• Title/Summary/Keyword: Twin-Block

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THE REVERSE TWIN BLOCK APPLIANCE WITH REMOVABLE LIP PADS (가철식 Lip Pad가 부가된 Reverse Twin Block 장치)

  • Kim, Sung-Ki;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.32-37
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    • 1999
  • Twin blocks are bite-blocks that effectively modify the occlusal inclined plane to induce favorably directed occlusal forces by causing a functional mandibular displacement. One of the advantage is that full-time wear can be possible because of less interference with normal function such as eating and speaking. So rapid correction of malocclusion is expected. Reverse twin block appliance is modification for correction of class III malocclusion with sagittal component. For increased growth stimulation effort on premaxilla, lip pads can be added. But with lip pads, patients are incapable of full-time wear especially during mealtime. So, removable lip pads can be used for stimulation of growth on premaxilla without any restriction of function. The advantages of the reverse twin block appliance with removable lip pads are: 1. Full-time wear is possible (including mealtime). 2. Patients' cooperation and adaptation is excellent. 3. There is no period of dual bite. 4. Orthopedic correction is achieved by multiple modes, shortening the treatment time. The applied case shows that the reverse twin block appliance with removable lip pads is effective for treatment of class III malocclusion and can shorten the time of treatment.

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Grid Generation and flow Analysis around a Twin-skeg Container Ship (Twin-skeg형 컨테이너선 주위의 격자계 생성과 유동 해석)

  • 박일룡;김우전;반석호
    • Journal of the Society of Naval Architects of Korea
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    • v.41 no.1
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    • pp.15-22
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    • 2004
  • Twin-skeg type stern shapes are recently adopted for very large commercial ships. However it is difficult to apply a CFD system to a hull form having twin-skeg, since grid topology around a twin-skeg type stern is more complicated than that of a conventional single-screw ship, or of an open-shaft type twin-screw ship with center-skeg. In the present study a surface mesh generator and a multi-block field grid generation program have been developed for twin-skeg type stern. Furthermore, multi-block flow solvers are utilized for potential and viscous flow analysis around a twin-skeg type stern The present computational system is applied to a 15,000TEU container ship with twin-skeg to prove the applicability. Wave profiles and wake distribution are calculated using the developed flow analysis tools and the results are compared with towing tank measurements.

CASE REPORT ON TREATMENT OF CLASS II MALOCCLUSION WITH TWIN BLOCK APPLIANCES (Twin Block을 이용한 II급 부정교합의 치료증례)

  • Park, Soo-Jin;Jang, Ki-Taeg;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.134-143
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    • 1998
  • Twin Blocks are simple bite-blocks that effectively modify the occlusal inclined plane to induce favorably directed occlusal forces by causing a functional mandibular displacement. These devices use upper and lower bite-blocks that engage on occlusal inclined planes. Twin Blocks use the forces of occlusion as the functional mechanism to correct the malocclusion. To get an excellent result in the treatment by using the Twin Block appliances, proper case selection must be needed. Twin Block treatment is performed in two stages. Twin Blocks are used in the active phase to correct the anteroposterior relationship and establish the correct vertical dimension. Once this phase is accomplished, the Twin Blocks are replaced with an upper Hawley type of appliance with an anterior inclined plane, which is then used to support the corrected position as the posterior teeth settle fully into occlusion. The Twin Block is the most comfortable, the most esthetic ane the most efficient of all the functional appliances. Twin Blocks have many advantages compared to other functional appliances. Patients can wear Twin Blocks 24 hours per day and can eat comfortably with the appliances in place. From the moment Twin Blocks are fitted, the appearance is noticeably improved. There is less interference with normal function. Integration with conventional fixed appliances is simpler than with any other functional appliance. Twin Blocks allow independent control of upper and lower arch width. Appliance design is easily modified for transverse and sigittal arch development. The authors treated Class II malocclusion with Twin Blocks. and the results as follows; 1. Rapid profile improvement was achieved in 2-3 months. 2. There was excellent patient cooperation. 3. Severe overjet and overbite were reduced. 4. Class II molar relationship was changed to Class I.

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Three-dimensional cone beam computed tomography analysis of temporomandibular joint response to the Twin-block functional appliance

  • Jiang, Yuan-yuan;Sun, Lian;Wang, Hua;Zhao, Chun-yang;Zhang, Wei-Bing
    • The korean journal of orthodontics
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    • v.50 no.2
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    • pp.86-97
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    • 2020
  • Objective: To propose a three-dimensional (3D) method for evaluating temporomandibular joint (TMJ) changes during Twin-block treatment. Methods: Seventeen patients with Class II division 1 malocclusion treated using Twin-block and nine untreated patients with a similar malocclusion were included in this research. We collected their cone beam computed tomography (CBCT) data from before and 8 months after treatment. Segmentations were constructed using ITK-SNAP. Condylar volume and superficial area were measured using 3D Slicer. The 3D landmarks were identified on CBCT images by using Dolphin software to assess the condylar positional relationship. 3D models of the mandible and glenoid fossa of the patients were constructed and registered via voxel-based superimposition using 3D Slicer. Thereafter, skeletal changes could be visualized using 3DMeshMetric in any direction of the superimposition on a color-coded map. All the superimpositions were measured using the same scale on the distance color-coded map, in which red color represents overgrowth and blue color represents resorption. Results: Significant differences were observed in condylar volume, superficial area, and condylar position in both groups after 8 months. Compared with the control group (CG), the Twin-block group exhibited more obvious condyle-fossa modifications and joint positional changes. Moreover, on the color-coded map, more obvious condyle-fossa modifications could be observed in the posterior and superior directions in the Twin-block group than in the CG. Conclusions: We successfully established a 3D method for measuring and evaluating TMJ changes caused by Twin-block treatment. The treatment produced a larger condylar size and caused condylar positional changes.

Development of the Track System for a LIM Type Maglev (LIM 방식 자기부상철도의 궤도시스템 개발)

  • Yeo, In-Ho;Kim, Dong-Seok;Jang, Seung-Yup;Hwang, Sung-Ho
    • Journal of the Korean Society for Railway
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    • v.12 no.5
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    • pp.800-805
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    • 2009
  • This paper proposes the track system with twin block sleeper for a LIM type maglev railroad. Because a LIM type maglev railroad is expected to be constructed in inner city, social costs can be required under construction. Accordingly, superstructure using precast plate was adopted and twin block sleeper which can be constructed together with precast plate was developed to reduce the construction period. To examine the structural safety of the proposed track system with twin block sleeper, the finite element analyses and the laboratory experiments were performed. Also, the workability of the proposed track system was investigated through the construction simulation test and construction experience in test bed.

Successful treatment of growing skeletal class II children with Twin-Block appliance. (트윈블록을 이용한 성장기 II급 아동의 성공적인 하악골 성장 치료)

  • Kim, Seong Sik;Kim, Sung Hun;Kim, Yongil;Park, Soobyung;Son, Woosung
    • The Journal of the Korean dental association
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    • v.56 no.2
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    • pp.103-112
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    • 2018
  • The treatment of skeletal Class II growing patient is to move the mandible into the Class I molar positon via facilitating mandibular growth. The functional appliances are to be designed to exert three major functions such as palatal expansion, forward growth of mandible and increase of the posterior vertical dimension. One of the devices that can achieve both the palatal expansion and the eruption of the mandibular molar is the Twin-Block introduced by Clark in 1982. In this part, we present the treatment method with Twin-Block functional appliance for the correction of skeletal Class II growing patient.

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Predictors of favorable soft tissue profile outcomes following Class II Twin-block treatment

  • Kim, Ji-Eun;Mah, Su-Jung;Kim, Tae-Woo;Kim, Su-Jung;Park, Ki-Ho;Kang, Yoon-Goo
    • The korean journal of orthodontics
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    • v.48 no.1
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    • pp.11-22
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    • 2018
  • Objective: The aim of this study was to determine cephalometric factors that help predict favorable soft-tissue profile outcomes following treatment with the Class II Twin-block appliance. Methods: Pre- and post-treatment lateral cephalograms of 45 patients treated with the Class II Twin-block appliance were retrospectively analyzed. Profile silhouettes were drawn from the cephalograms and evaluated by three orthodontists in order to determine the extent of improvement. Samples were divided into a favorable group (upper 30% of visual analogue scale [VAS] scores, n = 14) and an unfavorable group (lower 30% of VAS scores, n = 14). Skeletal and soft-tissue measurements were performed on the cephalograms and an intergroup comparison was conducted. Results: An independent t-test revealed that the following pre-treatment values were lower in the favorable group compared to the unfavorable group: lower incisor to mandibular plane angle, lower incisor to pogonion distance, point A-nasion-point B angle, sella-nasion line (SN) to maxillary plane angle, SN to mandibular plane angle, gonial angle, and symphysis inclination. The favorable group had a larger incisor inclination to occlusal plane. Moreover, the favorable group showed larger post-treatment changes in gonial angle, B point projection, and pogonion projection than did the unfavorable group. Conclusions: Class II malocclusion patients with a low divergent skeletal pattern and reduced lower incisor protrusions are likely to show more improvement in soft-tissue profile outcomes following Class II Twin-block treatment.

A CASE REPORT ON TREATMENT OF CLASS II MALOCCLUSION WITH TWIN BLOCKS IN GROWING CHILD (Modified Twin Blocks에 의한 성장기 아동의 II급 부정교합의 치료증례)

  • Yang, Kyu-Ho;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.577-585
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    • 1994
  • The Twin Blocks technique was developed by Dr. William Clark of Scotland during the early 1980's. Twin Blocks are an uncomplicated system that incorporates the use of upper and lower bite blocks. These blocks reposition the mandible and redirect occlusal forces to achieve rapid correction of malocclusions. They are also comfortable and the patients wear them full-time-inducing eating time. Occlusal forces transmitted through the dentition provide a constant proprioceptive stimulus to influence the rate of growth and the trabecular structure of the supporting bone. The features of Twin Blocks mean easier and quicker treatment. The occlusal inclined plane is the fundamental functional mechanism of the natural dentition. Twin blocks are bite blocks that effectively modify the occlusal inclined plane to induce favorably directed occlusal forces by causing a functional mandibular displacement. Upper and lower bite blocks interlock at a $45^{\circ}$ angle and are designed for full-time wear to take advantage of all functional forces applied to the dentition including the forces of mastication. The patients who were treated with modified Twin Blocks, and following results were observed: 1. Large overjet and deep overbite were corrected. 2. Class II molar relationship was changed into Class I. 3. Labial inclination of upper incisors was corrected by adjustment of labial bow of upper bite block. 4. The profiles of two patients were improved by anterior displacement of mandible.

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Development of Operation Strategy to improve Efficiency for Twin Automated Transfer Crane in an Automated Container Terminal

  • Park, Byung-Joo;Choi, Hyung-Rim
    • Journal of Navigation and Port Research
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    • v.31 no.7
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    • pp.605-611
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    • 2007
  • In order to become a mega hub port, major ports all over the world are making every effort to enhance their productivity through efficiency of internal operation. Accordingly, in order to enhance the competitiveness of a container terminal, an automated container terminal is considered as the best alternative. An automated container terminal is using such automated handling equipment as AGV(Automated Guided Vehicles) and ATC(Automated Transfer Crane). The efficient equipment operation plays a critical role in enhancing the productivity of an automated container terminal. In an automated container terminal, the most important equipments are AGV and ATC. Each block of containers with a vertical layout is generally operating two ATCs. The two ATCs can be crossed or not at each block. In the case of operating crossover ATC, it has an advantage of high flexibility that ATC work is possible at both TP(Transfer Point) of each block. But it has also a disadvantage that the yard has to be operated at a low storage level of containers in the terminal yard. Recently, for automated container terminals, which are being prepared for opening in Korea, they plan to use uncrossed twin ATC in order to make the storage level of their yards high at a low cost. Therefore, studies have to be made in order to increase the efficiency of twin ATC system based on the flexibility that the crossover ATC system has. This research aims to suggest an operation strategy to improve efficiency of twin ATC at each storage block in a yard.