• Title/Summary/Keyword: Soft-Hard

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Effects of soft occlusal appliance therapy for patients with masticatory muscle pain

  • Kashiwagi, Kosuke;Noguchi, Tomoyasu;Fukuda, Kenichi
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.1
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    • pp.71-80
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    • 2021
  • Background: The options for stabilization appliance therapy for masticatory muscle pain include soft occlusal and hard stabilization appliances. A previous study suggested that hard stabilization appliance therapy was effective for patients with local myalgia who developed long facets on their occlusal appliances. The objective of this study was to identify patients in whom a soft occlusal appliance should be used to treat masticatory muscle pain by analyzing the type of muscle pain present and patient factors that influenced the effectiveness of this treatment. Methods: The study included 42 patients diagnosed with local myalgia or myofascial pain according to the Diagnostic Criteria for Temporomandibular Disorders Diagnostic Decision Tree. The analysis of patient factors included variables believed to be associated with temporomandibular disorders. First, a temporary screening appliance was used for 2 weeks to assess each patient for bruxism during sleep. Soft appliance therapy was then started. For each patient, the effectiveness of the appliance was evaluated according to the intensity of tenderness during muscle palpation and the treatment satisfaction score at one month after starting treatment. Results: Data from 37 of the 42 patients were available for analysis. Twenty-five patients reported satisfaction with the appliance. In logistic regression analysis, the odds ratio for reduction of facet length was 1.998. Nineteen patients showed at least a 30% improvement in the visual analog scale score. The odds ratio for local myalgia was 18.148. Conclusion: Soft appliance therapy may be used in patients with local myalgia. Moreover, patients who develop short facets on the appliance surface are likely to be satisfied with soft appliance therapy. Soft appliance therapy may be appropriate for patients with local myalgia who develop short facets on their occlusal appliance.

CHANGE OF LATERAL SOFT TISSUE PROFILE AFTER SURGICAL CORRECTION OF MANDIBULAR PROGNATHISM (하악전돌증의 악교정수술후 연조직 변화에 관한 연구)

  • Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Wan-Kee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.3
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    • pp.217-227
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    • 1992
  • The purpose of this paper is to investigate changes in soft tissue in 22 patients treated by vertical ramus osteotomy and sagittal split ramus osteotomy for the correction of mandibular prognathism. 22 individuals, 12 males and 10 females, were selected from the patients with mandibular prognathism at the Department of Oral and Maxillofacial Surgery, Colledge of Dentistry, Kyung Hee University. Patient were analyzed with cephalogram taken 1 week before and at least 6 weeks after surgery under the same condition. Measurements were made constructed hard tissue and sop tissue points located on each before-and-after film tracing. Comparision were made of these figures to estimate the amount that the soft tissue followed the hard tissue structures in each surgical procedure : ratio of sop and hard tissue changes were formulated. The results were as follows. 1. The horizontal changes of Pogs and Bs as a ratio of the horizontal changes of Pog and B point were 1.02 and 1.16 respectively. 2. One millimeter of posterior changes at Pog resulted in 0.86mm of posterior change at Li and 0.09mm of posterior change at Ls. The greatest amount of sop tissue change occurred at Pogs, with substantially less posterior displacement at Bs, even less at Li and at least at Ls. 3. The ratio of LI to Li was 1:0.81 and the ratio of LI to Ls was not significant.(1 : 0.17) 4. The ULA(Cm-Sn-Ls) and the relative lower lip projection (LLP) was incnease4 but the relative upper lip projection (ULP) was slightly decreased 5. The angular change of the upper lip inclined angle (Ls-Sn/ANS-PNS) and lower lip inclined angle(Li-Pogs/Me-Go) expressed as a ratio of the posterior change of Pog were 0.57 and 0.20 respectively. 6. The ratio of the lower anterior facial height change of the soft tissue(Sn-Mes) to the hard tissue(ANS-Gn) were 0.78 and and the ratio of vertical height changes of the hard tissue and sop tissue to the posterior change of the Pog were 0.18 and 0.19 respectively. 7. The sop tissue angular change of facial convexity(G-Sn-Pogs) expressed as a ratio of the angular change of the hard tissue angle of facial convexity(N-A-Pog) was 1.24.

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Changes in soft tissue chin resulting from premolar extraction and incisor retraction in adult female patients (성인 여성에서 소구치 발치와 전치부 후방 견인에 따른 이부 연조직 변화)

  • Kim, Yang-Hee;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.31 no.5 s.88
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    • pp.535-548
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    • 2001
  • The purpose of this study was to evaluate changes in soft tissue chin thickness and to investigate correlations between hard and soft tissues measurements after orthodontic treatment conducted by premolars extraction and incisor retraction. The sample consisted of 35 female adults with Angle classification class I or class II division 1 malocclusion. Using lateral cephalometric radiographs taken before and after treatment, hard and soft tissue structures were measured and reproducible six landmark on soft chin tissue were used to locate the various points of soft tissue contour of the chin. The res에ts were as follows : 1. There were signigicant correlations between pretreatment B-B', Pm-Pm' and pretreatment vortical skeletal measurements such as $MP{\perp}HP,\;MP{\perp}PP$, ALFH and between a-a', b-b', Me-Me' and measurements of sym-physeal morphology such as SL, SW, PL. 2. There were significant decreases at B-B', Pm-Pm' and significant increases at a-a', b-b' between pre-and posttreatment mea surements. 3. There were significant correlations among soft tissues changes and hard tissue changes except for changes at B-B' and the range of correlation coefficient was about 0.3-0.4. 4. There were significant differences at ${\Delta}UI-VP,\;LI{\perp}, and B-B' measurements between subgroups divided by posttreatment Pog-Pog' changes. 5. There were significant differences at ${\Delta}overbite,\;NPog{\perp}HP,\;and\;Me-Me'$ measurements between subgroups divided by posttreatment Me-Me' changes.

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Synthesis and Characterization of Polyurethanes Based on Macromers (Macromer를 기초로 한 폴리우레탄의 합성 및 특성)

  • Chun, Y.C.;Kim, K.S.;Shin, J.S.;Kang, S.H.
    • Elastomers and Composites
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    • v.27 no.3
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    • pp.161-173
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    • 1992
  • A series of polyurethane block copolymers based on hydroxyterminated poly(dimethyl siloxane), poly(propylene glycol) and poly(tetramethylene glycol) soft segments of molecular weights 1,809, 2,000 and 2,000, respectively, were synthesized. The hard segments consisted of 4,4'-diphenylmethane diisocyanate and 1,4-butanediol as the chain extender. Samples with different molar ratios were prepared. We tried to synthesize poly(dimethyl siloxane)-based polyurethane(PDMS-PU) containing a hard block as major fraction and a soft block as minor fraction for preparing toughened rigid systems. After a study of the pure PDMS-PU, poly(propylene glycol)-based polyurethane(PPG-PU) and poly(tetramethylene glycol)-based polyurethane(PTMG-PU), (mixed polyol)-based block copolymers and blends between PDMS-PU, PPG-PU and PTMG-PU were prepared, and characterized by means of differential scanning calorimetry, tensile testing and scanning electron microscopy. In (mixed polyol)-based PU and in lower hard segment content blends, macro-phase separation was shown, but blends with higher hard segment contents showed significant reduction in amounts of phase separation.

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A CEPHALOMETRIC STUDY ON THE HARD AND SOFT TISSUE CHANGES BY THE PAPID PALATAL EXPANSION IN ANGLE'S CLASS III MALOCCLUSION (상악골 급속확장에 의한 Angle씨 제 III급 부정교합 환자의 안모형태 변화에 관한 두부방사선 계측학적 연구)

  • Tahk, Seon Gun;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.14 no.1
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    • pp.161-172
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    • 1984
  • This study was undertaken to evaluate the cephalometric changes of the soft tissue and skeletal profile subsequent 10 the rapid palatal expansion in 25 Angle's Class III cases, ranging in age from six to fifteen years, with cross-bite of the anterior teeth, underdevelopment of maxilla and facial disharmony Following results were obtained: 1. ANS moved downward, Point A presented forward & downward movement increasing SNA and Point B presented backward & downward movement decreasing SNB. 2. Mandible was rotated to backward & forward and maxilla moved forward & downward with the bite opening and improvement of anterior teeth cross-bite. 3. Soft tissue on mandible was rotated to backward & forward following hard tissue changes causing the decrease of facial convexity angle and backward & downward rotation of Point B', Pog'. 4. Response of the upper lip was more significant in downward than forward direction, and correlated with the upper central incisor and mandible rotation. 5. Response of the lower lip was more significant in downward than backward direction, and correlated with the mandible rotation. 6. There was a rather high degree of correlation between skeletal profile and soft-tissue profile, 1 : LS, $\bar{1}$:Pog', Pog:LS, Pog:LI, Pog:Pog' in horizontal measurements and $\bar{1}$:Pog', Pog:LI, Pog:Pog' in vertical measurements.

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A Study on the Influence Area of Excavation around Railroads (철로 주변의 지하굴착 영향권에 관한 연구)

  • Park, Jong-Su;Jang, Jeong-Wook;Park, Choon-Sik
    • Proceedings of the Korean Geotechical Society Conference
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    • 2006.03a
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    • pp.1032-1037
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    • 2006
  • This thesis studied effects of the excavation around railroads on the deformation of the lateral ground and neighboring railroads. The conclusions of the study are as follows. 1. When the depth of excavationis 10m, the influential area should be 35m for soft clay, 20m for normal clay, 15m for hard clay, 15m for loose sand, 12m for slightly dense sand, and 8m for dense sand. 2. When the influential area is 10m, the allowable excavation depth should be 2.5m for soft clay, 4.8m for normal clay, 7.5m for hard clay, 7.2m for loose sand, 8.8m for slightly dense sand, and 10m for dense sand. 3. When the influential area is 20m, the allowable excavation depth should be 4.5m for soft clay, and up to 10m for the other five kinds of soil. 4. When the influential area is 30m, the allowable excavation depth should be 7.5m for soft clay, and up to 10m for the other five kinds of soil. 5. When the influential area is 35m, the allowable excavation depth should be up to 10m for all kinds of soil.

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Precision of the milled full-arch framework fabricated using pre-sintered soft alloy: A pilot study

  • Woo, Hyun-Wook;Cho, Sung-Am;Lee, Cheong-Hee;Lee, Kyu-Bok;Cho, Jin-Hyun;Lee, Du-Hyeong
    • The Journal of Advanced Prosthodontics
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    • v.10 no.2
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    • pp.128-131
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    • 2018
  • PURPOSE. This study aimed to evaluate the marginal discrepancy of full-arch frameworks in implant-supported prostheses fabricated using pre-sintered soft alloy (PSA). MATERIALS AND METHODS. Full-arch metal frameworks were fabricated on the edentulous implant model using casting alloy (CA), fully-sintered hard alloy (FHA), and PSA (n = 4 in each group). To evaluate the misfit of the framework to the abutments, the absolute marginal discrepancy (AMD) values of the frameworks were measured in cross-sectional images that had been drawn as part of the triple-scan protocol. The AMD values were compared among the tested alloy groups using the Kruskal-Wallis test, with a post hoc Mann-Whitney U test (${\alpha}=.05$). RESULTS. The FHA and PSA groups showed lower marginal discrepancies than the CA group (P<.001). However, the FHA group did not differ significantly from the PSA group. CONCLUSION. Soft alloy milling is comparable to hard alloy milling, and it is more precise than casting in terms of the marginal fit of implant-supported, full-arch prostheses.

SOFT TISSUE CHANGES AFTER DOUBLE JAW ROTATION SURGERY IN SKELETAL CLASS III MALOCCLUSION (골격성 III 급 부정 교합자에서 양악 회전 수술 후 연조직 변화에 대한 연구)

  • Jeong, Mi-Hyang;Choi, Jeong-Ho;Kim, Byuong-Ho;Kim, Seong-Gon;Nahm, Dong-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.6
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    • pp.559-565
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    • 2006
  • The aim of this study was to evaluate the amount and interrelationship of the soft and hard tissue changes after simultaneous maxillary clockwise rotation and mandibular setback surgery in skeletal class III malocclusion. The sample comprised of 16 adult patients who had anteroposterior skeletal discrepancy. These patients had received presurgical orthodontic treatment and surgical treatment which consisted of Le fort I Osteotomy and bilateral saggital split ramus osteotomy. The presurgical (T1) and postsurgical (T2) lateral cephalograms were evaluated. The computerized statistical analysis was carried out with SPSS/PC program. The results demonstrated a decrease in the vertical dimension in the soft and hard tissue. The nasolabial angle was increased and the mentolabial angle was decreased. The results showed also many statistically significant correlations(p<0.05). The lower lip closely followed the skeletal movement of the B- point in the horizontal plane. The double jaw rotation surgery can afford a good solution to solve the problems of class III malocclusion cases.

Synthesis and Properties of Poly(ether-b-ester)Thermoplastic Elastomers (Poly(ether-b-ester) Thermoplastic Elastomers의 합성 및 물성 연구)

  • Kim, Hong Seon;Joung, Maeng Sig
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.1
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    • pp.119-124
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    • 2001
  • Dimethyl terephthalate (DMT). 1.4-butanediol (1.4-BD) and poly (tetramethylene ether) glycol (PTMG) in the molecular weight of 2000 (g/mol) were used to synthesize poly(ether-b-ester) thermoplastic elastomers (TPEEs). The final copolymers were annealed to improve thermal stability at elevated temperatures and mechanical properties. This study showed that as the proportion of soft segment increases melting temperature and degree of crystallinity of TPEEs decrease constantly. In case of mechanical properties like flexural strength and flexural elastic modulus. $35-PTMG^{2000}$ indicates the highest values due to more efficient physical interlock.

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