• 제목/요약/키워드: Aligner

검색결과 83건 처리시간 0.027초

투명교정장치의 임상적 한계와 그 해결 (Clinical limitations and its solutions of the clear overlay appliance treatment)

  • 배기선
    • 대한치과의사협회지
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    • 제54권7호
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    • pp.563-574
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    • 2016
  • A clear overlay appliance is a type of a removable appliance made from transparent thermoplastic plastic film that covers the entire dentition to move the teeth. It is one of the most favored orthodontic methods opted for by adult patients; this treatment is esthetic, does not cause discomfort and allows oral hygiene to be easily managed when compared to other conventional fixed treatment methods. However, the use of clear overlay appliances, such as invisalign or clear aligner, is associated with various clinical challenges. In particular, the appliances require longer treatment periods compared to fixed treatment, and due to the structural characteristics of the appliances, it is difficult to make proper posterior occlusion and certain type of tooth movement, including extrusion, rotation and tip. Thus, the clear overlay appliances are regarded as supplementary appliances by most orthodontists and have been used for simple orthodontic treatments, such as partial anterior alignments or orthodontic relapse cases. Owing to the remarkable advancement in the field of 3D digital technology over a period of 15 years, the accuracy and convenience of modern clear overlay appliances have continuously improved. Moreover, orthodontic outcomes have also been greatly improved by the introduction of new materials and successful application of various biomechanical methods from conventional orthodontic treatments in the design of clear overlay appliances. This study investigates the clinical limitations that should be considered during the application of clear overlay appliances and also examines the efforts and methods used to overcome these challenges.

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Accuracy of virtual 3-dimensional cephalometric images constructed with 2-dimensional cephalograms using the biplanar radiography principle

  • Lee, Jae-Seo;Kim, Sang-Rok;Hwang, Hyeon-Shik;Lee, Kyungmin Clara
    • Imaging Science in Dentistry
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    • 제51권4호
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    • pp.407-412
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    • 2021
  • Purpose: The purpose of this study was to evaluate the accuracy of virtual 3-dimensional (3D) cephalograms constructed using the principle of biplanar radiography by comparing them with cone-beam computed tomography (CBCT) images. Materials and Methods: Thirty orthodontic patients were enrolled in this study. Frontal and lateral cephalograms were obtained with the use of a head posture aligner and reconstructed into 3D cephalograms using biplanar radiography software. Thirty-four measurements representing the height, width, depth, and oblique distance were computed in 3 dimensions, and compared with the measurements from the 3D images obtained by CBCT, using the paired t-test and Bland-Altman analysis. Results: Comparison of height, width, depth, and oblique measurements showed no statistically significant differences between the measurements obtained from 3D cephalograms and those from CBCT images (P>0.05). Bland-Altman plots also showed high agreement between the 3D cephalograms and CBCT images. Conclusion: Accurate 3D cephalograms can be constructed using the principle of biplanar radiography if frontal and lateral cephalograms can be obtained with a head posture aligner. Three-dimensional cephalograms generated using biplanar radiography can replace CBCT images taken for diagnostic purposes.

Evaluating anchorage loss in upper incisors during distalization of maxillary posterior teeth using clear aligners in adult patients: A prospective randomized study

  • Zehra Yurdakul;Nurver Karsli
    • 대한치과교정학회지
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    • 제54권2호
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    • pp.117-127
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    • 2024
  • Objective: To evaluate the effect of clear aligner treatment and differential sequence distalization of maxillary posterior teeth on anchorage loss in the upper incisors (U1s). Methods: This study used lateral cephalometries and digital models of 12 patients treated with 33% sequential distalization (group 1, mean age: 22.9 ± 0.7 years, five males, seven females) and 12 treated with 50% sequential distalization (group 2, mean age: 25.83 ± 0.5 years, three males, nine females) acquired before and after distalization of upper second premolars (U5) and upper first molars (U6) and upper second molars (U7). The amount of distalization was determined as 2.5 mm in both the groups. Independent Samples t test was used to compare normally distributed parameters. Mann-Whitney U and Wilcoxon tests were used to compare parameters that were not normally distributed. Results: In both groups, the posterior teeth significantly moved by tipping distally and the U1s were displaced anteriorly. Increase in maxillary posterior transverse width (P < 0.001) and distopalatal rotation were observed in U5, U6, and U7 after distalization. It was also observed that U1 was significantly more proclined (1.82°; P < 0.001) and protruded (0.62 mm; P < 0.001), and the overjet (0.45 mm; P < 0.001) increased more in group 1 than in group 2. Conclusions: After sequential distalization of maxillary posterior teeth, more anchorage loss was observed in the anterior region in group 1 than in group 2.

두부방사선규격사진 촬영 시 유도방법에 따른 자연두부자세의 차이 및 재현성에 관한 연구 (A comparative study of guiding methods for natural head posture in cephalometrics)

  • 송진명;이기헌;황현식
    • 대한치과교정학회지
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    • 제35권5호
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    • pp.341-350
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    • 2005
  • 두부방사선규격사진에서는 매 촬영 시마다 두부의 수직적 회전 정도를 일정하게 유지하기 위하여 두부자세의 재현이 필요하다 본 연구는 유도방법에 따른 자연두부자세의 수직적 두부회전 정도의 차이를 비교하고 각 두부자세의 재현성을 평가하기 위하여 시행되었다 20대 성인 남녀 30명을 연구대상으로 하여 head posture aligner를 이용한 방법(HPA법)과 self balance posture를 이용한 방법(SBP법)으로 자연두부자세를 유도하여 측모 및 정모두부방사선규격사진을 각각 한 달 간격으로 촬영한 후, 측모두부방사선규격사진 상에서 유도 방법에 따른 수직적 두부회전 정도의 차이를 비교하는 한편, 측모 및 정모두부방사선규격사진에서 시간 간격을 두고 동일 방법으로 유도하여 촬영한 두 사진 상의 동일 계측항목 간 차이를 비교함으로써 각 두부자세의 유도방법에 대한 재현성을 평가하였다 연구결과 SBP법으로 유도한 자연두부자세는 HPA법에 의해 유도된 자연두부자세보다 평균 $2.79^{\circ}$ 고개를 숙인 자세로 나타났다. 또한 HPA법 또는 SBP법을 이용하여 시간 간격을 두고 각각 2회 촬영한 측모두부방사선규격사진과 정모두부방사선규격사진 상의 계측치는 모든 계측항목에서 통계적으로 유의한 차이를 보이지 않는 것으로 나타났다. 본 연구 결과는 HPA법과 SBP법으로 유도한 자연두부자세가 모두 재현성이 있음을 나타내는 것으로 두부방사선규격사진 촬영 시 재현성을 높이기 위하여 HPA법과 더불어 SBP법도 임상적으로 사용될 수 있음을 시사하였다.

차세대 FPD 노광장비용 정렬계 설계

  • 송준엽;김동훈;정연욱;김용래;구형욱
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2004년도 춘계학술대회 논문요약집
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    • pp.223-223
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    • 2004
  • 반도체 및 TFT LCD 제조 공정에서 핵심 공정인 Photo 공정은 PR(Photo Resist, 감광액) Coating -) Exposure(노광) -. Develop(현상)으로 이루어져 있다. 이중 Exposure 공정에 사용되는 장치가 노광장비이다. 노광장비는 Mask Aligner 라고도 불리는데, 그만큼 정렬기술이 노광장비에서는 중요하다. 반도체 및 TFT LCD 는 여러 충의 회로를 쌓아감으로써 층과 층간의 전기적 작용으로 생성되는 Tr.(Transistor) 또는 Diode 등의 수동소자를 집적하는 기술로 제조되는 것으로, 층과 층간의 전기적 작용이 설계한 바와 같이 이루어지기 위해선, 층과 층 사이의 정렬이 정확히 이루어져야 한다.(중략)

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Working Pattern Align장천 기발 (Development of Working Pattern Aligner)

  • 황재호;양남열
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1999년도 하계학술대회 논문집 G
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    • pp.3010-3011
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    • 1999
  • 컴퓨터 모니터용 Color Display Tube (CDT)와 TV수상기용 Color Picture에 모두 사용되는 부품인 shadow mask는 전자총에서 발생된 전자빔이 Screen에 이르기 바로 전에 위치함으로써 화질에 지대한 영향을 미친다. 이러한 shadow mask의 제작 기술은 발전을 거듭하여 현재는 한 쌍의 working pattern을 사용하여 생산하는 방식이 사용되고 있다. 본 논문에서는 를 고정밀 하고 고정시키는 자동 장비의 개발 사례를 소개 한다.

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A comparative study of combined periodontal and orthodontic treatment with fixed appliances and clear aligners in patients with periodontitis

  • Han, Ji-Young
    • Journal of Periodontal and Implant Science
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    • 제45권6호
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    • pp.193-204
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    • 2015
  • Purpose: With the increasing prevalence of orthodontic treatment in adults, clear aligner treatments are becoming more popular. The aim of this study was to evaluate the effect of orthodontic treatment on periodontal tissue and to compare orthodontic treatment with fixed appliances (FA) to clear aligner treatment (CAT) in periodontitis patients. Methods: A total of 35 patients who underwent orthodontic treatment in the Department of Periodontology were included in this study. After periodontal treatment with meticulous oral hygiene education, patients underwent treatment with FA or CAT, and this study analyzed patient outcomes depending on the treatment strategy. Clinical parameters were assessed at baseline and after orthodontic treatment, and the duration of treatment was compared between these two groups. Results: The overall plaque index, the gingival index, and probing depth improved after orthodontic treatment (P<0.01). The overall bone level also improved (P=0.045). However, the bone level changes in the FA and CAT groups were not significantly different. Significant differences were found between the FA and CAT groups in probing depth, change in probing depth, and duration of treatment (P<0.05). However, no significant differences were found between the FA and CAT groups regarding the plaque index, changes in the plaque index, the gingival index, changes in the gingival index, or changes in the alveolar bone level. The percentage of females in the CAT group (88%) was significantly greater than in the FA group (37%) (P<0.01). Conclusions: After orthodontic treatment, clinical parameters were improved in the FA and CAT groups with meticulous oral hygiene education and plaque control. Regarding plaque index and gingival index, no significant differences were found between these two groups. We suggest that combined periodontal and orthodontic treatment can improve patients' periodontal health irrespective of orthodontic techniques.