• Title/Summary/Keyword: Alignment and leveling

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Orthodontic treatment of gummy smile by maxillary total intrusion with a midpalatal absolute anchorage system

  • Hong, Ryoon-Ki;Lim, Seung-Min;Heo, Jung-Min;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.43 no.3
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    • pp.147-158
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    • 2013
  • This article describes the orthodontic treatment of a 31-year-old Korean female patient with gummy smile and crowding. The patient showed excessive gingival display in both the anterior and posterior areas and a large difference in gingival heights between the anterior and posterior teeth in the maxilla. To correct the gummy smile, we elected to intrude the entire maxillary dentition instead of focusing only on the maxillary anterior teeth. Alignment and leveling were performed, and a midpalatal absolute anchorage system as well as a modified lingual arch was designed to achieve posterosuperior movement of the entire upper dentition. The active treatment period was 18 months. The gummy smile and crowding were corrected, and the results were stable at 21 months post-treatment.

A Study of Test Method for Position Reporting Accuracy of Airborne Camera (항공기 탑재용 카메라 위치출력오차 측정방안 연구)

  • Song, Dae-Buem;Yoon, Yong-Eun
    • Journal of the Korea Institute of Military Science and Technology
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    • v.16 no.5
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    • pp.646-652
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    • 2013
  • PRA(Position Reporting Accuracy) for EO/IR(Electro-Optic/Infrared) airborne camera is an important factor in geo-pointing accuracy. Generally, rate table is used to measure PRA of gimbal actuated camera like EO/IR. However, it is not always possible to fix an EUT(Equipment for Under Test) to rate table due to capacity limit of the table on the size and weight of the object(EUT). Our EO/IR is too big and heavy to emplace on it. Therefore, we propose a new verification method of PRA for airborne camera and assess the validity of our proposition. In this method we use collimator, angle measuring instrument, 6 dof motion simulator, optical surface plate, leveling laser, inclinometer and poster(for alignment).

Geodetic monitoring on onshore wind towers: Analysis of vertical and horizontal movements and tower tilt

  • Canto, Luiz Filipe C.;de Seixas, Andrea
    • Structural Monitoring and Maintenance
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    • v.8 no.4
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    • pp.309-328
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    • 2021
  • The objective of this work was to develop a methodology for geodetic monitoring on onshore wind towers, to ascertain the existence of displacements from object points located in the tower and at the foundation's base. The geodesic auscultation was carried out in the Gravatá 01 and 02 wind towers of the Eólica Gravatá wind farm, located in the Brazilian municipality of Gravatá-PE, using a stable Measurement Reference System. To verify the existence of displacements, pins were implanted, with semi-spherical surfaces, at the bases of the towers being monitored, measured by means of high-precision geometric leveling and around the Gravatá 02 tower, concrete landmarks, iron rods and reflective sheets were implanted, observed using geodetic/topographic methods: GNSS survey, transverse with forced centering, three-dimensional irradiation, edge measurement method and trigonometric leveling of unilateral views. It was found that in the Gravatá 02 tower the average rays of the circular sections of the transverse welds (ST) were 1.8431 m ± 0.0005 m (ST01) and 1.6994 m ± 0.0268 m of ST22, where, 01 and 22 represent the serial number of the transverse welds along the tower. The average calculation of the deflection between the coordinates of the center of the circular section of the ST22 and the vertical reference alignment of the ST1 was 0°2'39.22" ± 2.83" in the Northwest direction and an average linear difference of 0.0878 m ± 0.0078 m. The top deflection angle was 0°8'44.88" and a linear difference of ± 0.2590 m, defined from a non-linear function adjusted by Least Squares Method (LSM).

CLINICAL CONSIDERATION ON USING THE ELASTIC 'TIE BACKS' DURING SPACE CLOSURE ('Elastic tie back'을 이용한 발치공간 폐쇄에 관한 임상적 고려)

  • Cho, Ki-Soo;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.23 no.2 s.41
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    • pp.217-227
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    • 1993
  • Preadjusted appliance, following the original concept of the Andrews Straight-Wire appliance, became increasingly common in the 1980s. In six phases of treatment, anchorage control, leveling and aligning, overbite control, overjet reduction, space closure, and finishing are very effective with using the preadjusted appliances. Space closure is the phase of treatment in which the difference between standard edgewise and preadjusted mechanics is most noticeable. Orthodontists have been able to reduce the use of closing loops and, because of the level slot lineup, enjoy the advantages of sliding mechanics. In 1990, Dr. John C. Bennett and Richard P. McLaughlin introduced the new space closure system, namely, elastic 'tiebacks'. They found an $.019'\times.025'$ working archwire most effective in an .022'-slot system. Hooks of .024' stainless steel or .028' brass wire are soldered to the upper and lower archwires. The force required for space closure is delivered by elastic 'tiebacks'. An elastic modulo stretched by 2-3mm(to twice its normal length) usually delivers 0.5-1.5mm of space closure per month. Group movement and sliding mechanics are combined for gentle, controlled space closure, so that about 0.5mm of incisor retraction and 0.5mm of mesial molar movement can be seen each month. The tiebacks are replaced every four to six weeks. By using the elastic 'tiebacks', the next two cases were treated during space closure. Even though we found some clinical problems of this mechanics, long treatment time, hard to control of vertical dimension and anchorage, the application method of this system is so simple that orthodontists can manage many patients during short chair time. But we must apply this mechanics after perfect understanding of the biomechanics in tooth movement.

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Digital Orthodontics using Customized Appliance System (개인 맞춤형 장치를 이용한 디지털 교정치료)

  • Kim, Yoon-Ji R.;Ha, Hye-Jung;Lee, Sung-Jong;Lee, Eon-Hwa;Ryu, Jae-Jun
    • The Journal of the Korean dental association
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    • v.54 no.2
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    • pp.134-141
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    • 2016
  • Use of ready-made orthodontic appliance can lead to inefficiencies in the final stages of the orthodontic treatment. Because patients' teeth have anatomic variations, brackets that have been designed to fit on average tooth surface may result in positional discrepancies when leveling and alignment is completed. As a result, additional steps such as rebonding, wire bending and use of auxiliaries may be needed. Even in patients who have normal tooth anatomy and proper tooth size relationships, precise bracket placement is crucial in order to efficiently control the tooth positions. Digital models can provide advantages in clinical orthodontics as virtual tooth setup could be performed, and clinicians can easily visualize the predicted final occlusion. Through this setup model, customized brackets with individualized prescription and archwires that optimally fit with the patients' dental arches can be produced using CAD/CAM technology. Also, the brackets can be accurately placed with an aid of 3D-printed jigs. The purpose of this article is to introduce the commonly used labial and lingual customized orthodontic appliance systems using digital technology.

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Effect of friction from differing vertical bracket placement on the force and moment of NiTi wires (브라켓의 수직적 변위에 따른 마찰이 NiTi wire의 힘과 모멘트에 미치는 영향)

  • Park, Jea-Beom;Yoo, Ji-A;Mo, Sung-Seo;Choi, Kwang-Cheol;Kim, Yoon-Ji;Han, Seong-Ho;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.41 no.5
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    • pp.337-345
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    • 2011
  • Objective: The purpose of this study was to evaluate the effect of force and moment produced by Nickel-titanium wires of different sizes at activation and deactivation according to differing vertical bracket displacement. Methods: Superelastic NiTi wires of 3 different sizes (0.014", 0.016", and 0.016" ${\times}$ 0.022") were tied with elastomeric or 0.009-inch stainless steel ligations in a twin-bracket, 0.018-inch slot. A testing machine recorded the effects of simulated activation of 5 distances from 1 to 5 mm and deactivation of 5 distances from 4 to 0 mm, in increments of 1 mm. Results: Frictional force increased the wire stiffness during loading. Ligation of 0.014-inch NiTi wire with O-ring resulted in a significant increase in the stiffness. On application of orthodontic force for 5 mm of vertical displacement of teeth, the effective displacement in the case of the 0.014", 0.016", and 0.016" ${\times}$ 0.022" NiTi wires was 2 mm, 3 mm, and 4 mm, respectively. Conclusions: Our results showed that movement of teeth with large vertical displacement was ineffective because of excessive friction. This finding might contribute to the understanding of the force system required for effective teeth movement and thereby facilitate the application of the appropriate light wire for leveling and alignment.

Maxillary protraction using customized mini-plates for anchorage in an adolescent girl with skeletal Class III malocclusion

  • Liang, Shuran;Xie, Xianju;Wang, Fan;Chang, Qiao;Wang, Hongmei;Bai, Yuxing
    • The korean journal of orthodontics
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    • v.50 no.5
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    • pp.346-355
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    • 2020
  • The treatment of skeletal Class III malocclusion in adolescents is challenging. Maxillary protraction, particularly that using bone anchorage, has been proven to be an effective method for the stimulation of maxillary growth. However, the conventional procedure, which involves the surgical implantation of mini-plates, is traumatic and associated with a high risk. Three-dimensional (3D) digital technology offers the possibility of individualized treatment. Customized mini-plates can be designed according to the shape of the maxillary surface and the positions of the roots on cone-beam computed tomography scans; this reduces both the surgical risk and patient trauma. Here we report a case involving a 12-year-old adolescent girl with skeletal Class III malocclusion and midface deficiency that was treated in two phases. In phase 1, rapid maxillary expansion and protraction were performed using 3D-printed mini-plates for anchorage. The mini-plates exhibited better adaptation to the bone contour, and titanium screw implantation was safer because of the customized design. The orthopedic force applied to each mini-plate was approximately 400-500 g, and the plates remained stable during the maxillary protraction process, which exhibited efficacious orthopedic effects and significantly improved the facial profile and esthetics. In phase 2, fixed appliances were used for alignment and leveling of the maxillary and mandibular dentitions. The complete two-phase treatment lasted for 24 months. After 48 months of retention, the treatment outcomes remained stable.

In-vitro investigation of the mechanical friction properties of a computer-aided design and computer-aided manufacturing lingual bracket system under diverse tooth displacement condition

  • Kim, Do-Yoon;Ha, Sang-Woon;Cho, Il-Sik;Yang, Il-Hyung;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.49 no.2
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    • pp.73-80
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    • 2019
  • Objective: The purpose of this study was to compare the static (SFF) and kinetic frictional forces (KFF) of a computer-aided design and computer-aided manufacturing lingual bracket (CAD/CAM-LB) with those of conventional LB (Con-LB) and Con-LB with narrow bracket width (Con-LB-NBW) under 3 tooth displacement conditions. Methods: The samples were divided into 9 groups according to combinations of 3 LB types (CAD/CAM-LB [Incognito], Con-LB [7th Generation, 7G], and Con-LB-NBW [STb]) with 3 displacement conditions (no displacement [control], maxillary right lateral incisor with 1-mm palatal displacement [MXLI-PD], and maxillary right canine with 1-mm gingival displacement [MXC-GD]; n = 6/group). While drawing a 0.016-inch copper or super-elastic nickel-titanium archwire with 0.5 mm/min for 5 minutes in a chamber maintained at $36.5^{\circ}C$, SFF and KFF were measured. The Kruskal-Wallis method with Bonferroni correction was performed. Results: The Incognito group demonstrated the highest SFF, followed by the 7G and STb groups ([STb-control, STb-MXLI-PD, Stb-MXC-GD] < [7G-MXC-GD, 7G-MXLI-PD, 7G-control] < [Incognito-MXLI-PD, Incognito-control, Incognito-MXC-GD]; p < 0.001). However, there were no significant differences in SFF among the 3 displacement conditions within each bracket group. Within each displacement condition, the Incognito group demonstrated the highest KFF, followed by the 7G and STb groups ([STb-control, STb-MXLI-PD] < Stb-MXC-GD < 7G-MXLI-PD < [7G-control, 7G-MXC-GD] < [7G-MXC-GD, Incognito-MXLI-PD, Incognito-control] < [Incognito-control, Incognito-MXC-GD]; p < 0.001). MXC-GD exhibited higher KFFs than MXLI-PD in the same bracket group. Conclusions: The slot design and ligation method of the CAD/CAM-LB system should be modified to reduce SFF and KFF during the leveling/alignment stage.