• 대한치과교정학회지
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• 제17권1호
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• pp.23-32
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• 1987

There are variations in regional cranial and facial balance as a normal developmental process and regional imbalances often tend to compensate each other to provide functional equilibrium. This study was designed to analyse the patterns of morphologic harmony and inharmony inherent in normal occlusion and malocclusion. The subjects consisted of 92 individuals with normal occlusion and 60 Class III malocclusion patients. Their lateral cephalograms were traced and analysed using the counterpart analysis described by Enlow. The normal occlusion group was divided into Normal Types A and B according to the relative positions of Points A and B. The following conclusions were reached: 1 The normal occlusion consisted of $28.3\%$ of Normal Type A and $69.6\%$ of Normal Type B. 2. The Normal Type A and B differed from each other in the morphology of the cranial base, the mandibular ramus and corpus, and the functional occlusal plane. The Normal Type B showed considerable mandibular protrusion effect in the effective dimension and alignment of the above factors. 3. Most normal individuals showed some degree of disharmony among morphologic factors but the deviations were relatively small. 4. The Normal Type B was less balanced than the Normal Type A. 5. More regional imbalances were involved in Class III malocclusion and the imbalances were more severe.

• 대한치과보철학회지
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• 제55권4호
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• pp.419-426
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• 2017

임플란트는 자각증상을 느끼기 어렵고, 완충역이 없으므로 응력 분포를 고려하지 않는 경우 기계적 실패를 야기할 수 있다. 다수의 상악 전치부 임플란트 수복의 경우 하악의 기능 운동 시 유도를 담당함으로써, 임플란트에 가해지는 측방력의 분산에 중요한 역할을 하므로, 적절한 가이드의 설정이 중요하다. T-scan system을 이용하는 방법은 교합지나 shimstock을 사용하는 기존의 정성적인 방법에 비해, 시간에 따른 교합의 변화와 기능 운동시 접촉되는 치아의 기여정도 및 육안으로 관찰하기 어려운 후방 구치나 반대편 치아의 접촉을 파악하는 등 동적인 교합평가에 유리하다. 본 논문에서는 다수의 상악 임플란트 보철물에 조화로운 전방유도를 부여하기 위하여 T-scan 분석을 활용하는 방법에 관하여 증례를 통해 살펴보고자 한다.

• The Journal of Advanced Prosthodontics
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• 제4권1호
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• pp.52-56
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• 2012

Conventional implant protocols required a load-free healing period of three to six months between placement and functional loading of the implants. Many efforts have been made to minimize the duration of treatment time. Several literatures have documented immediate function with provisional or definitive prosthesis within a week of the placement in response to these demands. In addition, immediate implant placement has advantages such as shortened treatment time and preservation of soft tissue architectures. This article presents immediate implant placement into fresh extraction sockets followed by functional immediate loading with provisional prosthesis on canine and premolars for a patient having canine protected occlusion.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.396-404
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• 2016

Purpose: The aim of this retrospective study was to determine the association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars, using data collected during from 2002 to 2015. Methods: Traumatic occlusion in the adjacent premolars was assessed by examining clinical parameters (bleeding on probing, probing pocket depth, fremitus, and tooth mobility) and radiographic parameters (loss of supporting bone and widening of the periodontal ligament space) over a mean follow-up of 5 years. Clinical factors (gender, age, implant type, maxillary or mandibular position, opposing teeth, and duration of functional loading) were evaluated statistically in order to characterize the relationship between implants in the posterior region and traumatic occlusion in the adjacent premolars. Results: The study inclusion criteria were met by 283 patients, who had received 347 implants in the posterior region. The incidence of traumatic occlusion in the adjacent premolars was significantly higher for splinted implants (P=0.004), implants in the maxillary region (P<0.001), and when implants were present in the opposing teeth (P<0.001). The other clinical factors of gender, age, and duration of functional loading were not significantly associated with traumatic occlusion. Conclusions: This study found that the risk of traumatic occlusion in the adjacent premolars increased when splinted implants were placed in the maxillary molar region and when the teeth opposing an implant also contained implants.

• 턱관절균형의학회지
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• 제2권1호
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• pp.13-16
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• 2012

Objectives: The quadrant theorem is a theorem proposed by C. M. Guzay in the field of functional, holistic dentistry. There are not much of scientific literature on the quadrant theorem. This study briefly reviewed basic concepts of quadrant theorem. Methods: A publication by Guzay and research articles were searched and reviewed. The quadrant theorem is depicted as a series of illustrations and accompanied explanations. Results: The primary concept of the quadrant theorem was presented in 1952. Based on geometric biophysics of the occlusion and related anatomical functions, physiological pivotal axis of the mandible is analyzed to occurs at the dens (the sub-atlas area). Composite muscular activity links the mandibular posture with C1-C2, which is then linked with the spinal posture. Twenty illustrations are progressively presented on the physiognomy, occlusion, and analysis of anatomical functions. The balanced distribution of the forces gives the durability of the functions in life. Conclusions: The quadrant theorem provides a functional linkage between the mandibular posture and the upper cervical vertebrae.

• Journal of Chest Surgery
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• 제20권2호
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• pp.342-347
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• 1987

Complete occlusion of the main LCA is associated with a poor prognosis if the RCA becomes severely occluded. The functional role of collateral circulation is critical in this situation. This study lends support to the hypothesis that coronary collateral circulation can provide critically needed myocardial blood flow via right to left collaterals. Not surprisingly, left ventricular function was maintained in 4 of the 5 patients studied who had main LCA occlusion and well-developed collateral circulation.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권1호
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• pp.82-88
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• 2005

Treatment methods of mandibular condylar fracture were conservative and surgical method. Surgical method of mandibular high condylar fracture was very difficult because approach and internal fixation of small size fracture fragment were difficult. So there is a tendency to select conservative method over surgical method for guiding a stable occlusion and avoiding TMJ disorder and growth disturbance, minimizing pain and deviation during function. But, in case of mandibular high condylar fracture patient who has no biting teeth on posterior teeth area, guiding a stable occlusion and conservative functional treatment were very difficult. In this case, patient was 62years old male. He had fracture of mandibular symphysis, right mandibular body, left mandibular high condyle. We treated the patient for mandibular symphysis and right mandibular body fracture area with surgical method. But left mandibular high condylar fracture area was difficult to treat with surgical method. So we selected a conservative functional method on left mandibular high condylar fracture area. We intended recovery of vertical dimension and stable occlusion with implantation of immediate provisional implant on maxillar and mandibular posterior teeth area, and temporary crown. And then patient did mandibular functional movement and his mandibular function was recoverd.

• 대한치과의사협회지
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• 제51권5호
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• pp.250-254
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• 2013

가철성 보철물에서는 교합을 어떻게 형성하느냐에 따라 의치에 가해지는 힘의 크기가 결정되고 그에 따라 의치의 안정에도 영향을 미친다. 즉, 의치에 가해지는 외력이 의치의 유지력보다 크면 의치가 불안정해지지만 가해지는 이탈력을 줄여서 의치의 유지력보다 작아지도록 하면 의치의 안정을 얻을 수 있다. 그러므로 주의 깊은 검사와 진단과정을 통해 환자에게 적절한 교합을 설계하는 것은 의치 성공의 중요한 기준인 안정에 필수적이다.

• The Korean Journal of Physiology
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• 제19권2호
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• pp.173-187
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• 1985

Renal compensatory adaptation caused by ablation of a part of renal mass has long been known in the field of the compensatory renal hypertrophy or hyperplasia. Many reports were found on the chronic mechanisms on the compensatory renal hyperfunction after exclusion of the contralateral kidney. However the mechanism(s) of the acute compensatory hyperfunction after contralateral exclusion has not yet been clarified. In the present experiment, we have tried to prove the possibility of the involvement of the renin-angiotensin system and/or prostaglandin system in the control mechanism of the acute compensatory renal hyperfunction after contralateral kidney exclusion. There were found different responses of the renal hyperfunction by contralateral renal pedicle or ureteral occlusion. Contralateral renal pedicle or ureteral occlusion caused a sustained increases of the urinary volume, sodium and potassium excretion, while the magnitude of the changes was different quantitatively by the maneuvers. Blood collection affected on the acute compensatory renal responses after ureteral as well as renal pedicle occlusion. Plasma prostaglandin $E_2$ level was not changed by the contralateral renal pedicle or ureteral occlusion. Urinary excretion of Prostaglandin $E_2$, the indices of renal prostaglandin biosynthesis, was not changed by the contralateral renal pedicle occlusion, but increased without significance by the contralateral ureteral occlusion. Acute renal compensatory responses after contralateral renal pedicle occlusion were blocked by the pretreatment of indomethacin. Plasma renin activity increased after contralateral ureteral occlusion, but the pattern of the increases was the same as in the time-control group. Plasma renin activity after contralateral renal pedicle occlusion did not change by the time sequence. SQ 20,881, an angiotensin I converting enzyme inhibitor, blunted the contralateral renal responses after the renal pedicle occlusion. Bilateral renal denervation abolished the contralateral renal responses after the renal pedicle occlusion. The above data suggest that there is no direct evidence to support the involvement of the renin-angiotensin system and/or prostaglandin system for the acute compensatory renal hyperfunction after contralateral kidney exclusion, and that the functional changes of the intact kidney may be caused by a humoral substances, or other mechanisms by afferent renal nerve activity originating from the treated kidney.

• 구강회복응용과학지
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• 제34권2호
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• pp.127-136
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• 2018

치조골 흡수가 심한 무치악 환자에서는 지지의 부족으로 유지, 안정 등의 요인을 갖추기 어렵다. 이에 추가적인 유지와 안정의 획득을 위한 노력으로 중립대의 이용 또는 단일평면교합 형성이 있다. 단일평면교합은 수평력의 제거 등 장점이 있어 오랜기간 이용되었다. 그리고 여기에 저작 효율과 심미성을 개선시키기 위해 설측교두교합이 제시되었다. 하지만 안정성 면에서는 단일평면교합과 설측교두교합 사이에 여전히 논란이 있다. 본 증례는 하악 치조골의 과도한 흡수에 의해 편평한 치조제를 보이는 두 환자로, piezography를 이용하여 기능 인상을 채득하고 단일평면교합과 설측교두교합의 의치를 각각 제작함으로써 환자에게 의치를 비교 선택할 수 있도록 하여 환자의 만족도를 높였기에 이를 보고하는 바이다.