but actually indicates mouth made by maxilla and mandible, and it's characters are related with nourishing by aliment and words. But when we eat and speak in the daily life, jaw does not nourish properly it's own body by bad habit or postures. For the treatment of this ill state, there needs punishment and correction symbolized with Shike. Shike has fourth nine meaning obstacles between the two strong lines in the upper and lower end, and so it has the function of mastication and get rid of the fourth nine metaphorically indicating subluxation of axis using CBA and auxiliary measures of four movement or laughing methods. Bi expresses the achievement and effects of consecutive mastication process implicating normalized manifestation of jaw and its linked spinal function. Gen symbolizes removing selfish motive or partiality in advance and reaches the best state of the saint righteously self-nourishable human being.

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