• 제목/요약/키워드: Anatomic impression

검색결과 13건 처리시간 0.019초

편측후방연장 국소의치에서 인상채득 방법과 클라스프 설계에 따른 지대치의 응력분석에 관한 연구 (STRESS ANALYSIS OF ABUTMENT FOR DISTAL EXTENSION REMOVABLE PARTIAL DENTURE BY CLASP DESIGN AND IMPRESSION METHOD)

  • 안희영;김광준;조혜원;진태호
    • 대한치과보철학회지
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    • 제39권5호
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    • pp.547-555
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    • 2001
  • This study was performed tn investigate the effects of impression method and design of the retainer on the stress of abutment tooth in distal extension RPD. Three different types of direct retainer such as Akers clasp, RPI clasp, and wrought wire clasp were designed. Stress on the abutment tooth was measured and analyzed with strain gauge method. Impressions were anatomic impression technique and functional impression technique. The following conclusions were drawn from this study. 1. The stress at the abutment tooth on all RPD was decreased in functional impression except RPI clasp retained RPD. 2 The stress at the abutment tooth on RPI clasp retained RPD was the most smallest in anatomic Impression. 3. While load is increase the stress at the abutment tooth was increased, but the change of stress at the buccal side of abutment tooth was not too much in functional impression.

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유리단 국소의치의 기능 인상에 의한 연조직의 수직적 변위량에 관한 연구 (STUDY ON VERTICAL DISPLACEMENT OF SOFT TISSUE UNDER DISTAL EXTENSION PARTIAL DENTURE BASE BY FUNCTIONAL IMPRESSION)

  • 이광희;장익태
    • 대한치과보철학회지
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    • 제21권1호
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    • pp.59-66
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    • 1983
  • Distal extension partial dentures are supported by both the relatively rigid teeth and the resilient mucosa. So impression techniques of residual alveolar ridge in case of distal extension partial denture have particular importance in order to broad distribution of the masticatory force. McLean recognized the need for recording the tissues supporting distal extension partial denture base in functional form to equalize the resilient and non-resilient support, and this was called functional impression. Many investigators proposed various techniques of the functional impression for a distal extension partial denture, but only a little studies were performed about displacement of soft tissue under distal extension partial denture base. The purpose of this study is to investigate the amount of vertical displacement of the soft tissue under distal extension partial denture base by different functional impression techniques. Impression techniques used were Z.O.P. Impression, Selective Tissue Placement Impression, Functional Relining Impression. Measurement of the vertical displacement of soft tissue were made with Depth Gauge and Measuring Platform. A Anatomic Impression was used as a control. The results were tested statistically using 3 way ANOVA and Scheffe test. The followings were the results obtained from this study. 1. The greatest amount of soft tissue displacement was observed in the center of the retromolar pad. 2. No significant differences were found between the crest of alveolar ridge and the buccal shelf area. 3. The greatest soft tissue displacement was observed in Functional Relining Impression using Iowa wax, and the least displacement was observed in Selective Tissue Placement Impression using murcaptan rubber base. 4. No significant differences were found between finger pressure and biting pressure in Z.O.P. Impression, but greater displacement was observed by biting pressure than finger pressure in Functional Reling Impression.

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완전 무치악 환자에서 하악 흡착 의치를 통한 총의치 수복 증례 (Complete denture rehabilitation of edentulous patient using mandibular suction denture: a clinical report)

  • 임서련;서윤희;김현영;송영균;이준석
    • 대한치과보철학회지
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    • 제52권4호
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    • pp.346-351
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    • 2014
  • 흡착 의치는 의치상연 주위 전체를 가동 점막으로 봉쇄하여 연하나 교합 시 의치상 내면에 일시적으로 음압을 형성하여 의치의 유지와 안정을 강화한다. 본 증례의 환자는 81세의 남자 환자로 새로운 의치를 제작하고 싶다는 주소로 내원하였다. 의치의 유지와 저작 효율에 대한 환자의 높은 요구도를 고려하여 흡착 의치를 통한 총의치 제작을 계획하였다. 하악 후구치 융기 부위를 가압하지 않은 채로 예비 인상을 채득 후 상하악 진단모형을 제작하였다. 이후 개인 트레이 제작 후 최종 인상 채득과 동시에 고딕 아치 기록을 시행하여 중심위 및 수직 고경을 채득하였으며, 상악에는 해부학적 치아, 하악에는 비해부학적 치아를 배열하여 설측 교합을 형성하였다. 이상과 같이 완전 무치악 환자에서 하악 흡착 의치를 통한 총의치 수복은 만족스러운 유지와 기능을 회복할 수 있었기에 본 증례를 보고하고자 한다.

심한 하악골 흡수와 혈관기형을 보이는 무치악 환자에서 폐구인상법과 단일평면교합법을 이용한 총의치 수복 증례 (Complete denture rehabilitation in the edentulous patient with severe mandibular bone resorption and vascular malformation using closed mouth impression and monoplane occlusion: A case report)

  • 김재현;조혜원
    • 대한치과보철학회지
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    • 제59권2호
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    • pp.220-227
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    • 2021
  • 본 환자는 혈관기형으로 인한 구순과 혀, 전정 등 연조직의 비대와 팽윤감, 심한 하악골 흡수로 인해 일반적인 총의치를 사용할 수 없었다. 최선의 치료 방법은 임플란트 피개의치이나 경제적 제약 때문에 선택할 수 없었다. 하악 총의치로 수복을 하기 어려운 증례에서 음압을 형성하는 BPS 흡착식 원리를 응용한 폐구인상법과 고딕아치 묘기법을 이용한 중심위 악간관계기록 및 비해부학적치아를 이용한 단일평면교합법으로 총의치를 제작하여 그 결과가 양호하였다. 치료 전 환자와의 충분한 대화를 통해 요구사항을 확인함으로써 환자가 원하는 심미성을 보유하면서 기능적으로 양호한 총의치 제작이 가능하였다.

심미적인 상악 전치부 임플란트 보철물 만들기 (Esthetic Implant Prostheses for Anterior Teeth)

  • 김기성
    • 대한치과의사협회지
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    • 제56권9호
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    • pp.492-502
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    • 2018
  • Anterior maxillary teeth play an important role in determining a person's first impression and facial profile. Implant surgery in esthetic area requires more careful diagnosis, treatment planning, surgery, and prosthetic restoration than in posterior area. To avoid complications in surgery and prosthetic restoration for implants in esthetic area, accurate diagnosis and appropriate case selection become very important. If you have decided to restore the area with implant prosthesis, you have to know exactly where to place an implant. I will discuss the ideal implant position in terms of mesio-distally, apico-coronally, labio-palatally, and implant angulation. And I would like to point out the selection of fixture diameter & length for anterior implant. Finally, a clinical implant prosthesis case in maxillary central incisor will be shown. In conclusion, for superior esthetic outcome in anterior implant prostheses, we must understand the patient's anatomic condition and know our ability.

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인체 골격의 X-ray 투사 이미지를 활용한 패션디자인 (Human Skeletal X-ray Projection Images Applied Fashion Design)

  • 박정인;이연희
    • 한국의상디자인학회지
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    • 제17권3호
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    • pp.13-27
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    • 2015
  • The purpose of this study is to understand the general process from textile design till fashion design and to understand the relation between the body structure by using the x-ray technique. The research method was to see background of the anatomic feature and human skeletal X-ray projection through historical aspect of publications, the Internet, and paper. In terms of production, in order to present a design that takes into account the unique silhouette of the human body without distorting the shape of the human skeleton, X-ray images that were reconstituted using a computer graphic tool (Photoshop CS) were reproduced into the fabric as intense images through the digital Textile Printing technique that is capable of expressing fine and delicate details, and applied into the design. An original design was developed that emphasized the impression of the human body being projected and the shape of the human skeleton realistically expressed in terms of silhouette and detail. The results are as follows: First, Body has a anatomic formative characteristic and its formativeness becomes as a great motive for the artistic expression and thereby it becomes more unique and available for new design expression. Second, Using the 'body frame' as the motive of the research, there's mainly tried to make an unique expression. Third, according to reconstructing human skeletal X-ray projection by using Adobe Photoshop CS2, it can be expressed strong and unique design. Forth, DTP which is being used as an essential technique, expresses the body frame realistically and being used the special type of functional product and silk. Likewise by discovering the diverse formativeness of our body frame and reflecting the sense of humanity into the pieces there's been able to make and develop an unique fashion design. I sincerely hope there is a hug progress in this research in this area.

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점액양 연골 육종 1례의 세침 흡인 세포학적 소견 (Fine Needle Aspiration Cytology of Myxoid Chondrosarcoma of Pleura -A Case Report-)

  • 명나혜;조경자;장자준;조재일;심영목
    • 대한세포병리학회지
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    • 제1권2호
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    • pp.152-157
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    • 1990
  • 70세 여자의 늑막에 발생한 점액양 연골육종의 세침흡인세포학적 소견을 기술하였다. 환자는 4개월간의 좌측 흉통과 2개월간의 호흡곤란을 호소하였고 흉부 X-선 및 전산화 단층촬영상 좌측 늑막강에 위치하여 흉벽을 침범하는 커다란 분엽상 저음영성 종괴와 늑막 삼출액이 관찰되었다. 종괴의 세침 흡인 도말은 세포 밀도가 매우 높았고, 세포질이 풍부한 나원형 세포들이 점액성 물질내에 산재되거나 간혹 뭉쳐 있었다. 풍부한 세포질은 불투명한 청색으로 소포를 함유하기도 하였으며 그 경계는 흩어진 세포에서는 비교적 분명했으나 세포집단에서는 불분명하였다. 핵들은 한쪽으로 치우쳐져 둥글거나 난원형을 보였고 염색질은 미세하였으며 다수의 작은 핵소체를 갖고 있었다. 세포들간의 다형성이나 유사분열은 잘 관찰되지 않았다. 이상의 소견은 연공육종의 세포학적 특징과 유사했으나 연골 성분이 관찰되지 않았고 점액성 물질이 매우 풍부하여 확진을 위한 생검이 시행되었고 조직학적으로 점액양 연골육종임이 확인되었다.

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성인 유치악자 상악골의 악궁과 치열궁의 형태에 관한 조사 (A STUDY OF INTRAORAL ANATOMIC LANDMARKS OF KOREAN ADULT-UPPER JAW)

  • 오유리;이성복;박남수;최대균
    • 대한치과보철학회지
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    • 제33권4호
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    • pp.753-768
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    • 1995
  • For accurate impression taking of dental patient and esthetic denture treatment of ednetulous patient, measuring between intraoral anatomic landmarks is useful.In this study the subjects selected at a random were two-jundred forty persons with a mean age 22.5(range 21-24) and were taken impression of by irreversible hydrocolloid impression material(Alginate). On the study model made by dental stone, each individual tray was made and final impresion was taken by border moilding. On final model measurings were performed with 3-dimensional measuring device and the values were analyzed by t-test The results is following : ABOUT THE MEASURED VALUES. 1. The width between maxillary right and left canine cusp tip was average 36.44mm(s.d. 2.48), man 36.67mm, woman 35.83mm(p<0.05). 2. The width between labial height of contour of maxillary right and left canine was average 40.08mm(s.d. 2.42), man 40.29mm, woman 39.52mm(p<0.05). 3. The width between mesio-lingual cusps of maxillary first molar was average 43.14mm(s.d. 3.33), man 43.56mm, woman 42.05mm(p<0.05). 4. The width between buccal alveolar ridge on axis of mesiolingual cusp of right and left maxillary first molar was average 64.89mm(s.d. 3.88), man 65.58mm, woman 62.92mm(p<0.05). 5. The width between buccal alveolar ridge on axis of mesiolingual cusp of right and left maxillary second molar was average 68.58mm(s.d. 3.91), man 69.29mm, woman 66.30mm (p<0.05). 6. The width between right and left hamular notch was average 49.80mm(s.d. 3.96), man 50.70mm, woman 48.20mm(p<0.05). 7. The length from labial heigth of contour of maxillary central incisor to center of incisive papilla was average 9.52mm(s.d. 1.18), man 9.46mm, woman 9.63mm(p>0.05). 8. The length from labial heigth of contour of maxillary central incisor to palatine fovea was average 53.27mm(s.d. 2.93), man 53.93mm, woman 52.08mm(p<0.05). 9. The center of incisive papilla ws located posterior to intercanine line at 0.40mm(s.d. 1.16), man 0.51mm, woman 0.11mm(p<0.05). 10. The height from incisal edge of maxillary central incisor to the labial vestibule was average 21.84mm(s.d. 1.38), man 22.01mm, woman 21.00mm(p<0.05). 11. The height from mesiolingual cusp of maxillary first molar to buccalvestible was average 17.45mm(s.d. 1.42), man 17.56mm, woman 17.08mm(p>0.05). 12. The height from hamular notch to standard occlusal plane was average 6.84mm(s.d. 1.06), man 6.91mm, woman 6.70mm(p>0.05). 13. The height from the deepest point of palatal vault to standard occlsalplane was average 19.95 mm(s.d. 2.03), man 20.19mm, woman 19.12mm(p<0.05). ABOUT THE ARCH FORM 1. The arch form was able to classify into four typr by the rate of the measured values. Each arch form distribution was that the 1 group had 32.46% the 2 group 2.19%, the 3 group 52.83%, the 4 group 12.72%. The sexual composition was that in 1 group man had 73.5%, woman 26.5%, in 2 group man had 40.0%, woman 60.0%, in 3 group man had 83.3%, woman 16.7%, and in 4 group man had 55.17%, woman 44.83%. 2. When canine cusp tip was marked as point O, the intersection point between labial height of contour of maxillary central incisor and intermaxillary suture as point A, height of contour of maxillary second molar buccal alveolar ridge as B point, ${\angle}$AOB was measured $133.8^{\circ}$for the 1 group, $133.0^{\circ}$for the 2 group, $132.3^{\circ}$for the 3 group, $128.9^{\circ}$for the 4 group.

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거대설을 가진 환자에서 중립대 개념과 연마면 인상을 이용한 총의치 수복 증례 (Neutral zone approach and external impression for rehabilitation of macroglossia: a case report)

  • 강현;서누리;박상원;윤귀덕;박찬;임현필
    • 구강회복응용과학지
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    • 제34권3호
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    • pp.218-224
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    • 2018
  • 거대설은 일반적인 보철 수복을 진행하는 데에 장애물이 되는 요소 중의 하나이다. 이러한 환자에서 통상적인 방법으로 제작된 의치는 유지와 안정을 얻기 어려울 뿐 만 아니라, 기본적인 저작의 효율 또한 얻기 힘들 것이다. 이러한 경우 안정적인 의치를 제작하기 위해서는 의치의 교합뿐 아니라 주변 근육 조직과의 조화가 중요한 요소가 될 수 있고, 이를 위해서 연마면을 적절히 형성하는 것이 필요하다. 중립대(neutral zone)는 혀가 밖으로 미는 힘과 볼과 입술이 안으로 미는 힘이 평형을 이루는 근신경계 기능에 의한 잠재적 영역으로 정의되며, 총의치의 인공치가 이 영역에 위치되고, 연마면 형태가 동적인 근육의 해부학적 형태를 따른다면 근육의 움직임은 의치를 안정시키는 요소로 작용할 뿐 아니라 안면 지지를 통하여 심미성 또한 향상될 수 있다는 장점이 있다.