• Title/Summary/Keyword: 고경도

Search Result 1,748, Processing Time 0.031 seconds

A Longitudinal study on Growth Changes of Soft Tissue Profiles in Koreans with Normal Occlusion (정상 교합자의 연조직 측모의 성장 변화에 관한 누년적 연구)

  • Lee, Myeong-Jin;Lee, Hee-Kyung
    • The korean journal of orthodontics
    • /
    • v.27 no.2
    • /
    • pp.181-196
    • /
    • 1997
  • The purpose of this study was to describe growth changes of soft tissue profile in koreans with normal occlusion and to get differences between male and female. The biennial serial cephalometric radiographs of 26 samples (15 males, 11 females) with normal occlusion from 8.5 years to 18.5 years of age were used in this study. The following results were obtained : 1. Both sexes had lower facial parts more protruded at 18.5 years of age than 8.5 years of age : in total facial convexity angle, male showed a decrease(P<0.01) and female showed no significant difference(P>0.05). 2. In the growth changes of soft tissue thickness, male outgrew female in the areas of nose and upper and lower lips, and female outgrew male in the pogonion area 3. In the growth changes of upper facial height and upper part of lower facial height, male's was higher than female's growth (P<0.05). 4. The ratio of the upper facial height over the lower facial height showed a decrease at 18.5 years of age than 8.5 years of age(P<0.01). The ratio of upper vs lower part of lower facial height and that of upper lip height vs lower lip height showed no significant difference(P>0.05). 5. Male showed a sustained change into older age compared with female in soft tissue profiles.

  • PDF

Full mouth rehabilitation in a severe worn dentition with vertical dimension gaining: A case report (마모가 심한 환자에서 수직 고경 증가를 동반하여 수복한 증례)

  • Kim, Ji-Sun;Lee, Ji-Hyoun;Jhin, Min-Ju
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.54 no.2
    • /
    • pp.132-139
    • /
    • 2016
  • The progressive attrition of teeth is a normal process by aging. However, excessive tooth wear with decreased vertical dimension of occlusion and collapse of occlusal plane may cause pathologic pulpal condition, occlusal disharmony, functional disorders and esthetic problems. The change of vertical dimension is required in case that there is no sufficient clearance for restoration or in case that the occlusal relationship is modified. For gaining the vertical dimension, a careful diagnosis is essential prior to starting the restoration treatment. After evaluating adaptation of neuromuscular system of patient during provisional phase, the final restorations can be fabricated. In this case, a 78 year old male with severely worn down dentition was treated. To improve the esthetic appearance and to achieve the ideal occlusal relationship, the full mouth rehabilitation with minimal increase of vertical dimension is planned and diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated and routine clinical assessments were made. After 1 year, the restorations with newly established occlusal scheme are well maintained without significant complications and esthetically and functionally satisfactory results were obtained.

Full mouth rehabilitation of the patient with severe tooth erosion using collarless porcelain fused to gold restorations: a case report (Collarless 금속 도재 보철물을 이용한 심한 erosion 환자의 전악수복 증례)

  • Song, Hee-Jin;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.50 no.4
    • /
    • pp.324-329
    • /
    • 2012
  • Excessive tooth wear causes loss of tooth structure, disharmony of occlusal plane, functional and esthetic problems. Although the decrease of occlusal vertical dimension may be compensated by growth of alveolar bone, if the length of tooth is not enough for the retention of restoration, minimum increase of occlusal vertical dimension is required without discomfort of the patient. In this case, 33-year-old woman drinks more than 1 liter of soft drinks a day and has bruxism in night time, visited in Seoul National University Dental Hospital with chief complaint of generalized tooth wear and related esthetic and functional problems. It was considered as a loss of occlusal vertical dimension based on the accelerated tooth wear caused by erosion and bruxism and facial appearance, phonetic, esthetic, functional evaluations. It was planned to raise occlusal vertical dimension by provisional restoration two times for patient's adaptation, 3 mm and 2 mm each, total 5 mm. Confirming no discomfort and clinical symptom during total 16 weeks after restoration with provisional fixed restoration, it was restored with porcelain fused to gold crown and bridge. Because the patient was young woman, anterior teeth were restored with collarless porcelain fused to gold crown. This case presents that satisfactory esthetic and functional result by full mouth rehabilitation with increase of occlusal vertical dimension.

Full-mouth rehabilitation with increasing vertical dimension on the patient with severely worn-out dentition and orthognathic surgery history: A case report (악교정수술 병력을 가진 과도한 치아 마모를 보이는 환자의 수직고경 증가를 동반한 전악 수복 증례)

  • Sang-Myeong Tak;Chang-Mo Jeong;Jung-Bo Huh;So-Hyoun Lee;Mi-Jung Yun
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.61 no.1
    • /
    • pp.33-43
    • /
    • 2023
  • Pathological wear across the entire dentition causes problems such as collapsed occlusal plane, reduced vertical dimension, anterior premature contact, inadequate anterior guidance, and tooth migration, thereby induce symptoms such as temporomandibular joint disorder, reduced masticatory efficiency, and tooth hypersensitivity. For the treatment of patients with excessive wear, evaluation of vertical dimension should be preceded along with analysis of the cause. The patient in this case was a 45-year-old female with a history of orthognathic surgery. Through clinical examination, radiographic examination, and model analysis, overall tooth wear, interdental spacing in the anterior maxillary region, retruded condylar position, and insufficient interocclusal space for prosthetic restoration were confirmed. Full mouth rehabilitation with increased vertical dimension was planned, the patient's adaptation to the new vertical dimension was evaluated with a removable occlusal splint and temporary prosthesis, and cross-mounting was performed based on the temporary restoration to fabricate the definitive zirconia prosthesis, maintaining the adjusted vertical dimension. It showed satisfactory functional and esthetic results through stable restoration of the occlusal relationship.

Full mouth rehabilitation with fixed prostheses by increased vertical occlusal dimension using 3D printed splint in a patient with excessive tooth wear (과도한 치아 마모 환자의 3D 프린팅 교합안정장치를 이용한 수직 교합 고경 증가를 동반한 고정성 보철물 전악 수복 증례)

  • Se-Young Kim;Soo-Yeon Shin
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.61 no.3
    • /
    • pp.215-226
    • /
    • 2023
  • Severe wear of the anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. Additionally, when treating patients with collapsed occlusion due to multiple tooth loss and tooth wear, it is important to determine the presence of vertical dimension loss through accurate clinical and radiographic examinations and diagnostic wax-up. The patient of this case is a 44-year-old female patient who complained of overall tooth wear and loss of posterior teeth due to bruxism and clenching habits, visited the hospital with the address of restoring masticatory function and improving aesthetic appearance through prosthetic treatment. Through model analysis and diagnostic wax-up, an increase in vertical dimension was determined, and full mouth restoration with fixed prostheses was planned. The degree of adaptation to the vertical dimension was confirmed step by step using an occlusal splint designed with CAD (Computer aided design) software and 3-D (3-Dimensional) printed, and then restored with provisional restoration and after a 4-month adaptation period, the entire dentition was restored with metal ceramic crowns and implants. Through this procedure, satisfactory treatment results were obtained in terms of function and aesthetics.

Wear Behaviours and Material Characteristics of TiN Coatings (CAE에 의한 TiN 증착층의 특성 및 마모거동에 관한 연구)

  • Song, Gun;Yoon, Eui-Sung;Ahn, Hyo-Sok
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
    • /
    • 1991.11a
    • /
    • pp.38-43
    • /
    • 1991
  • 일반 금속재료로써 표면층이 최적의 tribology적 성질을 갖도록 하기에는 한계점이 있으며, 이러한 문제점을 해결하기 위한 수단으로 bulk material에 그것이 갖지 못하는 tribology적으로 우수한 성질을 그 표면층에 부여하는 기술로 여러가지 방법이 개발되어 왔으며 그 중 대표적인 것이 표면코팅기술이다. 표면 코팅기술중에서도 세라믹코팅기술이 최근에 들어 최고의 관심사가 되고 있는데 이는 세라믹재의 특징이 고강도, 고경도, 내산화성 및 내화학적 성질 등 기계 요소가 받는 가혹한 조건에 최적의 내성을 지니기 때문이다. 특히 세라믹재가 갖는 고강도, 고경도의 성질은 마찰, 맘모 특성의 향상을 극대화시킬 수 있기 때문에 마찰, 마모가 문제시되는 기계요소에의 적용전망은 매우 밝으며, 특히 취약한 환경 즉, nuclear industry와 우주산업 등과 같이 재래의 윤활기술이 제대로 적용될 수 없는 분야에 세라믹코팅기술의 응용은 절대적으로 필요하다. 현재 세라믹 재료의 마찰과 마모특성에 대한 연구는 전 세계적으로 비교적 활발히 진행되고 있으나 세라믹 코팅으로서의 세라믹재의 마찰, 마모특성에 대한 연구는 아직 초보단계에 있다고 할 수 있다. 따라서 본 연구에서는 현재 응용범위를 넓혀가고 있는 TiN을 cathodic arc evporation(CAE)-기술을 이요하여 모재에 코팅을 하여 그 증착층의 재료적 특성 및 마모특성에 대하여 고찰하였다.

  • PDF

Full mouth rehabilitation with extremely worn dentition (심한 치아 마모 환자의 전악보철 수복 증례)

  • Cha, Hwa-Ryun;Yeom, Kyeong-Yeon;Lee, Yong-Sang;Kim, Na-Hong
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.33 no.3
    • /
    • pp.238-244
    • /
    • 2017
  • Pathologic attrition leads to pathologic damage on occlusal plane, functional disorders, occlusal disharmony, esthetic problems, pulpal lesion, temporomandibular joint (TMJ) disorder. In this case, treatment plan should be considered for possibility of vertical dimension loss, occlusal pattern, esthetics, phonetics, amount of vertical dimension increase. This case report was a 71-year-old man who had severely worn dentition. Full mouth rehabilitation was carried out with vertical dimension increase due to limited space for prosthesis. After evaluation of provisional restorations for patient's compliance, final restorations were fabricated and routine clinical assessments were made. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition.

CVD공정에 의해 증착된 DLC (Diamond-like Carbon) 박막의 질화층 형성에 따른 밀착력 특성 연구

  • Park, Min-Seok;Kim, Wang-Ryeol;Sin, Chang-Seok;Jeong, U-Chang;Jin, In-Tae
    • Proceedings of the Korean Vacuum Society Conference
    • /
    • 2012.02a
    • /
    • pp.303-303
    • /
    • 2012
  • Diamond-like carbon (DLC)은 낮은 마찰력과 높은 내마모성 및 내식성등과 같은 우수한 물성을 가지고 있다. 따라서, DLC 박막은 다양한 응용분야에 적용이 가능한 코팅이다. 특히, DLC 박막의 낮은 마찰력과 고경도 특성은 자동차 산업 및 금형과 같은 저마찰 및 내마모성 향상에 기여할 수 있는 매력적인 박막 코팅으로 각광받고 있다. 그러나 DLC 박막의 높은 잔류응력과 다른 기판의 화학적 친화력을 감소시키는 탄소-탄소 결합의 불안정성 때문에 금속소재와의 낮은 접합력으로 인하여 그 응용에 어려움을 격고 있다. DLC 박막의 접합력 향상을 위하여 모재에 활성 스크린 플라즈마 질화 장비를 사용하여 금속 시편에 질화처리를 하였다. 질화처리후 CVD법으로 DLC 박막을 증착하였으며, 박막의 특성은 나노 인덴테이션, 마이크로 라만 스펙트로스코피 그리고 주사전자현미경에 의해 측정되었다. 활성 스크린 질화 장비에 의해 처리된 시편의 특성변화는 GDS, XRD 및 마이크로 비커스 경도계를 이용하여 관찰하였다. 박막과 모재와의 밀착력은 스크래치 테스트에 의해 측정 하였으며, 질화층이 형성됨으로 인해 모재의 상구조와 경도의 변화가 생겼고, 이로 인해 DLC박막과 모재의 밀착력이 상승하였음을 알 수 있었다.

  • PDF