• Title/Summary/Keyword: labial

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CLINICAL APPLICATION OF MODIFIED FR-4 (Modified FR-4의 임상적용례)

  • Song, Jae-Hyuk;Lee, Keung-Ho;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.323-328
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    • 2001
  • Anterior open bite is one in which the teeth in the anterior portion of the maxilla and mandible are vertically apart and lack the overlapping necessary for the incisive function when the mandible is in closed position. Anterior open bite is a result of the interaction of many different etiologic factors including thumb and finger sucking, lip and tongue habits, airway obstruction, skeletal growth abnormalities and its tendency may appear with any type of skeletal patterns, such as Class I, II or III malocclusion types. Though the treatment methods for anterior open bite are various, the conventional FR-4, designed by Rolf Fr$\"{a}$nkel, is known to be effective in treating open bite cases with Class I or II skeletal patterns. It is due to that an incidence of skeletal Class II is high in the Occidentals, and open bite is accompanied by these malocclusion type in many cases. However, an incidence of skeletal Class III is high in the Orientals, and open bite is sometimes accompanied by skeletal Class III in many cases. Although the use of the conventional FR-4 was effective in the treatment of open bite, skeletal Class III would be worsened. So, a modified FR-4(placing the labial bow in the lower, the labial pads in the upper) was designed for the treatment of patients showing skeletal Class III and open bite.

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Relationship between the facial bone thickness and gingival biotype of the anterior maxilla in Koreans (한국인의 상악 전치부 순측골 두께와 치은 생체형(gingival biotype)의 상관관계)

  • Park, Ji-Hun;Kim, Yeun-Kang;Kim, Hyoung-Min;Joo, Ji-Young;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.169-177
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    • 2015
  • Purpose: The objects of this study were to examine the thickness of labial plate of anterior maxillary teeth and the gingival biotype in Koreans and to evaluate whether there is a correlation between the gingival biotype and the thickness of labial plate. Materials and Methods: This study was performed on 335 teeth of 57 subjects at the Pusan National University Dental Hospital. Cone Beam Computed Tomography (CBCT) was used to measure the thickness of labial plate at 4 mm, 6 mm, 8 mm from the cementoenamel junction and the gingival biotype was determined by the visibility of periodontal probe. Results: Thin facial bone less than 1 mm was observed in 87% at 4 mm, 88% at 6 mm and 90% at 8 mm. In 21% of total objects, thin gingival biotype was observed. There is no correlation between the thickness of labial plate and gingival biotype. Conclusion: Additional thorough radiographic examination such as CBCT was mandatory for aesthetic dental implant in the anterior dentition besides clinical oral examination.

A study on the morphological changes of lower incisor and symphysis during surgical-orthodontic treatment in skeletal class III malocclusion (악교정 수술을 받은 골격성 III급 부정교합자의 치료전후 하악전치부 치조골 형태변화에 대한 연구)

  • Ahn, Hyung-Soo;Kim, Seong-Sik;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.32 no.5 s.94
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    • pp.361-373
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    • 2002
  • The purpose of this study was to evaluate the morphological changes of olveolar bone and mandibular symphysis of lower incisor by presurgical orthodontic treatment and orthognathic surgery in skeletal class III malocclusion. The sample consisted of 30 adult class III malocclusion patients who have received bilateral sagittal split mandibular osteotomy. Lateral cephalograms were taken before treatment, after presurgical orthodontic treatment and 3 months after orthognathic surgery. Skeletal and symphyseal measurements were compared and the relationships between them were analysed. The results were as follow : 1. The labial and lingual alveolar bone height in presurgical and postsurgical group were decreased than that of pretreatment group. 2. The vertical measurements of the craniofacial skeleton showed reverse correlationship with anteroposterior width of basal alveolar bone, but IMPA showed correlatiionship (p<0.01) 3. The craniofacial skeleton and the change of symphyseal measurements(symphyseal length, symphyseal width) showed no correlationship. 4. The labial alveolar bone height showed correlationship with lingual alveolar bone height(p<0.001), and negative correlationship with lingual alveolar crestal width(p<0.01). Labial and lingual alveolar crestal width has negative correlationship (p<0.05). Mandibular symphyseal length and width has positive correlationship(p<0.01). 5. IMPA, LISA showed negative correlationship with labiolingual alveolar bone height and lingual alveolar width and positive correlationship with labial alveolar base bone width.

The relationship between clinical crown form and gingival feature in upper anterior region (상악 전치부에서 치관 형태에 따른 치은의 특성)

  • Kim, Soo-Hyung;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.35 no.3
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    • pp.761-776
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    • 2005
  • The purpose of the present study was to examine the relationship between the form of the clinical crowns in the maxillary anterior segment and the clinical feature of gingiva such as morphological characteristics and the gingival thickness. Fifty periodontally healthy subjects were clinically examined regarding the probing depth, the thickness of the free gingiva, and the width of the keratinized gingiva. From study models of the maxillary anterior region, the width at cervical third(CW) and the length(CL) of the clinical crown, the papillary height, and the gingival angle of the 6 anterior teeth were measured. Each tooth was classified into 4 groups (longnarrow, NL; narrow, N; wide, W; short-wide, WS) according to CW/CL ratio and all the data were compared between groups NL and WS using independent t-test. Stepwise multiple regression analysis was performed for each tooth region with the gingival thickness at the level of sulcus bottom, the width of keratinized gingiva, and gingival angle as the dependent variables. As the results, the NL group of the upper anterior teeth displayed, higher papilla height, and narrower keratinized gingiva, more acute gingival angle resulting in pronounced "scalloped" contour of the gingival margin, compared to the WS group. There was no significant difference between groups NL and WS with respect to probing depth and the gingival thickness. The regression analyses demonstrated that the gingival thickness in central incisors was significantly associated to the mesio-distal width and bucco-lingual width of the crown, and labial probing depth. The width of keratinized gingiva was significantly associated with labial probing depth in central incisors and with proximal probing depth and gingival angle in lateral incisors, and with labial and proximal probing depth, and gingival angle in canines. The gingival angle was significantly associated with papillary height and CW/CL ratio and additionally with proximal probing depth in central incisors, with the width of keratinized gingiva in lateral incisors, and with labial probing depth and the width of keratinized gingiva in canines. These results indicate that the form of clinical crown in upper anterior region could influence the clinical feature of gingiva and the influencing factors might be different according to the tooth region.

Dens in dents as the etiology of Deentoalveolar abscess (농양을 야기한 치내치의 일예)

  • Jang, Ji-Sang
    • The Journal of the Korean dental association
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    • v.5 no.1
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    • pp.63-66
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    • 1964
  • A case of 20-year-old man involving a dens in dents with dentoalveolar abscess in the symphysis has been presented. 1. The patient pressented free drainage through the fistulous opening onn labial gingiva in area of left mandibular dentral and lateral incisors. 2. Roentgenographs revealed roentgenolucent shadows around left mandibular central and lateral incisors, dens in dente, was noticed.

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CASE REPORTS OF CLASS I MALOCCLUSION TREATED WITH LINGUAL APPLIANCE (설측교정장치를 이용한 치험증례의 임상적 고찰)

  • KYUNG, Hee-Moon;Kim, Il-Bong
    • The korean journal of orthodontics
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    • v.21 no.2 s.34
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    • pp.309-324
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    • 1991
  • The author treated 3 class I malocclusion patients with the lingual appliance followed by the extraction of the 4 bicuspids. One of them was finished with the labial appliance at the final stage. The treatment results were acceptable and the patients had good tolerance to the lingual appliance without complaints in these cases. There were some problems in treatment on the lingual side both the patient and the practioner, but I think we can overcome them with the development of the orthodontic materials, the treatment technics & the increased clinical experience. Of course, we cannot treat all the patients with the lingual braces, but patients are carefully selected, lingual braces will be a valuable orthodontic appliance. In conclusion, the lingual braces have very good esthetic advantages, so the patients, especially in adults, who hesitate or refuse the orthodontic treatment due to the esthetic problem of the labial braces will get the motivation & the chance for the orthodontic treatment.

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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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ORTHODONTIC AND/OR PHYSIOLOGIC POSITIONING OF IMPACTED MAXILLARY CENTRAL INCISORS (매복 상악 중절치의 교정적 처치에 관한 임상 증례)

  • Lim, Eun-Kyung;Choi, Yeoung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.510-517
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    • 1994
  • It is a relatively common clinical experience to see a impacted maxillary central incisor. This is apparent at the dental age of about eight years and over, when the patient is in the early mixed dentition stage. The adjacent teeth may tilt toward the site of the missing tooth with resulting space closure and midline deviation. Most often, the central incisor is impacted labially. The labial impaction has been indicated as the most difficult to manage. Each of the current articles describing labial impactions shows at least one case with mucogingival recession or a minimal zone of attached gingiva. This report described the surgical uncovering and orthodontic-physiologic positioning methods with labially impacted maxillary central incisors. Through surgical exposure and direct bonding of lingual botton, the central incisors were brought into proper eruption path with elastic traction. The case 1 and 2 were treated with the physiologic erupting forces. The case 3 was applied with continuous orthodontic force. The case 1 and 2 resulted in good positioning, good esthetics and adequate width of keratinised gingiva. The case 3 resulted in local inflammation and inadequate width of keratinised gingiva.

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First record Acrobeles ciliatus (Rhabditida) and Plectus parietinus (Plectida) from South Korea

  • Eun, Geun;Ha, Jihye;Kang, Heonil;Kim, Yongchul;Choi, Insoo;Kim, Donggeun
    • Journal of Species Research
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    • v.5 no.3
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    • pp.318-323
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    • 2016
  • Acrobeles ciliatus (von Linstow, 1877) and Plectus parietinus (Bastian, 1865) are newly collected from Korea. Acrobeles is similar to those nematode belongs to Rhabditidae and Panagrolaimidae by having terminal bulb without medium bulb but different by having complex, vines shaped labial attachment. A. ciliatus differed from other Acrobeles species by lateral fields with two incisures, primary axils U-shaped, and secondary axils V-shaped. Head region set off with the neck, three high labial probolae present, each having 5 tines at inner margins and 5-7 at outer margins, and two elongate apical tines. Also, it differs from the longer female body. Plectus parietinus is distinguished from all other species of Plectus by the prominent hypodermal glands, the relatively small amphid, the distinct and well set-off lips and by the subdorsal distal caudal seta on the left side of the tail. Stoma without stylet. Oesophagus about 1/4 of total body length with terminal bulb. Anus ca. $100{\mu}m$ from posterior extremity. Vulva is at middle of body. Have spinneret on tail tip.