• Title/Summary/Keyword: Proximal contact

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A Clinical Study on Rotational Path Removable Partial Denture (회전삽입로를 이용한 국소의치에 관한 임상적연구)

  • Kim, Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.21 no.1
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    • pp.67-72
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    • 1983
  • Path of insertion(1) can be defined that the direction of movement of an appliance from the point of initial contact of its rigid parts with the supporting teeth to the place of final rest. Krol(2) described that in the conventional path of insertion, all the rests are seated more or less simultaneously but in the use of the rotational path one segment of the partial denture is seated first then the remainder of the prosthesis is rotated into position. The rotational path of insertion is limited primarily to the tooth borne prosthesis. Its great advantages are the elimination of anterior clasps to improve ethetic and reduction of tooth coverage to minimize plaque accumulation. Either a rigid minor connector or proximal plate provides retention through its intimate contact with a proximal tooth surface below the height of contour as indicated at a o-degree tilt. A specially designed rest in conjunction with this retentive component satisfies the basic requirements of clasp design. The purpose of this study was a clinical evaluation of rotational path removable partial dentures. Author delivered rotational path removable partial dentures to three different cases of patients and evaluated function of the dentures, difficulties of removal and insertion of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of the rotational path removable partial dentures was excellent.

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Considerations for minimizing food impaction after implant prosthesis: Adjacent and antagonistic teeth (임플란트 보철 후의 식편압입을 최소화하기 위한 고려사항: 인접치와 대합치)

  • Lee-Ra, Cho
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.31 no.2
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    • pp.47-55
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    • 2022
  • Food impaction due to proximal space opening after implant restoration is a very common phenomenon in patients who have implant prosthesis. This occurs because the movement mechanism between the implant and the tooth is different, and it occurs about 30-60% over time. Contributing factors include the arch (mandible), region (posterior teeth), adjacent teeth (non-vital teeth), and antagonist teeth (natural teeth or implants), etc. While this phenomenon cannot be prevented, efforts should be made to minimize it. In order to have an ideal proximal contact as much as possible, the concave shape or the prominent lower proximal shape should be modified to create a symmetrical proximal shape. with the buccal dentate in the upper third height should be adjusted. Other conditions should be modified so that the heights of the marginal ridges are similar. Since an irregular occlusal plane is a cause of poor prognosis, food impaction should be minimized by restoring the ideal occlusal plane by correcting the extruded antagonist and reduction of the disto-buccal cusp.

Evaluation of adjacent tooth displacement in the posterior implant restoration with proximal contact loss by superimposition of digital models

  • Jo, Deuk-Won;Kwon, Min-Jung;Kim, Jong-Hee;Kim, Young-Kyun;Yi, Yang-Jin
    • The Journal of Advanced Prosthodontics
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    • v.11 no.2
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    • pp.88-94
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    • 2019
  • PURPOSE. This study was conducted to investigate patterns of adjacent tooth displacement in the posterior implant with interproximal contact loss (ICL) by 3-D digital superimposition method. MATERIALS AND METHODS. Posterior partially edentulous patients, restored with implant fixed partial prostheses before 2011 and suffered from food impaction of ICL between 2009 and 2011, were included. Two dental casts, at the time of delivery and at the time of food impaction in a same patient, was converted into 3-D digital models through scanning and superimposition was performed to assess chronologic changes of the dentition. Directions of tooth displacement were evaluated and the amount of ICL was calculated. Correlations between the amount of ICL and elapsed time, or between the amount of ICL and age after function, were assessed at a significance level of P<.05. RESULTS. A total number of 13 patients (8 males, 5 females) with a mean age of $65.76{\pm}9.94years$ and 17 areas (4 maxillae, 13 mandibles) were included in this retrospective study. Teeth adjacent to the implant restoration showed complex displacements but characteristic tendency according to the location of the arch. The mean amount of ICL was $0.33{\pm}0.14mm$. Elapsed time from function to ICL was $61.47{\pm}31.27months$. There were no significant differences between the amount of ICL and elapsed time, or age (P>.05). CONCLUSION. Natural teeth showed various directional movements to result in occlusal change in the arch. The 3-D superimposition of chronologic digital models was a helpful method to analyze the changes of dentition and individual tooth displacement adjacent to implant restoration.

An analysis on the factors responsible for relative position of interproximal papilla in healthy subjects

  • Kim, Joo-Hee;Cho, Yun-Jung;Lee, Ju-Youn;Kim, Sung-Jo;Choi, Jeom-Il
    • Journal of Periodontal and Implant Science
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    • v.43 no.4
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    • pp.160-167
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    • 2013
  • Purpose: This study examined the factors that can be associated with the appearance of the interproximal papilla. Methods: One hundred and forty-seven healthy interproximal papillae between the maxillary central incisors were examined. For each subject, a digital photograph and periapical radiograph of the interdental embrasure were taken using a 1-mm grid metal piece. The following parameters were recorded: the amount of recession of the interproximal papilla, contact point-bone crest distance, contact point-cemento-enamel junction (CEJ) distance, CEJ-bone crest distance, inter-radicular distance, tooth shape, embrasure space size, interproximal contact area, gingival biotype, papilla height, and papilla tip form. Results: The amount of recession of the interproximal papilla was associated with the following: 1) increase in contact point-bone crest, contact point-CEJ, and CEJ-bone crest distance; 2) increase in the inter-radicular distance; 3) triangular tooth shape; 4) decrease in the interproximal contact area length; 5) increase in the embrasure space size; and 6) flat papilla tip form. On the other hand, the amount of gingival recession was not associated with the gingival biotype or papilla height. In the triangular tooth shape, the contact point-bone crest distance and inter-radicular distance were longer, the interproximal contact area length was shorter, and the embrasure space size was larger. The papilla tip form became flatter with increasing inter-radicular distance and CEJ-bone crest distance. Conclusions: The relative position of the interproximal papilla in healthy subjects was associated with the multiple factors and each factor was related to the others. A triangular tooth shape carries a higher risk of recession of the interproximal papilla because the proximal contact point is positioned more incisally and the bone crest is positioned more apically. This results in an increase in recession of the interproximal papilla and flat papilla tip form.

New discoveries, skarn zonation, and skarn textures at the Geodo Mine in the Taebaeksan Basin, South Korea

  • Kim, Eui-Jun;Yang, Seok-Jun;Shin, Seungwook;Nam, Hyeong-Tae;Shin, Dongbok;Im, Heon-Kyoung;Oh, Il-Hwan;No, Sang-Gun;Cho, Sung-Jun;Park, Maeng-Eon
    • Geosciences Journal
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    • v.22 no.6
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    • pp.881-889
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    • 2018
  • The Geodo skarn deposit is located in the Taebaeksan Basin, central eastern Korean Peninsula. The geology of the deposit consists of Cambrian to Ordovician calcareous sedimentary rocks and the Cretaceous Eopyeong granitoids. The skarns at Geodo occur around the Eopyeong granitoids, which consist, from early to late, of magnetite-bearing equigranular quartz monzodiorite, granodiorite, and dykes. These dykes emanated randomly from equigranular granodiorite and some of dykes spatially accompany skarns. Skarn Fe mineralization, referred as Prospect I and II in this study, is newly discovered beyond previously known skarns adjacent to the quartz monzodiorite. These discoveries show a vertical and lateral variation of skarn facies, grading from massive reddish-brown garnet-quartz in a lower and proximal zone to banded in an upper and distal zone, reflecting changes in lithofacies of the host rocks. Skarn veins in distal locations are parallel to sedimentary laminae, suggesting that lithologic control is important although proximal skarn has totally obliterated primary structures, due to intense retrograde alteration. Skarns at Geodo are systematically zoned relative to the causative dykes. Skarn zonation comprises proximal garnet, distal pyroxene, and vesuvianite (only in Prospect I) at the contact between skarn and marble. Retrograde alteration is intensely developed adjacent to the contact with dykes and occurs as modification of the pre-existing assemblages and progressive destruction such as brecciation of the prograde assemblages. The retrograde alteration assemblages consist predominantly of epidote, K-feldspar, amphibole, chlorite, and calcite. Most of the magnetite (the main ore mineral), replaces calc-silicate minerals such as garnet in the lower proximal exoskarn, whereas it occurs massive in distal pyroxene and amphibole in the upper and distal exoskarn. The emanation of dykes from the equigranular granodiorite has provided channelways for ascent of skarn-forming fluids from a deep source, whereas the style and nature of skarns suggest that originally structurally-controlled skarn-forming fluids may migrate long distances laterally to produce skarn in calcareous sedimentary rocks.

Effect of open proximal contact on adjacent tooth and implant (개방된 인접면 접촉이 인접자연치와 임플란트에 미치는 영향)

  • Moon, Sohyun;Kim, Gwangyun;Cho, Seonghun;Song, Joohun;Kim, Hee-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.9-17
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    • 2022
  • Purpose: The purpose of this study is to investigate how open contacts impact the natural teeth and dental implant prostheses. Materials and Methods: Following criteria were used to select 20 implant crowns with open proximal contacts as the experimental group (Group A): the restorations were delivered in Chosun University Dental Hospital between 2008 and 2018, the restorations are in the posterior region, opposing teeth are fixed dental prostheses, neighboring teeth are sound natural teeth, the patient had been on the maintenance program for at least 3 years. Another 20 implant crowns with closed proximal contacts were selected as the control group (Group B) using the same criteria. Between the two groups, dental caries and food impaction of the neighboring natural teeth and marginal bone-loss of the implants were compared and evaluated. Results: There was no statistically significant difference between Group A and Group B in the occurrence rates of dental caries, food impaction, and marginal bone-loss. The amount of marginal bone-loss, however, revealed statistically significant differences between the two groups, with Group A showing 0.80 ± 0.39 mm loss and Group B showing 1.1 ± 0.43 mm loss. Conclusion: Implant prostheses with open contacts could be clinically considered in select cases as such restorations revealed no harmful effects on neighboring teeth and implant restorations within the perimeters of this study.

MORPHOLOGY OF THE TERMINAL ARBORS FROM THE MASSETERIC MUSCLE SPINDLE AFFERENTS IN THE TRIGEMINAL MOTOR NUCLEUS (삼차신경 운동핵에서 교근 근방추 구심성 신경섬유 종말지의 미세구조)

  • Lee, Kyung-Woo;Bae, Yong-Chul;Kim, Chin-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.3
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    • pp.321-347
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    • 1994
  • Muscle spindle afferents from masseter muscle were labelled by the intra-axonal HRP injection and were processed for light microscopic reconstruction. Regions containing terminal arbors scattered in the central portion of the masseteric motor neuron pool (type I a) and those restricted to 2-3 small portion of it (type II) were selected and processed for electronmicroscopic analysis with serial sections. The shape of the labelled boutons was dome or elongated shape. Scalloped or glomerulus shape with peripherial indentation containing pre or postsynaptic neuronal propiles, which is occasionally found in the trigeminal main sensory nucleus and spinal dorsal horn, was not observed. Both type Ia and type II boutons had pale axoplasm and contained clear, spherical vesicles of uniform size(dia : 49-52nm) and occasionally large dense cored vesicles(dia : 87-118nm). The synaptic vesicles were evenly distributed throughout the boutons although there was a slight tendency of vesicles to accumulate at the presynaptic site. The average of short and long diameter(short D. + long D./2) of type I a bouton was smaller than that of type II bouton. All the labelled boutons, which showed prominent postsynaptic density, large synaptic area and multiple synaptic contact, made asymmetrical synaptic contact with postsynaptic neuronal propiles. Most of the type Ia and type II boutons made synaptic contact with only one neuronal propile and boutons which shows synaptic contact or more neuronal propiles was not observed. Most of the type Ia boutons(87.2%) were presynaptic to the soma or proximal dendrite and a few remainder(12.8%) made synaptic contact with dendritic shaft or distal dendrite. In contrast, majority of type II boutons showed synaptic contact with dendritic shaft and remainder with soma or proximal dendrite. In conclusion, terminal boutons which participate in the excitatory monosynaptic jaw jerk reflex made synaptic contact with more proximal region of the neuron, and showed very simple synaptic connection, compared with those from the primary afferenst in the other region of the central nervous system such as spinal dorsal horn and trigeminal main sensory nucleus which assumed to be responsible for the mediating pain, tactile sensation, sensory processing or sensory discrimination.

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Arrayed Tip based Pattern Lithography with Built-in Capacitive Proximal Leveling Sensor (내장형 정전용량 근접 센서를 이용한 다중 팁 기반 패턴 인쇄)

  • Han, Yoonsoo
    • Journal of the Korean institute of surface engineering
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    • v.52 no.5
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    • pp.239-245
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    • 2019
  • To increase the throughput of tip-based nanolithography (TBN), one approach is to use a large array of such tips working in parallel. It is important to maintain co-planarity between the tip array and the writing surface. A slight misalignment can cause large discrepancies of contact force and feature sizes. We report a capacitive proximity sensor built-in with the TBN array for leveling an arrayed polymer pen array. The device allows alignment between an array of writing tips and the writing substrate without contact and contamination. The angular sensitivity of the sensor is $0.05^{\circ}$ for an array with maximum tip-to-tip separation of 100 mm.

Internal Fixation of Proximal Humerus Fracture with Polyaxial Angular Stable Locking Compression Plate in Patients Older Than 65 Years (65세 이상의 상완골 근위부 골절 환자에서 다축 각안정 잠김 압박 금속판을 이용한 내고정술)

  • Lee, Ki-Won;Choi, Young-Joon;Ahn, Hyung-Sun;Kim, Chung-Hwan;Hwang, Jae-Kwang;Kang, Jeong-Ho;Choo, Han-Ho;Park, Jun-Seok;Kim, Tae-Kyung
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.25-31
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    • 2012
  • Purpose: The clinical and radiographic outcomes of the internal fixation, which were executed on patients over the age of 65 with proximal humerus fracture by using a polyaxial angular stable locking compression plate (Non-Contact-Bridging proximal humerus plate, Zimmer, Switzerland, NCB), were evaluated. Materials and Methods: Thirty two patients over the age of 65 among the proximal humerus fracture treated with NCB plate, between August 2007 and January 2011, were chosen as the subjects. The average age of patients was 71 years, and the average postoperative follow-up period was 11.5 months. The fractures included 14 two-part and 18 three-part fractures. The clinical results were evaluated, using the visual analog scale (VAS) score and the Constant score. The radiological results were evaluated by time to union and Paavolainen method, which measures the neck shaft angle. Results: At the last follow-up examination, the mean VAS score was 3 points and the mean Constant score was 64.5 points, with bone union achieved after the average of 16.2 weeks following the surgery in all the cases. The mean neck shaft angle was 125.9 and 24 cases had good results, while 8 cases had fair results by Paavolainen method, at the last follow-up. There were 1 case of delayed union and cerclage wire failure, and 3 cases of subacromial impingement. There were no complications, such as loss of reduction, nonunion, screw loosening, or avascular necrosis of the humeral head. Conclusion: Internal fixation, using a NCB plate, was considered to be an effective surgical method in treating proximal humerus fracture in the elderly patients, on whom the fixation of the fracture and maintenance of reduction are difficult.