• 제목/요약/키워드: Teeth interference

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측두하악장애와 교합요인의 관계 (The Relationship between Temporomandibular Disorders(TMD) and Occlusion)

  • 김성택;이유식
    • 구강회복응용과학지
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    • 제21권1호
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    • pp.43-57
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    • 2005
  • Temporomandibular disorders have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory nuscles, and associated structures. There have been many different contributing factors of TMDs which were traumatic, occlusal, pathophysiological and psychosocial. Among there factors, the effect of occlusion on TMDs have been a controversy for a long time. The purpose of this study was to investigate the effect of occlusal factors and oral habits on TMDs. In this study, 140 subjects with signs and symptoms of TMDs and diagnosed of TMD in the Orofacial Pain clinic of Yonsei University Dental Hospital though March to July 2004 were selected for the TMDs group and 50 subjects without any signs and symptoms of TMDs as the control group. The subjects were evaluated clinically in TMDs' Occlusal and Prosthodontic Restoration examinations. TMDs' examination was composed of the TMJ pain, sound, locking, temporal or masseter muscle palpation, mandibular movement, oral habits and headache. Occlusal examination was made of overjet, overbite, lost teeth number, nonfunctional interference, midline shift, then pattern of lateral movement and attrition. prosthodontic restoration examination had the existence of restoration, placement, then number of crown or bridge and Satisfiable index which estimated the quality of occlusal state of prosthodontic restorations. Following results were obtained : 1. The prevalence of TMDs was higher in their 20s & 30s, female of the TMD patients group. 2. The clenching frequency in the TMDs group(40.71%) was higher than those in the control group(18.00%), and there was a significant statistical difference(p<0.05). 3. The frequency of Nonfunctional interference in the TMDs group(10.00%) was higher than those in then Control group(2.00%), and there was a significant statistical difference(p<0.05). The result of this study indicated TMDs prevalence was higher in their 20s, 30s, female group of TMDs patients similar to the previous studies. Clenching and nonfunctional interference were estimated as the contributing factors of TMDs.

치형수정된 기어구동계의 비선형 동특성 해석 (Nonlinear Dynamic Characteristics of Gear Driving System with Tooth Modification)

  • 조윤수;최연선
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2002년도 추계학술대회논문집
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    • pp.25-30
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    • 2002
  • To reduce the vibration of a gear driving system, the modification of gear tooth from the orignal involute gear profile is usually done in gear manufacturers. The quantity of tooth modification has been decided on the basis of the interference between two gear teeth during gear meshing and the elastic deformation due to loading. However, the dynamic characteristics with tooth modification has to be investigated to avoid the instability to the variation of gear meshing stiffness and the nonlinearity due to gear backlash which results in sub- or super-harmonics in its responses. This research shows the dynamic characteristics with various tooth modifications in its type and quantity.

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시뮬레이티드 어닐링을 이용한 유성치차열의 설계요소 최적화에 관한 연구 (Study on the Optimal Design for Design Parameter of Planetary Gear Train Using Simulated Annealing)

  • 이근호;최용혁;정태형
    • 한국공작기계학회논문집
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    • 제14권1호
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    • pp.58-65
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    • 2005
  • A planetary gear trains has characteristics in compactness, power transformation ability and constant meshing. Usability is increased in applications of auto transmission and industrial gearbox. Study on optimum design of planetary gear train has been progressed on miniaturization of weight, miniaturization of planetary gear train and improvement of high strength. There are demands of study f3r the planetary gear train required long life estimation. In this work being considered life, strength, interference, contact ratio and aspect ratio, the optimum design algorithm is proposed to reduce the volume of planetary gear train with transferring the same amount of power. In the design of algerian for planetary gear train, the determination of teeth number is separated to achieve simplicity and the simulated annealing method as a global optimal technique is used far optimal design method.

치형수정된 기어구동계의 비선형 동특성 해석 (Nonlinear Dynamic Characteristics of Gear Driving System with Tooth Modification)

  • 조윤수;최연선
    • 한국소음진동공학회논문집
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    • 제13권9호
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    • pp.688-693
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    • 2003
  • To reduce the vibration of a gear driving system. the modification of gear tooth from the orignal involute gear profile is usually done in gear manufacturers. The quantity of tooth modification has been decided on the basis of the interference between two gear teeth during gear meshing and the elastic deformation due to loading. However. the dynamic characteristics with tooth modification has to be investigated to avoid the instability to the variation of gear meshing stiffness and the nonlinearity due to gear backlash which results in sub- or super-harmonics in its responses. This research shows the dynamic characteristics with various tooth modifications in its type and quantity.

이갈이의 진단과 치료 (Diagnosis and Management of Bruxism)

  • 고홍섭
    • 수면정신생리
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    • 제12권1호
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    • pp.23-26
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    • 2005
  • Bruxism is defined as 'diurnal or nocturnal parafunctional activity including clenching, bracing, gnashing, and grinding of the teeth'. Bruxism and clenching are two of the most common contributing factors in patients with temporomandibular disorders and craniofacial pain disorders. Even though many studies report the high prevalence of bruxism, its cause is still not clear. Occlusal interference has been regarded as a major etiologic factor. Nowadays, psychological stress and sleeping disorders are generally regarded as major possible etiologic factors. More than likely, the cause is multifactoral and overlapping, which makes it difficult for the practitioner to apply comprehensive and effective management strategies. Although dentists and psychologists generally believe that effective treatment is best achieved with a better understanding of the etiology of a given disorder, for now treatment for this type of disorder must proceed without a clear understanding of etiology. To overcome this obstacle, evidence-based comprehensive management protocols based on accumulated scientific findings should be provided. In this presentation, epidemiology, etiology, and the characteristics of bruxism are reviewed. Diagnostic procedures and management strategies focused on occlusal appliances and behavioral approaches are also discussed.

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측두하악장애에서 교합요인과 생활변화의 영향 (Effects of Occlusal Factors and Life Event Changes on Temporomandibular Disorders)

  • You-Me Lee;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • 제19권2호
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    • pp.181-192
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    • 1994
  • There have been many different theories on the etiology of temporomandibular disorders(TMDs). The objective of the study was to investigate the effects of occlusal fctors and recent life event changes as prediposing fctor on the development of temporomandibjlar disorders. To evaluate the above predisposing factor, the author used T-scan system(Tekscan Co. U.S.A.) for quantitative occlusal analysis, clinical examination for occlusal state and Social Readjustment Rating Scale(SRRS) for recent life event change units (LCU). 63 patients with TMDs and 57 patients with malocclusion presented at Wonkwang University Dental Hospital participated in this study. The subjects were grouped by Angle's classification and presence of absence of TMDs and parafunctional oral habits. Data gained with regard to contact number, contact force, contact time, occlusal state(number of total teeth and occluding teeth, overjet, overbite) and occlusal interferences (protrusive posterior contact, nonworking side interference, and RCP-ICP slide) and recent life event changes. The data were processed and analysed by SAS statistical package program, The results of this study were as follows : 1. There were no significant differences on both quantitative occlusal contact analysis and occlusal state between TMDs group and Angle's malocclusion group. Also, there were no differences among the Angle's classifications. But amount of overjet in TMDs group were more greater than that of malocclusion group. 2. There was no difference on protrusive posterior contact, and balancing contact between TMDs group and Angle's malocclusion group. Premature contact was more frequent in malocclusion group, but RCP-ICP slide was more frequent in TMDs group. And RCP-ICP slide was more freqent in Angle's class II malocclusion than Angle's I or III malocclusion. 3. Life changes units in TMDs group were higher than those in malocclusion group. And recent life change units in group with parafunctional oral habit were higher than those in group without parafunctional oral habits. Clenching was the most common habit among parafunctional oral habits.

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Influence of voxel size on cone-beam computed tomography-based detection of vertical root fractures in the presence of intracanal metallic posts

  • Yamamoto-Silva, Fernanda Paula;de Oliveira Siqueira, Claudeir Felipe;Silva, Maria Alves Garcia Santos;Fonseca, Rodrigo Borges;Santos, Ananda Amaral;Estrela, Carlos;de Freitas Silva, Brunno Santos
    • Imaging Science in Dentistry
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    • 제48권3호
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    • pp.177-184
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    • 2018
  • Purpose: This study was performed to evaluate the influence of voxel size and the accuracy of 2 cone-beam computed tomography (CBCT) systems in the detection of vertical root fracture (VRF) in the presence of intracanal metallic posts. Materials and Methods: Thirty uniradicular extracted human teeth were selected and randomly divided into 2 groups(VRF group, n=15; and control group, n=15). The VRFs were induced by an Instron machine, and metallic posts were placed in both groups. The scans were acquired by CBCT with 4 different voxel sizes: 0.1 mm and 0.16 mm (for the Eagle 3D V-Beam system) and 0.125 mm and 0.2 mm (for the i-CAT system) (protocols 1, 2, 3, and 4, respectively). Interobserver and intraobserver agreement was assessed using the Cohen kappa test. Sensitivity and specificity were evaluated and receiver operating characteristic analysis was performed. Results: The intraobserver coefficients indicated good (0.71) to very good (0.83) agreement, and the interobserver coefficients indicated moderate (0.57) to very good (0.80) agreement. In respect to the relationship between sensitivity and specificity, a statistically significant difference was found between protocols 1 (positive predictive value: 0.710, negative predictive value: 0.724) and 3 (positive predictive value: 0.727, negative predictive value: 0.632) (P<.05). The least interference due to artifact formation was observed using protocol 2. Conclusion: Protocols with a smaller voxel size and field of view seemed to favor the detection of VRF in teeth with intracanal metallic posts.

Erupted complex odontoma에 의한 하악 제 1대구치 맹출지연 (DELAYED ERUPTION OF MADIBULAR FIRST MOLAR BY ERUPTED COMPLEX ODONTOMA)

  • 박인호;오유향;이상호;이창섭
    • 대한소아치과학회지
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    • 제31권4호
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    • pp.564-568
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    • 2004
  • 치아의 맹출지연을 일으키는 여러 원인 중 치아종은 법랑질, 상아질, 치수와 같은 치아를 구성하는 조직을 갖춘 harmartoma로 complex odontoma(복잡 치아종)와 compound odontoma(복합 치아종)로 구분된다. 치아종의 원인에는 외상, 감염, 치아발육상의 장애, 유전적 요인 등을 들 수 있으며, 호발 부위는 상악 전치부와 하악 구치부이다. 이 중 compond odontoma는 악골의 전방부에, complex odontma는 악골의 후방부에 잘 발생하는 경향이 있는데 대부분 악골내에서 발생하지만 드물게 점막을 뚫고 치조골의 상방으로 석회화 된 종괴가 맹출한 형태의 치아종을 erupted odontoma라 한다. erupted odontoma는 매우 드문 질환으로 일반적으로 맹출지연을 일으키지는 않는다. 본 증례는 맹출이 지연된 하악 제 1대구치 치관 상방에 나타난 erupted complex odontoma를 제거 후 치아를 맹출 시키는데 양호한 결과를 얻었기에 보고하는 바이다.

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안정적인 교합접촉을 잃은 환자에서의 전방유도를 고려한 치료증례 (Maxillary anterior prosthetic treatment concerning anterior guidance of a patient who lost stable holding contact)

  • 박종훈;조진현
    • 대한치과보철학회지
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    • 제57권4호
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    • pp.467-474
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    • 2019
  • 최근 들어 치아의 심미적인 개선을 위해 전치부 보철 치료를 하는 경우가 많다. 하지만 전치부 심미 보철치료이후 환자가 발음, 저작 등 기능적으로 불만족스럽게 생각하는 경우가 종종 있다. 전치부는 심미적으로 중요할 뿐만 아니라 교합과 관련하여서도 중심위 다음으로 중요한 전방유도가 성립되는 부분으로, 잘못된 전방유도 설정으로 인해 구치부의 교합간섭을 초래할 수 있다. 또한 새롭게 설정된 전치부 보철물의 전방유도가 환자의 기능로(envelope of function)과 조화를 이루지 않을 시 환자가 불편감을 나타낼 수 있다. 본 증례는 전치부 심미 보철 이후 부정확한 발음 및 안정적인 접촉이 없어서 불안정한 교합, 전반적인 불편감을 호소하는 환자에서 체계적인 진단과 치료과정을 통해 보철물을 재수복하여 환자와 술자 모두에게서 심미적으로, 그리고 기능적으로 만족스러운 결과를 얻었기에 보고하는 바이다.

Two new free-living marine nematodes of the genus Belbolla (Nematoda, Enoplida, Enchelidiidae) from a shallow subtidal benthic habitat of the outermost islands of Korea

  • Hyun Soo Rho;Hyo Jin Lee;Heegab Lee;Chang Geun Choi
    • 환경생물
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    • 제39권4호
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    • pp.423-434
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    • 2021
  • Two new free-living marine nematodes of the genus Belbolla Andrássy, 1973 belonging to family Enchelidiidae are newly described based on specimens obtained from a shallow subtidal sediment of the western and southern outermost islands of Korea. Belbolla koreensis sp. nov. differs from other species of the genus by the combination of the following characteristics: longer body length (3,080-3,462 ㎛ long), eight oesophageal bulbs in the posterior region of pharynx, well-developed two winged precloacal supplements (anterior precloacal supplement slightly longer than posterior one: 47-59 ㎛ vs. 43-46 ㎛ long), strongly arcuated, very thick, L-shaped spicule (122-127 ㎛ long, 1.7-1.9 anal body diameter(a.b.d.) long) with three separated blunt distal tips, and well-developed relatively long cylindrical shaped gubernacular apophysis with blunt teeth covering two thirds of the dorsal margin (57-58 ㎛ long, 0.8-0.9 a.b.d. long). Belbolla hoonsooi sp. nov. is characterized by the following combination of characteristics: longer body length (3,494 ㎛ long), eight oesophageal bulbs in the posterior region of pharynx, well-developed two winged precloacal supplements (anterior precloacal supplement slightly longer than posterior one: 43 ㎛ vs. 36 ㎛ long), strongly arcuated, L-shaped spicule (119 ㎛ long, 1.5 a.b.d. long) with three separated blunt distal tip, and well-developed relatively long inverted triangle shaped gubernacular apophysis with blunt teeth covering half of the dorsal margin (45 ㎛ long, 0.6 a.b.d. long). Detailed morphological characteristics and illustrations of two new Belbolla nematodes from the Korean seawaters were provided by differential interference contrast microscopy. Comparative tables on biogeographical and morphological characteristics of Belbolla species are also provided herein.