• Journal of the korean academy of Pediatric Dentistry
• /
• v.23 no.3
• /
• pp.624-630
• /
• 1996

Anterior openbite is defined as the lack of contacts between the functional occluding teeth on vertical line at centric occlusion and classified into functional and skeletal anterior openbite based on its causes and characteristics. Anterior openbite causes masticatory, speech, and esthetic problems in the growing children and difficulties in diagnosis, treatment, and the prediction of its prognosis. We are reporting on the treatment of anterior openbite in the growing children and the results follow as : 1. In the growing children with anterior openbite, the overbite could be increased by the treatment according to its causes and characteristics. 2. The prognosis is not determined by the presence or severity of oral habit but the skeletal tendency of the patient.

• Biomedical Science Letters
• /
• v.21 no.2
• /
• pp.92-102
• /
• 2015

This work aimed to study whether rice bran extract fermented with Lactobacillus plantarum (LW) promotes functional recovery and reduces cognitive impairment after ischemic brain injury. Ischemic brain injury was induced by middle cerebral artery occlusion (MCAO) in rats. Four groups were studied, namely the (1) sham, (2) vehicle, (3) donepezil, and (4) LW groups. Animals were injected with LW once a day for 7 days after middle cerebral artery occlusion. LW group showed significantly improved neurological function as compared to the vehicle group, as well as enhanced learning and memory in the Morris water maze. The LW group showed the greatest functional recovery. Moreover, the LW group showed an enhanced more survival cells anti-apoptotic effect in the cortex and neural cell densities in the hippocampal DG and CA1. In addition, this group showed enhanced expression of neurotrophic factors, antioxidant genes, and the acetylcholine receptor gene, as well as synaptophysin (SYP), Fox-3 (NeuN), doublecortin (DCX), and choline acetyltransferase (ChAT) proteins. Our findings indicate that LW treatment showed the largest effects in functional recovery and cognitive improvement after ischemic brain injury through stimulation of the acetylcholine receptor, antioxidant genes, neurotrophic factors, and expression of NeuN, SYP, DCX, and ChAT.

• The Journal of Korean Academy of Prosthodontics
• /
• v.56 no.1
• /
• pp.31-39
• /
• 2018

The collapse of the posterior occlusion destroys the normal occlusal plane and causes excessive wear reducing the vertical dimension. Reduced vertical dimension of occlusion causes not only aesthetic and functional problems but also overloading on the temporomandibular joints and abnormalities of muscle nerve system. In order to improve the collapsed occlusal relationship, it is necessary to consider the change of the vertical dimension. It is necessary to make a precise diagnosis and analysis before the treatment and to evaluate the adaption of patient to the new vertical dimension of occlusion. A patient with excessive overbite often has occlusal problems of tooth wear and tooth eruption. Considering these considerations, overall prosthodontic restoration is required to solve the problem. A patient of 68 year old man in this case who suffered major tooth wear and maxillary posterior teeth loss was treated with elevation of vertical dimension of occlusion by maxillary removable dental prosthesis and mandibular fixed prosthesis.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.30 no.3
• /
• pp.238-245
• /
• 2014

In order to create denture occlusion that is functional, comfortable and balanced, it is necessary to both determine a vertical dimension of occlusion that is in harmony with the patient's musculature and to record a relatively repeatable jaw relation position. This require clinical skill to establish an accurate, verifiable and reproducible vertical dimension of occlusion (VDO) and centric relation (CR). Correct vertical relation depends upon a consideration of several factors, including muscle tone, inter-dental arch space and parallelism of the ridges. Centric relation is considered to be a repeatable position from which all opening and lateral mandibular movements begin and recording this position is a critical step in the fabrication of dentures. Any errors made while taking maxillo-mandibular jaw relation records will result in denture that are uncomfortable. The purpose of this paper is to review a very simple and efficient technique for accomplishing these two important steps in denture fabrication.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.26 no.3
• /
• pp.229-237
• /
• 2000

According to the functional matrix theory, Delaire proposes that individual occlusal plane was determined by variable effects of teeth, maxilla, mandible, cranium, cranial base and soft tissue matrix including the orofacial musculature. and that there is the ideal occlusal plane determined by the most proper spatial position of maxilla and mandible, functionally and esthetically. This study was designed to find out the relation between Delaire's ideal occlusal plane and muscle activity of masticatory muscles in individuals who have normal maxillo-mandibular relationships. Lateral cephalometric radiographs were taken and his/her individual occlusal plane and ideal occlusal plane were analyzed with Delaire's architectural and structural craniofacial analytic method. For evaluation of muscle activities of masticatory muscles, electromyography of anterior temporal muscle, superficial masseter muscle, and anterior belly of digastric muscle was recorded in fifty Korean normal Angle class I occlusion individuals. According to the average value of ideal occlusal plane, fifty normal Angle class I occlusion individuals were classified into three groups: Ideal occlusal plane group(I group), hyperrotation group(I+ group) and hyporotation group(I- group). The result of this study was as follows: 1. The results of Delaire's architectural and structural craniofacial analysis of lateral cephalography of the fifty Korean normal Angle class I occlusion individuals are that twelve persons(24%) have consistent or parallel with ideal occlusal plane and the average of angular difference was $1.22^{\circ}{\pm}3.69^{\circ}$. 2. There is no significant difference in muscle activities of masticatory muscles during resting(p<0.05), but significant increases of muscle activity of ipsilateral anterior temporal and masseter muscle, contralateral anterior belly of digastric muscle during unilateral chewing and of anterior temporal and masseter muscle during bilateral clenching(p<0.05). 3. To find out the effect of the angular difference between Delaire's ideal occlusal plane and real occlusal plane to muscle activity, muscle activities of masticatory muscles were compared with three groups in each other; I group, I+ group and I- group. The results were no significant differences during resting, unilateral chewing and bilateral clenching.(p>0.05) 4. Although there is no significant differences of masticatory muscle activities among the three groups, the fact that increasing tendency of masseter muscle activity of ideal occlusal plane group(I+) than those of any other groups(I+ and I-) during bilateral clenching was noted. There is only the implication that occlusal plane makes some effects on masticatory muscle activities, espacially that of masseter muscle during bilateral clenching. In conclusion, the hypothesis that occlusal plane is one of the factors which affect the muscle activities of masticatory muscles and that anyone whose occlusal plane consistent with Delaire's ideal occlusal plane has an extraordinary functional advantage in masticatory muscle function cannot be proven with electromyography methods.

• The Journal of Korean Academy of Prosthodontics
• /
• v.59 no.4
• /
• pp.431-441
• /
• 2021

Full-mouth rehabilitation with increasing vertical dimension can be used for patients with severely worn teeth. In severely worn teeth also, the alveolar process can be elongated to compensate for the reduced vertical dimension, and the patient's vertical dimension of occlusion can be kept constant. However, full-mouth rehabilitation with increasing vertical dimension must be carefully chosen, because the vertical dimension can be reduced by tooth wear. It is important to establish a treatment plan with the systematic diagnosis of the change in the vertical dimension and gain space for the prosthesis. It is necessary to change the vertical dimension to secure the restoration space and select the minimum vertical dimension elevation for the esthetic and functional goal. In this case report, the patient complained of difficulty during chewing due to a worn dentition and wanted esthetic improvement of the short mandibular anterior teeth. After systematic evaluation and diagnosis, we performed full-mouth rehabilitation with minimum vertical dimension elevation to obtain the space for restoration. This resulted in a stable and harmonious occlusion, and the functional and esthetic problems of the patient were solved after treatment. The patient was satisfied with the results of the treatment and maintained stable occlusion during the follow-up period.

• The korean journal of orthodontics
• /
• v.13 no.1
• /
• pp.15-30
• /
• 1983

This study was to investigate the effect of functional pressures of the tongue and lips on the incisor relationship. The incisor relationship was devided into two categories; one is vertical relationship which is subdevided into open bite, normal overbite and deep bite on the basis of overbite, and the other is anteroposterior relationship which is subdevided into cross bite, normal overjet and large overjet on the basis of overjet. The functional tongue and lip pressures exerted to incisors were measured with subminiature pressure sense from the 99 subjects, 19 of normal overbite and overjet, 26 of open bite, 18 of deep bite, 17 of cross bite and 19 of large overjet with age of 17-20, and cephalograms were taken from the same subjects. Functional pressures were analyzed and correlated to craniofacial veriables. The results of present investigation led to the following conclusions. 1. There were no differences in functional and maximum pressures by the tongue and lips exerted to maxillary incisors between normal occlusion, open bite, deep bite, cross bite and large overjet. 2. Significant differences in functional and maximum pressures by the tongue and lips exerted to mandibular incisors have been shown to exist between open bite and deep bite, but no differences between cross bite and large overjet. 3. Equilibrium between tongue pressures and lip pressures did not exist. 4. Significant differences in the ratio of upper functional and maximum pressures to lower pressures of the tongue and lips exerted to upper and lower incisors have been shown to exist between open bite and deep bite, and no differences between cross bite and large overjet. 5, There was significant correlation between functional and maximum pressures exerted to mandibular incisors and craniofacial variables, but not significant correlation between functional and maximum pressures exerted to maxillary incisors and craniofacial variables.

• The korean journal of orthodontics
• /
• v.6 no.1
• /
• pp.65-69
• /
• 1976

A patient (Hellman dental age IIIA) who had anterior cross bite due to functional factor was treated with activator. Following results were obtained: 1) Anterior cross bite was crorrected 3 months after the initial application of the appliance. 2) Comparing pretreatment records with posttreatment, the main effects were labioversion of upper incisors, increase of upper arch length and downward-backward rotation of the mandible. 3) There was no damage on teeth and periodontal tissues and the patient had normal occlusion 1 year after the treatment.

• The Journal of the Korean dental association
• /
• v.13 no.12
• /
• pp.1135-1139
• /
• 1975

A boy aged 13 years 5 months, had a Angle's clss I malocclusion characterized by severe anterior crowding. Molar relationship was neutroclusion, incisor overbite was 4mm, incisor overjet was 3mm. The patient underwent extraction of four first premolars and was treated with a multi-banded light force system. On the process of the orthodontic treatment, the teeth, obtained functional occlusion. The result of treatment was very satisfactory; color, vitality and mobility were normal, periodontal condition was good and the cosmetic result was excellent.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.23 no.2
• /
• pp.139-144
• /
• 2007

Prosthodontic treatment planning for various edentulous arches is not an easy issue for dentists. Especially, in case of removable partial denture, we must have a knowledge of overall treatment procedures, and a careful approach is needed. Recently, interest of dental implant and case reports are increasing, the decrease of the removable partial denture is true, but dental implantation takes longer treatment period and it is more expensive. Also, there are still some limitations like lack of available alveolar bone, patient's general condition, and chronic periodontitis. Therefore, sometimes implantation is impossible. Finally, implantation cannot be adapted to every single patient. Currently, the clasp type removable partial dentures are used routinely, giving patients many unesthetic and functional difficulties. With better laboratory technique, removable partial denture with attachment and removable partial denture in rigid type increase patient's happiness level much more than predicted. The case presented in this article, clinically demonstrate the efficiency of using a telescopic system to improve esthetic and functional recovery for patients who lose multiple teeth.