• Title/Summary/Keyword: 교합 고경

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Fabrication of complete denture using Centric tray and closed mouth technique for edentulous patient (과도한 치조제 흡수를 보이는 무치악 환자에서 Centric tray와 폐구법 인상을 이용한 총의치 수복 증례)

  • Jung, Sua;Ma, Boyoung;Yang, Hongso;Park, Sangwon;Lim, Hyun-Pil;Yun, Kwidug
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.2
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    • pp.120-125
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    • 2018
  • Conventional denture impression techniques have limitations for edentulous patients with severe alveolar bone resorption and can cause problems from excessive border extension. Especially when a patient has movable tissue it is difficult to make accurate impression, thus might interrupt stable seating of complete denture. Fabrication of complete denture using closed mouth technique for edentulous patient with severe ridge resorption is thought to provide better stability and retention. In this case, an 86-year-old patient had both edentulous jaws with epulis fissuratum on maxillary anterior ridge and severe mandibular ridge resorption. Thus, tentative vertical dimension was determined by using Centric trayand individual tray attached with gothic arch tracer was fabricated. Complete denture was fabricated using closed mouth technique and the patient was satisfied with better stability and retention of the complete denture.

MAXILLARY MOLAR DISTALIZATION WITH A PENDULUM APPLIANCE (Pendulum 장치를 이용한 상악 대구치의 원심이동 증례)

  • Lee, H.J.;Kim, Y.J.;Kim, J.W.;Jang, K.T.;Lee, S.H.;Kim, C.C.;Hahn, S.H.
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.523-531
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    • 2008
  • Maxillary molar distalization is a treatment approach for patients with Class II malocclusions who do not require extractions and mesial movements of mandibular molars. The pendulum appliance is effective for distalization of the maxillary molars and independent of patient cooperation. This appliance can stabilize the maxillary premolars and use the palatal rugae area as an additional anchorage. However, caution is needed to control collateral effects, including increase of lower facial height, incisor protrusion and damage to the rugae area. This article reports the cases in which maxillary molar distalization achieved by pendulum appliance resolves the space problems and corrects the molar relationships.

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RPD framework fabrication using computer-aided design (CAD) and rapid prototyping (Computer-aided design (CAD) 및 쾌속조형술을 이용한 가철성 국소의치 수복 증례)

  • Park, Seon-Ah;Koak, Jai-Young;Heo, Seong-Joo;Kim, Seong-Kyun;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.94-99
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    • 2017
  • Nowadays, digital dentistry is generally applied to prosthodontics with fabrication of inlays or any other fixed prostheses by utilizing CAD/CAM (computer-aided design/computer-aided manufacturing) technology and intraoral scanner. However, in fabricating removable prosthesis, there are some limitations for digital technology to substitute conventional casting method. Therefore, approaching removable prostheses fabrication with CAD/CAM technology would be a meaningful trial. In this case report, Kennedy class III mandibular edentulous patient who was in need of increasing the vertical dimension of occlusion was treated with removable partial denture using CAD and rapid prototyping technique. Surveying and designing the metal framework of the partial denture was performed with CAD, and sacrificial plastic pattern was fabricated with rapid prototyping technique. During the follow up period of nine months, the removable partial denture has provided satisfactory results in esthetics and function.

A cephalometric evaluation of anterior j hook headgear traction to the maxilla (Anterior j hook headgear를 이용한 상악골 성장억제에 관한 연구)

  • Chung, Kyu-Rhim;Kang, Jang-Yun
    • The korean journal of orthodontics
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    • v.30 no.4 s.81
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    • pp.387-398
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    • 2000
  • This study was aimed to observe the effect of Anterior J hook headgear on the craniofacial structures in mixed dentition with Class II malocclusion. The laterial cephalograms of 20 children treated by Anterior J hook headgear were traced, digitized and statistically analyzed. The results were as follows : 1. Forward growth of maxilla was inhibited. 2. Rotational effect of maxilla was not observed. 3. There was distal movement of maxillary dentition. 4. Maxillarly_dentoalveolar growth changes were more effective in anterior portion than posterior portion. 5. Mandible maintained a normal growth and mandibular plane angle was maintained during treatment period. 6. The ratio of anterior facial height to posterior facial height was almostly not changed.

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ERUPTION GUIDANCE OF IMPACTED MANDIBULAR FIRST MOLAR BY SURGICAL EXPOSURE (외과적 노출술을 이용한 매복된 하악 제1 대구치의 자발적 맹출유도)

  • Kim, Eun-Jung;Kim, Nan-Jin;Jo, Ho-Jin;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.598-604
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    • 2004
  • Impaction of mandibular first molar is relatively rare and its overall frequency has been reported to be 0.01%. The etiology of impaction are lack of eruption space, physical obstacles such as supernumerary teeth, odontomas or odontogenic tumors, hereditary factors, functional disturbances of endocrine glands and traumas. Impaction of mandibular first molar can result in a short lower facial height, formation of a follicular cyst, pericoronal inflammation, resorption of the roots of neighboring teeth and malocclusion. The treatment options available for impacted teeth include surgical exposure, orthodontic forced eruption, surgical repositioning and surgical removal of unerupted molar. This report presents two cases of distally tilted and impacted mandibular first molars which were treated by surgical exposure. In these cases, we could observe spontaneous eruption of the impacted mandibular first molars after surgical exposure.

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Factors Influencing Upper Airway Dimensions in Skeletal Class II Children and Adolescents: A CBCT Study (골격성 II급 소아·청소년의 상기도 공간에 영향을 미치는 요인 : CBCT 연구)

  • Kim, Byounghwa;Lee, Jewoo;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.1-11
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    • 2021
  • The purpose of this study is to investigate factors influencing the upper airway dimensions in skeletal Class II children and adolescents. In total, 67 patients were selected. Airway volume and minimal cross-sectional area were three-dimensionally assessed. Craniofacial morphology and skeletal maturity were assessed on generated two-dimensional cephalograms. The measurements were analyzed using Mann-Whitney test, one-way ANOVA, Pearson's correlation, and multiple regression analysis. Upper airway dimensions were significantly smaller in pre-peak stage group, and positively associated with age. Anterior facial height and age were the most relevant factors for airway volume. Mandibular width and age were the most relevant factors for minimal cross-sectional area. Upper airway dimensions were significantly associated with age, skeletal maturity and craniofacial morphology in all three planes.

Prosthetic rehabilitation for a maxillectomy patient using 3D printing assisted closed hollow bulb obturator: a case report (상악골 결손부 환자에서 3D printing을 이용한 closed hollow bulb obturator 수복 증례)

  • Oh, Miju;Lee, Jonghyuk;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.191-198
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    • 2019
  • This case report presents a closed hollow bulb obturator made by 3D printing for a maxillectomy patient. Final impression was taken according to the instructions and impression trays provided by the Magic $denture^{TM}$ system. Vertical dimension, facial appearance, and retention had been checked with the try-in denture. The try-in denture was corrected and adjusted to fulfill the demand of the patients, then these were reflected to the final design of the denture. The defect area was designed as a closed hollow bulb shape to reduce the weight and to provide uniform thickness of the denture. The patient satisfied with the esthetics and function of the denture.

Fabrication of complete dentures made with monolithic discs through CAD/CAM using facial scan data and individual tray duplicating temporary denture: a case report (안면스캔 데이터와 임시의치를 복제한 개인 트레이를 활용하여 CAD/CAM을 통한 monolithic disc로 제작한 총의치 수복: 증례 보고)

  • Ju Hyun Kim;Soo-Yeon Shin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.158-167
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    • 2023
  • As digital technology has advanced in the field of dentistry, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) has brought changes to the stages of dental treatment. The use of CAD/CAM technology in dental restoration offers clinical efficiency and convenience by reducing production time and appointment intervals, while also simplifying the fabrication process to reduce errors. In this case, digital replication and printing of temporary teeth were used to aid a patient with complex medical histories and physical disabilities. The final impression obtained with silicone impression material included information on the vertical dimension, centric relation, and the angle and length of the anterior teeth, which shortened the production time and appointment intervals and increased patient satisfaction. The final restoration was fabricated using milling and monolithic disc techniques, demonstrating appropriate stability, retention, and support, resulting in functional and aesthetic satisfaction.

Using treatment denture and digital technology in patient with unstable mandibular movement: a case report (불안정한 하악위를 가진 무치악 환자에서 치료의치와 디지털 기술을 이용한 치료 증례)

  • Eunji Oh;Woohyung Jang;Chan Park;Kwidug Yun;Hyun-Pil Lim;Sangwon Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.168-175
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    • 2023
  • Long-term use of inappropriate prosthesis often results in habitual closure or irregular mandibular movements. In that case, guide to the stable centric position is difficult. Therefore, by using a treatment denture, the muscles and TMJ should be stabilized and the jaw relation should be acquired with the treatment position. Compared to the conventional method, digital technology in fabrication complete denture has the advantage of reproducing a stable tooth arrangement in cases of difficult tooth alignment, minimizing laboratory errors and reducing denture fabrication time. Therefore, in this case, the final denture was fabricated by digitally reproducing the stable treatment position, vertical dimension, and lip support with a treatment denture, and satisfactory results were obtained.

Ultrasonographic study on the masseter muscle thickness of adult Korean (한국인 성인의 교근 두께에 관한 초음파검사적 연구)

  • Cha, Bong-Kuen;Park, In-Woo;Lee, Yeun-Hee
    • The korean journal of orthodontics
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    • v.31 no.2 s.85
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    • pp.225-236
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    • 2001
  • It is widely accepted that the shape and structure of bone are closely related to the activity of attached muscle. Numerous clinical and animal experimental studies indicated the significant effects of masticatory muscle function on maxillofacial morphology. Recently, the development of ultrasonography has spread throughout different fields of medicine. In the clinical examinations, ultrasonography is a convenient, inexpensive technique to apply with accurate and reliable results. The aim of this study is to assess the thickness of the masseter muscle and its correlation to maxillofacial skeleton by examining 35 male and 15 female dental students at Kangnung National University. The masseter muscle thickness of the subjects were measured by ultrasonographic scanning with a 7.5MHz linear probe, and their maxillofacial morphology were investigated by lateral cephalometric radiographs. The relationship between the masseter muscle thickness and maxillofacial morphology of normal adult was statistically analyzed, and the following results were obtained. 1. The average thickness of male masseter muscle was 13.8${\pm}$1.71mm in the relaxed state and 14.8${\pm}$1.77mm at maximal clenching state, while that of female was 11.6${\pm}$1.58mm and 12.4${\pm}$1.47mm, respectively. Ethnic difference in thickness of the masseter muscle and maxillofacial skeleton was found when the results of many researchers were compared with those of this study. 2. The thickness of the masseter muscle in both sexes increased significantly at maximal clenching state than in relaxed state(P<0.05). 3. The masseter muscle thickness of male was greater than that of female both in the relaxed state and maximal clenching states(P<0.05). 4. In males, the thickness of the masseter muscle was negatively correlated with the mandibular plane angle and positively correlated with the mandibular ramus height and anterior cranial base length(P<0.05). It may suggest that the male with thicker masseter muscle has smaller facial divergence. 5. No significant correlation was found between the masseter muscle thickness and maxillofacial morphology in females(P<0.05). Therefore, these data suggest that ultrasonography can add valuable information to the conventional examinations of masseter muscle function.

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