• Title/Summary/Keyword: 하악 제1대구치 경사도

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Correlation between menton deviation and dental compensation in facial asymmetry using cone-beam CT (Cone-beam CT를 이용한 안면비대칭자에서 이부편위에 따른 치성보상의 양상분석)

  • Park, Soo-Byung;Park, Jeong-Heuy;Jung, Yun-Hoa;Jo, Bong-Hye;Kim, Yong-Il
    • The korean journal of orthodontics
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    • v.39 no.5
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    • pp.300-309
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    • 2009
  • Objective: The purpose of this study was to evaluate the correlation between menton deviation and dental compensation in facial asymmetry. Methods: Tooth axis and distance of first molar and canine to the reference plane were investigated by cone-beam computerized tomography. The subjects consisted of 50 patients with asymmetric mandibles (male 21, female 29, mean age 24.3 years). Control groups were also assessed (male 11, female 9, mean age 25.6 years). Nine measurements (5 linear measurements and 4 angular measurements) were measured in order to evaluate the correlation between menton deviation and the linear and angular difference of first molar and canine in the deviated and none-deviated sides using the defined MPR images. The differences between deviated and non-deviated side, according to menton deviation, were statistically analyzed using stepwise multiple regression analysis. Results: From the result, Menton deviation was negatively correlated with mandibular first molar's angular measurement (${\Delta\angle}LM6$-Mn plane (dev.-ndev.)) and positively with maxillary fist molar's angular measurement (${\Delta\angle}UM6$-FH plane (dev.-ndev.)) (p < 0.01). Two angular measurements (${\Delta\angle}LM6$-Mn plane (dev.-ndev.), ${\Delta\angle}UM6$-FH plane (dev.-ndev.)) explained the variability in menton deviation with a significant $r^2$ value of 0.589. Conclusions: This study suggests that the tooth axis of upper and lower first molars leans towards the deviated side of Menton when there is mandibular asymmetry with Menton deviation.

A Study on Relationship Between TMD and Skeletodental Form in Long Face Patterns (장안모군에서 악관절 장애와 악안면 골격형태에 대한 연구)

  • Tae, Ki-Chul;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.29 no.1 s.72
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    • pp.37-49
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    • 1999
  • Forty-four females with normal temporomandibular joint were compared with fifty-one females with abnormal temporomandibular joint. An orthodontic study model and lateral cephalometric radiographic were used to investigate the relationship between TMD group and non-TMD group in long face patterns. The result were followed that ; 1. There were no significant in overbite and overjet amount. 2. A mandibular 1'st molar inclination and height to the mandibualr plane were more mesial inclined in TMD groups. 3. The functional factors, which were craniocervical posture , tongue posture and hyoid bone position, were no significant.

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Fracture strength of zirconia ceramic crowns according to tooth position (치아 부위에 따른 지르코니아 도재관의 파절강도)

  • Lee, In-Seob;Kim, Jeong-Mi;Dong, Jin-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.2
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    • pp.94-100
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    • 2010
  • Purpose: The purpose of this study was to compare the fracture strength of the zirconia ceramic crowns according to tooth position. Material and methods: After 10 metal dies were made for each group, the zirconia ceramic crowns were fabricated using CAD/CAM system ($Lava^{TM}$ All-Ceramic System) and each crown was cemented on each metal die with resin cement (Rely $X^{TM}$ Unicem). The cemented zirconia ceramic crowns mounted on the testing jig were inclined with 30 degrees to the long axis of the tooth and the universal testing machine was used to measure the fracture strength. Results: 1. The fracture strength of the zirconia ceramic crown in the lower 1st molar (2963 N) had the highest and that in the lower central incisor (1035 N) had the lowest. 2. The fracture strength of zirconia ceramic crown was higher than that of the IPS Empress crowns in all tooth position. 3. The fracture mode of the crowns was similar. Most of fracture lines began at the loading area and extended through proximal surface perpendicular to the long axis of the crowns. 4. There were no significant differences on the fracture strength of the zirconia ceramic crowns according to tooth position except in premolar group. Conclusion: Within the limitations of this study, the results suggested that strength of zirconia ceramic crown is satisfactory for clinical use.

THE EFFECT OF DISTAL MOVEMENT OF UPPER MOLAR USING THE PENDULUM APPLIANCE (Pendulum 장치의 상악대구치의 원심이동에 대한 효과)

  • Lee, Chang-Seop;Kim, Jae-Gwang;Kang, Dug-Il;Song, Kwang-Chul;Jung, Hyun-Ku;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.488-495
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    • 2001
  • Treatment of class II malocclusions require distalization of maxillary molars into class I relationship. Intraarch distal molar movement techniques have recently assumed an important role in young patients. In this study, the dental and skeletal effects of the pendulum appliance were evaluated by means of cephalometric radiographs. The samples were consisted of 19 patients: 11 females and 8 males, mean age $11.68{\pm}1.52$ years. Measurements were obtained from cephalometric prior to and the day of removal of the pendulum appliance. Treatment changes were analyzed. The following results were obtain. 1. The pendulum appliance produced $2.94{\pm}1.54mm$ distal molar movement with a mean intrusion of $1.17{\pm}0.97mm$, mean period $18.13{\pm}7.95$ weeks. 2. The anchor tooth was $1.34{\pm}1.40mm$ forward movement and $0.48{\pm}0.99mm$ extrusion, and labial tilting of incisors. 3. The angle between palatal plane and mandibular plane increased significantly. 4. There was no significant difference in according to 2nd molar position. 5. Total movement was consisted of 74% distal movement of 1st molar and 26% forward movement of the anchor tooth.

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The relationship between posterior dental compensation and skeletal discrepancy in class III malocclusion (골격성 III급 부정교합자의 악골 부조화가 구치부 치성보상에 미치는 영향)

  • Sung, Ji-Hyun;Son, Woo-Sung;Kim, Sung-Sik
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.41-49
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    • 2003
  • This study examined the relations between degree of posterior dental compensation and skeletal discrepancy in Class III malocclusion. The pretreatment lateral cephalogras and dental casts of 87 skeletal Class III adults were selected to provide a random sampling of skeletal Class III malocclusion. Skeletal discrepancy was described with ANB angle, Wits appraisal, SN-Mn plane angle, FMA and ratios of basal arch width. Degree of posterior dental compensation was described with maxillary intermolar angle, mandibular interolar angle and sum of intermoloar angle. The relationships between skeletal discrepancy and degree of posterior dental compensation were analyzed with simple correlation analysis, stepwise multiple regression analysis. The results were as follows 1. A strong association was found between the variation in the anteroposterior measure, ANB angle and the variation of posterior dental compensation measures, sum of intermolar angle and mandibular intermolar angle in skeletal Class III malocclusion. 2. There was no statistically significant relationship between the variation in the vertical measures and the variation of posterior dental compensation measures in skeletal Class III malocclusion. 3. There was no statistically significant relationship between the variation in the anteroposterior and vortical measures and degree of basal arch width discrepancy.

Reproducibility and accuracy of tooth size measurements obtained by the use of computer (컴퓨터를 이용한 치아크기 계측시 재현도와 정확도에 관한 연구)

  • Kim, Eun-Jeong;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.29 no.5 s.76
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    • pp.563-573
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    • 1999
  • The purpose of this study was to evaluate the availability of computer system for the measurement of tooth size in the model analysis through the comparison of two measurements: One was to use a computer; and the other was to use vernier calipers. Twenty sets of casts were used, which showed a moderate degree of crowding and full eruption of all teeth. The mesio-distal width of 12 teeth from the left central incisor to the left first molar at each set of the casts were measured twice with vernier calipers and a computer respectively. This measurement was repeated two weeks later. First, for the reproducibility analysis, the two computer measurements were compared then the vernier calipers measurements were compared. Second, all the teeth were sepapated into the region of mesiodistal contact points and its width was measured by a micrometer to obtain standard measurements. For the accuracy analysis, these standard measurements were compared with the measurements from the dental casts using two methods. The difference between them was defined as the measurement error. To investigate the cause of measurement error, an examination was made for the presence and degree of contact point deviation on each tooth from the upper and lower occlusograms, and the mesio-distal angulation of each tooth was measured with TARG. Following results were obtained through statistical analysis. 1. In the analysis for reproducibility; the measurements with vernier calipers showed significant differences in three out of twelve teeth while the computer measurements showed significant differences in one out of twelve teeth. 2. In the analysis for accuracy; compared with the standard measurements, the measurements with vernier calipers showed significant differences in three out of twelve teeth while the computer measurements showed significant differences in two out of twelve teeth. 3. Compared with the standard measurements, the measurements with vernier calipers were apt to be larger at the upper first molar, and smaller at the lower first molar The computer measurements, however, were apt to be larger at both upper and lower first molars. 4. The measurements with vernier calipers showed the largest error at the lower first molar and the degree of error was variable according to the tooth while the difference of error was small in the computer measurements. 5. In the analysis for the correlation of the degree of measurement errors with the contact point deviation index and the mesio-distal crown angulation of each tooth, the measurements with vernier calipers did not show significant correlation while the measurements with computer showed slight Positive correlations. The results of this study indicate that a computer system may be useful for the measurement of tooth size in the model analysis.

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THE SUCCESS AND FAILURE OF TREATMENT BY USING LIP BUMPER (Lip Bumper를 이용한 치료의 성공과 실패)

  • Maeng, Myung-Ho;Kim, Jong-Bin;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.507-512
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    • 1999
  • In the mixed dentition, many children have mild crowding of anterior dentition on the mandibular arch and mesial tilting of mandibular molar. Lip bumper have been used to gain arch length for the alignment of mild to moderate crowded dental arches. As such, they may provide an alternative to extraction therapy. The claimed therapeutic effect of the lip bumper is bodily forward incisor movement, flaring of the lower incisors, and distal tipping of the molar. The dental changes can be attributed to removal of lip pressure on the lower anterior dentition and the distal forces exerted at the molar abutment. The purpose of this study is to show more easily method of treatment for mild anterior crowding of mandible.

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Effects of Horseshoe Expander (Horseshoe Expander의 확장 효과에 관한 연구)

  • Chung, Kyu-Rhim;Park, Young-Guk;Lee, Young-Jun;Kim, Hong-Suk
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.553-563
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    • 2000
  • Horseshoe Expander is one of Slow Maxillary Expansion(SME) which aims to accommodate the contra- lateral expansion and midpalatal suture expansion or the palate. The appliance consists of skeleton type strew embedded in split Horseshoe appliance. It is the objectives of the presentation to manifest the changes in dental & craniofacial components subsequent to the application of Horseshoe Expander. The subjects for this study consisted of 32 patients (mean age : 12.7). frontal, lateral cephalometric headfilm were taken and study casts were fabricated before and after expansion. 24 items were measured, compared preexpansion with postexpansion. Especially, palatal volume was measured by means of 'Hydro-measurement method'. Tooth axis measurement on the dental casts were made with Universal bevel protractor, and Horseshoe Expander group were compared with RME group. This study of changes to maxillary expansion with Horseshoe Expander revealed the following significant results. 1. Triangular-shaped expansion pattern appeared in frontal cephalometric headfilm. 2. Palatal plane, occlusal plane, mandibular plane and upper incisor to FH increased in lateral cephalometrir headfilm. 3. Palatal volume increased significantly. A slight bite opening, reduction of occlusal contact points showed in dental casts. 4. A 2.2:1 ratio of the amount of intermolar width in maxilla(orthodontic movement) to maxillary width (orthopedic movement) was determined. 5. Horseshoe Expander group has less buccal tipping tendency than RME group, by taking high correlation coefficients in the upper second premolar and first molar. It was suggested that Horseshoe Expander showed less orthodontic changes, less buccal tipping tendency. In addition, it was effective in maxillary expansion.

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A STUDY ON MORPHOLOGIC CHARACTERISTICS OF LINGUAL SURFACE OF CROWN AND LINGUAL ARCHFORM OF KOREAN ADULT WITH NORMAL OCCLUSION (정상교합자 설측치관형태 및 설측치열궁형태에 관한 연구)

  • Kim, Young-Lim;;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.25 no.2 s.49
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    • pp.209-221
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    • 1995
  • The purpose of this study was to obtain the lingual morphology(angulation, inclination, horizontal and vertical contour) and lingual arch form of Korean adult with normal occlusion in order to provide the basic datas for lingual brackets and ideal lingual archwire. Dental models of thirty person with normal occlusion(Male : 16, Female :14) were selected for this study. Crown angulation, inclination. horizontal and vertical contour of lingual surfaces from Lt. 1st molar to Rt 1st molar of both upper and lower arch were measured. Lingual arcform was studied from copied papers of dental models attached Fujita lingual bracket. The results of this study were summarized as follows: 1. The average angulation and inclination of lingual surfaces of all tooth types for Korean adults with normal occlusion were obtained. 2. The average horizontal and vertical contour of lingual surfaces of all tooth types were obtained. 3. There were similar figures in horizontal and vertical contour of lingual surfaces between upper and lower molars, upper and lower premolars, upper and lower canines, upper central and lateral incisors and lower central and lateeral incisors respectively. It was possible that the use of those contour of bracket bases in common. 4. The average of lingual archform was provided, which was arch-shaped from canine to canine, linear along the premolars and molars with small offset bend between them, and where canines and premolars met, it was bent in a crank- shape. 3. There was no difference between lingual archform of male and that of female, although lingual archform of female was smaller than that of male in lower arch.

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A comparative study of initial lateral cephalometric characteristics: mandibular setback surgery only versus mandibular setback surgery with advancement genioplasty (하악 후퇴술과 전진 이부성형술이 시행된 III급 부정교합자의 초진 시 측모 두부 방사선사진 특성에 관한 연구)

  • Kim, Jae-Sik;Kim, Jung-Il;Kang, Seung-Goo
    • The korean journal of orthodontics
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    • v.38 no.1
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    • pp.41-51
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    • 2008
  • Objective: The aim of this study was to compare the initial lateral cephalometric characteristics in two groups of patients: those that had mandibular setback surgery only and those that had mandibular setback surgery with advancement genioplasty. Methods: The lateral cephalograms of thirty-one patients were studied. Twenty-one Class III patients (group A) had only madibular setback surgery Twelve Class III patients (group B) had mandibular setback surgery with advancement genioplasty. Results: Differences between two groups were found in N-Me, ANS-Me, Occlusal Plane angle, Palatal Plane to U1, Mandibular Plane to L1, Mandibular Plane to L6, SN to U1, Sn-Stms, and Pog' projection. Compared to group A, group B showed more linguoversion and extrusion of upper incisors, more extrusion of lower incisors and lower first molar, and more steepness of the occlusal plane. N-Me, ANS-Me, and Sn-Stms were also longer in group B. But Pog' projection was shorter than group A. Conclusion: We conclude that certain initial lateral cephalometric characteristics may help indicate the inclusion of advancement genioplasty when mandibular setback surgery is planned in skeletal Class III patients.