• Title/Summary/Keyword: Retainer

검색결과 139건 처리시간 0.02초

Tooth Positioner의 제작에 관해서 (CONSTRUCTION PROCEDURE OF TOOTH POSITIONER)

  • 경희문;성재현
    • 대한치과교정학회지
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    • 제12권1호
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    • pp.61-68
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    • 1982
  • Tooth Positioner는 band를 제거한 후 가능한 빨리 장착시켜야 susceptible하며 무엇보다도 환자의 생리학적 jaw movement를 설정해서 제작해야 하고 적어도 hingeaxis relation은 찾아서 제작해야한다. Positioner의 장착시간은 하루에 $3\~4$시간의 active biting exercise와 수안시간동안 사용하게 한다. 처음 장착시에 가장 tight하고 이 tightness 는 치아가 요망되는 위치로 근접함에 따라서 점차 감소되고 이 tightness의 감소가 작용효과의 가장 좋은 지침이 되며 자는 하루 하루 그 변화를 느껴야 한다. Positioner가 느슨하게 적합되고 좋은 교합관계를 보이면 장착을 수안시간동안으로 제한시키거나 혹은 깨어 있을 동안 한 두시간 장착하게 한아. 대개 $3\~4$주 후에 predetermined pattern과 유사하게 되며, 일반적으로 장착 후 $8\~10$주 후에 더 장착할 것인가를 결정하고 필요성이 없다면 conventional retainer로 바꾸어 준다. Tooth Positioner는 기능적인 구호흡, thumb sucking, snoring을 해소시켜 줄 수 있으며 jaw relationship이나 overbite문제를 해결할 수 있다. 그리고 chair time을 감소시켜 줄 수 있으며 tissue tone을 자극해서 치아위치를 증진시키는데 끊임없이 작용한다. 그러나 제작에 많은 시간이 걸리고 치아를 배열하는 술자의 능력에 따라 치료효과가 많이 좌우되며 너무 bulky하므로 이물감이 커서 유용하게 장착할 수 있는 시간이 제한적이고 natural muscle balance에 대해 간헐적인 교정력을 가함으로써 치아를 loosening 시킬 수 있다. 이 장치물은 다른 removable appliance와 같이 환자의 협조가 무엇보다 중요하므로 환자에게 장착동기를 유발시켜 주는 것이 좋으며 True Blocked Nasal Airway가 있는 환자에게는 금기증이 된다.

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하악골 수직골절단술시 MINI-HOFFMANN SETS을 이용한 하악 과두의 중심위의 보존 (CONSERVING THE CENTRIC RELATION POSITION OF CONDYLAR HEAD WITH MINI-HOFFMANN SETS IN VERTICAL RAMUS OSTEOTOMY)

  • 정인원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권1호
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    • pp.95-99
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    • 1991
  • 악안면 기형에 대한 활발한 치료가 행해지고 있는 가운데 악교정술 후에 발생하는 회귀현상(Relapse)에 대해서는 아직도 많은 연구가 진행되고 있다. 특히 하악골 전돌증으로 후방이동술을 시술받은 환자의 경우에 회귀의 원인으로 Schendel, Epker, Lake, Worms, Ive, Poulton과 Ware등 많은 학자들이 하악과두의 부적합한 위치를 강조하였다. 하악골 시상골절단술시에는 이미 Leonard(1976), Zecha 등 (1978)이 상악의 선부자에 acrylic과 wire 또는 retainer 등을 이용하여 하악근심 골편의 보존을 시도하였다. 이에 저자는 하악골 전돌증의 후방 이동량이 큰 경우나 심한 안면 기형이 있는 19명의 환자에 대해 하악지 수직골절단술을 시술한 경우에 주로 정형외과에서 사용하는 External Skeletal Pin Fixation인 Mini-Hoffmann Sets을 이용하여 하악과두의 중심교합위 보존에 도움을 주었기에 보고하는 바이다.

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ROLE OF SOILS IN THE DISPOSAL OF NUCLEAR WASTE

  • Lee, S.Y.
    • 한국토양비료학회지
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    • 제19권3호
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    • pp.251-268
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    • 1986
  • Selecting a site for the safe disposal of radioactive waste requires the evaluation of a wide range of geologic, mineralogic, hydrologic, and physicochemical properties. Although highly diverse, these properties are in fact interrelated. Site requirements are also diverse because they are influenced by the nature of the radionuclides in the waste, for example, their half-lives, specific energy, and chemistry. A fundamental consideration in site selection is the mineralogy of the host rock, and one of the most ubiquitous mineral groups is clay minerals. Clays and clay minerals as in situ lithologic components and engineered barriers may playa significant role in retarding the migration of radionuclides. Their high sorptivity, longevity (stability), low permeability, and other physical factors should make them a very effective retainer of most radionuclides in nuclear wastes. There are, however, some unanswered questions. For example, how will their longevity and physicochemical properties be influenced by such factors as radionuclide concentration, radiation intensity, elevated temperatures, changes in redox condition, pH, and formation fluids for extended periods of time? Understanding of mechanisms affecting clay mineral-radionuclide interactions under prevailing geochemical conditions is important; however, the utilization of experimental geochemical information related to physicochemical properties of clays and clay-bearing materials with geohydrologic models presents a uniquely challenging problem in that many assessments have to be based on model predictions rather than on experiments. These are high-priority research investigations that need to be addressed before complete reliance for disposal area performance is made on clays and clay minerals.

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경량 베어링 수명 특성에 관한 연구 (A Study on the Life Characteristics of Lightweight Bearings)

  • 이충성;박종원;임신열;강보식
    • 한국산업융합학회 논문집
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    • 제24권6_2호
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    • pp.819-825
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    • 2021
  • In the industry, the use of lightweight bearings is increasing to minimize motor power loss, and in particular, the application of next-generation systems such as robots and drones is increasing. Bearing manufacturers are producing lightweight bearings by changing the bearing material, but related researches is insufficient. In this paper, life test and structural analysis were performed for lightweight bearings, and shape parameters and scale parameters were derived based on the life test results. It was confirmed that the shape parameter was 2.52 and the scale parameter was 164 hours. As a result of calculating the dynamic load rating based on the B10 life, it was confirmed that the dynamic load rating of the lightweight bearing was 7% compared to the formula suggested by ISO 281. The reason is that the material of the retainer, which is a major failure part, is a polyamide 66 series that reacts sensitively to heat, so It is judged to show a lot of difference from the ISO 281 calculation formula.

Orthodontic treatment in a patient with Moebius syndrome: A case report

  • Lee, Sanghee;Moon, Cheol-Hyun
    • 대한치과교정학회지
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    • 제52권6호
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    • pp.451-460
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    • 2022
  • Moebius syndrome (MBS) is a congenital neurologic disorder that causes cranio-facial abnormalities. It involves paralysis of the VI and VII cranial nerves and causes bilateral or unilateral facial paralysis, eye movement disorder, and deformation of the upper and lower limbs. The orofacial dysfunctions include microstomia, micrognathia, hypotonic mimetic and lip muscles, dental enamel hypoplasia, tongue deformity, open bite or deep overbite, maxillary hypoplasia, high arched palate, mandibular hyperplasia or features indicating mandibular hypoplasia. This case report presents a 7-year-old male patient who was diagnosed with MBS at the age 2 years. The patient displayed typical clinical symptoms and was diagnosed with Class II malocclusion with a large overjet/overbite, tongue deformity and motion limitation, and lip closure incompetency. Treatment was initiated using a removable appliance for left scissor bite correction. After permanent tooth eruption, fixed appliance treatment was performed for correction of the arch width discrepancy and deep overbite. A self-ligation system and wide-width arch form wire were used during the treatment to expand the arch width. After 30 months of phase II treatment, the alignment of the dental arch and stable molar occlusion was achieved. Function and occlusion remained stable with a Class I canine and molar relationship, and a normal overjet/overbite was maintained after 9.4 years of retainer use. In MBS patients, it is important to achieve an accurate early diagnosis, and implement a multidisciplinary treatment approach and long-term retention and follow-up.

Accuracy of lingual fixed retainers fabricated using a CAD/CAM bending machine

  • Fu Ping Cui;Jung-Jin Park;Seong-Hun Kim
    • 대한치과교정학회지
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    • 제54권4호
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    • pp.257-263
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    • 2024
  • Objective: Lingual fixed retainers, made from 0.0175-inch 3-strand twisted stainless steel wire (TW) and 0.016 × 0.022-inch straight rectangular wire (RW), are generally used in clinical practice. This study aimed to calculate their accuracy by comparing the discrepancy between computer-aided customized retainers made from these two types of wires. Methods: Eleven orthodontic patients were selected, resulting in 22 maxillary and mandibular three-dimensional printing dental models. Two types of lingual fixed retainers were bonded from canine to canine. To determine the accuracy, five points were chosen for each model, resulting in 110 selected points. The absolute values of the distances on the x-, y-, and z-axes were measured to compare the accuracy of the two types of computer-aided retainers. Results: The accuracy of the two types of retainers did not differ significantly in the x- and z-axes, but only in the y-axis (P < 0.01), where RW-fixed retainers exhibited a slightly but significantly increased distance compared to the TW. Conclusions: Both types of retainers showed high accuracy; however, RW had a slight but statistically significant difference along the y-axis compared with TW. This type of computer-aided design/computer-aided manufacturing bending machine is limited to two dimensions, and the dental arch is curved. Therefore, RW may require slight manual adjustment by the practitioner after manufacturing.

수복치료를 위한 구강악계의 임상적 응용 (The clinical appication of stomatognathic function and occlusion for the restorative dentistry)

  • 강동완;임승진;이승훈
    • 구강회복응용과학지
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    • 제17권3호
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    • pp.145-154
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    • 2001
  • In the past, many dentist were interested mainly in the mechanical aspects such as tooth preparation and retainer types for making dental restoration. But, these days, the concept of restorative treatment emphasizes the importarce of gnatic system and masticatory muscles in addition to oral cavity. So, the current considerations for the fixed prosthodontic treatment include the stabilization of temporomandibular joint and neuromuscualr system and the relationship of periodontal ligament and occlusion. To achieve the above objectives, occlusal splint has been used as one of the mouth preparations for restorative treatment. The objectives of occlusal splint are as follows; 1. To use as preliminary application for periodontal-occlusal treatment 2. To provide proper vertical dimension 3. To control abnormal habits and parafunction 4. To treat the temporomandibular disease and myofascial pain 5. To establish the new therapeutic position In some cases, the patients had improper vertical dimension and occlusal interferences caused by prostheses reconstucted using centric relation recorded without considering the health of TMJ and manticatory muscle. And these prosthesis act as primary source that cause pathologic phenomenon in periodontal ligament, muscles and TMJ. Physiologically, in order to make the treatment occlusion guided by proper centric relation method, the method should be guided after the use of occlusal splint for some period. The main objective of prosthetic treatment is to maintain the function and health of stomatognathic system. So, one of the most important things that have to be performed by clinicians is a clinical ability to do the correct diagnosis and treatment planning based on the stomatognatic function and occlusion.

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전치부 공극의 치료후 재발에 관한 임상적 고찰 (CLINICAL STUDY ON THE RELAPSE OF DIASTEMA)

  • 박효상;성재현
    • 대한치과교정학회지
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    • 제24권1호
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    • pp.95-104
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    • 1994
  • 전치부 공극의 치료법으로는 교정적인 폐쇄, 수술에 의한 방법, 보철에 의한 치료등의 방법이 있으며 이중 교정적인 폐쇄에 의한 치료법은 가장 보존적인 방법으로 많이 사용되고 있으나 그 치료이후의 보정에 많은 문제가 있었다. 저자등은 전치부 공극을 가진 3증례의 치료후 재발과정과 보정과정을 관찰한 결과 다음과 같이 요약할 수 있었다. 양 중절치가 서로 직접 연결되지 않는 보정장치의 사용은 영구보철물에 의한 경우에도 재발을 가져왔다. $\cdot$ 교정적으로 공극을 폐쇄한후, 순소대절제술, circumferential supracrestal fibrotomy 그리고 양 중절치가 서로 연결된 설측 부착 보정장치의 시행으로 좋은 유지 효과를 얻었다. 이상의 결과로 미루어 볼때 전치부 공극은 교정적 치료후, 순소대절제술, fibrotomy등을 시행한 후 반드시 양 중절치를 연결하는 고정성 보정 장치가 필요하다고 생각된다.

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Fatigue resistance, debonding force, and failure type of fiber-reinforced composite, polyethylene ribbon-reinforced, and braided stainless steel wire lingual retainers in vitro

  • Foek, Dave Lie Sam;Yetkiner, Enver;Ozcan, Mutlu
    • 대한치과교정학회지
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    • 제43권4호
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    • pp.186-192
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    • 2013
  • Objective: To analyze the fatigue resistance, debonding force, and failure type of fiber-reinforced composite, polyethylene ribbon-reinforced, and braided stainless steel wire lingual retainers in vitro. Methods: Roots of human mandibular central incisors were covered with silicone, mimicking the periodontal ligament, and embedded in polymethylmethacrylate. The specimens (N = 50), with two teeth each, were randomly divided into five groups (n = 10/group) according to the retainer materials: (1) Interlig (E-glass), (2) everStick Ortho (E-glass), (3) DentaPreg Splint (S2-glass), (4) Ribbond (polyethylene), and (5) Quad Cat wire (stainless steel). After the recommended adhesive procedures, the retainers were bonded to the teeth by using flowable composite resin (Tetric Flow). The teeth were subjected to 10,00,000 cyclic loads (8 Hz, 3 - 100 N, $45^{\circ}$ angle, under $37{\pm}3^{\circ}C$ water) at their incisoproximal contact, and debonding forces were measured with a universal testing machine (1 mm/min crosshead speed). Failure sites were examined under a stereomicroscope (${\times}40$ magnification). Data were analyzed by one-way analysis of variance. Results: All the specimens survived the cyclic loading. Their mean debonding forces were not significantly different (p > 0.05). The DentaPreg Splint group (80%) showed the highest incidence of complete adhesive debonding, followed by the Interlig group (60%). The everStick Ortho group (80%) presented predominantly partial adhesive debonding. The Quad Cat wire group (50%) presented overlying composite detachment. Conclusions: Cyclic loading did not cause debonding. The retainers presented similar debonding forces but different failure types. Braided stainless steel wire retainers presented the most repairable failure type.

자려 평형 틸팅 패드 스러스트 베어링의 정렬불량에 따른 베어링 특성에 관한 실험적 연구 (Experimental Study on the Characteristics of Misaligned Self-equalizing Tilting Pad Thrust Bearing)

  • 송애희;조현준;최성필;김선진
    • Tribology and Lubricants
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    • 제36권1호
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    • pp.27-33
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    • 2020
  • Self-equalizing tilting pad thrust bearings are usually employed in turbomachines to achieve high stability and reliability. A tilting pad bearing can incorporate self-equalizing links to handle the misalignment between the bearing and the thrust collar. In this popular design method, the pads sit on the upper-level plates and the lower-level plates stay on the retainer base. With misalignment, the pads that are heavily loaded are pushed down. Consequently, the link pushes up the pads on the opposite side, keeping the bearing surface parallel to the thrust collar surface. The self-equalizing link is used to handle the misalignment from the thermal and mechanical effects. In this study, the experimental investigation deals with the performance of self-equalizing tilting pad thrust bearings. The test rig for evaluating the performance of bearing is developed which can control the misalignment angle. Simultaneous measurements are taken for the force acting on each pad. Pad metal temperature and oil film thickness are functions of the shaft speed, bearing load, misalignment angle, and design of leveling plates. The effect of misalignment on bearing performance is discussed. The results demonstrate that the load on each pad depends on the test conditions(especially misalignment angle), and the load influences the performance of bearings.