• Title/Summary/Keyword: 과두

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Biomechanics in various mandibular widening procedures (다양한 하악 이부 확장 패턴에 관한 연구)

  • Tae, Ki-Chul;Kang, Kyung-Hwa;Kim, Kyung-Hwan
    • The korean journal of orthodontics
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    • v.35 no.1 s.108
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    • pp.82-89
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    • 2005
  • Mandibular widening is one method of mandibular distraction osteogenesis, which has anatomic limitations such as curved surface, mandibular condyle and narrow arch. The purpose of this study was to understand the biomechanics of various mandibular widening procedures Experimental models consisted of 6 groups according to different osteotomy hues and distractor positions. The results of this study showed different expansion patterns. which meant the feed for proper approaches in mandibular widening.

Evalutation of the Condylar Position in the Lateral Transcranial Projection for the Patients with Disc Displacements of the Temporomandibular Joint (측두하악관절원판변위 환자에서 나타나는 측방횡두개방사선사진상의 과두위치에 대한 평가)

  • 이소향;기우천;최재갑
    • Journal of Oral Medicine and Pain
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    • v.23 no.1
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    • pp.45-55
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    • 1998
  • The author assessed the sagittal relationships between glenoid fossa of the temporal bone and mandibular condyle from lateral transcranial views of 74 TMJ with disc displacement and 16 TMJ with normal disc-condyle complex by the magnetic resonance image findings. All the subjects were female and also in their 3rd decades. The disc displacement group was subdivided into anterior disc displacement with reduction (ADWR) group and anterior disc displacement without reduction (ADWOR) group. The anterior, superior, and posterior joint spaces as well as anterior/posterior (A/P) ratio of the space at the closed jaw position and vertical and horizontal components of the condyle position relative to the articular eminence at the open jaw position were measured from all the subjects and the data were compared among groups. The result were as follows : 1. The mean posterior joint space of ADWR group was smaller than ADWOR group, but there were no significant differences in anterior and superior joint spaces between two groups. 2. There showed a tendency of higher A/P ratio in ADWR group which meant the condyle of ADWR was likely to take posteriorly displaced position. 3. There were higher proportion of neutral condylar position in glenoid fossa in normal group, but higher proportion of posterior condylar position in ADWR group. 4. There were no significant differences in the degree of condyle-fossa concentricity among groups.

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Occlusal Change as a Sequela of Anterior Disc Displacement without Reduction of Temporomandibular Joint: Case Reports (관절원판전위와 갑작스런 교합변화가 발생한 환자의 임상증례 및 원인에 관한 보고)

  • Hur, Yun-Kyung;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.36 no.2
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    • pp.107-115
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    • 2011
  • We report 4 patients who developed change of occlusion which seemed to be related to anterior disc dislocation without reduction, but there was no distinct evidence of condylar destruction or collapse. They experienced sudden occurrence of occlusal change, anterior open bite in 2 patients, lateral CR-CO discrepancy in 1 patient, and anteroposterior CR-CO discrepancy in 1 patient. Also, this report is to find out if there is a relation between sudden occurrence of occlusal change and anterior disc dislocation without reduction.

THE NORMAL RANGE OF CONDYLAR MOVEMENT (하악골 운동시 과두의 이동범위에 관하여)

  • Choe Han Up
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.8 no.1
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    • pp.43-47
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    • 1978
  • The purpose of this study was to investigate the normal range of condylar movement of normal adults. The author has observed roentgenographic images of four serial positions of condylar head taken by modified transcranail lateral oblique projection. The serial positions are centric occlusion, rest position, 1 inch open position and maximal open position. The results were obtained as follow; 1. Inter-incisal distance was 46.85㎜ in maximal open position. 2. The length between the deepest point of glenoid fossa and summit of condylar head in rest position was wider than that in centric occlusion by 0.8㎜. 3. In 1 inch open position, condylar head moved forward from the standard line in 12.64㎜ of horizontal direction and moved downwards from the standard line in 1.84㎜ of vertical direction. 4. In maximal open position, condylar head moved forward from the standard line in 19.06㎜ of horizontal direction and moved downwards from thestanard line in 0.4㎜ of vertical direction. 5. In centric occlusion, the width between glenoid fossa and margin of condylar head was greater in the posterior portion than in the anterior portion by 0.4㎜. 6. Except for the estimated figures of 1 inch open position, all of the estimated figures was greater in male than in female.

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A RADIOGRAPHIC STUDY ON THE CONDYLAR POSITION IN TEMPOROMANDIBULAR JOINT DYSFUNCTION PATIENTS (악관절기능장애환자의 하악과두위에 관한 방사선학적 연구)

  • Bang Sea Howan;Kim Jae Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.17 no.1
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    • pp.223-232
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    • 1987
  • The author obtained the transcranial-oblique lateral radiograms from 78 patients(26 male, 52 female) with temporomandibular dysfunction problem. And then, the author analyzed the dimensional changes of the TMJ space on centric occlusion, horizontal condylar movement and antero-posterior positional relationship of condyle to the articular eminence on 2.54㎝ mouth opening with clicking, TMJ pain and mouth opening limitation repectively, which were the symptoms of the temporomandibular joint pain dysfunction problem, and compared these data with control group. The results were as follows: 1. In centric occlusion, anterior and posterior TMJ space of experimental group was slightly lesser than those of the control group, also superior TMJ space of experimental group was significantly lesser than that of the control group. (p<0.01) 2. In 2.54㎝ mouth opening, the condylar horizontal movement and the antero-posterior positional relationship to the articular eminence were significantly lesser than those of the control group. (p<0.01) 3. Examined experimental group, the degree of condylar horizontal movement of affected ide was lesser than that of the normal side in 2.54㎝ mouth opening.

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REMODELLING AFTER CONSERVATIVE TREATMENT OF THE MANDIBULAR CONDYLAR FRACTURES IN CHILDREN (소아에서 하악과두 골절의 보존적 치료 후 골개조)

  • Ryu, Sun-Youl;Hwang, Ung;Yang, Kyu-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.1
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    • pp.49-55
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    • 2004
  • The management of mandibular condylar fractures in children has long been a matter of controversy. The fracture, if not treated appropriately, may result in complications such as disturbance of mandibular growth and temporomandibular joint ankylosis. They are usually treated nonsurgically, which has been proved to be satisfactory in the long term results. Nineteen children with 25 condylar fractures experienced during their growth period (age at trauma from 10 months to 12 years, mean 7.0 years) were studied. All patients were treated by arch bars and intermaxillary fixation for $7{\sim}14$ days. They have been evaluated with clinical and radiographic examination. The maximum mouth opening and lateral movement of the mandible were within normal limits. There was no malocclusion or ankylosis. Beginning of remodelling was evident at postoperative $1{\sim}3$ months. Remodelling of the condyle was good in 21, while partial adjustment occured in the other 4 condyles. These results suggest that the conservative treatment of condylar fractures in growing children results in good functional results and good remodelling of the condyle.

Analyzing TMJ Sound Using a Simplified Condylar Path Recorder and a Sound Checker (과두로 단순 기록장치 및 SOUND CHECKER를 이용한 악관절음의 분석)

  • Cho, Ho-Hyun;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.26 no.1
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    • pp.113-131
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    • 1988
  • Although TMJ sound is common, its relationship to subjective and objective evaluation and the magnitude and the position of the sound during the mandibular movement is not fully understood. So, the purpose of this investigation was to provide further insight into the characteristics of the TMJ sounds. Twelve subjects (9 men and 3 women) with TMJ sounds were selected from students at Chosun University, School of Dentistry. Condylar movements and TMJ sounds of each subject were recorded and analyzed using a simplified condylar path recorder and a sound checker. Although specific conclusions were difficult to make from this study, the finding suggested the followings. 1. The position of TMJ sounds were visually observed and marked on the condylar tracings during maximum opening and closing, protrusive and retrusive and right and left lateral movements. 2. Information about the size, location and number of condylar deviations and the translation freedom of the condyle was recorded and analyzed objectively. 3. The most obvious characteristic of TMJ sounds was their variability. 4. TMJ sounds were categorized into one of four groups (soft click, hard click, soft crepitus, hard crepitus) by the quality and quantity of the duration and amplitude components.

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Retromandibular Approach for the Open Reduction of Fractured Mnadibular Condyle (하악과두 골절의 관혈적 정복술을 위한 하악 후방 접근법)

  • Kim, Hak-Kyun;Kim, Su-Gwan;Kang, Dong-Wan;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.283-288
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    • 2006
  • There are several manners for surgical approaches to the mandibular condyle. With the retromandiular approach, the condyle and fracture are exposed directly and allow for good inspection and reduction. The retromandibular scar is very well camouflaged and practically invisible. The aim of this study was to evaluate clinical results of retromandibular approach for the reduction and fixation of fractured mandibular condyles. We described postoperative complications such as temporary facial nerve weakness involving the marginal mandibular branch, mouth opening limitation and malocclusion in 13 patients with mandubular condylar fractures; 11 subcondylar fractures and 2 condylar neck fractures. The follow-up period was longer than 6 months in all patients. The retromandibular approach was successful in all subcondylar fracture cases. 2 patients with condylar neck fracture had mouth opening limitation and temporary marginal nerve palsy longer than 3 months. But there were no cases of permanent nerve injury and malocclusion. Our findings indicate that retromandibular approach is an easy and safe technique for subcondylar fracture but not for condylar neck fracture.

A Study on the Mandibular Movements in the Patients with TMJ Lock Closed (악관절 폐구성 과두걸림 환자의 하악운동에 관한 연구)

  • Ji-Won Lee;Sung-Chang Chung
    • Journal of Oral Medicine and Pain
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    • v.15 no.1
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    • pp.79-89
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    • 1991
  • The author examined the patterns and various ranges of mandibular movements in TMJ lock closed patients in the frontal, sagittal and horizontal plane and obtained the following results. 1. In the frontal trajectory, the mean amount of maximum mouth opening was 24.4mm and the opening paths were deviated to the affected side in 87.1% of the patients. The mean amount of maximum laterotrusion to the affected side was 10.4mm and that of non-affected side was 7.5mm. There was a significant difference between them(p<0.001). 2. In the sagittal trajectory, the mean amount of the maximum protrusion was 7.0mm, the mean amount of the maximal retrusion was 1.0mm 3. In the horizontal trajectory, the pattern of laterotrusion showed asymmetry: the mean length of non-affected side was smaller than that of the affected side. Protrusive path were deviated to the affected side in 64.5% of the patients, the mean degree of deviation was 16.4$^{\circ}$. The mandibular movements of TMJ lock-closed patients can be characterized by decreased range of mouth opening, protrusive movement, and laterotrusive movement to the non-affected side and also characterized by deviated opening and protrusive path to the affected side.

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Relationship between Thinking Styles and the Big-Five Personality Traits of scientifically-gifted students. (과학영재들의 사고양식과 5 인성 요인간의 관계)

  • 배미란;한기순;박인호
    • Journal of Gifted/Talented Education
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    • v.13 no.1
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    • pp.43-63
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    • 2003
  • The purpose of this study is to investigate the relationships between the thinking styles and the big five personality traits of gifted students. Two hundred and fifty-five gifted students(169 boys, 97 girls) enrolled in the Science Elite Program responded to the Big Five Personality Inventory and Thinking Styles Inventory. Although significant relationships were identified between particular thinking styles and certain personality traits, it was concluded that it is premature to claim that a personality measure can be used to measures thinking styles. Neuroticism, Agreeableness, in Big Five Personality Inventory and level and form dimensions of Thinking Styles Inventory was found to measure the each construct independently.