• The korean journal of orthodontics
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• v.27 no.5 s.64
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• pp.669-682
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• 1997

[$Bj\ddot{o}rk$] and Skieller concluded after following facial growth patterns using implants in upper and lower jaw bones that stable structures, which are not influenced by the growth do exist and so these must be the reference landmarks in the process of superimposition. In spite of such facts, for the last 40 years since the discovery of stable structures, most orthodontists have preferred best fit superimposition method to structural method. Cases such as Angle's Class II division 2 malocclusion that show characteristic forward and upward growth or one under long period of post-treatment observation demonstrate that distinct differences exist between the two methods of superimposition. Today, ethical concerns prohibit further growth studies that use implants, md so there is no choice but to use stable structural superimposition method based on $Bj\ddot{o}rk's$ data. Thus, to encourage clinical use of stable structural superimposition method, logic for the use of stable structural superimposition method will be demonstrated, and its technical methods of application will be introduced step by step.

• The Journal of Korean Academy of Prosthodontics
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• v.29 no.3
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• pp.197-203
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• 1991

저작압을 골에 직접 분산시키고 의치를 직접 골에 부착시켜 의치의 안정성을 증진시키는 가능성을 실현하는 것이 오랫동안 보철과의사들의 목표였다. 수십년 동안 골과 티타늄 임프란트가 결합(적합)되는 골융합성 술식이 발전되어 왔으며 이 임프란트의 상부구조물로 고정식 보철물이 받아들여져 왔다. 현재까지 가장 흔한 상부구조는 고정식 보철물이다. 요즈음 골융합성 임프란트에 지지를 받는 오버 덴춰의 술식이 고정식 보철물과 다른 하나의 방법으로 간주되어질 수 있게 되었다. 오버덴춰 술식이 심미적 경제적 이유 그리고 다양하게 적용할 수 있기 때문에 최근에 확대되는 경향이 있다. 골융합성 임프란트에 의한 고정식 보철물에 대한 광범위한 장기 결과들이 있는데 반하여 여러 어태치먼트를 이용한 오버덴춰 술식은 임상결과나 적용에 과한 지식들이 거의 발표되지 않았으며, 현재까지 임프란트 오버덴춰를 가진 환자의 구강기능에 대한 단지 몇개의 연구들만이 발표되었다. 우리는 장기 임상평가에 의해서 임프란트 오버덴춰를 아주 조심스럽게 평가해야 한다.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.2
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• pp.152-159
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• 2016

Implant fixed prosthesis for the complete edentulous maxilla provides significant benefits in the aspects of functions and esthetics compared with the conventional denture. Implant supported fixed prosthesis are totally supported by implant, and thus stabilizes the prosthesis to the maximum degree as possible. Also, the improved retention and stability of fixed prosthesis enhance patients' psychological and psychosocial health. This clinical presentation describes a maxillary full arch implant-supported fixed prosthesis in complete maxillary edentulous patient who showed vertical and horizontal alveolar bone resorption in the anterior ridge. To rehabilitate the esthetics and proper lip support, the zirconia framework was fabricated and the pink porcelain was veneered to reproduce the natural gingival tissue. After 9 months of follow up, the restorations were maintained without complications and the patient was satisfied with the restoration both functionally and esthetically.

• Proceedings of the Korean Powder Metallurgy Institute Conference
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• 2002.04b
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• pp.8-8
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• 2002

서멧이란(Cermet) '세라믹 경질상과 금속 결합상의 복합체"를 의미하나 절삭 골구계에서는 좁은 의미의 "TiC 혹은 Ti(CN)을 바탕을 Ni,Co를 결합상으로 하는 초경재료"를 의미한다. 이런한 서멧은 전략 물질적 성격이 강한 Co,W로 구성된 WC-Co 초경 합금을 대체하기 위해 고안되었는ㄴ데 ㄴ놓은 경도와 고온에서의 화학적 안정성, 낮은 비중과 저렴한 원료 가격등이 장점이나 WC-Co에 비해 상대적으로 낮은 인성이 문제점으로 지적 되어왔다.TiC-Ni 서멧의 낮은 인성을 향상시키기 위해 Ti(CN) 고용체를 바탕으로 하고 제2ㅇ, 제3의 탄화물이나 질화물을 첨가하는 개발 연구가 과거 30여 년간 진행되어왔다. 그러나 많은 연구결과가 조성 개발 위주로 진행되어 왔고, 또 실험간의 불일치와 재현성 결여로 인해 보여진 여러 현상에 대한 보편적인 결론을 내리기 힘든 점이 있었다. 특히, 미세구조와 기ㅔ적 특성에 관한 통합적이고 조직적인 연구가 진행되지 못하였다. 이번 발표에서는 발표자 실험실에서 지난 8 년 간 행하여 온 실험 결과를 바탕으로 탄화물서멧에 나타나는 독특한 현상, 고용체 탄질화물의 열역학적 안정성, 서멧 재료의 유심구조, 표면 에너지 및 strain, 에너지가 미세 구조 형성에 미치는 영향, 그리고 표면층 형성 등 서멧 개발에 관한 중요 관심사에 대해 간단히 살펴보려고 한다.해 간단히 살펴보려고 한다.

• Journal of Dental Rehabilitation and Applied Science
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• v.37 no.4
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• pp.281-293
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• 2021

Patients who went through maxillectomy can have severely impaired swallowing, mastication, and pronunciation functions because of palatal defects. Leakage occurs through the nasal cavity while eating, chewing becomes difficult due to the loss of teeth and alveolar ridges, and oral and nasal passages are not separated, leading to hyper-nasal sound, and significantly reducing the quality of life. To prosthetically reconstruct the defect, the weight of the obturator should be reduced as much as possible to minimize dropout because of gravity, and the bulb of the obturator should be properly extended into the defect to get additional retention and stability. In this case of a partially edentulous patient who underwent additional maxillary resection because of tumor recurrence, a metal framework was designed by applying the basic design principles of removable partial dentures. An obturator with improved retention, stability, and support was fabricated through functional impressions. The patient was satisfied with the improved facial expression, mastication, swallowing, and pronunciation, and showed stable occlusion and oral hygiene management during the follow-up period.

• The Journal of Korean Academy of Prosthodontics
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• v.60 no.4
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• pp.412-419
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• 2022

For treatment of partially edentulous patients, a treatment using implant is widely used. Treatment method using implant are implant fixed prostheses and removable partial dentures, and for patients with severe bone resorption, removable implant overdenture with the effects of aesthetic and reducing cost can be used as treatment options. Specially, prosthesis with milled-bar and attachment has the effect of being splinted between implant fixtures, higher retention and stability than conventional removable partial denture. And it has the effect of improvement of aesthetic through lip support by denture base. In this case, the patient with severe alveolar bone resorption and partial edentulous maxilla and mandible was treated by implant-assisted removable partial denture using Milled-bar and ADD-TOC attachment. The esthetic was improved by removing the clasp because of effects of additional retention by using the attachment, and reducing palatal coverage of implant-assisted removable partial denture. The clinical results were satisfactory on the aspect of aesthetic and masticatory function.

• Journal of Dental Rehabilitation and Applied Science
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• v.25 no.1
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• pp.61-71
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• 2009

Anchorage control is important in orthodontic treatment. Recently miniscrew is widly used as maximum anchorage in orthodontic treatment, and then it is important to install miniscrew safely without damaging adjacent anatomic structure. In a view of Miniscrew's stability, maxilla is unfavorable than mandible, and moreover maxillary soft buccal bone has disadvantage on stability. so palatal area comes into notice for installation area. We measured distance between palatal roots and bone thickness at midpalatal area using 3D computed tomography, and have found following results. 1. On the comparison of distance between palatal roots, the distance between 2nd premolar and 1st molar was significantly longest and the distance between premolars was significantly shortest. 2. Going toward lateral area from midpalatal suture and posterior area from zero point, bone thickness significantly became shorter and shorter. And 5.0mm palatal sagittal plane has more significance decrease of bone thickness than 2.5mm palatal sagittal plane. According to these results, we can conclude that the palatal installation of miniscrew between 2nd premolar and 1st molar is safest. And it is more safe that comes closer to midpalatal suture and to anterior area in regard to incisive canal.

• The korean journal of orthodontics
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• v.31 no.1 s.84
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• pp.1-13
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• 2001

The extraction lot orthodontic treatment can be adopted for aligning crowded dentition, improving facial esthetics and solving a skeletal discrepancy as alternative for a surgical option. Mandibular second premolar extraction was often selected as treatment plan when there we very little or no space shortage in lower arch or limited retraction of the lower incisors was required. The primary object of this study was evaluate a pretreatment condition and examine the amount of tooth movement ior a mandibular second premolar extraction in growing patients. Pretreatment and posttreatment lateral cephalograms of 14 cases that had their four first premolar extracted (4/4 group), 15 cases with upper first and lower second premolar extraction (4/5 group) were selected. Structural method superimposition was conducted to evaluate a difference of dental change between 4/4 and 4/5 group. The results were as follows, 1. Pretreatment factor for 4/4 extraction or 4/5 extraction choice included maxillary incisor axis to occlusal plane, Class II molar relationship, IMPA and interincisal angle. 2. The amount of molar anterior movement in 4/5 group was greater than that of 4/4 group(p<0.05). 3. There was no significant difference between 4/4 group and 4/5 group in aspects of maxillary tooth movement(p<0.05).

• Journal of Periodontal and Implant Science
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• v.35 no.3
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• pp.525-536
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• 2005

여러 연구들을 통해 많은 학자들이 임프란트 안정성(stability)은 표면의 특징에 달려있다고 생각하게 되었다. 표면의 구조, 에너지, 산화물(oxide) 두께와 표면성상(topography)등 임프란트의 표면의 특징은 임프란트와 골조직의 반응에서 중요한 역할을 하는 것이 알려짐에 따라 티타뮨 임프란트의 표면의 처리 방법에 큰 관심을 가지게 되었다. 그 중에서 티타늄 임프란트 표면의 산화피막화(anodization)가 한 방법으로 대두되었다. 이 방법은 전기화학적 방식으로 임프란트 표면에 거칠고(rough)두꺼우며(thick), 기공(pore)을 가지는 산화물 막을 형성하는 것으로 산화물의 두께는 coronal 부분(l-2 ${\mu}m$)으로부터 apical부분(7-10 ${\mu}m$)까지 증가하게 된다. 산화피막의 표면에는 다양한 크기의 수많은 기공이 주로 1-2 ${\mu}m$ 두께로 임프란트의 apical 부분에서 존재하며, 임프란트 표면의 거칠기는 conical 위부분에서 apical 부분까지 계속 증가한다(평균 Ra value=1.2 ${\mu}m$). 또 다른 표면 처리 방법으로는 blasting 후에 etching을 한 SLA 표면이 있다. 이 연구의 목적은 일반적으로 많이 이용되고 있는 anodized 표면과 SLA 표면의 조직학적 반응을 비교 분석하는 것이다. 24개 임프란트를(anodized surfaced implant-12개 , SLA-12개, 8mm ${\times}\;{\Phi}$ 4.3) 6마리 토끼의 오른쪽과 왼쪽 femur에 식립하였다. 12주후에 동물들을 희생하여 EXACT cutting-grinding system을 이용하여 샘플을 절단하고 800, 1200 및 4000 번 연마제(abrasive) paper로 20-50 ${\mu}m$ 까지 grinding하였다. 샘플은 Multiple staining 용액으로 염색하여 SLA 임프란트 군과 비교하였다. 골과 임프란트 사이에 연결을 TDI 프로그램을 이용하여 %로 측정하였다. SLA 임프란트 군 경우에는 골과 임프란트 사이의 연결이 $74{\pm}19%$ 이고, 양극 산화한 임프란트 군 경우에는 $77{\pm}9%$이었다. 양극 산화한 티타늄 임프란트의 골 접촉률이 SLA 표면 임프란트 경우과 통계학적으로 유의한 차이는 보이지 않았다.

• The korean journal of orthodontics
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• v.34 no.1 s.102
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• pp.63-70
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• 2004

The midpalatal suture area has some advantages for supporting miniscrews : it has no specific anatomical structure, it is composed of thick cortical bone, and covered with attached gingiva. So it is suitable area for inserting miniscrews. However, the midpalatal suture area appears thinner when seen in ceph. As a result, Clinicians can misunderstand that inserting miniscrews cause the problem, both the risk of perforation and the decrease of stability. The purpose of this article is measuring the vertical bone thickness of the midpalatal suture area for inserting miniscrews. The total of 25patient (male : 13, female : 12), who are in their twenties, were taken CT. The vertical bone thickness of the midpalatal suture area was measures from the transverse section of CT. As a result, We reached a conclusion from the differences of each area. It is as follows: 1. There is no significant difference between the thickness of male group and that of female group. 2. In coronal section, Bone thickness becomes thinner from the midpalatal suture to Left & Right side, in sagittal section, Bone thickness becomes thinner from incisive foramen to PNS. 3. The area that is within 3mm of left and right from the midpalatal suture area transversely and within 25mm backward from the incisive foramen sagittaly is enough for inserting miniscrews.