• Title/Summary/Keyword: Occlusal analysis

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Comparative analysis of immediate functional loading and conventional loading about implant survival rate in the completely edentulous: Retrospective study (완전 무치악에서 즉시 부하시와 표준 부하시 임플란트 생존율에 대한 비교 분석: 후향적 연구)

  • Seo, Hyun-Soo;Park, Jun-Woo;Hong, Soon-Min;Lee, Seok-Ryun
    • The Journal of the Korean dental association
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    • v.52 no.12
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    • pp.771-782
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    • 2014
  • Introduction: This study researched the clinical application of immediate functional loading technique about implant survival rate in the completely edentulous and suggested our protocol about surgical & prosthetic procedure. Materials and methods: 32 consecutive patients participated in this study. A total of 242 implants were inserted. In test group, 144 implants were inserted in 19 patients with immediate functional loading with occlusal contact. In control group, 98 implants were inserted in 13 patients and conventional loading was done after 4~6 months. Result: In the immediately loaded implants group, overall cumulative survival rate was 98.6%.

A FINITE ELEMENT ANALYSIS ON THE EFFECT OF THE REVERSE HEADGEAR TO THE MAXILLARY COMPLEX (REVERSE HEADGEAR가 상악골체에 미치는 영향에 관한 유한요소법적 분석)

  • Kim, Joo-Young;Sohn, Byung-Hwa
    • The korean journal of orthodontics
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    • v.15 no.1
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    • pp.7-22
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    • 1985
  • The purpose of this study was to analyze the stress distribution and the displacement in the maxillary complex after the application of the reverse headgear. The direction of force was parallel to the occlusal plane. Orthopedic force,300gm, was applied to the maxilla of the dry human skull in a forward direction. The stress distribution and the displacement within the maxillary Complex was analyzed by a 3-dimensional finite element method. The results were as follows: 1. The stress distribution at the molar region was greater than that at the anterior. 2. The stress distribution at the lateral side of the premaxilla was greater than that at the middle aide, especially high stress was noted at the canine eminence. 9. Compressive stress was noted only at the frontozygomatic suture of the zygomatic arch. 4. A forward, upward, and sideward displacement was noted at the entire nodal points of the zygomaticomaxillary suture portion. A displacement with a slight rotation was observed on the transverse palatine suture. 5. The maximum stress was observed at the lateral side of the maxillary tuberosity area, and generally the forward and downward displacement was noted at all this area.

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A STUDY ON THE EFFECT OF GLASS INSERTS ON MARGINAL LEAKAGE OF COMPOSITE RESIN RESTORATION (복합레진 충전시 Glass Inserts의 적용이 변연누출에 미치는 영향에 관한 연구)

  • Kim, Yong-Cheol;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.2
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    • pp.383-404
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    • 1997
  • In this study, we tried to compare the effect of glass inserts on marginal leakage of composite resin restoration by comparing with that of several filling methods. The results obtained from this experiment were as follows ; 1. The degree of microleakage measured in glass inserts group was generally lower than that of the other groups. Statistical analysis showed significant intergroup difference between glass inserts and one complete unit, pre-polymerized composite resin ball(P<.05), but no significant difference between groups of glass inserts and increments(P>.05). 2. Scanning electron microscopic observation showed relatively large gap around resin-tooth interface in specimens restored the method of using the one complete unit and pre-polymerized composite resin ball whereas a denser and tighter was observed in increments and glass inserts group. Generally the gingival margin was shown to have better bonds than the occlusal margin in specimen of all groups. 3. In the present experiment, methods using the techniques of glass inserts and increments were evaluated to be superior to those of one complete unit, pre-polymerized composite resin ball in the aspect of microleakage. However, the result of this study could not determine the superiority of the use of glass inserts over incremental method. Besides the physical properties observed in this study, the practical aspect of clinical convenience should be considered in determining the selection of material.

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A Study on Virtual Tooth Image Generation Using Deep Learning - Based on the number of learning (심층 학습을 활용한 가상 치아 이미지 생성 연구 -학습 횟수를 중심으로)

  • Bae, EunJeong;Jeong, Junho;Son, Yunsik;Lim, JoonYeon
    • Journal of Technologic Dentistry
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    • v.42 no.1
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    • pp.1-8
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    • 2020
  • Purpose: Among the virtual teeth generated by Deep Convolutional Generative Adversarial Networks (DCGAN), the optimal data was analyzed for the number of learning. Methods: We extracted 50 mandibular first molar occlusal surfaces and trained 4,000 epoch with DCGAN. The learning screen was saved every 50 times and evaluated on a Likert 5-point scale according to five classification criteria. Results were analyzed by one-way ANOVA and tukey HSD post hoc analysis (α = 0.05). Results: It was the highest with 83.90±6.32 in the number of group3 (2,050-3,000) learning and statistically significant in the group1 (50-1,000) and the group2 (1,050-2,000). Conclusion: Since there is a difference in the optimal virtual tooth generation according to the number of learning, it is necessary to analyze the learning frequency section in various ways.

FRACTURE STRENGTH OF ZIRCONIA MONOLITHIC CROWNS (지르코니아 단일구조 전부도재관의 파절강도)

  • Jeong Hee-Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.2
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    • pp.157-164
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    • 2006
  • Purpose: The purpose of this study was to compare the fracture strength of the zirconia monolithic all-ceramic crowns according to the thickness(0.5 mm, 0.8 mm, 1.1 mm) and IPS Empress II ceramic crown of 1.5 mm thickness. Material and method: Eight crowns for each of 3 zirconia crown groups were fabricated using CAD/CAM system(Kavo, Germany) and eight Empress II crowns were made from silicone mold and wax pattern. Each crown group was finished in accordance with the specific manufacturer s instruction. All crowns were luted to the metal dies using resin cement and mounted on the testing jig in a universal testing machine. The load was directed at the center of crown with perpendicular to the long axis of each specimen until catastrophic failure occurred. Analysis of variance and Tukey multiple comparison test(p<.05) were applied to the data. Results and Conclusion: 1. The fracture strength of the zirconia monolithic all-ceramic crown was higher thickness increased(p<.05). 2 The fracture strength of 1.1 mm thickness zirconia monolithic all-ceramic crown was higher than the fracture strength of 1.5 mm thickness IPS Empress II crown(p<.05). 3. The fracture strength of 0.5 mm thickness zirconia monolithic all-ceramic crown exceeded maximum occlusal forces.

Measurement of mandibular lingula location using cone-beam computed tomography and internal oblique ridge-guided inferior alveolar nerve block

  • Jang, Ho-Yeol;Han, Seung-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.3
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    • pp.158-166
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    • 2019
  • Objectives: Inferior alveolar nerve block (IANB) is the most frequently used treatment for mandibular molars. Successful IANB requires insertion of the dental needle near the mandibular foramen. In this study, we aimed to analyze the anatomic location of the mandibular lingula and evaluate the effects of internal oblique ridge (IOR)-guided IANB. Materials and Methods: The location of the mandibular lingula was measured using cone-beam computed tomography images of the mandibles obtained from 125 patients. We measured the distances from the occlusal plane to the lingula and from the IOR to the lingula in 250 mandibular rami. Based on the mean of these distances, alternative anesthesia was carried out on 300 patients, and the success rate of the technique was evaluated. Results: The mean vertical distance was $8.85{\pm}2.59mm$, and the mean horizontal distance was $14.68{\pm}1.44mm$. The vertical (P<0.001) and the horizontal (P<0.05) distances showed significant differences between the sex groups. The success rate of the IOR-guided technique was 97.3%. Conclusion: IANB-based location of mandibular lingula showed a high success rate. From this study, we concluded that analysis of the anatomic locations for mandibular lingula and IOR-guided IANB are useful for restorative and surgical dental procedures of the mandibular molars.

Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition (심한 치아 마모를 보이는 환자에서 수직 고경 증가를 동반한 전악 구강 회복 증례)

  • Kim, Sung-Yong;Kim, Na-Hong;Yeom, Kyeong-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.49-56
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    • 2019
  • Generalized severely worn dentition causes occlusal disharmony, esthetic problems, and temporomandibular joint disorders. In order to solve these problems, it is necessary to make a precise analysis of vertical dimension and treatment plans considering it. This case report demonstrates the complete mouth rehabilitation of a 58-year-old male patient with a lot of worn teeth by increasing vertical dimension. Provisional restorations were cemented and after 4 months of evaluation for patient's compliance, permanent prostheses were fabricated. With these treatments, functionally and esthetically satisfactory results were obtained.

The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

  • Esra Oz;Zuhal Kirzioglu;Canan Kale
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.19.1-19.12
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    • 2023
  • Objectives: The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods: This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results: Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions: The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

Three-dimensional finite element analysis of the stress distribution and displacement in different fixation methods of bilateral sagittal split ramus osteotomy

  • Yun, Kyoung In;Cho, Young-Gyu;Lee, Jong-Min;Park, Yoon-Hee;Park, Myung-Kyun;Park, Je Uk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.271-275
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    • 2012
  • Objectives: This study evaluated a range of fixation methods to determine which is best for the postoperative stabilization of a mandibular osteotomy using three-dimensional finite element analysis of the stress distribution on the plate, screw and surrounding bone and displacement of the lower incisors. Materials and Methods: The model was generated using the synthetic skull scan data, and the surface model was changed to a solid model using software. Bilateral sagittal split ramus osteotomy was performed using the program, and 8 different types of fixation methods were evaluated. A vertical load of 10 N was applied to the occlusal surface of the first molar. Results: In the case of bicortical screws, von-Mises stress on the screws and screw hole and deflection of the lower central incisor were minimal in type 2 (inverted L pattern with 3 bicortical repositioning screws). In the case of plates, von-Mises stress was minimal in type 8 (fixation 5 mm above the inferior border of the mandible with 1 metal plate and 4 monocortical screws), and deflection of the lower central incisor was minimal in types 6 (fixation 5 mm below the superior border of the mandible with 1 metal plate and 4 monocortical screws) and 7 (fixation 12 mm below the superior border of the mandible with 1 metal plate and 4 monocortical screws). Conclusion: Types 2 and 6 fixation methods provide better stability than the others.

THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF INTERNALLY CONNECTED IMPLANT SYSTEMS (내부연결방식 임플랜트 시스템의 삼차원 유한요소법적 연구)

  • Kim Yu-Lee;Cho Hye-Won;Lee Jai-Bong
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.1
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    • pp.85-102
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    • 2006
  • Statement of problem: Currently, there are some 20 different geometric variations in implant/abutment interface available. The geometry is important because it is one of the primary determinants of joint strength, joint stability, locational and rotational stability. Purpose: As the effects of the various implant-abutment connections and the prosthesis height variation on stress distribution are not yet examined this study is to focus on the different types of implant-abutment connection and the prosthesis height using three dimensional finite element analysis. Material and method. The models were constructed with ITI, 3i TG, Bicon, Frialit-2 fixtures and solid abutment, TG post, Bicon post, EstheticBase abutment respectively. And the super structures were constructed as mandibular second premolar shapes with 8.5 mm, 11 mm, 13.5 mm of crown height. In each model, 244 N of vertical load and 244 N of $30^{\circ}$ oblique load were placed on the central pit of an occlusal surface. von Mises stresses were recorded and compared in the crowns, abutments, fixtures. Results: 1. Under the oblique loading, von Mises stresses were larger in the crown, abutment, fixture compared to the vertical loading condition. 2. The stresses were increased proportionally to the crown height under oblique loading but showed little differences with three different crown heights under vertical loading. 3. In the crown, the highest stress areas were loading points under vertical loading, and the finish lines under oblique loading. 4. Under the oblique loading, the higher stresses were located in the fixture/abutment interface of the Bicon and Frialit-2 systems compared to the ITI and TG systems. Conclusions: The stress distribution patterns of each implant-abutment system had difference among them and adequate crown height/implant ratio was important to reduce the stresses around the implants.