• Title/Summary/Keyword: occlusion pattern

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The clinical application of NAT/NFR occlusal concept (임상가를 위한 특집 3 - NAT/NFR 교합의 임상적용)

  • Jeong, Seung-Mi
    • The Journal of the Korean dental association
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    • v.51 no.5
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    • pp.255-264
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    • 2013
  • Many concept of occlusion have been introduced in the past, but there isn't any generally accepted unified theory since a single occlusion theory cannot represent the natural perfection, especially considering the difference in clinical experience, the dynamic occlusion, and individual diversity in mastication pattern. NAT(Naturgemasse Aufwachstechnik)/NFR((Natur Funktionsgerechte Rekonstruktion) occlusion is not just a theory on occlusion, but a clinical occlusion that can be practically applied to clinical practice by providing dynamic occlusion adjusted to the individual mastication pattern and biomechanics. This report aims to provide a guide to a clinically biomechanical occlusion through the teamwork of both the dentist and the lab technician by introducing the NAT occlusion through following: reviewing the concept of occlusion in terms of morphology, its correlation with NAT/NFR occlusion, reviewing the limitation of conventional occlusion theories, and introducing the clinical application of NAT/NFR.

A STUDY ON DISCLUSION TIME OF PATIENT WITH TEMPOROMANDIBULAR DYSFUNCTION (측두하악 장애 환자의 교합이개 시간에 관한 연구)

  • Kweon, Hyeog-Sin;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.1
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    • pp.63-76
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    • 1993
  • The purpose of this study was to investigate the disclusion time and occlusal pattern during lateral movement in normal group and temporomandibular dysfunction (TMD) group. Twenty dental college students of Chosun University without the abnormal occlusion and temporomandibular dysfunction were selected as a normal group, and twenty slight temporomandibular dysfunction (TMD) group and the ten moderate temporomandibular dysfunction (TMD) group classified according to Helkimo's dysfunction index were selected. Occlusal pattern was classified as canine guided occlusion, group functioned occlusion and the other group during lateral movement and disclusion time in lateral movement was measured using T-Scan system. The result were as follows: 1. The disclusion time according to each group were $1.24{\pm}0.58$ sec in normal $1.60{\pm}0.79$ sec in slight TMD group and $2.29{\pm}0.80$ sec in moderate TMD group. There was statistically significant between normal group and moderate TMD group(P<0.01), slight TMD group and moderate TMD group(P<0.05). 2. The distribution of occlusal pattern in normal group was 62.5% (25 side) in canine guided occlusion, 27.5% (15 side) in group functioned occlusion. 3. The distribution of occlusal pattern in slight TMD group was 45% (18side) in canine guided occlusion, 35% (14 side) in group functioned occlusion and 20% (8side) in others and that in moderate TMD group was 15% (3 side) in canine guided occlusion, 35% (7 side) in group funcconed occlusion and 50% (10 side) in other 4. The disclusion time in normal group was $1.05{\pm}0.59$ sec at canine guided occlusion and $1.53{\pm}0.72$ sec at group functioned occlusion. 5. The disclusion time in slight TMD group was $1.23{\pm}0.75$ sec in canine guided occlusion, $1.50{\pm}0.88$ sec in group functioned occlusion, and $2.61{\pm}0.57$ sec, in the other. There was staistically significant between canine guided occlusion and other(P<0.001)and group functioned occlusion and the other (P<0.05). 6. The disclusion time in moderate TMD group was $1.28{\pm}0.84$ sec in canine guided occlusion, $1.75{\pm}0.58$ sec in group functioned occlusion, and $2.98{\pm}0.08$ sec in the other(P<0.01).

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A ROENTGENOCEPHALOMETRIC STUDY ON MAXILLARY PROTRUSION (상악전돌에 관한 방사선 두부계측학적 연구)

  • Chang, Young Il
    • The korean journal of orthodontics
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    • v.10 no.1
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    • pp.15-27
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    • 1980
  • This study was undertaken to compare the craniofacial morphology of Class II, Division 1 malocclusion with that of normal occlusion in children, and to investigate the incidence of various Class II, Division 1 craniofacial skeletal patterns. The subjects consist of thirty seven boys and fifty three girls with Class II, Division 1 malocclusion, and forty six boys and eighty one girls 10-15 years with normal occlusion. Measurements were recorded, tabulated and analyzed on the lateral cephalograms by the degree of SNA, SNB and ANB. The following characteristics of the Class II, Division 1 skeletal pattern were observed. 1. The anteroposterior relationship of the maxilla to the cranium in the Class II, Division 1 was very similar to that of normal occlusion. 2, Mandible of the Class II, Division 1 malocclusion was in the posterior position in relation to the cranial anatomy when compared to normal. 3. The chin point as measured by SN Pog and NS Gn showed distal positioning in relation to normal occlusion. 4. SN to mandibular plane angle was large in Class II, Division 1 malocclusion. 5. Mandibular incisor inclination was not significantly different between Class II, Division 1 malocclusion and normal occlusion, but maxillary incisors inclined and positioned labially and consequently overjet was large in Class II, Division 1 malocclusion. 6. Class II, Division 1 malocclusion was divided into four types of craniofacial skeletal pattern. The most common Class II, Division 1 pattern was found to be type C in which SN-Mand. Pl. was above mean range of normal occlusion. The next frequent pattern was found to be type A in which maxilla and mandible were within normal range of protrusion while upper incisors were severly labially inclined.

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RELATIONS BETWEEN POSTURE AND SIZE OF THE TONGUE AND DENTOALVEOLAR PATTERN (혀의 자세 및 크기와 치아치조골 패턴의 관계에 관한 연구)

  • Kim, Jeong-Hoon;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.17 no.1
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    • pp.33-45
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    • 1987
  • This study was designed to examine relations between posture and size of the tongue and dentoalveolar pattern. The sample was consisted of three groups, the 34 subjects of Normal occlusion, the 31 subjects of Bimaxillary protrusion and the 31 subjects of Class III malocclusion. On the cephalograms, lengths, heights and areas of the tongue and intermaxillary space and on the study model, arch length, intercanine width, intermolar width and palatal height were measured. These data from measuring cephalograms and models were statistically analyzed. The results of the study were as follows; 1. Length of the tongue was the greatest in Bimaxillary protrusion and in order of Normal occlusion and Class III malocclusion. 2. Posture of the tongue was the lowest in Class III malocclusion and in order of Bimaxillary protrusion and Normal occlusion. 3. There were a tendency to be larger area of tongue and intermaxillary space in Class III malocclusion compared to Normal occlusion and Bimaxillary protrusion. 4. Size of the tongue and intermaxillary space showed low correlations with the dentoalveolar pattern.

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STUDIES ON OCCLUSION IN THE PRIMARY DENTITION. (유치열(乳齒列)의 교합(咬合)에 관(關)한 연구(硏究))

  • Jun, Kwang-Sun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.5 no.1
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    • pp.19-26
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    • 1978
  • The author studied occlusion in the primary dentition of 3~5 year old children and the materials for the present study comprised plaster model of 266 children in Seoul. The results were as followings; 1) In sagittal canine relationship, 63.9%(170 children) showed class 1 pattern, 2.3%(6 children) showed class 2 pattern, 21%(56 children) showed class 3 pattern and 12.8%(34 children) showed a different canine relationship in each side. 2) In sagittal molar relationship, 44.3% 118 children) showed class 1 pattern, 6.1%(16 children) showed class 2 pattern, 32.3%(86 children) showed class 3 pattern and 17.3%(46 children) showed a different molar relationship in each side. 3) In overjet, 87.8%(234 children) showed under 2mm. 4) 5.3%(14 children) showed crossbite and 4.6%(12 children) showed scissors-bite. 5) 21.8%(58 children) showed midline deviation. 6) Primate space was coincided with more common position of interdental space.

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A STUDY OF UPPER AND LOWER INCISOR POSITION IN NORMAL OCCLUSION (정상교합자의 상하악절치 위치에 관한 연구)

  • Kim, Hye-Kyeong;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.113-125
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    • 1988
  • This study was attempted to individualize upper and lower incisor position appropriate to individual characteristic dento-facial pattern. Lateral cephalometric radiographs of 75 Korean adults with normal occlusion and good facial profile whose ages were over 17 years were traced, digitized, and statistically analysed. The results of this study were as follows; 1. All cephalometric measurements of incise. position and dento-facial pattern for normal occlusion showed wide range of variation. 2. There were no significant differences of incisor position between males and females. 3. Lower incisor position was highly correlated with ANB, N-A-Pog and SN/Mand. pl. angle and upper incisor position, with ANB, N-A-Pog and SN/Occ. pl. angle. 4. Multiple regression equations were established to individualize incisor position appropriate to individual characteristic dento-facial pattern. ANB and N-A-Pog angle were selected as the significant guiding variables affecting upper and lower incisor position. 5. Lower incisor position such as $\bar{1}$ to SN, $\bar{1}$ to occlusal plane and $\bar{1}$ to NPog(mm) and upper incisor position such as $\underline{1}$ to SN, $\underline{1}$ to palatal plane, $\underline{1}$ to NA, $\underline{1}$ to NA (mm) and $\underline{1}$ to NPog(mm) could highly predicted from the variables of dento-facial pattern.

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Relation of Canine-protected Occlusion of Periodontal Index (Canine-Protected occlusion과 Periodontal index와의 관계)

  • Lee, M.H.
    • The Journal of Korean Academy of Prosthodontics
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    • v.17 no.1
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    • pp.79-82
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    • 1979
  • 교정경험, 보철물장착 경험, 교합조정, 상하악골절, 및 전신적 질환이 없는 Angle class I 교합을 갖는 100명(名)의 환자에 있어 1000개의 치아를 임상적으로 평가하여, 그 disclusion pattern과 periodontal disease index와의 상호관계를 조사해 본 결과, 14%가canine protection을 하고, 16%가 progressive disclusion을 하며, 46%가 group function을 하고 나머지 24%가 각각 바른 disclusion pattern을 띤다는 것을 알았다. 여기서 C.P.하는 mouth의 치아가 다른 3group보다도 더 낮은 periodontal disease index를 갖는다는 사실이 유의성 있는 통계자료로써 나타났다.

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Clinical considerations for appropriate occlusion of implant restorations (임플란트 보철 교합의 임상적 고려 사항)

  • Park, Young-Bum
    • The Journal of the Korean dental association
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    • v.53 no.6
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    • pp.418-426
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    • 2015
  • The appropriate occlusion is one of the most important factors for the long-term success of implant and its restorations. The purpose of this review is to investigate and define occlusal considerations to reduce failure of implant prostheses. The physiological movement of implants is markedly lower than that of natural teeth and they also lack in occlusal sensitivity. Proper occlusal pattern may be assigned to compensate for the biological disadvantages and occlusal contacts must be formed where the cantilever effect is minimized. Moreover, the long-term success of implants after osseointegration can be assured by reducing early occlusal loading to avoid implant overloading and selecting appropriate occlusion material. Occlusal overload was brought by the number and location of occlusal contacts, which are under the clinician's control. The concept of implant occlusion is based on the concepts derived from traditional prosthetics. Moreover, there are few evidence on the concept or design of implant occlusion. Several occlusal design was recommended for implant prosthesis. Mutually protected occlusion, group function occlusion and bilateral balance occlusion was recommended for the specific types of implant restorations. This article reviews proper design of occlusion for implant restoration and offers occlusion strategy clinically.

A CLINICAL STUDY ON THE OCCLUSAL CONTACT PATTERN IN CENTRIC AND ECCENTRIC OCCLUSION (중심교합 및 비중심위교합에서의 치아접촉유형에 관한 임상적 연구)

  • Yang, Jae-Ho
    • The Journal of the Korean dental association
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    • v.22 no.10 s.185
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    • pp.869-877
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    • 1984
  • An objective examination of 123 subjects aged from 19 to 23 was made from a clinical standpoints to determine the natural occurrence in anterior tooth contact in centric occlusion, and tooth contact in protrusive occlusion, left and right lateral excursions, and temporomandibular dysfunction. 1. In centric occlusion, maxillary 6 anterior contact type was frequently observe (30.08%) compared with other types of contact (incisor contact: 19.47%, no contact: 17.70%, canine and incisor contact: 15.04%, canines contact: 12.39%, unilateral canine contact: 5.31%) (P<0.01) 2. In protrusive position (edge to edge bite), maxillary central incisors contact was predominant (86.7%). (P<0.01) 3. In lateral excursion, there was not any significant difference between canine guided occlusion (47.79%) and group function occlusion (total 51.32%, AG:9.29%, PG:13.27%, G:28.76%). 4. Temporomandibular joint dysfunction was observed in 12.4% of 123 subjects.

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A COMPARATIVE STUDY ON THE NORMAL OCCLUSION AND OPEN-BITE BY MEANS OF CEPHALOMETRIC ROENTGENOGRAM (두부방사선계측사진에 의한 정상교합자와 개방교합자에 관한 비교적 연구)

  • Kang, Dae Joon
    • The korean journal of orthodontics
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    • v.4 no.1
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    • pp.49-55
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    • 1974
  • The author studied the open-bite of 16 males and 25 females aged 20-23 using profile cephalometric roentgenogram and compared with normal occlusion to determine the morphological pattern of open-bite. The following results are obtained. 1) Open-bite patients showed remarkable vertical development of jaws than normal occlusion. 2) Females indicated conspicuous characteristics than males in open-bite. 3) Anterior teeth disclosed low positions in open-bite patients. 4) Mandible revealed obvious morphological features than maxilla in open-bite patients.

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