• Title/Summary/Keyword: dental appliance

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Experimental Study on Fracture Protect Effect in Mouthguards (수종의 마우스가드에 대한 파절방지효과 비교)

  • Kim, Nam-Joong;Kim, So-Min
    • Journal of Technologic Dentistry
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    • v.31 no.2
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    • pp.31-38
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    • 2009
  • In recent year, the population for sports has been increased and lots of wounded patients at the oral & facial portion were troubled with the accidents. So, it was needed to protect them from the sports accident, by the use of the mouthguard appliance. This study was done as ae guide for selection of the mouthguard materials. Such mouthguards classified as E.V.A., PE, silicone as material, Scheu(Germany), Tru-Tain(U.S.A.), Dreve(Germany) as companies, 1.5mm, 3.0mm, and 4.0mm as thickness and single sheet, soft double sheet, hard double sheet methods were selected for experiment to compare the fracture protect test. The obtained results are as follows. 1. All types of mouthguards, whatever differences there are in material, production company, procedure and the thickness, were effective for fracture protect effect. 2. The most effective one for fracture protection was recommended as E.V.A. in material, and Tru-Tain in company. 3. More thick, and soft & hard multi sheets productions were more effective for fracture protection.

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TREATMENT OF MISSING CENTRAL INCISORS USING SPACE REGAINING AND MARYLAND BRIDGE : CASE REPORT (상실된 영구 중절치의 교정적 치료와 심미적 수복 치험례)

  • Jun, Sang-Eun;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.611-616
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    • 1994
  • A major cause of missing permanent incisors is congenital abscence and extraction because of trauma and pathologic condition. The request for restoration of missing or spaced anterior teeth is common in dental practice. Problems, such as the tilting, drifting, and rotation of teeth adjacent to the space, complicate the restoration of apperance, and a normally simple restorative dental procedure may become difficult. There are two primary treatment alternatives to improving a dentition's irregular and spaced apperance-closing the space by orthodontic means or providing a prosthesis to disguise the space. The treatment choice depends on many variables, but, as a general rule, patients with a normal overbite, overjet, and buccal relationship are better treated by maintaining the sapce and providing a prosthesis, either fixed or removable. This case report presents two cases : Traumatic loss of maxillary right and left central incisors, Extraction of malformed mandibular right central inciosr. The loss of central incisor space was regained by the fixed-removable and fixed orthodontic appliance, and then Maryland bridge was cemented.

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Comparison of retention characteristics of Essix and Hawley retainers

  • Demir, Abdullah;Babacan, Hasan;Nalcaci, Ruhi;Topcuoglu, Tolga
    • The korean journal of orthodontics
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    • v.42 no.5
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    • pp.255-262
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    • 2012
  • Objective: We aimed to compare the retention characteristics of Essix and Hawley retainers. Methods: Adolescents undergoing fixed appliance treatment at 2 centers were recruited for this study. Twenty-two patients (16 women and 6 men) wore Essix retainers (Essix group) while 20 (14 women and 6 men) wore Hawley retainers (Hawley group). The mean retention time was 1 year, and the mean follow-up recall time for both groups was 2 years. Two qualified dental examiners evaluated the blind patient data. Maxillary and mandibular dental casts and lateral cephalograms were analyzed at 4 stages: pretreatment (T1), post-treatment (T2), post-retention (T3), and follow-up (T4). Results: The results revealed that Essix appliances were more efficient in retaining the anterior teeth in the mandible during a 1-year retention period. The irregularity index increased in both arches in both groups after a 2-year post-retention period. The mandibular arch lengths increased during treatment and tended to return to their original value after retention in both groups; however, these changes were statistically significant only in the Hawley group. Cephalometric variables did not show any significant differences. Conclusions: The retention characteristics of both Essix and Hawley retainers are similar.

Digital fabrication and application of clear aligner after alignment with NiTi archwires (NiTi 호선을 이용한 초기 배열 후 디지털 방식 투명교정장치의 적용)

  • Lim, Sung-Hoon
    • The Journal of the Korean dental association
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    • v.54 no.7
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    • pp.551-562
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    • 2016
  • There are interferences between the teeth to be moved and the clear aligner made from setup. These interferences generate forces which move teeth to the desired position. However, these can cause incomplete tooth capture of clear aligner. When these interferences exceed the acceptable deformation of aligner, unwanted intrusion of teeth to be moved occurs. When correction of rotation or tipping of teeth is attempted, intrusion prevails before rotation or tipping. However, clear aligner can induce labiolingual tipping or intrusion easily. To achieve preliminary alignment including control of rotation and tipping, NiTi archwires with fixed appliance can be used first, and then clear aligner can be used for finishing in mild Class I maloccusion cases. For this purpose, clear aligner can be made using a digital setup and 3D printing. To move teeth using a clear aligner, tooth capture is critical. To improve tooth capture of clear aligners, slingshot or vertical elastics can be used. These were discussed with illustrations.

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Change of arch dimension using two different expansion modalities in adults-MARPE and continuous archwire: a pilot study (임상가를 위한 특집 4 - 성인에서 미니스크류 보강형 비수술적 구개확장장치와 연속호선에 의한 악궁확장 효과 비교)

  • Koo, Yun-Jin;Choi, Tae-Hyun;Jang, Ji-Sung;Lee, Kee-Joon
    • The Journal of the Korean dental association
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    • v.51 no.6
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    • pp.330-336
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    • 2013
  • Considering the high prevalence, transverse control in adult patients presenting relatively narrow maxillary width is a challenging issue. This study compared the pattern of arch expansion induced by either miniscrew-assisted rapid palatal expander (MARPE) or continuous archwire engaged on self-ligating brackets. Age-matched adults groups(N=15 each) were treated with respective appliance. In both groups, all intercanine, interpremolar, and intermolar widths increased, and significantly greater change was noted in the intermolar region. Buccal tipping was minimal in both groups. Subsequent arch length increase, lingual tipping of incisors and distal tipping of molars were also found in both groups. According to the results, it can be concluded that the MARPE induced generally more arch expansion, particularly in the intermolar width, indicating that the adults showing buccal crossbite of the molars may have to undergo expansion via MARPE prior to arch alignment using continuous archwire.

A STUDY OF THE CROWN ANGULATION IN NORMAL OCCLUSION (정상교합자의 crown angulation에 관한 연구)

  • Yoon, Jung-Jin;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.16 no.2
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    • pp.123-133
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    • 1986
  • The purpose of this study was to collect the information of the straight-wire appliance and to determine the amount of second-order bends in clinical orthodontics. The author analysed the study model of 50 individuals with normal occlusion and results were obtained as follows. 1. The crown angulation was 4 degree in upper central incisor, 7 degree in upper lateral incisor, and 0 degree in lower central incisor and lateral incisor. 2. The crown angulation was 8 degree in upper cuspid and 2 degree in lower cuspid. 3. The crown angulations were 4 degree in upper first bicuspid, upper second bicuspid and lower second bicuspid and 1 degree in lower first bicuspid. 4. The crown angulation was 3 degree in upper first molar, 0 degree in upper second molar, 5 degree in lower first molar and 8 degree in lower second molar. 5. The crown angulations in lower arch were progressively increased from first premolar to second molar. 6. In upper arch, as the crown angulation of one tooth was increased, those of adjacent teeth were increased, too. 7. In the case of lower arch, the crown angulation of cuspid was increased as that of lateral incisor was increased, the crown angulation of second premolar was increased as that of first premolar was increased, and similarity the crown angulation of second molar was increased as that of first molar was increased.

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ORTHODONTIC TRACTION OF HORIZONTALLY ERUPTED LOWER LATERAL INCISOR ON THE LINGUAL SIDE (설측으로 수평 맹출한 하악 측절치의 교정적 견인)

  • Mah, Yon-Joo;Sohn, Hyung-Kyu;Choi, Byung-Jai;Lee, Jae-Ho;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.1
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    • pp.117-123
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    • 2010
  • Tooth eruption is the movement of the tooth from the developing place in the alveolar bone to the functional position in the oral cavity. The permanent incisors originate from the dental lamina on the lingual side of preceding deciduous tooth and erupt to the level of the occlusion through the well developed gubernacular cord. Ectopic eruption is a developmental disturbance in the eruption pattern of the permanent dentition. Most of the ectopically erupted lower incisor has been found in lingual side. The ectopically erupted tooth could be repositioned by orthodontic force in the early mixed dentition, which could help preventing the problems of loss of space and the lingual tilting of the lower anterior teeth. An eight-year-old girl visited the department of pediatric dentistry, Yonsei Dental University Hospital, for the evaluation and the treatment of the lower right lateral incisor, which was horizontally erupted in the lingual side, parallel to the mouth floor. Her tongue was placed on the labial side of that tooth. There was no previous dental history of dental caries or trauma on the pre-occupied primary incisor. Clinical and radiographic examinations including the computed tomography(CT), showed no evidence of dilacerations on root. Therefore, we decided to start active orthodontic traction of the lower right lateral incisor. We designed the fixed type of buccal arch wire and the lip bumper with hook for the traction. Button was attached to the lingual side of the ectopically positioned tooth. Elastic was used between the appliance and the button on that tooth. After the tooth become upright over the tongue level, appliance was change to the removable type and periodic check-up with occlusal guidance was followed to monitor the position of the tooth. In this case using the fixed appliance with modified form of lip bumper and hook embedded in acrylic part instead of extraction was very efficient up-righting the ectopically erupted tooth toward the occlusal plane.

THE EFFECT OF DISTAL MOVEMENT OF UPPER MOLAR USING THE PENDULUM APPLIANCE (Pendulum 장치의 상악대구치의 원심이동에 대한 효과)

  • Lee, Chang-Seop;Kim, Jae-Gwang;Kang, Dug-Il;Song, Kwang-Chul;Jung, Hyun-Ku;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.488-495
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    • 2001
  • Treatment of class II malocclusions require distalization of maxillary molars into class I relationship. Intraarch distal molar movement techniques have recently assumed an important role in young patients. In this study, the dental and skeletal effects of the pendulum appliance were evaluated by means of cephalometric radiographs. The samples were consisted of 19 patients: 11 females and 8 males, mean age $11.68{\pm}1.52$ years. Measurements were obtained from cephalometric prior to and the day of removal of the pendulum appliance. Treatment changes were analyzed. The following results were obtain. 1. The pendulum appliance produced $2.94{\pm}1.54mm$ distal molar movement with a mean intrusion of $1.17{\pm}0.97mm$, mean period $18.13{\pm}7.95$ weeks. 2. The anchor tooth was $1.34{\pm}1.40mm$ forward movement and $0.48{\pm}0.99mm$ extrusion, and labial tilting of incisors. 3. The angle between palatal plane and mandibular plane increased significantly. 4. There was no significant difference in according to 2nd molar position. 5. Total movement was consisted of 74% distal movement of 1st molar and 26% forward movement of the anchor tooth.

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Clinical Appliance of Structure-Function Studies of Salivary Macromolecules (타액 단백질의 기능 및 구조 연구의 임상적 적용)

  • 고홍섭
    • Journal of Oral Medicine and Pain
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    • v.23 no.3
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    • pp.241-247
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    • 1998
  • Salivary research is at a critical crossroads regarding the clinical application of the basic knowledge. The purpose of this article is to introduce the current progress on salivary research to Korean dental scientists. The accumulated results based on advance technologies such as protein chemistry, molecular biology, and structural biology have showed that salivary macromolecules need structural requirements for proper function. Currently, several concepts or principles, which can be applied to salivary macromolecules, have been suggested. These include the role of molecules' conformation on biological activity, their multifunctional nature, their redundancy of function, their amphifunctional properties, and the potential importance of complexing between molecules. These concepts and the information available will help the development of saliva substitutes, the design of drug carriers and chimera molecules with enhanced function and the development of gene therapy protocols. These approaches will alleviate or restore lost salivary function and can be used to treat various kinds of oral and systemic diseases.

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Use of Intermaxillary Traction Appliances and Exercises to Strengthen the Masticatory Muscles of Patients with Anterior Open Bite Caused by Temporomandibular Joint Osteoarthritis: Case Reports

  • Park, Hyun-Jeong;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.47 no.2
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    • pp.95-101
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    • 2022
  • Temporomandibular joint osteoarthritis (TMJ OA) causes destruction of the temporomandibular joint (TMJ) and can lead to occlusal changes such as anterior open bite in some patients. Consequently, these patients may experience difficulty in chewing food items and exhibit abnormal functional habits such as bruxism, preventing healing of the TMJ condyles. Treatment protocols include the use of traction appliances to reduce stress on the condyles. Unstable occlusions can lead to weakness of the masticatory muscles which, in turn, worsen the occlusal changes and complicate pain management. Therefore, the current study evaluated the condition of the masseter muscle using ultrasonography and educated patients on the execution of gum-chewing exercises for muscle strengthening. It also aimed to assess the effects of traction appliances and strengthening exercises on the masticatory muscles of patients with occlusal changes caused by TMJ OA.