• Title/Summary/Keyword: Occlusal stability

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CONSIDERABLE FACTORS FOR FINAL OCCLUSION IN PRE-ORTHODONTIC LOWER ANTERIOR SEGMENTAL SURGERY AND ITS AVAILABILITY (교정전 하악전치부 분절골절단술 시행시 고려사항 및 그 유용성)

  • Lee, Baek-Soo;Choi, Hyun-Jung;Nam, Kwang-Ho;Ryu, Dong-Mok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.1
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    • pp.43-47
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    • 2003
  • Anterior set back segmental surgery has been used for shortening the period of orthodontic treatment in case of bimaxillary or maxillary protrusion. In most cases, it requires pre-operative orthodontic treatment. Through properly performed leveling and tooth aligning, the operative porcedure can be easier and post-operative occlusal stability can be increased. But it takes time for orthodontic treatment. Recently, we have been using anterior segmental surgery before orthodontic treatment and have reliable results from that. Therefore, we have to consider arch shape, curve of Spee, tooth selection to be extracted for obtaining of post-operative occlusal stability without pre-operative orthodontic treatment.

Effect of polymerization method and fabrication method on occlusal vertical dimension and occlusal contacts of complete-arch prosthesis

  • Lima, Ana Paula Barbosa;Vitti, Rafael Pino;Amaral, Marina;Neves, Ana Christina Claro;Concilio, Lais Regiane da Silva
    • The Journal of Advanced Prosthodontics
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    • v.10 no.2
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    • pp.122-127
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    • 2018
  • PURPOSE. This study evaluated the dimensional stability of a complete-arch prosthesis processed by conventional method in water bath or microwave energy and polymerized by two different curing cycles. MATERIALS AND METHODS. Forty maxillary complete-arch prostheses were randomly divided into four groups (n = 10): MW1 - acrylic resin cured by one microwave cycle; MW2 - acrylic resin cured by two microwave cycles: WB1 - conventional acrylic resin polymerized using one curing cycle in a water bath; WB2 - conventional acrylic resin polymerized using two curing cycles in a water bath. For evaluation of dimensional stability, occlusal vertical dimension (OVD) and area of contact points were measured in two different measurement times: before and after the polymerization method. A digital caliper was used for OVD measurement. Occlusal contact registration strips were used between maxillary and mandibular dentures to measure the contact points. The images were measured using the software IpWin32, and the differences before and after the polymerization methods were calculated. The data were statistically analyzed using the one-way ANOVA and Tukey test (${\alpha}=.05$). RESULTS. The results demonstrated significant statistical differences for OVD between different measurement times for all groups. MW1 presented the highest OVD values, while WB2 had the lowest OVD values (P<.05). No statistical differences were found for area of contact points among the groups (P=.7150). CONCLUSION. The conventional acrylic resin polymerized using two curing cycles in a water bath led to less difference in OVD of complete-arch prosthesis.

Long-term stability after multidisciplinary treatment involving maxillary distraction osteogenesis, and sagittal split ramus osteotomy for unilateral cleft lip and palate with severe occlusal collapse and gingival recession: A case report

  • Kokai, Satoshi;Fukuyama, Eiji;Omura, Susumu;Kimizuka, Sachiko;Yonemitsu, Ikuo;Fujita, Koichi;Ono, Takashi
    • The korean journal of orthodontics
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    • v.49 no.1
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    • pp.59-69
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    • 2019
  • In this report, we describe a case involving a 34-year-old woman who showed good treatment outcomes with long-term stability after multidisciplinary treatment for unilateral cleft lip and palate (CLP), maxillary hypoplasia, severe maxillary arch constriction, severe occlusal collapse, and gingival recession. A comprehensive treatment approach was developed with maximum consideration of strong scar constriction and gingival recession; it included minimum maxillary arch expansion, maxillary advancement by distraction osteogenesis using an internal distraction device, and mandibular setback using sagittal split ramus osteotomy. Her post-treatment records demonstrated a balanced facial profile and occlusion with improved facial symmetry. The patient's profile was dramatically improved, with reduced upper lip retrusion and lower lip protrusion as a result of the maxillary advancement and mandibular setback, respectively. Although gingival recession showed a slight increase, tooth mobility was within the normal physiological range. No tooth hyperesthesia was observed after treatment. There was negligible osseous relapse, and the occlusion remained stable after 5 years of post-treatment retention. Our findings suggest that such multidisciplinary approaches for the treatment of CLP with gingival recession and occlusal collapse help in improving occlusion and facial esthetics without the need for prostheses such as dental implants or bridges; in addition, the results show long-term post-treatment stability.

Removable prosthodontic occlusion (임상가를 위한 특집 2 - 가철성 보철의 교합)

  • Shin, Soo-Yeon
    • The Journal of the Korean dental association
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    • v.51 no.5
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    • pp.250-254
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    • 2013
  • Modern theories and concepts of occlusion for implants and natural teeth have originated in complete denture construction. Bilateral balanced occlusion as the occlusal scheme of choice has a long history in complete denture construction. The reason that occlusion has always been a consideration in the provision of removable prosthetics is because the adoption of good occlusal practice has a significant and immediate impact on the overall success of the treatment, as it affects denture stability. However, clinicians must remember that there are multiple ways, both successful and unsuccessful, to complete the restoration of a patient's occlusion. The goal is to meet the physiologic, functional, and esthetic needs of the individual patient while applying knowledge, accurate diagnosis, experience, clinical judgement, and attention to detail. This paper describes the features of an ideal occlusion in removable prosthodontics, why these features make it ideal for denture stability, and some technique for achieving these aims.

Full-mouth rehabilitation of a patient with severe tooth wear using a gothic arch tracer and stabilization splint. (비기능적 습관에 의한 전반적인 마모 환자의 고딕아치 기록장치 및 교합안정장치를 통한 완전 구강 회복 증례)

  • Sungwoo Ju
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.23-32
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    • 2023
  • A patient with para-functional habits can cause widespread teeth wear, along with temporomandibular joint disorders and myofascial pain syndrome in the masticatory muscles. Prolonged teeth wear is associated with a decrease in vertical occlusal dimension, leading to issues such as changes in facial morphology, decreased masticatory efficiency, and temporomandibular joint disorders. To achieve a three-dimensional full-mouth rehabilitation in patients with decreased vertical occlusal dimension, accurate diagnosis, analysis, and proactive treatment planning are essential. Prosthetic treatment accompanied by the restoration of physiological vertical occlusal dimension and the re-establishment of a normal occlusal plane is necessary. This case report presents a full-mouth rehabilitation case involving a patient with overall teeth wear, showing decreased vertical occlusal dimension which results in discomfort in the temporomandibular joint and aesthetic dissatisfaction. The report highlights the successful outcome achieved through the use of occlusal stabilization splint for temporomandibular joint stability and Gothic arch tracing devices for the re-establishment of intermaxillary relationships. Also, through adjustments and adaptation assessment using provisional prostheses, favorable outcomes were achieved both functionally and aesthetically.

A STUDY OF THE NORMAL & ABNORMAL OCCULSAL PATERNS IN ADULTS USING THE SUPERIMPOSED RUBBER PATTERN METHOD (Superimposed Rubber Pattern법에 의한 성인 정상 및 비정상 교합자의 교합 양상에 관한 연구)

  • Choi, Dae-Gyun;Lee, Sung-Bok;Kwon, Young-Hyuk;Choi, Boo-Byung
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.3
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    • pp.467-491
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    • 1995
  • In order to analyze the occlusin of intercuspation with maximun bite force, fifteen healthy adult subjects with the ages 23 to 27 were studied(Group1 ; 5-normal occlusion with Angle's Class1, Group2 ; 5-Angle's Class2 malocclusion, Group3 ; 5-Angle’s Class3 malocclusion). Head Position was fixed with occlusal plane paralleling to horizontal line and occlusal registration r cord was made with polyether rubber impression material(Ramitec, ESPECo. West Germany). After all subject were trained for maximum intercuspation at least 5 times, occlusal registration procedure was repeated for this study. Lower posterior rubber occlusal registration records were sliced with 1mm thickness using precision metal sliding channel(Hitachi Ind. Co., Japan). Gross sectional drawings were traced from occluding view of upper and lower posterior teeth on the rubber slices using digitizer, and superimposed for the determination of each drawing distance(Superimposed Rubber Pattern Method). Based on superimposed rubber pattern drawings, total area of occlusal view, sum of each area of the 5 divided occlusal contact provinces and its ratio, total area and number of occlusal contact area were determined to elucidate occlusal stability in the normal and abnormal occlusion groups. The data were analysed by t-test(p=0.05) to determine statistical significance. The obtained results were as follows : 1. Group1 showed the largest standard area with occlusal view of the lower posterior teeth and Group3 showed the smallest area. There was a significant difference between Group2 and Group3(p=0.025), and Gropu1 was not statistically different for both Group2 and Group3. 2. Means and ratio of the under 2.0mm area(D) and ratio showed $197.49mm^2$, 59.76% in Group1, $188,69mm^2$, 56.10% in Group2, and $174.23mm^2$, 55.76% in Group3. The results that Group1 has the most area/ratio and Group3 has the least area/ratio can be considered Group1 is the most advantageous for masticatory effective area, and Group3 is the least adnantageous. 3. Means and ratio of the under 1.0mm area(C) were $198.96mm^2$, 42.65% in Group1, 123.06$mm^2$, 46.58% in Group2, and $92.24mm^2$, 29.52% in Group3. These data means that Group1 is the most advantageous in terms of masticatory effective area and Group3 is the least. 4. Means and ratio of the under 0.5mm area(B) were $86.68mm^2$, 26.68% in Group1, $62.98mm^2$, 18.71% in Group2, and $36.44mm^2$, 11.66% in Group3. These can also be considered Group1 is the most advantageous for masticatory effective area and occlusal stability. 5. Means and ratio of the under 0.05mm area(A) were $30.92mm^2$, 9.21% in Group1, $14.31mm^2$, 4.25% in Group2, and $7.59mm^2$, 2.43% in Group3. The area ratio of the each subject group was(4.1) : (1.9) : (1)and the data of the under 0.05mm area has the intimate relationship with inter-group and intra-group data/ratio. 6. First molar showed the most occlusal contact points in all subject group and Group1 showed somewhat uniformly distributed occlusal contact point except first premolar. In Group2, all contact point in posterior teeth showed significantly reduced distribution except first molar. Group3 showed evenly distributed contace points in first and second molars.

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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.

THE RETROSPECTIVE STUDY ON THE PROGNOSIS OF CLASS III MALOCCLUSION TREATMENTS (III급 부정교합의 치료후 예후에 관한 후향적 고찰)

  • Sung, Jae-Hyun;Kwon, Oh-Won;Kim, Sang-Doo
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.175-187
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    • 1998
  • The purpose of this study was to predict the prognosis of class III malocclusion treatments. 25 patients selected for this study were devided into two groups by the stability of dentitional, skeletal and soft tissue profile improvement. One was stable group which consisted of 12 children and the other was relapse group with 13 children. Various measurements in initial lateral cephalogram were calculated and analyzed by t-test, correlation coefficient and discriminant analysis. The results of this study were summarized as follows 1. In both stable and relapse groups, there was not distinct difference in the antero-posterior skeletal relationship (P<0.05). 2. As the result of wits, hn to occlusal plane angle and occlusal plane to mandubular plane angle, the occlusal plane of relapse group was stepper than that of the stable group. 3. In correlation coefficient analysis, the overjet and the occlusal plane to mandibular plane angle showed significant correlations (p<0.001, p<0.01). 4. The discriminant function was obtained from three major influential measurements; overjet, AB to occlusal plane angle and articular angle, and this function could discriminate correctly in 88% of these samples.

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A Study of Complete Denture Stability (총의치 안정에 대한 연구)

  • Lee, Jai-Youl
    • Journal of Technologic Dentistry
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    • v.6 no.1
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    • pp.15-18
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    • 1984
  • A denture that shifts easily in response to latterally applied forces can cause a disruption in the border seal or prevent the denture base from Correctly relating to the supporting tissue. The factors that Contribute to stability include ridge height and conformation, base adaptation, residual ridge relationships, occlusion harmony, and Muscle control. These factors can be condensed into the following categories; 1. The relationship of the denture base to the underlying tissue. 2. The relationship of occlusal harmony. 3. The relationship of the denture surface and border to the surrounding muscle. 4. The location of artificial tooth.

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