• Title/Summary/Keyword: Occlusal plane

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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.

Combination restorative restorations using conventional partial denture and CAD / CAM (Conventional partial denture와 CAD/CAM을 이용한 combination 보철물 수복)

  • Choi, Seok-yeun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.1
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    • pp.52-63
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    • 2017
  • When you need to make an upper and lower full-mouth prosthesis, you should design a prosthesis by making an accurate diagnosis and planning well. In particular, in patients with occlusal plane collapsed and misplaced occlusal plane, the patient should be restored to the previous occlusal height and the correct occlusal plane should be created. In addition, appropriate materials should be used to ensure that the patient is able to chew the food well and not force it. When the implants are placed in an inappropriate position, the design of the prosthesis is determined by considering the relationship with the prosthesis and occlusion. Design should be made for the cleanliness around the implant.

Full mounth rehabilitation using OP finder® system for patient with inadequate occlusal plane and multiple occlusal wear tooth state: a case report (부적절한 교합평면과 다수의 교합면 마모를 가진 환자에서 OP finder® system을 이용한 전악 수복증례)

  • Lee, Seon-Ki
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.138-146
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    • 2021
  • The diagnosis and treatment plan for forming ideal occlusal plane in full mouth rehabilitation are difficult because each process is complicated and information exchange between dentist and technician is subjective. The OP finder® system simplifies this process and helps to deliver more objective and accurate information. In this case, full mouth rehabilitation was performed using OP finder® system for patients with old bad fixed prosthesis and severely worn mandibular teeth, and reported that the result of proper occlusal plane setting and masticatory function recovery was obtained.

The Study of Eruption Process of the Permanent Teeth (First Permenent Molar) (영구치 맹출양상에 관한 연구(제1대구치))

  • Kim, Jin-Tae
    • The Journal of the Korean dental association
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    • v.21 no.12 s.175
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    • pp.1005-1010
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    • 1983
  • To study the eruption process of the permanent tooth, esp., 1st molar, the author took 303 cases of oblique cephalogram (Male. 162 cases, Female: 141 cases) from age 3 to 8 yea old children, and observed the vertical change and axial change. The result were as follow: 1. The mesial end of upper 1st molar was closer to the occlusal plane than the distal, and they were erupting toward the occlusal plane by aging. In the case of lower 1st molar, the distal end was closer to the occlusal plane than the mesial and the occlusion showed the tendency to accord with the plane to be settled by aging. 2. Eruption rate of the upper and lower 1st permanent molar increased rapidly at 5 or 6 years of age. 3. Axial inclination of lower 1st permanent molar to the mandibular plane decreased gradually from 3 years of age, except for 6 years of age. There was some increase at 5 or 6 years of age.

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Full-mouth rehabilitation in a patient with inclined occlusal plane and reduced vertical dimension by an attrition: A case report (마모로 인해 수직고경이 감소되고 교합평면이 기울어진 환자의 전악보철수복 증례)

  • Lee, Ha-Rim;Kim, Jae-Hoon;Jang, Eun-Sun;Lee, Gyeong-Je
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.182-188
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    • 2019
  • A proper vertical dimension and a harmonious occlusal plane are essential to satisfy a patient esthetically and functionally. A maxillomandibular occlusal vertical dimension is determined by the elevators which repeatedly contracts to a certain length, and a tooth location is determined by a maxillomandibular vertical dimension. The patient of this case came in with the incongruity of the lips and the occlusal plane. The result of clinical test showed the lack of length of the lower anterior due to the reduction of vertical dimension, the deep overbite of anterior, the excessive attrition of anterior, and the incongruity of occlusal plane. After the diagnostic wax-up, the temporary restoration was installed, and final prosthesis was installed after 6 months. As a result, the patient obtained a functionally and esthetically satisfying result.

Mandibular Posterior Rehabilitation Case after Occlusal Plane Correction using Micro-Implant Anchorage (Micro-Implant를 이용한 교정치료로 교합평면 개선 후 하악 구치부 수복증례)

  • Park, Ju-Mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.20 no.2
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    • pp.143-150
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    • 2004
  • Endosseous implants have been used to provide anchorage control in orthodontic treatment without the need for special patient cooperation. However these implants have limitation like space requirement, cost, equipments. Recently titanium micro-implant for orthodontic anchorage was introduced. Micro-implants are small enough to place in any area of the alveolar bone, easy to implant and remove, and inexpensive. In addition, orthodontic force application can begin almost immediately after implantation. The mandibular first, maxillary first, mandibula second, and maxillary second molars were the four most commonly missing teeth in adult sample. In case of posterior molar teeth missing, deflective contacts in any position, over time, has produced pathologic change of occlusal scheme because of extrusion of opposing teeth. This case had interocclusal space deficiency by mandibular right molars missing over time. The micro-implants had been used for intrusion of maxillary right molars for interocclusal space. The micro-implant would be absolute anchorage for orthodontic movement. Therefore, the micro-implant would be effective method for correction of occlusal plane.

A STUDY ON THE ANGLE OF ARTICULAR EMINENCE AND THE INCLINATION OF ANTERIOR TOOTH RELATED TO FACIAL TYPES (안모유형에 따른 악관절융기와 전치의 경사도에 관한 연구)

  • Park, Jae-Gu;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.22 no.4 s.39
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    • pp.869-880
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    • 1992
  • The purpose of this study was to evaluate the difference and relationship between the slope of articular eminence and the inclination of upper and lower incisor teeth, which are related to the functional stability of occlusion in mandibular protrusion, according to Ricketts' facial types, by the use of lateral cephalogram and SAM2 articulator in 68-adult normal occlusion without tooth missing, orthodontic treatment and occlusal equilibration. The results of this study were as follows : 1 . The angle of articular eminence slope to occlusal plane in brachyfacial type was steeper than that in dolichofacial type, but the angle of articular eminence slope to SN plane and FH plane was not different between facial types. 2. The upper incisor axis in dolichofacial type was steeper than that in brachyfacial type, but lingual surface slope of upper incisor was not different between facial types. 3. In all samples there was a positive correlation between the angle of articular eminence slope and the lingual surface slope of upper incisor to SN plane and FH plane, and in mesofacial type there was a positive correlation between the angle of articular eminence slope and the lingual surface slope of upper incisor to SN plane, FH plane and occlusal plane, and in brachyfacial type there was a positive correlation between the angle of articular eminence slope and the lingual surface slope of upper incisor to occlusal plane. 4. In all samples there was a positive correlation between the angle of articular eminence slope and the angle of Dc-Gn to SN plane, and in mesofacial type there was a positive correlation between the angle of articular eminence slope and the angle of Dc-Gn to occlusal plane, and in brachyfacial type there was a positive correlation between the angle of articular eminence slope and the angle of Dc-Gn to SN plane and FH plane. 5. In all samples there was a positive correlation between the angle of Dc-Gn and the lingual surface slope of upper incisor to SN plane and FH plane, and in mesofacial type there was a positive correlation between the angle of Dc-Gn and the lingual surface slope of upper incisor to SN plane. 6. In all samples and facial types there was a negative correlation between MP to 1 axis and condylar incisal angle.

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A study on the postoperative stability of occlusal plane in Class III orthognathic surgery patients (제 III급 부정교합자의 양악수술후 교합평면의 안정성에 관한 연구)

  • Lee, Yoon-Jeong;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.643-655
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    • 2000
  • In Patients with severe skeletal discrepancy, surgical orthodontic treatment must be accompanied, and recently two jaw surgery has become a common procedure, resulting in improved esthetics and function. Choosing the position of the occlusal plane in this two jaw surgery is an important factor in postoperative stability Therefore this must be taken into consideration during the diagnosis and treatment plan. In this study, among patients with skeletal Class III occlusion, 25 patients(8 male, 17 female, average age $23.2{\pm}3.17$) who have undergone two jaw surgery, setting the ideal occlusal plane according to Delaire's architectural and structural cranial analysis. In comparing preoperative($T_1$). postoperative($T_2$, average of 15.4 days), and long-term postoperative($T_3$, average of 32.6 months) lateral cephalometric radiography, the following conclusions have been made. 1. There were no significant changes of the occlusal plane angle after the two jaw surgery, and there were no significant differences between the surgical technique(SSRO and IVRO). 2. The postoperative changes of the occlusal Plane had no relationship with the amount of jaw movement, amount of posterior impaction, nor the time relapse after surgery. 3. After two jaw surgery, in the SSRO group there was significant forward movement of the mandible, and in the IVRO group the lower incisors extruded as the mandible moved backward and downward which makes the genial angle and the mandibular plane angle significantly increased

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A STUDY ON THE EFFECTS OF THIRD MOLARS ON ANGLE'S CLASS III MALOCCLUSION (제3대구치가 Angle 씨 3급 부정교합에 미치는 영향에 관한 연구)

  • Lee, Jung-eun;Cha, Kyung-suk
    • The korean journal of orthodontics
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    • v.24 no.3 s.46
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    • pp.695-707
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    • 1994
  • This study investigates the effects of third molar on the occlusal plane in Angle's class El malocclusion with possibilities of posterior crowding and the interrelationships of occlusal plane inclinations to other skeletal patterns. Above investigations might showed that considerations should be given to third molars with possibilities of posterior crowding in establishing diagnosis and treatment plans for Angle's class III malocclusion patients. The following conclusions were obtained 1. In events of third molars causing possible posterior crowding, maxillary third molars showed more mesial inclinations than second molars, and compared to those with third molar missing cases, first molars were more mesially inclined and displaced more inferiorly from the palatal plane and OP-MP was increase , thus the occlusal plane was less steep. 2. In events of third molars causing possible posterior crowding, the anglulation between AB line and mandibular plane was decreased and ANB showed negative values. Thus chin points were more protruded, ramus were more anteriorly displaced, and increase in lower facial height, genial angle, effective mandibular length and mandibular plane angle were observed. This in all caused more vertical opening and more severe skeletal disturbance. 3. OP-MP was increased as the maxillary first molars were more inferiorly displaced from the palatal plane. As this angle was increased mandibular planes were more inferiorly inclined and LFH, genial angle, effective mandibular length were more increased and mandibular ramus was more anteriorly placed. 4. As the maxillary first molars were more inferiorly placed from the palatal plane, more increased OP-MP/PP-MP ratio made the occlusal plane less steep. As OP-MP/PP-MP was increased, mandibular ramus was more anteriorly placed and made longer, and facial angle and effective mandibular length were increased.

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THE RETROSPECTIVE STUDY ON THE INDICATION OF THE CHIN CAP THERAPY (이모장치의 적응증에 관한 후향적 고촬)

  • Yang, Won-Sik;Kim, Byoung-Ho
    • The korean journal of orthodontics
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    • v.25 no.1 s.48
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    • pp.1-12
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    • 1995
  • The purpose of this study was to predict the respose to the chincap therapy from the initial cephalometric measurements and to obtain the indication of chincap therapy. 40 patients selected for this study were classified into two groups by the occlusal stability after completion of permanent dentition and the improvement of facial profile, after chincap therapy. One was good response group which consisted of 25 children and the other was poor response group with 15 patients. Various measurements of the craniofacial structure in the initial lateral cephalogram were calculated and analyzed by t-test and discriminant analysis. The results were as follows: 1. Good response group had more horizontal growth pattern in initial stage of treatment, and the contributing measurements were $Bj\ddot{o}rk$ sum anterior-posterior facial height ratio, genial angle, lower genial angle and occlusal plane to AB plane angle. 2. The critical points and predictive values of the influential skeletal measurements were calculated. 3. The discriminant function was obtained from three major influential measurements; $Bj\ddot{o}rk$ sum, genial angle and occlusal plane to hn plane angle, and this function could discreminate correctly in $85\%$ of this samples.

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