• Title/Summary/Keyword: Tipping

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CLINICAL STUDY OF SURGICALLY ASSISTED RAPID MAXILLARY EXPANSION (외과적 술식을 동반한 급속 상악 확장술의 임상 연구)

  • Yang, Chan-Young;Min, Seung-Ki;Oh, Sung-Hwang;Kwon, Kyung-Hwan;Lee, Jun;Cha, Jae-Won
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.60-69
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    • 2005
  • Orthopedic rapid maxillary expansion(RME) has been a common treatment modality used to widen narrow maxillae in young children. However, since more skeletally matured adolescents or adults has closed midpalatal suture, the result of RME was undesirable because of dental tipping with little or no basal skeletal movement and resulted to many other complications. After such treatment, complications often occurred such as alveolar bending, compression of periodontal ligament, extrusion, buccal tipping, and severe relapse. Thus, surgically assisted rapid maxillary expansion(SA-RME) is required, especially for patients over 14 years old, to skeletally release maxillary expansion. We used two methods of maxillary expansion surgery. Surgically assisted rapid maxillary expansion(SA-RME) & surgically assisted posterior segmental expansion(SA-PSE) were used for narrow maxilla. The study was divided into two groups(SA-RME group and SA-PSE group). SA-RME group was consisted of 2 males and 4 females, and the ages of materials ranged from 15 years to 25 years with a mean of 20.2 years. SA-PSE group was consisted of 1 male and 5 females, and the ages ranged from 13 years to 23 years with a mean of 18.7 years. Dental study models were fabricated before starting the expansion and immediately after the expansion was completed. It was fabricated again 1 month later, 3 months later when the expansion device was removed, and 6 months later after the expansion was completed. A repeated measures analysis of variance(ANOVA) test was applied to assess changes between each groups over time. The amount of expansion and the amount of tipping movement each in both groups were compared by using paired t-test and it was also compared between each subjects within the group by using independent t-test. Both SA-RME and SA-PSE group showed stable results, but SA-PSE group showed statical significance in tipping movement of second premolar. We compared 6 patients who recieved SA-RME with 6 patients who received SA-PSE, and appraised the clinical usefulness.

Comparative Analysis of Stress Distribution in Composite Resin Brackets with Metal Slot of Permanent Maxillary Central Incisor Using the Finite Element Method: A Pilot Study

  • Im, Jae-Jung;Song, Jae-Joon;Kim, Nan-Hee;Heo, Jin-Young;Jung, Gyu-Un;Hwang, Kyung-Gyun;Park, Chang-Joo
    • Journal of Korean Dental Science
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    • v.4 no.2
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    • pp.46-51
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    • 2011
  • Purpose: For aesthetic reasons, composite resin brackets are widely used. However, related studies are rare. This pilot study sought to compare the stress distributions in two commercially available composite resin brackets with metal slot. Materials and Methods: Two commercially available resin brackets -- full-metal slot resin bracket (fSRB) and partial-metal slot resin bracket (pSRB) with straight wire appliance dimension of $0.022{\times}0.028$ in -- were selected. In each bracket, 3-dimensional finite element models were constructed, and stress level was evaluated using finite element analysis. By loading the tipping force and torsion moment, which are similar to those applied by the stainless steel rectangular wire ($0.019{\times}0.025$ -in), stress distributions were calculated, and von Mises stress values were obtained. Results: In pSRB and fSRB, the stress value of the torque moment was much higher than that of the tipping force. The pSRB showed higher stress value than fSRB in both tipping force and torque moment because of the difference in size and configuration of the metal frame inserted into the slot. More stress was also found to be concentrated on the slot area than the wing area in fSRB. Conclusion: The slot form of fSRB was found to be more resistant to the stress of tipping and torque than the slot form of pSRB. In addition, the slot areas -- rather than the wing areas -- of the bracket showed breakage susceptibility. Therefore, resistance to the torque moment on the slot area should be considered in bracket design.

THE EFFECTS OF CLASS III INTERMAXILLARY TRACTION IN MIXED DENTITION WITH ANTERIOR CROSSBITES (혼합치열기 반대교합자에서 III급 악간견인력의 효과에 관한 연구)

  • Baek, Jong-Eun;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.21 no.2 s.34
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    • pp.419-432
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    • 1991
  • The purpose of this study is to observe how the Class III intermaxillary elastics act upon the craniofacial structures of mixed dentition with anterior crossbites. The cephalometric headplafes of 16 childrens treated only with Class III elastics (C III elastics group) and 23 childrens treated with Class III elastics and Reverse pull headgear simultaneously (C III elastics + RPHG group) were traced, digitized and statistically analyzed. The results were as follows. 1 . Anterior displacement of maxilla was observed in both groups. 2. Simultaneous Class III elastics and reverse pull headgear group showed the counterclockwise rotation of maxilla, however Class III elastics group manifested no rotational change of maxilla. 3. Simultaneous Class III elastics and reverse pull headgear group showed the downward and backward rotation of mandible, however Class III elastics group manifested no rotational change of mandible. 4. Counterclockwise canting of occlusal plane, labial tipping of upper incisor and lingual tipping of lower incisor and mesial displacement of upper molar to pterygoid root vertical were observed in both groups.

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An Application of Evolutionary Game Theory to Platform Competition in Two Sided Market (양면시장형 컨버전스 산업생태계에서 플랫폼 경쟁에 관한 진화게임 모형)

  • Kim, Do-Hoon
    • Journal of the Korean Operations Research and Management Science Society
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    • v.35 no.4
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    • pp.55-79
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    • 2010
  • This study deals with a model for platform competition in a two-sided market. We suppose there are both direct and indirect network externalities between suppliers and users of each platform. Moreover, we suppose that both users and suppliers are distributed in their relative affinity for each platform type. That is, each user [supplier] has his/her own preferential position toward each platform, and users [suppliers] are horizontally differentiated over [0, 1]. And for analytical tractability, some parameters like direct and indirect network externalities are the same across the markets. Given the parameters and the pricing profile, users and suppliers conduct subscription game, where participants select the platform that gives them the highest payoffs. This game proceeds according to a replicator dynamics of the evolutionary game, which is simplified by properly defining gains from participant's strategy in the subscription game. We find that depending on the strength of these network effects, there might either be multiple stable equilibria, at which users and suppliers distribute across both platforms, or one unstable interior equilibrium corresponding to the market tipping in favor of either platform. In both cases, we also consider the pricing power of competing platform providers under the framework of the Stackelberg game. In particular, our study examines the possible effects of the type of competition between platform providers, which may constrain the equilibrium selection in the subscription game.

A PHOTOELASTIC ANALYSIS OF THE EFFECT OF ORTHOPEDIC FORCES ON THE CRANIOFACIAL COMPLEX UTILIZING THE THREE KINDS OF THE HEAD GEAR (각종의 HEAD GEAR를 사용한 정형력이 두개안면 골에 미치는 영향에 대한 광탄성적 연구)

  • Kim, Kwang-Ho
    • The korean journal of orthodontics
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    • v.16 no.1
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    • pp.71-84
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    • 1986
  • The purpose of this study was to analyze the effect of orthopedic forces on the craniofacial complex utilizing the three kinds of the head gear. (high pull head gear, straight pull head gear, cervical pull head gear) For this study, the teeth and alveolar bone and palate were reproduced from birefringent materials and other parts of craniofacial complex were coated with birefringent material on the model. The effect of orthopedic forces on the craniofacial complex was analyzed by photoelastic method using transmission polariscope and reflection polariscope. The results were as follows. 1. The cervical pull head gear had the greatest tipping effect on the maxillary molars and high pull head gear had the least tipping effect. 2. In areas stressed, the cervical pull head gear stressed the greatest degree. 3. Only cervical pull head gear produced stress at the zygomaticofrontal suture and the posterior region of palate. 4. The straight pull head gear and high pull head gear produced stress at just inferior to the anterior nasal spine. 5. The cervical pull head gear and straight pull head gear produced tensile stress at the fronto-maxillary suture. 6. The pterygoid plates of the sphenoid bone, the zygomatic arches, the junction of the maxilla with the lacrimal and ethmoid bone, and the maxillary molars were affected by three types of head gear.

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Bending Optimization of Archwire for Orthodontics Considering the Nonlinearity of Periodontal Ligament (치주인대의 비선형성을 고려한 치아 교정용 호선의 굽힘 최적화)

  • Heo, Ji-In;Lee, Kwon-Hee
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.6
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    • pp.77-83
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    • 2013
  • Orthodontics is a branch of dentistry that is concerned with the study and treatment of malocclusion, which may result from tooth irregularities, disproportionate jaw relationships, or both. Orthodontic devices consist of brackets, archwire connected to each bracket, and bends and hooks for auxiliary functions. Basically, orthodontics involves the interaction of brackets and archwire. It should be noted that uncontrolled tipping can occur due to unwanted movement of the teeth. The bending of an archwire can control the angle of an archwire and the rotation of a tooth. In this study, we predict the relationship between the bending angle of an archwire and the rotation of a tooth using the Kriging interpolation method. Also, we calculate the angle of an archwire that occurs at the minimum value of tooth rotation.

A Study on the Causal Loop Analysis and the Economics of BTO and BTL System of PFI (BTL과 BTO사업의 인과순환구조 분석과 경제성 비교에 관한 연구)

  • Choi, Nam-Hee
    • Korean System Dynamics Review
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    • v.12 no.4
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    • pp.35-62
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    • 2011
  • PFI(Private Finance Initiative) for suppling SOC and public facilities instead of Government Infrastructure Project introduced from 1994. BTO(Build-Transfer-Operate) project had been major type of PFI system from 1994 to 2005. But after changed the Law of PFI on SOC, the BTL project newly introduced. In BTO system, the Government retrieves the investment through the operating income, but in BTL system, the government lease the facilities. As the BTO and BTL projects are widely adopted and implemented to ease the fiscal burden of government, but it has caused the tremendous fiscal burden each year over the period operation. Therefore this study attempted to analyze the question, that is, why government fiscal burden tipping? Hence, this paper, compares the difference of business structure between BTO and BTL project and explore the vicious and virtuous business structure, with the method of circular causal loop analysis. As a result, it has shown that there are some positive feedback and negative feedback loops cause the tipping and easing of government fiscal burden.

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Anthropogenic Fingerprint on Recent Changes in Typhoon Heavy Rainfall beyond Tipping-Point (최근 태풍 호우에서 보이는 인류세 지문의 변화: 임계점을 넘어서)

  • Hyungjun Kim;Nobuyuki Utsumi
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.87-87
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    • 2023
  • The impact of climate change on typhoons is a major concern in East Asia, especially due to the destructive effects of heavy rainfall on society and the economy, as many megacities are located along coastal regions. Although observations suggest significant changes in typhoon heavy rainfall, the extent to which anthropogenic forcing contributes to these changes has yet to be determined. In this study, we demonstrate that anthropogenic global warming has a substantial impact on the observed changes in typhoon heavy rainfall in the western North Pacific region. Observation data indicates that, in general, typhoon heavy rainfall has increased (decreased) in coastal East Asia (tropical western North Pacific) during the latter half of the 20th century and beyond. This spatial distribution is similar to the "anthropogenic fingerprint" observed from a set of large ensemble climate simulations, which represents the difference between Earth systems with and without human-induced greenhouse gas emissions. This provides evidence to support the claim that the significant increase in the frequency of typhoon heavy rainfall along coastal East Asia cannot be solely explained by natural variability. In addition, our results indicate that the signal of the "anthropogenic fingerprint" has been increasing rapidly since the mid-1970s and departed from natural variability in the early 2000s, indicating that the regional summer climate has already crossed the tipping point.

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Three-dimensional finite element analysis of initial tooth displacement according to force application point during maxillary six anterior teeth retraction using skeletal anchorage (골격성 고정원을 이용한 상악 6전치 후방 견인시 힘의 적용점 변화에 따른 치아 이동 양상에 관한 유한 요소법적 분석)

  • Kim, Chan-Nyeon;Sung, Jae-Hyun;Kyung, Hee-Moon
    • The korean journal of orthodontics
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    • v.33 no.5 s.100
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    • pp.339-350
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    • 2003
  • The purpose of this study was to investigate the micro-implant height and anterior hook height to prevent maxillary six anterior teeth from lingual tipping and extruding during space closure. We manufactured maxillary dental arch form, bracket and wire, using the computer aided three-dimensional finite element method. Bracket was $.022'{\times}.028'$ slot size and attached to tooth surface. Wire was $.019'{\times}.025'$ stainless steel and $.032'{\times}.032'$ stainless steel hook was attached to wire between lateral incisor and canine. Length of hook was 8mm and force application points were marked at intervals of In. Four micro-implants were implanted on alveolar bone between second premolar and first molar. The heights of them were 4, 6, 8, 10mm starting from wire. We analyzed initial displacement of teeth by various force application point applying force of 150gm to each micro-implant and anterior hook. The conclusions of 4his study are as the following : 1. When the micro-implant height was 4m and the anterior hook height was 5mm and below, anterior teeth were tipped lingually. When the anterior hook height was 6mm and above, anterior teeth were tipped labially. 2. When the micro-implant height was 6mm and the anterior hook height was 6mm and below, the anterior teeth were tipped lingually. When the anterior hook height was 6m and above, the anterior teeth were tipped labially. But lingual tipping of anterior teeth decreased and labial tipping Increased when the micro-implant height was 6mm, compared with 4mm micro-implant height. 3. When the micro-implant height was 8mm and the anterior hook height was 2mm, the anterior teeth were tipped lingually. When the anterior hook height was 3mm and above, labial tipping movement of the anterior teeth increased proportionally. 4. When the micro-implant height was 10mm and the anterior hook height was 2mm and above, labial tipping of the anterior teeth increased proportionally. 5. As the anterior hook height increased, aterior teeth were tipped more labially. But extrusion occurred on canine and premolar area because of the increase of wire distortion. 6. Movement of the posterior teeth was tipped distally during maxillary six anterior teeth retraction using micro-im plant because of the friction between bracket and were Based on the results of this study, we could predict the pattern of the tooth movement according to position of micro-implant and height of anterior hook. It seems that we can find the force application point for proper tooth movement in consideration of inclination of anterior anterior teeth, periodontal condition, overjet and overbite