• Title/Summary/Keyword: Anterior region

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Relationship between Gingival Biotype and Underlying Crestal Bone Morphology

  • Lee, Kwang Ho;Jung, Koo Young;Jung, Jae-Suk
    • Journal of Korean Dental Science
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    • v.9 no.2
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    • pp.49-54
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    • 2016
  • Purpose: The purpose of this study was to assess the relationship between gingival biotype and underlying crestal bone morphology in the maxillary anterior region. Materials and Methods: The maxillary anterior teeth from 40 subjects (20 thin biotype, 20 thick biotype) with ages from 20 to 50 years were included in this study. All subjects had healthy gingiva in the maxillary anterior region and had no history of orthodontic treatment, periodontal treatment, or hyperplastic medication. Using the probe transparency method, the scalloped distance (SCD) between the contact point-bone crest and the midface-bone crest was measured for each maxillary anterior teeth of two groups. Result: The mean SCD was $3.00{\pm}0.21mm$ in thin biotype and $2.81{\pm}0.20mm$ in thick biotype. The SCD value in the thin biotype was statistically significantly greater than in the thick biotype (t=2.982, P<0.01). Comparing the degree of crestal bone scallop in each maxillary anterior teeth in the two groups, all six teeth in the thin biotype showed higher bone scallop than in the thick biotype. Conclusion: A simple procedure using a probe could to determine gingival biotype and to predict the underlying crestal bone morphology was introduced. This may be useful for effective treatment planning.

Case Report; Esthetic Restorations for Immediate Implantation and Delayed loading on Maxillary Anterior Region (상악전치부임플란트에서의 즉시식립 후 심미수복증례)

  • Lee, Hee-Kyong
    • The Journal of the Korean dental association
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    • v.55 no.10
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    • pp.733-737
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    • 2017
  • Successful osseo-integration of dental implants that Dr. Bronemak reported in 1965 had been ground-breaking research in the restorative dentistry for the missing dentition. Clinical application of dental implants in the restorative dentistry has begun with the role of retention and support for the complete denture, beyond the functional recovery in partially missing area, and succeeds in the cosmetic recovery for anterior missing area. Recently, immediate implantation and loading after the extraction have been preferred by many excellent clinicians especially on maxillary anterior missing area, because they want to prevent from the absorption of residual alveolar bone. But it is hard to decide immediate loading for common clinicians also, because it is difficult for them to convict proper osseo-integration. In this article, immediate implantation and delayed loading case on maxillay anterior region have been introduced and predictable prosthetic procedure for the esthetic result has suggested.

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Marginal and internal fit according to the shape of the abutment of a zirconia core manufactured by computer-aided design/computer-aided manufacturing (CAD/CAM으로 제작된 지르코니아 코어의 지대치 형태에 따른 변연 및 내면 적합도에 관한 연구)

  • Kim, Ji-Su;Ryu, Jae-Kyung
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.1
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    • pp.13-19
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    • 2022
  • Background: In this study, zirconia copings were fabricated by setting clinically acceptable inner values for prostheses using computer-aided design/computer-aided manufacturing (CAD/CAM). The processed copings were evaluated for the marginal and internal fit of each abutment shape with a CAD program using the silicone replica technique. Methods A total of 20 copings was produced by selecting models commonly used in clinical practice. After injecting the sample, the minimum thickness, internal adhesion interval, and distance to the margin line were set to 0.5, 0.05, and 1.00 mm using a dental CAD program, respectively. It was measured using a 2D section function in a three-way program of the silicon replication technology. Although the positions and number of measurements of the anterior and posterior regions differed, nine parts of each pre-tube were designated and measured by referring to a previous study to compare the two samples. Results As a result, the average margin of the mesial, distal, and buccal (labial) surfaces was 59.90 ㎛ in the anterior region and 60.40 ㎛ in the posterior region. The mean axial wall margin was 67.25 ㎛ in the anterior region and 69.25 ㎛ in the posterior region. In occlusion, the anterior teeth (77.70 ㎛), posterior teeth (77.60 ㎛), and both anterior and posterior regions were within the clinically acceptable range. Conclusion The edge and inner fit of zirconia coping manufactured using the CAD/CAM system showed clinically applicable results. To reduce errors and increase accuracy, materials and machine errors that affect the manufacture of prosthetics should be investigated. Based on our results, the completeness of prosthetics could increase if the inner value and characteristics of the material are adjusted when applied in clinical practice.

A Study on the Use of 10 MV X-Ray with Lead Absorber for Treatment of Head and Neck Tumors (10MV X선(線)을 이용(利用)한 경부(頸部) 방사선(放射線) 치료시(治療時) 선량분포(線量分布)에 관(關)한 연구(硏究))

  • Kim, Hyung Sik;Kang, Wee Saing;Ha, Sung Whan;Park, Charn Il
    • Radiation Oncology Journal
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    • v.1 no.1
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    • pp.25-28
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    • 1983
  • Anterior and posterior parallel opposed field technique covering entire neck is desirable for elimination of junctional problems in treating upper neck with bilateral parallel opposed fields and lower neck with anterior one field. For good dose distribution in neck, dose in build-up region should be high for anterior field and should be low for posterior field. And so, with 10 MV X-ray, lead absorber was used for anterior field only. The adequate thickness of lead absorber, absorber-skin separation, width of central cord block for posterior field and anterior & posterior field weight were studied using film dosimery. The results are as follows. 1. As the thickness of the lead absorber increased the dose in build-up region increased. 2. As the absorber-skin separation decreased the dose in build-up region increased. 3. The adequate thickness of lead absorber was around 5.6mm. 4. The adequate absorber-skin separation was around 5cm. 5. The adequate posterior cord block width was 3cm. 6. 4:1 weighting for anterior and posterior field was adequate. And so with this technique, adequate dose distribution could be made as well as elimination junction problems.

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Clinical and radiographic assessment of narrow-diameter and regular-diameter implants in the anterior and posterior jaw: 2 to 6 years of follow-up

  • Alrabiah, Mohammed;Deeb, Modhi Al;Alsahhaf, Abdulaziz;AlFawaz, Yasser F.;Al-Aali, Khulud Abdulrahman;Vohra, Fahim;Abduljabbar, Tariq
    • Journal of Periodontal and Implant Science
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    • v.50 no.2
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    • pp.97-105
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    • 2020
  • Purpose: The present retrospective clinical study aimed to evaluate and compare the clinical and radiographic parameters, complications, and satisfaction in patients who received fixed prostheses supported by narrow-diameter implants (NDIs) in the anterior and posterior jaw. Methods: Patients aged ≥30 years who had NDI-supported fixed prostheses in the anterior or posterior region of either jaw for at least 2 years were included. Complications such as chipping of the crown; loosening or fracture of the screw, crown abutment, or implant; and loss of retention were recorded. Clinical peri-implant outcomes and crestal bone loss (CBL) were measured. A questionnaire was used to record responses regarding the aesthetics and function of the fixed restorations. Analysis of variance was used to assess the significance of between-group mean comparisons. The log-rank test was performed to analyze the influence of location and prosthesis type on technical complications. Results: Seventy-one patients (mean age: 39.6 years) provided informed consent with a mean follow-up duration of 53 months. Only bleeding on probing showed a statistically significant difference between NDIs in the anterior and posterior regions. The complication rate for NDIs in the posterior region was significantly higher than that for NDIs in the anterior region (P=0.041). For NDIs, CBL was significantly higher around splinted crowns than single crowns (P=0.022). Overall mean patient satisfaction was 10.34±3.65 on a visual analogue scale. Conclusions: NDIs in the anterior and posterior jaws functioned equally well in terms of periimplant soft and hard tissue health and offered acceptable patient satisfaction and reasonable complication rates.

A study of variation level for each region changed in trunk at sagittal plane after Trunk Flexion-Extension Exercise (체간 굴곡-신전운동 후 체간 각 부위 별 시상면 높이변화에 대한 조사)

  • Kim, Keun-Jo;Lee, Cu-Rie;Jung, Byeong-Ok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.1-15
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    • 2008
  • Purpose : This survey was to investigate on the effect of each region changed in trunk through sagittal plane after Trunk Flexion-Extension Exercise. Methods : 18 students of Gimcheon College participated in this study for the period of July 9-30, 2007. Analyzed factor were 1) degree of pain 2) presence of Gillet test and 3) difference of right-left for 7 landmark region in trunk applying I.B.S.-2000 after Trunk Flexion - Extension Exercise. We used the SPSS $PC^+$ program for classifying into analysis of frequency, $x^2$-test, t-test and Simple Linear Regression analysis test. Results: Followings are concluded For degree of pain, 13(72.2%) of students answered "No pain" after Trunk Flexion-Extension Exercise and in the result 4 more students decreased the pain. In the Gillet test, 14(77.8%) of students answered "positive" after Trunk Flexion-Extension Exercise and in the result 4 more students increased mobility of Sacroiliac joint. In the differences of right-left for 7 landmark region in trunk by B.M.I. scale, Slim type was decreased both Acromion(0.45mm), both Iliac crest(0.44mm), and both ASIS(0.31mm) to anterior plane, Normal type was decreased both inferior angle of Scapular(0.02mm), both L4-5(0.07mm), and both PSIS(0.09mm) to posterior plane Fatness type was decrease both Acromion(0.05mm), both ASIS(0.05mm) to anterior plane. In the differences of right-left for 7 landmark region in trunk for degree of pain No pain group was decreased both Acromion(0.17mm), both Nipple(0.25mm) to anterior plane and both PSIS(0.13mm) to posterior plane Pain group was decreased both Acromion(0.04mm), both Iliac creast(0.03mm) to anterior plane and both inferior angle of Scapular(0.18mm) both PSIS(0.13mm) to posterior plane. In the difference of right-left for 7 landmark region in trunk for each of the exercises, Both iliac crest(0.1mm), both ASIS(0.12mm) to anterior plane were decreased after Flexion Trunk Exercise. Both acromion(0.27mm) to anterior plane, both inferior angle of scapular(0.14mm) and both PSIS(0.12mm) to posterior plane were decreased after Extension Trunk Exercise. Each of the exercises, The both inferior angle of Scapular showed high scores($0.65{\pm}0.23$) at Trunk Extension Exercise group and there was statistical significance between Trunk Flexion Exercise group and Extension exercise group(t :-2.502, p < 0.05). 7. At Pre-exercise group, Both inferior angle of Scapular showed low scores($0.23{\pm}8.27$) at Trunk Extension Exercise group and there was statistical significance between Pre- Exercise group and Trunk Extension Exercise group(t :-2.5430, p<0.05). Conclusion : The simple linear regression analysis was presented at Acromion(-0.243), L4-5(-0.753), PSIS(0.576) and there was statistical significance in BMI scale(p<0.01).

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Retrospective Study of Characteristics and Treatment of Dentigerous Cysts Involving the Maxillary Anterior Tooth (상악 전치부에 발생한 함치성 낭종의 임상적 특징과 치료에 대한 후향적 연구)

  • Seo, YeJin;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.280-288
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    • 2017
  • The aim of the present study was to identify the clinical characteristics and treatment outcomes associated with maxillary anterior dentigerous cysts in children. Among 55 patients who had been diagnosed with maxillary anterior dentigerous cysts, 33 patients had cysts located in the incisor region and 22 had cysts located in the canine region. Cysts in the incisor region were 7.2-fold more prevalent in male patients, while cysts in the canine region were 1.75-fold more prevalent in female patients. For cysts in the incisor region, marsupialization was performed in 21 cases and enucleation in 12 cases. In the canine region, marsupialization was performed in 20 cases and enucleation in 2 cases. Spontaneous eruptions of the displaced teeth in the incisor and canine region were 90% and 54.5%, respectively. Among patients which spontaneous eruption occurred, patients with cysts in the incisor region underwent orthodontic treatment more often due to malocclusion. This study is expected to be used as fundamental data for establishing future treatment plans by providing the analyzed results of distribution and characteristics of dentigerous cysts involving the maxillary anterior tooth.

A STUDY ON THE HORIZONTAL IMAGE MAGNIFICATION OF ORTHOPANTOMOGRAPHY (Orthopantomograph에 있어서 상의 수평확대에 관한 연구)

  • Kim Han Pyoung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.4 no.1
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    • pp.39-44
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    • 1974
  • The purpose of this study is to obtain the horizontal magnification rate of orthopantomography. The subjects were consisted of 30 Korean adults who had Angle's classification I occlusion by using measuring wire set On the incisal edges of anterior teeth and the occlusal surfaces of premolars and molars along the dental arch. The results are as follows; 1. The average rate of total magnification was 115%. 2. The average rates of local magnification were the anterior teeth region was 90%, the canine region was 96%, the premolar region was 104%, the 1st molar region was 117% and the 2nd molar region was 124%.

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Three-dimensional evaluation of maxillary anterior alveolar bone for optimal placement of miniscrew implants

  • Choi, Jin Hwan;Yu, Hyung Seog;Lee, Kee Joon;Park, Young Chel
    • The korean journal of orthodontics
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    • v.44 no.2
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    • pp.54-61
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    • 2014
  • Objective: This study aimed to propose clinical guidelines for placing miniscrew implants using the results obtained from 3-dimensional analysis of maxillary anterior interdental alveolar bone by cone-beam computed tomography (CBCT). Methods: By using CBCT data from 52 adult patients (17 men and 35 women; mean age, 27.9 years), alveolar bone were measured in 3 regions: between the maxillary central incisors (U1-U1), between the maxillary central incisor and maxillary lateral incisor (U1-U2), and between the maxillary lateral incisor and the canine (U2-U3). Cortical bone thickness, labio-palatal thickness, and interdental root distance were measured at 4 mm, 6 mm, and 8 mm apical to the interdental cementoenamel junction (ICEJ). Results: The cortical bone thickness significantly increased from the U1-U1 region to the U2-U3 region (p < 0.05). The labio-palatal thickness was significantly less in the U1-U1 region (p < 0.05), and the interdental root distance was significantly less in the U1-U2 region (p < 0.05). Conclusions: The results of this study suggest that the interdental root regions U2-U3 and U1-U1 are the best sites for placing miniscrew implants into maxillary anterior alveolar bone.

Fine Structural Study on the Salivary Glands in the Pine Moth, Dendrolimus spectabilis Butler at the Last Larval Period (솔나방(Dendrolimus spectabilis Butler) 종령유충(終齡幼蟲)의 타액선(唾液腺)에 관한 미세구조적(微細構造的) 연구(硏究))

  • Baek, Seung-Bum;Moon, Myung-Jin;Kim, Woo-Kap
    • Applied Microscopy
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    • v.18 no.2
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    • pp.153-166
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    • 1988
  • The fine structure of the salivary glands of the pine moth, Dendrolimus spectabilis Butler, at the last larval period is observed using light and electron microscopes. The moths have single paired tubular salivary glands which openings are connected to the oral cavity through the upper jaw. By the external morphology and its functions, the glands are subdivided into three regions which are anterior reabsorptive region, middle storage region and posterior secretory region. Along the inner canal of the salivary gland two columns of the large glandular cells are connected each other and oriented to ring-like forms. By this cellular orientation, the glands have long and large tubular structure. From anterior to posterior region large nuclei of the glands are ramified like twigs of the tree, and in the cytoplasm of the cell numerous mitochondria and vacuoles are seen. Moreover, basal plasma membranes of the gland cells are heavily infolded. The anterior region of the glands keeps several characteristics related to the reabsorption of the material from the inner cavity to the glandular cells whereas, main salivary material is synthesized and secreted through the long and convoluted posterior region. The apical plasma membranes of the cells are the most heavily invaginated at the posterior regoin, but trachea and tracheoles are distributed only at the middle and posterior regions. In the cytoplasm of the middle region Golgi complexes appeared at the vicinity of the vesicles, and at the posterior region of the salivary glands multivesicular bodies are also observed.

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