• Title/Summary/Keyword: vertical changes

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Skeletal stability following mandibular advancement: is it influenced by the magnitude of advancement or changes of the mandibular plane angle?

  • Tabrizi, Reza;Nili, Mahsa;Aliabadi, Ehsan;Pourdanesh, Fereydoun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.3
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    • pp.152-159
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    • 2017
  • Objectives: The aim of this study was to investigate the effects of advancement magnitude and changes in mandibular plane angle on the stability of mandibular advancement. Materials and Methods: This retrospective cohort study evaluated the postoperative stability of mandibular advancement in class II skeletal subjects who underwent bilateral sagittal split osteotomy. Radiographs taken preoperatively, immediately postoperatively and 1 year postoperatively were traced and analyzed using linear and angular measurements. To determine horizontal and vertical relapse, an X-Y coordinate system was established in which the X-axis was constructed by rotating S-N downward by $7^{\circ}$ (approximation of the Frankfort horizontal plane) and the Y-axis was defined as a line perpendicular to the X-axis and passing through the point Sella. For certain reference points including point A, point B, pogonion and menton, the perpendicular distance between each point and both axes was determined and cephalometric variables were recorded as X and Y coordinates. Results: Twenty-five subjects were studied. A significant correlation between the amount of mandibular advancement and relapse in the B point (vertical and horizontal) and the pogonion point was observed (vertical and horizontal, P<0.001). Evaluation of data demonstrated a positive correlation between the mandibular plane angle (SN/ML) change and vertical relapse in the B point (P<0.05). A simple regression model demonstrated that 74% of horizontal relapse and 42.3% of vertical relapse in the B point was related to the amount of mandibular advancement. The receiver operating characteristic test showed that 8.5 mm mandibular advancement is related to a relapse rate of 1 mm or more in the pogonion, vertically or horizontally. Conclusion: The magnitude of mandibular advancement is a stronger surgical predictor for horizontal rather than vertical relapse at the B point. Changes in mandibular plane angle (SN/ML) during surgery affect vertical, but not horizontal relapse at the B point.

THE EFFECTS OF EXTRACTIONS IN FACIAL VERTICAL CHANGES (발치가 안모의 수직변화에 미치는 영향)

  • Ma, Joon;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.27 no.6 s.65
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    • pp.905-916
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    • 1997
  • The purpose of this investigation were to evaluate facial vortical changes occurring in patients treated orthodontically with first premolar, second remolar and second molar extractions : to compare these changes with those occurring in patients treated orthodontically without extractions : and finally, to evaluate the effects of extractions in facial vortical changes. Cephalometric records of 50 male & female nonextraction patients and 88 male & female extraction patients were obtained from the department of orthodontics at Chosun University, College of Dentistry. The second molar fully erupted pPatients to have little variation according to growth were chosen as the sample for this investigation. For comparisons, the samples of 88 male & female extraction patients were subdivided into 42 first premolar extraction, 24 second premolar extraction, and 22 second molar extraction patients. Fourteen cephalometric measurements were selected to examine whether orthodontic extraction treatment led to vertical changes or not. The pretreatment and posttreatment lateral cephalographs were taken on the same radiographic unit. $SPSS/PC^+$ statistical program was used to compare and to analyze the changes between 'before & after' orthodontic treatment. The results of this study were as follows. 1. There were no statistical significances in any cephalometric measurements between 'before & after' orthodontic treatment regardless of orthodontic extractions for each group. 2. On average, the upper 6 to palatal Plane and the lower 6 to mandibular plane after orthodontic treatment were increased in all group. This means most of orthodontic mechanics are extrusive in nature. Especially, in orthodontic extraction. cases, it may be caused by orthodontic mechanics for space closure and alignments. 3. On average, in the second molar extraction group, the facial vertical dimension was increased after orthodontic treatment. It nay be induced as a result of moving the molars distally to gain enough space to correct the molar relationship and to simultaneously improve the deep bite. 4. There was no statistical significance between orthodontic extractions and facial vertical changes. This means that orthodontic extractions have no influence on facial vortical changes. 5. The cephalometric measurements with statistical significance in ficial vertical changes for each group were PP-MP, Op-MP, $\underline{1}$ to PP and $\overline{1}$ to MP.

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THE CEPHALOMETRIC ANALYSIS OF THE SOFT TISSUE CHANGES AT THE MIDDLE FACE IN THE SKELETAL CLASS III PATIENTS WITH THE ORTHOGNATHIC 2-JAW SURGERY (골격성 제3급 부정교합자의 양악 수술 후 중안면부 연조직 변화에 관한 두부 계측 방사선학적 연구)

  • Ahn, Je-Young;Kim, Ji-Yong;Joo, Bum-Ki;Kim, Min-Chul;Huh, Jong-Ki;Kim, Hyung-Gon;Park, Kwang-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.21-26
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    • 2006
  • Considering the skeletal class III malocclusion that complains of mandibular prognathism, there have been some studies of the mandibular change for comparing the changes of pre operative with post operative state. Nowadays it is common to do the orthognathic 2-jaw surgery for the correction of the maxillary deficiency, the post operative stability and the esthetics. We compare and analyze the changes of soft tissue around the nose and the lip with the changes in the direction and the amount of maxilla. Patients who were diagnosed as maxillofacial deformity and received orthognathic surgery of both jaws at Yongdong Severance hospital from 2001 through 2003 were included in this study. Their lateral cephalograms were analyzed, and the post operative change of hard tissue and soft tissue were studied. Upon analyzing the preoperative cephalograms and 6 month post operative cephalograms, there were significant in the vertical change of Labialis superius(Ls) and Stomion(Stm) in soft tissue in relation to the vertical change of skeletal landmarks (Anterior Nasal Spine, Subspinale, Prosthion, Incision Superious). In addition, there were no significance in horizontal movement of the skeletal landmarks among groups. In terms of hard tissue landmarks, group 3(maxillary posterior impaction and advancement surgery group) showed significantly greater change in the vertical movement of Anterior Nasal Spine(ANS), Subspinale(A), Prosthion(Pr), and Incision Superious(Is) compared with other groups. In terms of soft tissue change, group 3 showed more significant change in the vertical movement of Ls and Stm. This study calculated the changes of the skeletal and soft tissue landmarks in order to act as a guide in planning and performing the surgery and as a reference in predicting the postoperative change of facial appearance.

Prediction of frontal soft tissue changes after mandibular surgery in facial asymmetry individuals (안면비대칭자의 하악골 악교정수술 후 정면 연조직 변화 예측을 위한 연구)

  • Hwang, Hyeon-Shik;Lee, Jessica J.;Hwang, Chung-Hyon;Choi, Hak-Hee;Lim, Hoi-Jeong
    • The korean journal of orthodontics
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    • v.38 no.4
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    • pp.252-264
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    • 2008
  • Objective: To aid the development of a frontal image simulating program, we evaluated the soft tissue frontal changes in relationship to movement of hard tissue with orthognathic surgery of facial asymmetry patients. Methods: Preoperative and postoperative frontal cephalograms and frontal view photographs of 45 mandibular surgery patients with facial asymmetry were obtained in a standardized manner. Vertical and horizontal changes of hard tissue and soft tissue were measured from cephalograms and photographs, respectively. Soft tissue change in result to hard tissue change was then analyzed. Results: Both vertical and horizontal correlation analysis showed a weak relationship between the changes. Hard tissue points that were picked for 1 : 1 mean ratio with soft tissue points did not show any significant relevance. For each soft tissue change, regressive equation was formulated by stepwise multiple regression analysis, and the equation for soft tissue Menton was most reliable in predicting changes. Both vertical and horizontal hard tissue changes were used together in prediction of vertical or horizontal soft tissue change. Conclusions: The results suggest that computerized image simulation using regression analysis may be of help for prediction of soft tissue change, while 1:1 mean ratio method is not useful.

Seismic performance of R/C structures under vertical ground motion

  • Bas, Selcuk;Lee, Jong-Han;Sevinc, Mukadder;Kalkan, Ilker
    • Computers and Concrete
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    • v.20 no.4
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    • pp.369-380
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    • 2017
  • The effects of the vertical component of a ground motion on the earthquake performances of semi-ductile high-rise R/C structures were investigated in the present study. Linear and non-linear time-history analyses were conducted on an existing in-service R/C building for the loading scenarios including and excluding the vertical component of the ground motion. The ratio of the vertical peak acceleration to the horizontal peak acceleration (V/H) of the ground motion was adopted as the main parameter of the study. Three different near-source earthquake records with varying V/H ratio were used in the analyses. The linear time-history analyses indicated that the incorporation of the vertical component of a ground motion into analyses greatly influences the vertical deflections of a structure and the overturning moments at its base. The lateral deflections, the angles of rotation and the base shear forces were influenced to a lesser extent. Considering the key indicators of vertical deflection and overturning moments determined from the linear time-history analysis, the non-linear analyses revealed that the changes in the forces and deformations of the structure with the inclusion of the vertical ground motion are resisted by the shear-walls. The performances and damage states of the beams were not affected by the vertical ground motion. The vertical ground motion component of earthquakes is markedly concluded to be considered for design and damage estimation of the vertical load-bearing elements of the shear-walls and columns.

HARD AND SOFT TISSUE CHANCES AFTER ORTHOGNATHIC SURGERY OF MANDIBULAR PROGNATHISM (하악전돌증 환자의 악교정 수술후 경조직과 연조직 변화에 관한 두부방사선 계측학적 연구)

  • Choe, Yoo-Kyung;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.23 no.4 s.43
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    • pp.707-724
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    • 1993
  • The purpose of the study is to estimate hard and soft tissue changes after orthognathic surgery for the correction of the mandibular prognathism and to describe interrelationship and ratios of soft and hard tissue changes. The presurgical and postsurgical lateral cephalograms of 31 treated patients(17 males and 14 females) was used ; these patients had received combined orthodontic-surgical treatment by means of a bilateral sagittal split ramus osteotomy. Their ages ranged from 16 to 31 years and mean age was 21.4 years. A computerized cephalometric appraisal was developed and used to analyse linear and angular changes of skeletal and soft tissue profile. The statistical elaboration of the data was made by means of $SPSS/PC^+$. The results of the study were as follows : 1. The correlations of soft and hard tissue horizontal changes were significantly high and the ratios were $97\%$ at LI, $107\%$ at ILS, and $93\%$ at Pog'. 2. The correlations of vertical changes at Stm, LI and horizontal changes at Pog were high$(26\%)$ and at the other areas were not statistically high. 3. The correlations of soft ad hard tissue vertical changes were not significantly high in all areas except Gn' $(30\%)$ and Me' $(56\%)$. 4. The soft tissue thickness was significantly decreased in upper lip and increased in lower lip, and the amount of changes after surgery was reversely correlated with initial thickness. 5. The facial convexity was increased and relative protrusion of upper lip was increased and that of lower lip was decreased. 6. The upper to lower facial height(Gl-Sn/Sn-Me') was increased and upper to lower jaw height(Sn-Stms/Stmi-Me') was increased.

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CHANGES OF TRANSVERSE MANDIBULAR WIDTH AFTER INTRAORAL VERTICAL RAMUS OSTEOTOMY (구내 하악골 상행지 수직골 절단술 후 하악골 우각부의 수평적 길이 변화)

  • Park, Sung-Yeon;Jung, Young-Soo;Choi, Young-Dal;Park, Hyung-Sik
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.5
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    • pp.447-452
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    • 2006
  • Purpose: In order to clarify the correlation of mandibular setback using bilateral intraoral vertical ramus osteotomy (BIVRO) and post-surgical transverse mandibular width (TMW), this study examined the pre- and postsurgical changes in hard and soft tissues of TMW and the relationship of TMW and the amount of mandibular setback. Patients and Methods: One-hundred seven patients who had undergone BIVRO were evaluated radiographically and clinically. A comparison study of the changes in hard and soft tissue after surgery in all 107 patients was performed with preoperative, 1 month, 3 month, 6 month and 1 year postoperative posteroanterio cephalograms and clinical photographs by tracing. And this changes were evaluated in parts to amounts of mandibular setback. Results: Statistically significant increases of TMW in hard and soft tissue from preoperative to postoperative 1 month were seen. TMW in hard tissue from 1 month to 1 year postopertive were gradually decreased. TMW in soft tissue was not changed uniformly but almost equal to pre-operative width. And there was no significant correlation between TMW and amount of mandibular setback. Conclusions: The results show that mandibular setback using BIVRO did not significantly influence increasing of TMW in soft tissue.

Seasonal Changes of Zooplankton Distribution with Environmental Factors in Lake Jinyang (진양호 환경요인과 동물플랑크톤 군집 동태)

  • Yoon, Jong-Su;Jeong, Hyun-Gi;Kwon, Young-Ho;Shin, Chan-Ki;Hwang, Dong-Jin
    • Journal of environmental and Sanitary engineering
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    • v.23 no.4
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    • pp.45-54
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    • 2008
  • Our study indicates the zooplankton abundance with characteristics of water column and the vertical distribution in Lake Jinyang, South Korea. Seasonal changes of zooplankton community are determined by environmental parameters like water temperature, pH, dissolved oxygen, suspended solids and chlorophyll a. In lake Jinyang, this study showed that the zooplankton abundance in transition zone(St.1, St.2) was higher density than in lacustrine zone(St.3). Rotifers were dominant zooplankton and among them, Polyarthra spp., Keratella spp. and Nauplli(Copepoda) were common. But Cladoceran showed the low density. During survey period, zooplankton abundance with vertical distribution in surface layer(epilimnion) was higher than in bottom layer(hypolimninon). Zooplankton densities in Surface and middle layer showed positive relationship with water temperature and the densities in bottom layer(hypolimnion) showed positive relationship with chlorophyll a. Our assumption in spite of the short term study are supported by the facts that increase of temperature driven by climate change more maintains the thermocline duration by the summer temperature stratification. Thus the results suggest that the climate changes are an important source of changing zooplankton community feeding phytoplankton. So the zooplankton should be monitoring by the ecological management of Lake Jinyang to cope with climate changes like flood plain or drought.

Three-dimensional accuracy of different correction methods for cast implant bars

  • Kwon, Ji-Yung;Kim, Chang-Whe;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Advanced Prosthodontics
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    • v.6 no.1
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    • pp.39-45
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    • 2014
  • PURPOSE. The aim of the present study was to evaluate the accuracy of three techniques for correction of cast implant bars. MATERIALS AND METHODS. Thirty cast implant bars were fabricated on a metal master model. All cast implant bars were sectioned at 5 mm from the left gold cylinder using a disk of 0.3 mm thickness, and then each group of ten specimens was corrected by gas-air torch soldering, laser welding, and additional casting technique. Three dimensional evaluation including horizontal, vertical, and twisting measurements was based on measurement and comparison of (1) gap distances of the right abutment replica-gold cylinder interface at buccal, distal, lingual side, (2) changes of bar length, and (3) axis angle changes of the right gold cylinders at the step of the post-correction measurements on the three groups with a contact and non-contact coordinate measuring machine. One-way analysis of variance (ANOVA) and paired t-test were performed at the significance level of 5%. RESULTS. Gap distances of the cast implant bars after correction procedure showed no statistically significant difference among groups. Changes in bar length between pre-casting and post-correction measurement were statistically significance among groups. Axis angle changes of the right gold cylinders were not statistically significance among groups. CONCLUSION. There was no statistical significance among three techniques in horizontal, vertical and axial errors. But, gas-air torch soldering technique showed the most consistent and accurate trend in the correction of implant bar error. However, Laser welding technique, showed a large mean and standard deviation in vertical and twisting measurement and might be technique-sensitive method.

Effects of partially earth-anchored cable system on dynamic wind response of cable-stayed bridges

  • Won, Jeong-Hun;Yoon, Ji-Hyun;Park, Se-Jun;Kim, Sang-Hyo
    • Wind and Structures
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    • v.11 no.6
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    • pp.441-453
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    • 2008
  • In this study, a partially earth-anchored cable system is studied in order to reduce the dynamic wind response of cable-stayed bridges. The employment of earth-anchored cables changes the dynamic characteristics of cable-stayed bridges under wind loads. In order to estimate the changes in the member forces, the spectral analysis for wind buffeting loads are performed and the peak responses are evaluated using 3-D finite element models of the three-span cable-stayed bridges with the partially earth-anchored cable system and with the self-anchored cable system, respectively. Comparing the results for the two different models, it is found that the earth-anchored cables affect longitudinal and vertical modes of the bridge. The changes of the natural frequencies for the longitudinal modes remarkably decrease the peak bending moment in the pylon and the movements at the expansion joints. The small changes of the natural frequencies for the vertical modes slightly increase bending moments and deflections in the girder. The original effects of the partially earth-anchored cable system are also shown under wind loads; the decrement of girder axial forces and bearing uplifting forces, and the increment of cable forces in the earth-anchored cables.