• Title/Summary/Keyword: 저작측

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Maxillary complete denture and mandibular All-on-4 implant restoration considering maintenance: a case report (유지 관리를 고려한 상악 총의치와 하악 All-on-4 임플란트 보철 수복 증례)

  • Kim, So-Yeun;Kwon, Eun-Young;Jung, Kyoung-Hwa;Jeon, Hye-Mi;Kang, Eun-Sook;Yun, Mi-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.1
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    • pp.37-45
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    • 2019
  • In the case of edentulous patients, the total amount of occlusal force is dispersed by the keratinized gingiva during mastication, in result, causing lower masticatory and chewing efficiency. In particular, the mandibular area has more side effects such as pain than the maxilla has. It gets worse when the patient has more absorption of alveolar bone, but the implant treatment is often interrupted due to the existence of the inferior alveolar nerve. In this case, a patient treated with the all-on-4 method by placing the implant in the anterior part of mandible and with the conventional complete denture for the maxilla has maintained without complications and was satisfied with the restoration both functionally and esthetically.

The attrition pattern in Angle Class III malocclusion with facial astmmetry (안면비대칭을 동반한 Angle III급 부정교합자의 교모양상)

  • Son, Woo-Sung;Jeon, Eun-Ye;Kim, Sung-Jo
    • The korean journal of orthodontics
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    • v.27 no.4 s.63
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    • pp.549-557
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    • 1997
  • This study was designed to investigate the attrition pattern in Angle Class III malocclusion with facial asymmetry. The sample consisted of three groups, the 20 subjects of normal occlusion group(Group I), the 12 subjects of class III malocclusion without facial asymmetry group(Group II) and 17 subjects of Class III malocclusion with facial asymmetry group(Group III). Attrition areas from canine to second molar on both sides in upper and lower arch, totally twenty, was marked by pencil and mesured by computer system(INTERGRAPH CO. USA) 2 times and the average value was used for date processing. Attrition areas from canine to second molar on both sides in upper and lower arch, totally twenty, was marked by pencil and mesured by computer system(INTERGRAPH CO. USA) 2 times and the average value was used for date Processing. All attrition areas were measured 2 times and the average value was used for data processing The data were statistically analyzed by SAS program. The results of this study were as follows. 1. Total attrition area in Group I was larger than in Group II and III. 2. There was no significant difference in attrition area between right and left side in each group, but attrition area in Group III was larger than in Group I and II. 3. In Group I, Maxillary attrition area was larger than mandibular attrition area, but in Group ll and III, there was no significant difference in attrition area between maxilla and mandible. 4. In Group III, the attrition area of deviated side was target than undeviated side 5. There was no significant difference in attrition area between chewing side and non-chewing side in each group. 6. The total attrition area was unaffected by gender.

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Study on masticatory pattern of adult having anterior cross bite (전치부 반대교합 성인의 저작양상에 관한 연구)

  • Sohn, Byung-Wha;Yu, Hyung-Seog;Park, Jong-Jin
    • The korean journal of orthodontics
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    • v.27 no.1
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    • pp.35-44
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    • 1997
  • mastication is basically regulated by central pattern regulalor(CPG) of brain system, target organ output from CPG is modulated by oral sensory feedback, anterior cross bite pattern infuluence the feedback mechanism and change muscle activity and jaw movement. The purpose of this study was to investigate differnce anterior cross bite group from normal group, the selected sample groups were 30 normal patient, 30 anterior cross bite patient. EMG and EGN of Biopak system were used for this study The following results were obtained 1 In resting slate of mandible, anterior cross-bite showed the higher muscle activities in all the muscle.(exception:left digastric muscle) than normal group. 2. In clenching state, No significant difference in muscle activities of normal group and anterior cross bite group was noticed 3. In swallowing state Normal group showed the higher muscle activities in left and right masseter muscle, right posterior temporal muscle. 4. In maximum opening and closing velocity, normal group showed the higher value than anterior cross-bite. 5. In the mean value of the maximum opening,the maximum anterior posterior movemenl from centric-occlusion, the lateral deviation from centric occclusion, normal group showed the higher value than anterior cross-bite group.

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A STUDY ON THE CHANCE OF MANDIBULAR MOVEMENT AND MASTICATORY MUSCLE ACTIVITY REFLECTED BY BALANCING-SIDE OCCLUSAL INTERFERENCE (균형측 교합장애로 인한 하악운동 및 저작근 활성도의 변화에 관한 연구)

  • Lee, Yun-Jeong;Park, Nam-Soo;Choi, Boo-Byung
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.4
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    • pp.533-548
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    • 1998
  • The purpose of this study was to investigate the influence of balancing interference on the mandibular movement and masticatory muscle activity. 5 subjects(male. average age of 24.3) without dysfuction in masticatory system were selected. The balancing interference was provided by construction of cast metal crown and onlay on the upper and lower first molars. Clinical examination, changes displacement and velocity, and muscle activity were recorded and analyzed by means of BioPak system(Bioresearch Inc., Milwaukee Wisconsin. USA). The results were as follows ; 1. In clinical examination, various symptoms were reported by all subjects after application of interference. Almost symptoms were subsided after elimination of interference. 2. In the border movements in frontal plane, lateral border movement toward non-interference side was changed according to the interference after application of interference. Immediately after removal of interference, border movements' pattern was recovered as same as before experiment. 3. During gum chewing on the non-interference side, horizontal movement was decreased immediately after application of interference(p<0.05). 1 week after application of interference, horizontal movement was more decreased in 3 subjects and showed a chopping type masticatory stroke. But in 2subjects, horizontal movement was increased to avoid interference. 4. In EMG of the mandibular rest position, no significant changes were showed in the experiment period(p>0.05). 5. During gum chewing on the interference side, the activity of opposite temporal muscle was increased immediately after application of interference(p<0.05). 1 week after application of interference. The activity of ipsilateral temporal muscle and left and right masseter muscles was increased (p<0.05). 1 week after elimination of interference, increased muscle activity was recovered about the same level as before experiment. 6. During gum chewing on the non-interference side, 1 week after application of interference, the activity of ipsilateral temporal muscle was increased (p<0.05). 1 week after elimination of interference. increased muscle activity was returned about the same level as before experiment.

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Full mouth rehabilitation of severely worn dentition with implants and removable partial dentures (심한 마모를 가진 환자에서 임플란트와 가철성 국소의치를 이용한 전악수복 증례)

  • Lee, Shin Eon;Lee, Won Sup;Lee, Cheol Won;Lee, Su Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.70-76
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    • 2018
  • Excessive tooth wear can lead to decrease in occlusal vertical dimension and can cause pathological changes in the oral environment and masticatory system. When recovering occlusal vertical dimension and occlusion, accurate diagnosis and analysis are essential. This clinical case describes a 75-year-old woman with severely worn dentition due to loss of the posterior support. Full mouth rehabilitation with occlusal vertical dimension increment was planned. Clinical and radiographic examinations, occlusal vertical dimension evaluation, and diagnostic wax-up were performed and patient adaptability was evaluated using provisional restorations. As for definitive restoration, considering economic condition of the patient, removable partial denture was fabricated and solitary implants were placed in the mandibular left and right posterior region to increase support and retention of the removable partial denture. During one year of follow-up, functional and esthetic outcomes were observed satisfactory.

Causes of failures of long-term used double crown denture and new rehabilitation with dental implant and tooth combined denture using remaining teeth and implants (장기간 사용한 이중관 의치의 실패원인 및 자연치와 임플란트를 이용한 이중관 의치 수복증례)

  • Seo, Jeong-Gyo;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.384-390
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    • 2018
  • Hybrid telescopic double crown have ever been good treatment option for patient with periodontally unfavorable few remaining teeth for successful prognosis. Tooth and implant combined telescopic double crown can be used for improving retention and support for denture with strategically placed implants on edentulous ridge. In this case, an 55-year-old female patient had chronic periodontitis with few remaining teeth on maxilla and fixed partial prosthodontics on mandible. Treatment of hybrid telescopic double crown with friction pin lasted 9.5 years only with natural teeth. After 9.5 years, additional implants was installed due to fracture of cast-posted abutment teeth. After implantation, tooth and implant combined double crown had fabricated. Through re-treatment, no complications of new denture has been found during 2 years follow up. This case presents fair prognosis of tooth and implant combined double crown denture in periodontally unfavorable condition.

A study of algorithm for non-streaming synchronized data processing (비스트리밍 동기화 데이터 처리를 위한 알고리즘 연구)

  • Moon, Gwon-Jae;Yoo, Ji-Sang;Bang, Gun;Choi, Jin-Soo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.28 no.9A
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    • pp.746-753
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    • 2003
  • In this paper, we propose an efficient algorithm for non-streaming synchronized data processing based on ATSC-DASE in terrestrial digital data broadcasting services. Non-streaming synchronized data is encapsulated in DSM-CC sections with PTS(presentation time stamp) values associated with A/V and it is transmitted in a form of MPEG-2 TS(transport stream). At the receiver, the transmitted A/V data are processed by PC based set-top box(STB) in real-time, and the transmitted non-streaming synchronized data is also stored at the STB and is displayed at right time by the proposed algorithm. To verity the proper operation of the proposed algorithm, we make a scenario for non-streaming synchronized data by XML, and finally we are able to display it properly by using declarative application(DA) browser.

Web-based Interactive Applications and System to Motivate the Rehabilitation of the Brain Disease Patients (뇌질환 환자의 재활 동기 증진을 위한 웹 기반의 상호 작용형 애플리케이션 및 시스템)

  • So, Seong-Seok;Ryu, Mun-Ho;Yang, Yoon-Seok
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.2
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    • pp.71-79
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    • 2011
  • The rapid growth of the older population and the decrease in the ages of patients suffering from brain diseases yield desperate demands for social rehabilitation methods to help the brain disease patients to come back to their society. This study developed a prototype of an web-based interactive applications and system to motivate the rehabilitation of the brain disease patients by increasing self accomplishment, and strong willingness to recover. For easy access and dynamic interactions, we utilized various programing languages and authoring tools compatible with Web 2.0 environment. The developed system does not need installation of any dedicated software. It provides an open platform in which many useful interactive applications are easily integrated. It will be extended to a system which provide advanced rehabilitation for brain disease patient and the elderly.

THE INFLUENCE OE BALANCING SIDE OCCLUSAL INTERFERENCE ON THE MASTICATORY MUSCLE ACTIVITY AND CONDYLAR PATH (균형측 교합장애가 저작근 활성도 및 과로에 미치는 영향에 관한 연구)

  • Jin, Tai-Ho;Lee, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.1
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    • pp.103-121
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    • 1989
  • The purpose of this study was to investigate the influence of balancing interference on the activity of masticatory muscles and condylar path. Eight dental students of Won Kwang University without any symptoms of temporomandibular disorder and occlusal interferences, were selected for this study, The balancing interference was provided by construction and cementation of cast metal crowns on the upper and lower first molars. For the measurement of muscle activity, bioelectric processor (EM2, Myotronic Res., Inc., U.S.A.) was used and for the condular path, computerized electronic pantograph (Pantronics, Denar Corp., U.S.A.) was used and the myographic recordings were taken bilaterally from the anterior temporal, masseter and digastric muscles on rest position and on functions. These experimental procedures were done before cementation of experimental crown, three days after cementation of experimental crown, one week after, two weeks after and then one week after removal of experimental crown. The results are as follows: 1. The PRI score was increased at three days after application of balancing interference, and decreased at two weeks after. 2. Three subjects showed mild symptom of temporomandibular disorder at three or four days after application of interference, but the symptom was subsided in one or two weeks after application of interference. 3. One week after application of balancing interference, the activity of ipsilateral anterior temporal muscle in four subjects was decreased on gum chewing at experimental site. 4. Three days after application of balancing interference, the activity of ipsilateral anterior temporal muscle in three subjects was increased on gum chewing at non-experimental site. 5. The influence of balancing interference on the activity of anterior temporal, masseter and gigastric muscle was not prominent.

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Clinical Approach to Diseases Related to TMJ Disorder (턱관절장애 관련 제질환의 임상적 접근)

  • Young Jun Lee
    • Journal of TMJ Balancing Medicine
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    • v.12 no.1
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    • pp.28-31
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    • 2022
  • 위에서 살펴본 바와 같이 나는 급성 턱관절장애의 경우, 첫번째 유형은 주로 턱관절 디스크공간의 문제와 하악의 위치를 바로잡아주는 근육의 문제가 주 원인일 것으로 추정하고 있다. 만약 턱관절 디스크공간이 정상공간이라면 턱의 지그재그 움직임이나 턱관절잡음, 턱통증, 턱탈구, 그리고 개구장애 등이 발생할 수 없기 때문이다. 그리고 근육의 문제 중에서는 턱관절 디스크원판을 양측에서 잡아주는 내외측 익돌근의 문제가 가장 많은 영향을 미치고 있다. 특히 내측 익돌근의 긴장 및 수축이 디스크 원판을 내측으로 빠져나가게 함으로써 하악의 좌우 지그재그 움직임을 야기시키고 턱관절잡음이나 턱통증 및 개구장애를 유발하기 때문이다. 나머지는 저작에 관여하는 근육들이 그 다음으로 영향을 미치는 것으로 예측하고 있다. 그러나 제2형 급성 턱관절장애의 경우는 제1형 급성 턱관절장애가 한단계 더 발전하여 이와 연관된 근육이나 인대의 긴장수축이 오랜 시간 진행되어, 이들이 다시 상부 경추의 아탈구와 두개골의 비정상적 움직임에까지 영향을 미쳐 나타나는 것으로 생각된다. 그렇게 되면 뇌에서 필요 충분한 뇌혈액공급이나 뇌척수액순환의 문제를 일으킬 수 있기 때문이다. 그리고 제1형 만성 턱관절장애의 경우는 제2형 급성 턱관절장애가 좀 더 진행되면서 척추 및 근골격계의 구조변화, 교합 및 턱의 구조변화 그리고 안면구조의 변화에 이르기까지 점점 진행되어 나타나는 것으로 보인다. 따라서 각종 척추 디스크질환, 관절질환을 비롯해서 두개천골계의 순환문제, 부정교합 및 턱 비대칭, 안면 비대칭의 문제를 유발하게 된다고 추정된다. 그러나 두번째 유형의 만성 턱관절장애는, 턱에서 지속적이고 반복적인 그리고 과다한 부정적 자극들이 오랜 기간 누적되면서 턱에 분포된 C 섬유를 비롯한 3차신경의 가소성변화를 유발하면서 결국 중추신경계를 포함하여 전체신경계의 회로망에까지 파급되어 다양한 만성질환 또는 난치성 질환들이 양산되는 것으로 추정하고 있다. 아마도 지금까지 서양의학에서 아직 밝혀내지 못한 대부분의 질병들이 여기에 포함되지 않을까 하는 것이 나의 생각이다.