• Title/Summary/Keyword: 치아 변위

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Hard and soft tissue profile changes following anterior subapical osteotomy in bimaxillary dentoalveolar protrusion patients (양악성 치조 전돌 환자의 근첨하 분절 골절단술 후 경조직 및 연조직 측모 변화)

  • Han, Un-Ae;Kim, Jeong-Hwan;Yoon, Tae-Ho;Park, Je-Uk;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.33 no.6 s.101
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    • pp.475-483
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    • 2003
  • The purpose of this study is to evaluate hard and soft tissue changes following the subapical osteotomy in bimaxillary dentoalveolar protrusion patients requiring maximal retraction adult female patients was selected. Surgical procedures were performed by the same surgeon, anterior subapical osteotomy techniques were employed on the maxilla and cephalometric radiograms were traced and superimposed using the best-fit method and two reference The results were as follows 1. The bodily movement of the maxillary anterior segment was achieved in a posterior moved posteriorly with a slight correction of the lower incisors. 2. The horizontal soft tissue measurements changed significantly after treatment, but Nt and Sn vertical soft tissue measurements indicated that Ls moved inferiorly and Li superiorly. 3. The correlation between hard and soft tissue changes indicated that ${\Delta}HId/{\Delta}HLi,\;{\Delta}HId/{\Delta}LL-Eline,\;{\Delta}Hpt.B/{\Delta}HILS,\;and\;{\Delta}UI-FH/{\Delta}NL$ were significant. 4. More lower lip relative to upper lip retraction was demonstrated in relation to Rickett's E-line. The ratio between upper lip displacement was $50\%$, and between the lower incisor and lower lip displacement was $60\%$. We conclude from the results that the anterior subapical osteotomy is an efficient treatment severe dentoalveolar protrusion and desire rapid results.

FINITE ELEMENT ANALYSIS OF MANDIBULAR STRESSES AND DENTURE MOVEMENTS INDUCED BY VARIOUS DENTURE BASE MATERIALS (의치상 재료에 따른 하악응력 및 의치의 변위에 관한 유한요소법적 분석)

  • Chung, Chae-Heon;Yoon, Chang-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.25 no.1
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    • pp.281-302
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    • 1987
  • 의치상 재료 종류에 따라 의치, 점막 및 하악골에 발생되는 변위 및 응력을 연구하기 위하여 컴퓨터를 이용한 수치적 해석인 2차원 유한 요소법을 이용하였다. 2차원 유한 요소 모형으로선 표준 크기의 하악골 및 의치를 고려하여 231개의 사변형 요소 및 268개의 절점으로 분할한 후 각 구성 성분의 물리적 성질인 탄성률 및 프와송비를 대입시켰다. 사용된 의치로서는 일반 합성수지의치, 2mm후경의 탄성재를 의치상 하부에 이장한 합성수지의치, 2mm후경의 탄성재를 치아와 의치상 중앙에 삽입한 합성수지의치 및 0.5mm후경의 금속상의치의 4종류였으며, 하중시에 하악의 고정 부위로선 생체와 동일 조건을 부여하기 위하여 교근, 내측익돌근, 측두근등의 하악 폐구근이 부착되는 하악각 부위 및 하악 근돌기 부위의 16절점을 고정점으로 하였다. 하중 조건으로선 하악 제1대구치의 일점에 10kg의 수직 집중하중, 하악 중절치의 일점에 7kg의 수직 집중하중 및 하악 제 1소구치로 부터 하악 제2대구치까지의 교합면에 10kg의 수직 분산하중을 부여하여 분석한 결과는 다음과 같다. 1. 하중이 의치 교합면위의 가해진 부위에 따라 다양한 의치 회전 및 강하 현상을 보였으며, 탄성재를 이장 및 삽입한 합성 수지 의치의 변위가 일반 합성수지의치 및 금속상 의치의 변위보다 더 컸다. 2. 주응력을 고려할때 점막 부위에는 주로 압축 응력이 작용하였으며 치조제 부위는 압축응력과 인장 응력이 함께 작용하였다. 3. 탄성재를 삽입한 합성수지의치에 최고 등가 응력이 집중되었으며 그 다음은 탄성재를 이장한 합성수지의치, 일반 합성수지의치의 순이였으며 금속상의 경우는 금속을 따라서 높은 등가 응력이 넓게 분산되었다. 4. 의치상 종류에 관계없이 동일 하중 조건하에선 점막에 나타나는 등가 응력의 크기 및 분산양태는 유사하였다. 5. 하악골에서 등가 응력은 의치지지 부위에만 국한되지 않고 넓게 분산 되었으며 의치상 종류 및 하중 조건에 관계없이 치조제 후방 및 하악연의 후방 부위에 특히 높은 등가응력이 집중되었다. 6. 하악 중절치의 일점에 수직 하중을 가한 경우가 다른 하중 조건에 비하여 지지점과의 거리차이로 인하여 하악골에 가장 높은 등가 응력을 유발하였다. 7. 의치상 재료에 따른 하악 골에 발생되는 응력의 크기 및 분산에는 큰 차이가 없으나 금속상의 경우가 교합압을 분산하는데는 효과적이었다.

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MANAGEMENT OF INFRAOCCLUDED MANDIBULAR SECOND PRIMARY MOLARS: CASE REPORT (저위교합된 제 2유구치에 대한 치험례)

  • Kwak, So-Youn;Park, Ki-Tae;Kim, Ji-Yeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.3
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    • pp.475-480
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    • 2009
  • An infraoccluded tooth is a tooth that has failed to erupt to be in line with adjacent teeth in the vertical plane of occlusion. Multiple complications can occur as a result of an infraoccluded tooth. Tipping of neighboring teeth, loss of space opposing teeth elongation, increased susceptibility to dental caries and abnormal eruption path, impaction and rotation of permanent successor are the consequences of infraocclusion of primary molar. Therefore, early diagnosis and treatment is the key to prevent the complications. Treatment options can be periodic follow-up, temporary restoration or extraction of the infraoccluded tooth depending on the presence of the successor, the extent of infraocclusion and the extent of tilting of the neighboring teeth. The infraoccluded primary molars with permanent successors present tend to exfoliate normally. However, failure to do periodic check up of the infraoccluded teeth may lead to serious complications. In these cases, surgical extractions are often necessary after space regaining and space maintainers should be placed until the eruption of the permanent successors are completed.

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BURKITT'S LYMPHOMA OF THE MANDIBLE IN A CHILD (어린이의 하악골에서 발생한 Burkitt 림프종)

  • Lee, Soo-Eon;Sohn, Mi-Yeon;Choi, Sung-Chul;Kim, Kwang-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.1
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    • pp.79-83
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    • 2012
  • Burkitt's lymphoma is a malignant tumor originated from B lymphocyte and a type of non-hodgkin lymphoma. It is clinically classified by endemic, sporadic and immune deficient forms. In the past, it had poor prognosis but in recent years survival rate is 50~80% treated by intensive chemotherapeutic regimens. Mostly it is a lesion of the jaws. Clinical symptoms are severe tooth mobility, displacement, gingival redness and swelling. This case is about a patient with aggressively progressing Burkitt's lymphoma of the jaws. Initial diagnosis was done in dental hospital and it has shown satisfactory outcome by prompt and appropriate treatment.

A case of treatment denture and implant-assisted removable partial denture in a patient with collapsed occlusion caused by partial loss of posterior and anterior teeth (편측 구치 및 전치 상실로 인한 교합 붕괴 환자에서 치료 의치와 임플란트 보조 국소의치를 이용한 수복 증례)

  • Ahn, Hye-Bin;Lee, Keun-Woo;Lee, Yong-Sang;Yim, Sun-Young;Kim, Sung Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.110-118
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    • 2022
  • Multiple tooth loss can cause disharmonious occlusial plane, loss of vertical dimension and deflection of mandibular movement. Therefore, restoring proper vertical dimension and occlusion in the centric relation is an important treatment goal. Implant-assisted removable partial denture is a recently used clinical technique, because it increases patient satisfaction by improving retention, support, and stability of conventional denture. The objective of this article is to present a case report describing the fabrication of treatment denture and implant assisted removable partial denture using previously placed implants for a patient with partial loss of posterior support and anterior stop.

Management of Maxillary Impacted Canines (매복 상악 견치의 처치)

  • Ki-Taeg Jang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.2
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    • pp.142-154
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    • 2023
  • The canine tooth is important both functionally and aesthetically, being positioned between the anterior and posterior teeth. The upper canine has the longest eruption path, forming in the deepest part of the maxillary bone and often experiencing eruption disorders, leading to significant aesthetic and functional issues. Early detection and management of canine impaction are crucial in pediatric dentistry, which focuses on tooth growth and eruption. The prevalence of maxillary canine impaction ranges from 1.1% to 3.0%. In Western populations, palatal impaction is twice as common as labial impaction, while some Korean studies report more labial impaction. Maxillary canine impaction occurs more frequently in women and is associated with various factors such as structural obstacles, pathological conditions in surrounding tissues, developmental abnormalities, and genetic factors. Labial displaced canines are linked to narrow maxillary intercanine width, total dental crowding, and skeletal Class III malocclusion. Maxillary palatal displaced canine impaction is more prevalent in patients with familial agenesis of lateral incisors or conical supernumerary lateral incisors. Understanding these factors aids in early diagnosis and appropriate intervention for canine tooth impaction, ensuring optimal oral health and aesthetics.

The Effect of Variations in the Vertical Position of the Bracket on the Crown Inclination (브라켓의 수직적 위치변동에 따른 치관경사도변화에 관한 연구)

  • Chang, Yeon-Joo;Kim, Tae-Woo;Yoo, Kwan-Hee
    • The korean journal of orthodontics
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    • v.32 no.6 s.95
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    • pp.401-411
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    • 2002
  • Precise bracket positioning is essential in modem orthodontics. However, there can be alterations in the vertical position of a bracket due to several reasons. The purpose of this study was to evaluate the effect of variations in the vertical bracket position on the crown inclination in Korean patients with normal occlusion. From a larger group of what was considered to be normal occlusions obtained from the Department of Orthodontics, College of Dentistry, Seoul National University, each of the final 10 subjects (6 males and 4 females, with an average age of 22.3 yews) was selected. The dental models of each of the subjects were scanned three-dimensionally by a laser scanner, and measurements drawn from these were made on the scanned dental casts of the subjects were input into the computer program. From this the occlusal plane and the bracket plane were determined. The tooth plane was then constructed to measure the crown inclination on the bracket plane of each tooth. From a practical standpoint, information was obtained on the extent to which the torque of a tooth would be changed as the bracket position was to be moved vertically (in ${\pm}0.5mm,\;{\pm}1.0mm,\;{\pm}1.5mm$) from its ideal position. A one way analysis of the variance (ANOVA) was used to compare each group of the different vertical distances from the bracket plane on a specific tooth. Duncan's multiple comparison test was then performed. There were statistically significant differences in the crown inclination among the groups of different vertical distances for the upper central incisor, upper lateral incisor, upper canine, upper first and second molars, lower first and second premolars, and lower first and second molars (p<0.05). On the upper anterior teeth, upper molars, lower premolars and lower molars, the resultant torque values due to the vertical displacement of the bracket were different depending on the direction of the displacement, occlusal or gingival. This study implies that the torque of these teeth should be handled carefully during the orthodontic treatment. In circumstances in which the bracket must be positioned more gingivally or occlusally due to various reasons, it would be useful to provide the chart of torque alteration of each tooth referred to in this study with its specified bracket prescription.

Design and Evaluation of Ultrasonic dental scaler produced for Finite Element Analysis (유한요소 해석을 통한 치과용 초음파 Scaler의 설계 및 평가)

  • Kim, Chul-Min;Lee, Young-Jin;Jeong, Young-Hun;Paik, Jong-Hoo;Kang, Kook-Jin;Lee, Jeong-Bae;Lee, Seung-Dae
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2009.06a
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    • pp.20-20
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    • 2009
  • 치아의 치석제거 및 치골절삭에 사용되는 초음파 스케일러는 일반적으로 마그넷형과 압전형으로 구분할 수 있으며, 최근에 들어 소형화, 저전력, 정밀성, 저비용 등의 장점으로 인해 압전형이 주로 사용되고 있다. 국내의 대부분의 치과에서 한 대 이상 운용되는 초음파 스케일러는 대부분 유럽 제품으로며, 국내에서는 이를 대체하기 위한 제품이 출시되고 있으나 아직까지 유럽 제품에 비해 출력강도, 정밀도 등에서 성능이 모자란 현실로 시장에서 외면 받고 있다. 본 연구에서는 앞서 언급한 압전 초음파 스케일러에 대한 체계적인 연구를 진행하여 외국에 비해 상대적으로 성능이 떨어지는 초음파 스케일러의 성능을 개선하고자 하였다. 이를 위하여 스케일러의 진동 발생부, 즉 압전 세라믹과 SUS 재질의 head, tail 부로 구성된 진동발생부의 최적구조톨 도출하기 위하여 유한요소 해석을 실시하였으며, 스케일러의 중심주파수 28kHz에서 최대 출력이 발생할 수 있는 구조를 도출하였다. 스케일러의 Head 와 Tail 부문의 두께와 직경, 길이 변화에 따른 중심주파수 및 출력 변위의 경향분석을 실시하였으며, 이상의 결과를 바탕으로 실제 스케일러를 제작하여 시뮬레이션의 유효성을 검증하였다. 이상의 과정으로 거쳐 개발된 압전 초음파 스케일러는 다양한 Tip 종류의 영향을 최소화할 수 있으며, 중심주파수는 28~30kHz 에서 뛰어난 성능을 나타내어 기종 유럽제품의 성능을 앞지르는 특성을 확보할 수 있었다.

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SPONTANEOUS ERUPTION OF PERMANENT TEETH AFTER MARSUPIALIZATION ASSOCIATED WITH DENTIGEROUS CYSTS (함치성낭종의 조대술 후 변위된 영구치의 자가맹출)

  • Song, Hee-Jeong;Kim, Jae-Gon;Yang, Yeon-Mi;Baik, Byeong-Ju;Kim, Mi-Ah;Jeong, Hae-Kyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.2
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    • pp.194-201
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    • 2011
  • A dentigerous cyst is the most common developmental odontogenic cyst. Patients with dentigerous cyst usually feel no pain or discomfort. If it is not treated, tooth eruption might not only be impeded, but also let the tooth translocate to the unusual area. So, early detection and appropriate treatment are important. Enucleation & marsupialization are the best options to treat a dentigerous cyst. Treatment plan depends on patient's age, health, preserve & protect of important structures, and sort of cyst. In these dentigerous cysts cases, by marsupialization and using obturator, affected tooth could be achieved spontaneous eruption into the dental arch even though they were badly dislocated.

A CASE REPORT OF A DENTIGEROUS CYST TREATED BY MARSUPIALIZATION (조대술을 이용한 함치성 낭종의 치험례)

  • Jun, Eun-Min;Kim, Tae-Wan;Kim, Hyun-Jung;Nam, Soon-Hyeun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.473-480
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    • 2007
  • The dentigerous cyst originates through alteration of stellate reticulum after amelogenesis has completed, with accumulation of fluid between the layers of the reduced enamel epithelium or between this epithelium and the tooth crown. Its incidence is relatively high on 10s or 20s of age and it is always related to the unerupted crown. Generally, it has no symptom, however, if the cyst is large or accompanied with pus formation, swelling and pain may occur. In radiographic findings, it shows impacted crown surrounded by well defined unilocular radiolucent lesion and occasionally displacement of adjacent teeth or root resorption. The goal of treatment is complete elimination of abnormal tissue preserving the tooth involved in the cyst. Enucleation and marsupialization are commonly used for the treatment. Marsupialization is the procedure which removes the partial portion of the cystic wall and connects with the oral mucosa. As the pressure in the cyst decreases, bone regeneration takes place in the defect area and cystic wall converts into normal mucosa. This procedure, however, is the most conservative procedure which allows the protection of adjacent important structures. If the eruption space is sufficient, then inducing the eruption of the permanent tooth in the cyst is also possible. In following cases, dentigerous cyst was diaganosed after clinical and radiographic examination. Marsupialazation was done to remove the cyst and induce the tooth, which was in the cyst, to erupt into the oral cavity.

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