• Title/Summary/Keyword: APEX

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Lingual sliding mechanics의 lever arm 효과에 대한 유한요소분석 (Finite element analysis of effectiveness of lever arm in lingual sliding mechanics)

  • 김경희;이기준;차정열;박영철
    • 대한치과교정학회지
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    • 제41권5호
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    • pp.324-336
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    • 2011
  • 전치의 후방 견인 시 적절한 치아 이동 상태 조절은 필수적이다. 설측 장치를 이용한 레버 암 길이의 조절을 통하여 치아 이동에 관한 연구는 있었으나 3차원적인 변위 양상에 대한 연구는 많이 이루어지지 않은 실정이다. 이에 본 연구는 상악 전치부의 레버 암(lever arm)의 길이를 5 mm 단위로 20 mm까지 증가시켰으며 대구치와 TPA (trans palatal arch) 상에 있는 견인 훅(hook)의 위치를 달리 하여 200 gm의 후방 견인력을 가했을 때 나타나는 치아 변위 양상과 응력분포를 3차원적 유한요소분석을 통하여 알아보고자 하였다. 이를 위하여 아시아 성인의 표본조사를 통해 제작된 치아모형(Nissan Dental Product, Kyoto, Japan)을 3차원적으로 스캐닝한 후 상악치아, 치주인대, 치조골에 대한 유한요소 모델을 제작하였다. 각 치아의 절단연과 치근첨의 이동량을 x, y, z 좌표에서 각각 계산하여 치열의 변위 양상을 분석하고 von Mises 응력 분포를 계측하였다. 연구 결과, 정상 교합 모형의 레버 암 길이가 15 mm, 20 mm인 경우 전치 절단연과 치근첨의 설측 변위가 유도되었다. 본 실험의 조건 중 20 mm에서 치근첨의 설측 변위는 최대로 나타났다. 구치부 견인 훅이 치근첨에 있을 때 대구치 치관은 원심 방향으로 변위되었다. 또한 레버 암의 길이가 20 mm인 경우 전치부의 정출은 미약하였고 견치 치관은 협측 방향으로 전위되었다. 이 때 구치부 견인 훅의 위치가 TPA의 구개 중앙 측에 있을 때보다 가장자리 측에 있을 때 견치 치관은 더 많이 전위되었다. 이상의 결과를 토대로 설측 장치를 이용한 상악 6전치의 후방 견인 시 레버 암의 길이가 길고 구치부 견인 훅의 위치가 구개 중앙부에 있을 때 전치부 절단연(incisal edge)의 정출 없이 견치의 측방 전위 및 전치부 절단연과 치근첨의 설측 변위가 공히 나타남을 알 수 있었다.

상악동저 거상술과 임플란트 식립 후 상악동저 변화에 대한 연구 (Radiographic change of grafted sinus floor after maxillary sinus floor elevation and placement of dental implant)

  • 조상호;김옥수
    • Journal of Periodontal and Implant Science
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    • 제36권2호
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    • pp.345-359
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    • 2006
  • Loss of maxillary molar teeth leads to rapid loss of crestal bone and inferior expansion of the maxillary sinus floor (secondary pneumatization). Rehabilitation of the site with osseointegrated dental implants often represents a clinical challenge because of the insufficient bone volume resulted from this phenomenon. Boyne & James proposed the classic procedure for maxillary sinus floor elevation entails preparation of a trap door including the Schneiderian membrane in the lateral sinus wall. Summers proposed another non-invasive method using a set of osteotome and the osteotome sinus floor elevation (OSFE) was proposed for implant sites with at least 5-6mm of bone between the alveolar crest and the maxillary sinus floor. The change of grafted material in maxillary sinus is important for implant survival and the evaluation of graft height after maxillary sinus floor elevation is composed of histologic evaluation and radiomorphometric evaluation. The aim of the present study was radiographically evaluate the graft height change after maxillary sinus floor elevation and the influence of the graft material type in height change and the bone remodeling of grafts in sinus. A total of 59 patients (28 in lateral approach and 31 in crestal approach) who underwent maxillary sinus floor elevation composed of lateral approach and crestal approach were radiographically followed for up to about 48 months. Change in sinusgraft height were calculated with respect to implant length (IL) and grafted sinus height(BL). It was evaluated the change of the graft height according to time, the influence of the approach technique (staged approach and simultaneous approach) in lateral approach to change of the graft height, and the influence of the type of graft materials to change of the graft height. Patients were divided into three class based on the height of the grafted sinus floor relative to the implant apex and evaluated the proportion change of that class (Class I, in which the grafted sinus floor was above the implant apex; Class II, in which the implant apex was level with the grafted sinus floor; and Class III, in which the grafted sinus floor was below the implant apex). And it was evaluated th bone remodeling in sinus during 12 months using SGRl(by $Br\ddot{a}gger$ et al). The result was like that; Sinus graft height decreased significantly in both lateral approach and crestal approach in first 12 months (p$MBCP^{TM}$ had minimum height loss. Class III and Class II was increased by time in both lateral and crestal approach and Class I was decreased by time. SGRI was increased statistically significantly from baseline to 3 months and 3 months(p<0.05) to 12 months(p$ICB^{(R)}$ single use, more reduction of sinusgraft height was appeared. Therefore we speculated that the mixture of graft materials is preferable as a reduction of graft materials. Increasing of the SGRI as time goes by explains the stability of implant, but additional histologic or computed tomographic study will be needed for accurate conclusion. From the radiographic evaluation, we come to know that placement of dental implant with sinus floor elevation is an effective procedure in atrophic maxillary reconstruction.

ProTaperTM로 근관성형시 회전 속도 변화가 근관형태에 미치는 영향 (EFFECT OF ROTATIONAL SPEED OF PROTAPERTM ROTARY FILE ON THE CHANCE OF ROOT CANAL CONFIGURATION)

  • 서민철;전윤정;강인철;김동준;황윤찬;황인남;오원만
    • Restorative Dentistry and Endodontics
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    • 제31권3호
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    • pp.179-185
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    • 2006
  • 본 연구는 엔진 구동형 Ni-Ti 파일인 $ProTaper^{TM}$를 이용하여 좁고 만곡된 근관 형태를 가지는 레진 모형상에서 회전 속도를 변화시켰을 때 근관 형태 변화에 대해 비교 분석하기 위해 시행되었다. 16 mm의 작업장 길이를 갖는 40개의 기성품 레진 블록을 엔진 구동형 Ni-Ti파일인 $ProTaper^{TM}$를 사용하여 회전 속도를 제외하고 제조자의 지시에 따라 크라운다운법으로 근관 성형하였다. 연구에 사용된 회전 속도는 250 rpm, 300 rpm, 350 rpm, 400 rpm이었으며, 근첨부 성형은 #25 파일 크기인 F2로 시행하였다. 근관 성형 전 후 이미지를 스캐너를 이용하여 얻었고, Photoshop 7.0 프로그램을 이용하여 중첩하였다. 이미지 분석 프로그램을 이용하여 치근단 쪽에서부터 1, 2, 3, 4, 5, 6, 7 및 8 mm부위의 내 외측 폭경 변화와 총폭경 및 근관의 중심축에 대한 근관 변위를 측정하였다. 각 부위에서 내 외측 폭경과 총폭경 및 근관의 중심축에 대한 근관 변위의 유의성 검정을 위해 one-way ANOVA분석을 시행하였으며, 각 기구간의 유의성 검정은 Scheffe's test로 사후 분석하였다. 또한 근관 성형 시간 기구의 변형과 파절 여부를 평가하여 다음과 같은 결과를 얻었다. 1. 본 실험에 이용된 회전속도로 근관성형시 회전 속도와 관계없이 치근첨에서 2 mm부위까지는 만곡의 외측으로 변위되고, $3{\sim}6mm$부위에서는 만곡의 내측으로 변위 되었다. 근첨에서 5 mm와 6 mm 부위를 제외하고 근관의 중심축에 대한 근관 변위는 통계적으로 유의성이 없었다. 2. 350 rpm, 400 rpm의 경우 250 rpm, 300 rpm에 비해 더 짧은 시간이 걸렸다. (p<0.01). 이상의 결과는 엔진 구동형 Ni-Ti파일인 $ProTaper^{TM}$를 사용하여 $250{\sim}400rpm$의 회전속도로 근관 성형시 근관 형태를 잘 유지하며, 빠른 회전 속도로 성형시 작업 시간도 줄일 수 있지만, 속도가 빨라지면 파일의 파절이 일어날 수 있으므로 주의해야 함을 시사한다.

구내법과 파노라마법에 의한 상악치근과 상악동저의 관계 비교 (COMPARISON OF RELATIONSHIPS BETWEEN ANTRAL FLOOR AND MAXILLARY ROOT APEX IN BISECTING AND PANORAMIC TECHNIQUES)

  • 유동수;김인수
    • 치과방사선
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    • 제16권1호
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    • pp.31-39
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    • 1986
  • This study was performed to compare the difference of intraoral bisecting and panoramic techniques in evaluating the relationship of antral floor and maxillary roots. The vertical distances from maxillary root apices to antral floor were measured on both orthopantomograms and bisecting projections obtained from fifty subjects. The results were as follows, 1. Tooth lengths measured on orthopantomogram were larger than on bisecting projection and the magnification ratios were 1.08-1.17. 2. The dimensions from maxillary root apices to antral floor measured on orthopantomogram were larger than on bisecting projection. 3. The above results held true regardless of age and sex.

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투명표본에 의한 상악견치의 근관형태에 관한 연구 (A STUDY ON THE ROOT CANAL MORPHOLOGY OF HUMAN MAXILLARY CANINE WITH TRANSPARENT SPECIMENS)

  • 이정식
    • 대한치과의사협회지
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    • 제15권11호
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    • pp.753-756
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    • 1977
  • Eighty-two maxillary canine were injected with china ink, decalcified, cleared and used in a study, in vitro, to determine the number of root canals, the frequency and location of lateral canals, the location of apical foramens, and the curvature of root canals. The results were as follows; 1.All of the maxillary canines showed the single canals. 2. Of the 82 canals studied, 20.7% of the canals were found to have lateral canals and most ramification of them were located in the apical third of the root. 3. In the case of the curvature, the mesial curvature of the canals (40.3%) usually showed more than the distal curvature of them (13.4%) 4. 41.2% of the apical foramen were located directly on the root apex and 58.5% of them laterally.

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투명표본에 의한 하악중절치의 근관형태에 관한 연구 (A STUDY ON THE ROOT CANAL MORPHOLOGY OF HUMAN MANDIBULAR INCISORS WITH TRANSPARENT SPECIMENS)

  • 윤수한
    • 대한치과의사협회지
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    • 제16권12호통권115호
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    • pp.929-933
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    • 1978
  • Sixty six mandibular incisor were injected with China ink, decalcified, cleared and used to study the number of root canals, the frequency and location of lateral canals, the location of apical foramens, the frequency of apical deltas, and the curvature of root canals. The results were as follows: 1. Most of the teeth demonstrated single canal, but 19.7% of the teeth were found to have bifurcated canals. 2. 12% of the teeth were found to have lateral canals and these ramifications were located in the apical third of the root. 3. 25 apical foramens were located directly on the root apex and 41 foramens laterally. 4. 43 canals showed straight, 7 canals distal curvature, 7 labial curvature, 3 mesial curvature.

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상악전치에 발생한 치근단낭종 치험례 (A Case Report of the Radicular Cyst in Maxillary Anterior Teeth Treated by Enucleation)

  • 이유일
    • 대한치과의사협회지
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    • 제21권12호통권175호
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    • pp.991-995
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    • 1983
  • A radicular cyst is a slowly-growing epithelial sac lining a pathologic cavity in the bone at the apex of a tooth. Large radicular cyst revealed by radiographic examination almost always appear to involved several teeth. The author observed a 31 year old woman with a labial swelling and palatal mucosal expansion of the maxillary anterior region. Radiographic examination indicated that the lesion extended from the left maxillary lateral incisor to the right lateral incisor. Cyst consisted of tan to gray yellow slightly firm to partly hard plaque like tissue measuring 3.4 x 2.2 x 0.3㎝. The author has treated the cyst by means of enucleation with apicoecomies of the involved teeth except the right central incisor. Recovery proceed satisfactorily and there were no clinical or radiologic signs of recurrence 8 months later.

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New record of the genus Neodilsea and N. yendoana (Dumontiaceae, Gigartinales) in Korea

  • Kang, Pil Joon;Nam, Ki Wan
    • Journal of Ecology and Environment
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    • 제38권4호
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    • pp.655-661
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    • 2015
  • A marine algal species was collected from the southern coast of Korea. This alga is characterized by a large and cartilaginous thallus, a dichotomous branching pattern, compressed axes, rare proliferations near the apex, and cystocarps protruded toward surface. In a phylogenetic tree based on rbcL sequences, this species nests in the same clade as Neodilsea yendoana as a terminal clade of the genus Neodilsea. The genetic distance between both sequences within the clade was calculated as 0.2% considered to be in the intraspecific range within the genus. Based on the morphological and molecular data obtained in the present study, this Korean species is identified as N. yendoana. This is the first record of the genus Neodilsea and N. yendoana in Korea.

New record of the red algae, Halarachnion parvum (Gigartinales) and Champia lubrica (Rhodymeniales), from Korea

  • Yang, Mi Yeon;Koh, Young Ho;Kim, Myung Sook
    • Journal of Ecology and Environment
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    • 제38권4호
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    • pp.663-671
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    • 2015
  • We report the first finding of Halarachnion parvum and Champia lubrica from Korea based on morphology and the plastid rbcL sequence analyses. H. parvum occurs in the subtidal zone of Munseom, the southern part of Jeju. Thalli have short stipe, and elliptical to ovate fronds with marginal proliferations of up to 3 cm in height. H. parvum has zonately divided tetrasporangia and cystocarp immersed under the cortical layer. Champia lubrica appears in Namhae, Gyeongnam and Seopseom, Jeju. Thalli are erect, irregularly branched, terete, obtuse apex, up to 3-5 cm high, and have tetrahedrally divided tetrasporangia. Molecular analyses of the plastid rbcL gene reveal that two species are clearly separated from other species of their respective genera. H. parvum is sister with Halarachnion latissimum in 3.1-3.2% sequence divergence, and C. lubrica is closely related to the sample from Japan with 0.2% sequence divergence.

긴쑥부쟁이(국화과): 우리나라 미기록식물 (Aster hispidus Thunb. var. leptocladus (Makino) Mot. Ito et Soejima (Compositae): unrecorded plant to Korea)

  • 이강협;선은미;김별아;임형탁
    • 식물분류학회지
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    • 제44권3호
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    • pp.188-190
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    • 2014
  • 대구광역시 팔공산에서 국화과 참취속의 1종인 Aster hispidus var. lleptocladus를 발견하여 긴쑥부쟁이로 명명하였다. 일본의 사문암지대에 유존적으로 분포하는 일본 고유종으로 알려져 온 긴쑥부쟁이는 모종인 갯쑥부쟁이와는 하부 경생엽이 좁고 선형이며 예두로써 털이 없으며, 두화와 총포의 지름이 좁고, 통상화의 관모 길이가 1-2 mm인 점이 다르다.