• Journal of Oral Medicine and Pain
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• v.31 no.4
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• pp.365-373
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• 2006

This study suggested correction of excessive mouth opening or maximum occlusal contact to analyse occlusal contact time, occlusal contact number and force through evaluation of occlusal pattern in policemen with temporomandibular disorders. The community of policemen influence on temporomandibular disorder's development and progress due to other condition of mouth opening and maximal occlusal contact. Repeated training or changes of usual life style may cause imbalance of stomatognathic system including the masticatory muscle, then develop or aggravate pain of temporomandibular joints and associated structures. This study uses T-scan II system(Tekscan Co., USA) for evaluation on occlusal pattern may influence temporomandibular disorders, and then the subjects take a sensor at 20 mm opening for maximal occlusal contact force. The policemen with temporomandibualr disorders get more long time on maximum contact timing, more short on end contact timing, and more force on end contact force than general society's. So they get closure of mouth with more short time and more force, then transfer remaining load to temporomandibular joint. There are no statistically significances between affected side and occlusal pattern of occlusal contact time and force. There are Left -right dental arch imbalances seems on Rt. dental arch if affected side is right and Lt. dental arch if affected side is left. In above results, It's worth due consideration that policemen with temporomandibular disorders get more smooth mandibualr movement and less force on maximal occlusal contact position.

• The korean journal of orthodontics
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• v.25 no.1 s.48
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• pp.111-128
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• 1995

This study was investigated to assess the difference of facial height and occlusal plane inclination between pre- and post-treatment in Class I malocclusion group The subjects consisted of 35 extraction patients and 30 nonextraction patient,;, and was subdivided into Group I(overbite<0mm), Group II(04mm) in reference to overbite, and adolescent group and adult group in reference to age. Lateral cephalogram was taken with standard method, traced, and digitized for each subject. The computerized statistical analysis was carried out with SAS program The results wolf as follows. 1. In both groups of extraction and nonextraction group the anterior facial height increased after orthodontic treatment but there was no significant difference(p>0.05) between each goup. 2. There was no statstical significance in change of occlusal plane inclination in adolescent group, but significant difference(p<0.05) among three subgroup in adult group. 3. In adolescent-extraction and adolescent-nonextraction group there was significant increase of anterior facial height and posterior facial height, and was superior to adult groups in posterior facial height increment. 4 In all groups upper and lower molars were uprighted to occlusal plane. This had statistically significant effect.

• The korean journal of orthodontics
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• v.24 no.1 s.44
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• pp.63-86
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• 1994

The purpose of this study was to find out some relationship between the positional change of mandible during treatment and the prognosis after treatment of ClassIII malocclusion. The patients selected for this study were sucessfully treated two patients, and three patients who wert also sucessful in active treatment but showed relapse during observation. Serial Cephalograms, photos, models, treatment record of these patients were analysed in each term of treatment and observation period. The results might be summarized as follows: The patient with swing back type in which mandible rotated posteroinferiorly during active treatment showed good dental md skeletal relationship during observation. Among the patients with Y-axis type, one who had harmonious growth between maxilla and mandible showed stable dental relationship during observation, the other who had not showed relapse. The swing back type was not changed during and after treatment but the patients who had Y-axis type were unchanged in some patients, and changed into forward type in the others. During active treatment, was lower facial height(ANS-Me) increased in all 5 patients, and in observation period the patients showing increase in lower facial height had stable occlusion but the others having decrease showed unstable dental relationship.

• Journal of the korean academy of Pediatric Dentistry
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• v.49 no.1
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• pp.45-56
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• 2022

The purpose of this study is to evaluate changes of occlusion following the placement of preformed metal crown in the permanent first molar affected by severe caries or hypomineralization. The study was conducted on 24 patients who met the criteria among the patients with occlusion in the permanent first molar reaching the occlusal plane. Restorative treatment was performed on one first molar using preformed metal crown. Before treatment, immediately after treatment, after 4 weeks, and after 8 weeks, the T-scan III was used for measuring distribution of bite force at the maximum intercuspal position, and overbite was measured with digital vernier calipers and change of dental midline was surveyed. After 8 weeks, questionnaires survey was conducted. In most cases, immediately after treatment, the distribution of bite force between the restored side and non-restored side of arch was reversed compared to before treatment, and the overbite was decreased. However, after 4 weeks, bite force of the left and right side was balanced and the distribution of bite force on the restored and non-restored permanent first molars had similar values. Also, the changed overbite and midline were returned to pre-treatment status and there was no significant temporomandibular joint and masticatory discomfort after treatment. In this study, it was confirmed that spontaneous occlusal equilibrium was achieved one month after the placement of preformed metal crown.

• Journal of Dental Rehabilitation and Applied Science
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• v.27 no.4
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• pp.423-436
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• 2011

Trauma from occlusion (TFO) is a pathologic alterations which develop in the periodontium as a result of undue masticatory force. The purpose of this article is to review the controversies about TFO. There are evidences that TFO is a risk factor in the progression of periodontitis. Tooth mobility should be reduced by selective occlusal adjustment. TFO can be developed dependent on the masticatory pattern, occlusion and anterior overbite in sound periodontal conditions. Secondary TFO may aggravate unstable occlusion. If "loss of posterior support" was occur, the problems were worsen. Extrusion, migration, rotation and pathologic deviation can be resulted. Opposite contention is the "shortened dental arch" concept. However, these two concepts persue the occlusal stability together. To treat TFO adequately, exact diagnosis and multi-disciplinary treatment should be needed.

• Journal of Digital Convergence
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• v.15 no.10
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• pp.307-314
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• 2017

In this study, a minimum amount of the vertical occlusion was secured differently in each type of mandibular advance devices snoring and Class I malocclusion patients wore these devices. This study analyzes, after the use of devices, a different amount of the vertical occlusion results in a change of the area of upper airway by additional changes such as mandibular position, muscle changes, tongue position. The higher the vertical amount, the area of the upper airway was shown smaller, And if the patient's tongues was prevented from the distal movement, the area of the upper airway had increased, To reduce snoring, doctors should accurately diagnose patients' occlusal relationships and select a MAD snoring that is appropriate for the occlusion. The dental technician who builds the selected device should also consider design settings such as the amount of vertical occlusion, the finish lines, and the thickness of the device to increase the effectiveness of the device.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.3
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• pp.313-317
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• 2002

Asymmetry in the face and dentition is a naturally occurring phenomenon. Functional asymmetry can result the mandible being deflected laterally if occlusal interferences prevent proper intercuspation in centric relation. Five year old girl was referred to the pediatric department for mandibular deviation. The patient had right posterior crossbite and 2.5mm midline deviation due to dental caries on the primary teeth. The authors used the activator as occlusal splint for eliminating habitual posturing and deprogramming the musculature in the treatment of functional asymmetry and for occlusal stabilization restored the primary molars with cast crowns.

• Journal of Oral Medicine and Pain
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• v.31 no.3
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• pp.265-274
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• 2006

Temporomandibular joint (TMJ) internal derangement, especially disc displacement with reduction (DDwR) is the most common TMJ arthropathy and has been thought to do some effects on masticatory performance. Measuring of maximal bite force has been widely used as objective and quantitative method of evaluating masticatory performance, but previous studies showed various results due to various characteristics of subjects and different measuring devices and techniques. In a few studies about the correlation of bite force and temporomandibular disorders (TMD), some authors reported that bite force and masticatory performance would be reduced in patients with TMD because of pain. But the correlation of changes in structure of articular disc and masticatory performance has not been well investigated yet. In this study, to investigate the influences of non-painful disc change on the masticatory performance, we measured the value of maximal bite force, occlusal contact area and occlusal pressure of 39 patients with non-painful DDwR of the TMJ using pressure sensitive film, and compared it with that of 59 controls. The results are summarized as follows: 1. The maximal bite force (P<0.01) and the occlusal contact area (P < 0.05) of the DDwR patients were greater than the controls. 2. There was no significant difference in occlusal pressure between the DDwR patients and the controls (P > 0.05). 3. The maximal bite force of the male group was greater than that of the female group (P < 0.05). However, the occlusal contact area and the occlusal pressure between the male and the female group didn't show significant difference (P > 0.05). From the results above, we can suggest that DDwR could be a factor of changing bite force, but more controlled, large scaled and EMG related further study is needed.

• Journal of Dental Rehabilitation and Applied Science
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• v.26 no.2
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• pp.157-168
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• 2010

Many athletes have been using occlusal stabilization appliances to improve their performance. Few studies have examined the benefits of such an appliance in golf. We determined the effect of such appliances on the masticatory muscle activities and driving distances of professional golf players. The appliances were customized for each player and adjusted using a computerized device. The electromyographic muscle activities and driving distances with and without the appliance were measured and compared using the K7 Analyzer and the GolfAchiever II assembly. A paired t-test was used for statistical analysis. The muscle activities of the temporo-frontal and masseter muscles with the appliance were significantly more stable than those without the appliance, and the driving distances with the appliance were significantly different from those without it. Although there were intra-individual differences, professional golf players with temporomandibular disorders showed a greater improvement in performance.

• Journal of Dental Rehabilitation and Applied Science
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• v.38 no.4
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• pp.204-212
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• 2022

Purpose: The aim of this study was to compare changes of bite force, occlusal contact area, and dynamic functional occlusion analysis after occlusal stabilization splint therapy during sleep for one month in a patient with bruxism. Materials and Methods: From October 2021 to July 2022, sleep bruxism of 30 patients who visited the Department of Oral Medicine at Yonsei University College of Dentistry Hospital were recruited. The participants were divided into two groups: using an occlusal stabilization splint during sleep (treatment; n = 15) and not using an occlusal stabilization splint (control; n = 15). Before using the occlusal stabilization splint and one month after, bite force, occlusal contact area and dynamic functional occlusion analysis (ratio of left/right bite forces, average bite forces, maximum bite forces, and maximum contact areas during lateral and anterior and posterior mandibular movements) were performed. Results: There was no difference in bite force and occlusal contact area between the treatment group using the occlusal stabilization splint and the control group not using the occlusal stabilization splint during sleep for one month. However, there were significant differences in the average bite force and maximum bite force in the lateral and anterior and posterior mandibular movements and the maximum contact areas in the anterior and posterior mandibular movements. Conclusion: The occlusal stabilization splint is helpful for sleep bruxism patients who lateral and anterior and posterior mandibular movements. In addition, further studies are needed a double-blind study with a large population.