• Title/Summary/Keyword: 구치부 과교합

Search Result 31, Processing Time 0.029 seconds

Full mouth rehabilitation on the patient with maxillary anterior diastema and posterior bite collapse with orthodontic treatment (상악 전치부 치간 이개와 구치부 교합지지 상실을 가진 환자에서 교정치료를 동반한 완전 구강회복 증례)

  • Lee, Seon-Ki
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.38 no.1
    • /
    • pp.60-68
    • /
    • 2022
  • A patient with severe periodontitis has causative factors that cause pathological tooth movement, the occlusion is disintegrated, and the vicious cycle of worsening periodontitis is repeated. In particular, when pathological tooth movement occurs in the maxillary anterior region, the patient has an aesthetic sense of atrophy, and the quality of life was reduced. Therefore, when orthodontic treatment was added to patients with severe periodontitis, it promotes the formation of new bone, reduces periodontal cysts, and obtains clinical attachment, which leads to favorable results in prosthetic restoration, thereby enabling ideal occlusion, function and aesthetics. Periodontal treatment, orthodontic treatment, natural tooth restoration, and implant prosthesis were planned for patients with pathological tooth movement in the anterior region due to loss of occlusal support in the posterior region. As a result, an ideal restoration space was secured, a stable restoration of occlusal contact was formed, and the maxillary anterior teeth were aesthetically improved.

The Study of Cost-benefit Analysis on Fissure Sealant and Regular Checkup for Prevention of Dental Caries (치아우식증 예방을 위한 영구치 구치부 교합면 치면열구전색 및 정기검진의 비용 편익 분석)

  • Noh, Hie-Jin
    • Journal of dental hygiene science
    • /
    • v.2 no.2
    • /
    • pp.53-62
    • /
    • 2002
  • The purpose of this study is to investigate the retention and caries prevention practical effectiveness of fissure sealant and regular checkup with cost-benefit analysis. The data of this study is based on "2000 The Survey of Korean Oral Health" by Ministry of Health & Welfare. This study is to investigate cost-benefit analysis on proper treatment for the decayed, in case of operating fissure sealant on molars at 1 year after eruption of permanent teeth. The obtained results were as follows: (1) Cost-benefit analysis on fissure sealant in 6-75 year old 43,736 thousand Korean people reveals that cost of fissure sealant is 1,610,994 million won and benefit is 69,460,691 million won. (2) Benefit of fissure sealant is 39.51 times as much as cost of fissure sealant. (3) Cost of twice in a year regular checkup is 2,678,544 million won. Indirect cost of regular checkup is 2.6 times as much as direct cost. (4) Cost of fissure sealant and twice in a year regular checkup is 4,289,538 million won, and benefit is 69,460,691 million won. Benefit of fissure sealant and twice in a year regular checkup is 16.2 times as much as cost.

  • PDF

Full mouth rehabilitation through re-establishment of occlusal plane in partially edentulous patient with reduced vertical dimension accompanied by loss of posterior occlusal support (구치부 교합지지 상실과 수직고경 감소를 동반한 부분 무치악 환자에서 교합평면 회복을 통한 완전구강회복 증례)

  • Cho, Young Eun;Leesungbok, Richard;Lee, Suk Won;Choi, Joseph June Sirk
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.60 no.3
    • /
    • pp.263-275
    • /
    • 2022
  • The loss of posterior occlusal support leads to further complications such as collapsed occlusal plane and reduced vertical dimension, and it may cause problems such as facial appearance change, reduced chewing efficiency, and temporomandibular joint disorders. In such case, it is necessary to re-establish occlusal plane and vertical dimension properly through accurate diagnosis and predictable treatment plan. This case report presents a 71-year-old female, whose occlusal plane was collapsed and posterior restorative space was insufficient. To perform a patient-friendly full mouth rehabilitation, proper vertical dimension and occlusal plane were decided by evaluation of interocclusal space at her physiologic mandibular rest position, swallowing, pronunciation, facial appearance, and the average length of anterior teeth. And then, the fixed provisional restorations were fabricated with the new occlusal position, and evaluated for 5 months with checking adaptation of masticatory muscles and any kind of clinical symptoms occurs or not. After confirmation of functional stability and esthetic satisfaction with the newly established occlusion, final definitive restorations were fabricated and inserted in the mouth. Through the above process, the treatment result was functionally and aesthetically satisfactory.

Changes of bite force and occlusal contacts after stabilization splint therapy (교합안정장치 사용후 교합력 및 교합접촉의 변화양상에 관한 연구)

  • Park, Hyung-Soo;Kim, Kwang-Won;Yoon, Young-Jooh
    • The korean journal of orthodontics
    • /
    • v.30 no.1 s.78
    • /
    • pp.91-99
    • /
    • 2000
  • This study was done to identify the changes of bite force and occlusal contact between before and after stabilization splint therapy. 16 female patients, accepted for orthodontic treatment at the Department of Orthodontics, College of Dentistry, Chosun University, were selected as the sample of this investigation. For comparisons, the samples of 16 were divided into just before stabilization splint, 1 month after stabilization splint, 2 months after stabilization splint, and 3 months after stabilization splint and used the T-scan system to identify the bite force and occlusal contact changes for each group. Statistical analysis of the data was carried out ANOVA tests, and Turkey tests using $SPSS/PC^+$. The results were as follows : 1. Bite force change from just before treatment to 1 month after stabilization splint therapy was statistical significantly decreased (P<0.05). 2. Bite force changes from 1 to 3 months after stabilization splint therapy showed no statistical significance (p>0.05). 3. The changes of anterior occlusal contacts showed no statistical significance regardless of the wearing periods of stabilization splint (P>0.05). 4. The changes of posterior occlusal contacts from just before treatment to 1 month after stabilization splint therapy was statistical significantly decreased (P<0.05). 5. The changes of posterior occlusal contacts Outing 1 to 3 months after stabilization splint therapy showed no statistical significance (P>0.05). 6. Posterior teeth rather than anterior teeth were more influenced by the changes of the number of occlusal contacts. To sum up above results, we may respect to capturing and stabilizing centric relation Position just 1 month after stabilization splint therapy.

  • PDF

PALATOGRAPHIC STUDY ON MALOCCLUSION PATIENTS IN FRICATIVE SOUNDS (구개도(口蓋圖)에 의(依)한 부정교합자(不正咬合者)의 마찰음(摩擦音)에 관(關)한 연구(硏究))

  • Im, Chul-Joong
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.8 no.1
    • /
    • pp.56-64
    • /
    • 1968
  • 저자(著者)는 구개도(口蓋圖)에 의(依)하여 한국어(韓國語) 마찰음(摩擦音)의 라, 사, 자, 차 사행(四行), 도합(都合) 40음(音)에 대(對)한 정당교합자(正堂咬合者) 오인(五人)과 부정교합자(不正咬合者) 십칠인(十七人)의 발음(發音)을 조사(調査)하여 다음과 같은 결과(結果)를 얻었다. 1) 라, 사, 자, 차 사행(四行)의 구개도(口蓋圖)는 V, H 및 C형(型)을 나타낸다. 2) 라행(行)의 구개도(口蓋圖)는 교합군(咬合群)에 관계(關係)없이 주(主)로 H형(型)을 보인다. 라행(行)에 있어서 전치(前齒)와 접촉부위간(接觸部位間)의 거리는 과개교합군(過蓋咬合群)에서 크고, 반대교하군(反對咬合群)에서는 작다. 3) 사행(行)은 주(主)로 V형(型)을 보이며 반대교합군(反對咬合群)에서만 C형(型)이 1/3정도(程度) 나타난다. 반대교합군(反對咬合群)에서의 V형(型)은 그 접촉부위(接觸部位)가 구치부(臼齒部)로 갈수록 두터워 진다. 4) 자, 차행(行)의 구개도(口蓋圖)는 라, 사행(行)에 비(比)하여 변화(變化)가 많다. a) 과개교합군(過蓋咬合群)은 H형(型)이 67%이고 나머지는 C형(型). b) 반대교합군(反對咬合群)은 거의 모두가 C형(型). c) 과개교합군(寡蓋咬合群)에서는 반이상(半以上)이 C형(型), 나머지는 H형(型)이나 간혹 V형(型)도 출현(出現)한다. 5) 구치부(臼齒部)에서의 측방반대교합(側方反對咬合)의 경우는 반대교합(反對咬合)이 있는 반대(反對)쪽의 접촉부위(接觸部位)가 넓다. 6) 과개교합군(寡蓋咬合群)에서의 접촉부위(接觸部位)는 정상군(正常群)이나 과개교합군(過蓋咬合群)에서 보다 일반적(一般的)으로 넓게 나타난다.

  • PDF

Full mouth rehabilitation using removable prosthesis of patient with unstable mandible movements: A case report (불안정한 하악운동을 보이는 환자에서 가철성 의치 수복 증례)

  • Sohn, Dong-Hwan;Yi, Yang-Jin;Jo, Deuk-Won
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.58 no.1
    • /
    • pp.35-41
    • /
    • 2020
  • Patients with collapsed occlusal support and unilateral chewing show parafunctional mandibular movements, which can be complicated in older patients. Gothic arch tracing and split cast technique are used to confirm the deviation between centric relation and anterior habitual bite in patient who has oral dyskinesia and collapsed occlusion. Temporary denture as occlusal stabilization appliance was provided for stable occlusion and reproducible mandibular movement. Definitive denture was fabricated by lingualized occlusion concept.

A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear (치아 마모로 인한 수직고경감소와 과개교합을 가진 환자에서 전악 수복 증례)

  • Seo, Seong-Yong;Lee, Na-Young;Kang, Jeong-Kyung
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.56 no.1
    • /
    • pp.31-39
    • /
    • 2018
  • The collapse of the posterior occlusion destroys the normal occlusal plane and causes excessive wear reducing the vertical dimension. Reduced vertical dimension of occlusion causes not only aesthetic and functional problems but also overloading on the temporomandibular joints and abnormalities of muscle nerve system. In order to improve the collapsed occlusal relationship, it is necessary to consider the change of the vertical dimension. It is necessary to make a precise diagnosis and analysis before the treatment and to evaluate the adaption of patient to the new vertical dimension of occlusion. A patient with excessive overbite often has occlusal problems of tooth wear and tooth eruption. Considering these considerations, overall prosthodontic restoration is required to solve the problem. A patient of 68 year old man in this case who suffered major tooth wear and maxillary posterior teeth loss was treated with elevation of vertical dimension of occlusion by maxillary removable dental prosthesis and mandibular fixed prosthesis.

A study of sagittal condylar inclination and occlusal plane inclination of two semiadjustablearticulators with different reference plane (기준면이 다른 반조절성 교합기의 전방시상과로각과 교합평면경사각에 대한 연구)

  • Kim, Hyo-Jung;Lee, Sung-Bok;Choi, Dae-Gyun;Bak, Jin
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.46 no.4
    • /
    • pp.420-430
    • /
    • 2008
  • Statement of problem & Purpose: Articulators are very important for education and overall clinical situation in the field of prosthodontics, however preexisting articulators are designed and built based on maxillofacial structures and mean values of mandibular movement of Western people. Purpose of this research is to find out a adequate basis for applicating these articulators, presently used for clinical education, for Korean. Material and methods: 59 Korean adults (41 males, 18 females), aged between 24 to 41, where selected for this study. Two pairs of both maxillary and mandibular models were made for each examinee. These models where attached to both KaVo PROTARevo 7 and Hanau Modular semiadjustable articulators by using facebow transfer, than sagittal condylar inclination, occlusal plane inclination and position of mandibular on the articulator where measured. Result and conclusion: 1. Mean sagittal condylar inclination for KaVo PROTAR semiadjustable articulator was $33.75^{\circ}$(standard deviation $12.46^{\circ}$) meanwhile Hanau Modular semiadjustable articulator showed $40.72^{\circ}$(standard deviation $12.09^{\circ}$) for mean sagittal condylar inclination. 2. Mean occlusal plane inclination for KaVo PROTAR semiadjustable articulator was $-2.76{\circ}$(standard deviation $3.63^{\circ}$) meanwhile Hanau Modular semiadjustable articulator showed $11.87^{\circ}$ (standard deviation $3.63^{\circ}$) for mean occlusal plane inclination. 3. On the average center of the mandibular dentition were in the range of 5 to 7 mm of the central position of the articulator. Both anterior and posterior dentition were positioned at the center of the articulator vernacularly for KaVo PROTAR semiadjustable articulators, meantime for Hanau Modular semiadjustable articulator, anterior dentition was positioned 5 mm downwards and 3mm upwards for posterior dentition from vertically central position of the articulator.

THE TREATMENT OF CLASS III MALOCCLUSION USING FR-III (FR-III를 이용한 3급 부정교합 환자의 치험례)

  • Kwak, Ah-Ram;Park, Jae-Hong;Choi, Sung-Chul;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.35 no.2
    • /
    • pp.345-350
    • /
    • 2008
  • In children with Class III malocclusion, it is important to identify whether the etiology is functional, dental, skeletal. FR-III developed by Rolf Frankel in 1970, has been used during deciduous, mixed, and early permanent dentition to correct class III malocclusion characterized by maxillary skeletal retrusion. According Frankel, the vestibular shields and upper labial pads act to counteract the forces of the surrounding musculature that restrict forward maxillary development and cause a retrusion in maxillary tooth position. This can achieve favorable developments with the basal bone, teeth and alveolar bone. We report FR-III that can be applicated in cases of early mixed dentition with mild maxillary deficiency and deepbite before the eruption of permanent maxillary incisor.

  • PDF

THE COMPARATIVE ANALYSIS OF THE DENTITION AND MORPHOLOGIC MALOCCLUSION OF THE TEMPOROMANDIBULAR DYSFUNCTION PATIENT (측두하악장애를 가진 교정환자 교합의 형태학적 특성에 관한 연구)

  • Kim, Mee-Ae;Chung, Kyu-Rhim
    • The korean journal of orthodontics
    • /
    • v.26 no.1 s.54
    • /
    • pp.53-63
    • /
    • 1996
  • In order In analyze the occlusion of TMD patient, 73 casts and post eroanterior cephalometric X-rays of patients showing TMD symptoms at first interview were measured and compared that of 30 non-patients . Horizental overjet, vertical overbite, openbite, crossbite, depth of curve of Spee, midline deviation, facial asymmetry, attrition, and TPI were measured and processed statistically The results could be summarized as follows, 1. TMD group showed the highest prevalence in twenties, teens, and before 9 years old group in order, and more prevalent in female than male. 2. There were no statistically significance between two groups of overjet and overbite measurements, but showed significance of 6 classification of anterior tooth relationship between two groups TMD groups. 3. n group had more anterior openbite than normal group but there were no statistically significance between two groups. 4. Anterior crossbite was more prevalent in normal group brit posterior crossbite was more prevalent in TMD group. 5. TMD group showed deeper curve of Spee and there were statistically significance between two groups. 6. TMD group had more attrition than normal group and there were statistically significance beween two groups. 7 TMD group showed more facial asymmetry than normal group. 8. TPI did not showed statistical significance beween two groups. According to the above results, TMD group showed severe and complex mode of malocclusion and this should be carefully regarded when treatment planning and during the treatment of malocclusion.

  • PDF