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Validity of palatal superimposition of 3-dimensional digital models in cases treated with rapid maxillary expansion and maxillary protraction headgear

  • Choi, Jin-Il;Cha, Bong-Kuen;Jost-Brinkmann, Paul-Georg;Choi, Dong-Soon;Jang, In-San
    • The korean journal of orthodontics
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    • v.42 no.5
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    • pp.235-241
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    • 2012
  • Objective: The purpose of this study was to evaluate the validity of the 3-dimensional (3D) superimposition method of digital models in patients who received treatment with rapid maxillary expansion (RME) and maxillary protraction headgear. Methods: The material consisted of pre- and post-treatment maxillary dental casts and lateral cephalograms of 30 patients, who underwent RME and maxillary protraction headgear treatment. Digital models were superimposed using the palate as a reference area. The movement of the maxillary central incisor and the first molar was measured on superimposed cephalograms and 3D digital models. To determine whether any difference existed between the 2 measuring techniques, intra-class correlation (ICC) and Bland-Altman plots were analyzed. Results: The measurements on the 3D digital models and cephalograms showed a very high correlation in the antero-posterior direction (ICC, 0.956 for central incisor and 0.941 for first molar) and a moderate correlation in the vertical direction (ICC, 0.748 for central incisor and 0.717 for first molar). Conclusions: The 3D model superimposition method using the palate as a reference area is as clinically reliable for assessing antero-posterior tooth movement as cephalometric superimposition, even in cases treated with orthopedic appliances, such as RME and maxillary protraction headgear.

A COMPARISON OF THE FORM OF THE FACE, THE DENTAL ARCH AND THE MAXILLARY CENTRAL INCISOR (안모, 치열궁 및 상악 중절치의 형태에 관한 상호 비교 연구)

  • Lee Bong-Ho;Chung Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.30 no.2
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    • pp.273-285
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    • 1992
  • The purpose of this study was to evaluate facial form, arch form and tooth form in young adults to determine if a correlation exists. 115 subjects who had healthy natural maxillary incisors and good occlusion consisted of 71 males and 44 females ranging from 20-30 years of age. Facial photographs and, intraoral photographs of upper anterior teeth and dental casts of upper jaws were taken to demonstrate facial form, dental arch form and tooth form. Form analysis is determined by comparing the ratio of the widths of the faces, dental archs and the teeth. The Chi-square test of independence between facial form, arch form and tooth form, was executed and the significance level determined. The results were as follows : 1. The distribution of facial forms was 66.1% square-tapering, 27.0% square, 5.2% ovoid, 2% tapering-square. 2. The distribution of tooth forms was 65.2% ovoid, 20.0% square-tapering, 11.3 % tapering-square, 3.5 % square. 3. The distribution of arch forms was 50.4 % square-tapering, 48.7 % tapering, 0.9 % reverse tapering-square. 4. There was no large differences in the distribution of facial forms, dental arch forms and tooth-forms between male and female. 5. No relationship existed between the tooth form and the facial form. 6. No relationship existed between the facial form and the dental arch form. 7. No relationship existed between the tooth form and the dental arch form. 8. This gave the impression that dental arch form and facial form could not be used as a true index in tooth selection.

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3D Simulation of Dental Implant Surgery Using Surgical Guide Stents (식립 보조도구를 이용한 3D 치아 임플란트 시술 시뮬레이션)

  • Park, Hyung-Wook;Kim, Myong-Soo;Park, Hyung-Jun
    • Korean Journal of Computational Design and Engineering
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    • v.16 no.3
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    • pp.216-226
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    • 2011
  • Surgeon dentists usually rely on their experiential judgments from patients' oral plaster casts and medical images to determine the positional and directional information of implant fixtures and to perform drilling tasks during dental implant surgical operations. This approach, however, may cause some errors and deteriorate the quality of dental implants. Computer-aided methods have been introduced as supportive tools to alleviate the shortcomings of the conventional approach. In this paper, we present an approach of 3D dental implant simulation which can provide the realistic and immersive experience of dental implant information. The dental implant information is primarily composed of several kinds of 3D mesh models obtained as follows. Firstly, we construct 3D mesh models of jawbones, teeth and nerve curves from the patient's dental images using software $Mimics^{TM}$. Secondly, we construct 3D mesh models of gingival regions from the patient's oral impression using a reverse engineering technique. Thirdly, we select suitable types of implant fixtures from fixture database and determine the positions and directions of the fixtures by using the 3D mesh models and the dental images with software $Simplant^{TM}$. Fourthly, from the geometric and/or directional information of the jawbones, the gingival regions, the teeth and the fixtures, we construct the 3D models of surgical guide stents which are crucial to perform the drilling operations with ease and accuracy. In the application phase, the dental implant information is combined with the tangible interface device to accomplish 3D dental implant simulation. The user can see and touch the 3D models related with dental implant surgery. Furthermore, the user can experience drilling paths to make holes where fixtures are implanted. A preliminary user study shows that the presented approach can be used to provide dental students with good educational contents. With future work, we expect that it can be utilized for clinical studies of dental implant surgery.

Community Structure and Soil Properties of Chinese Cork Oak ( Quercus variabilis ) Forests in Limestone Area (石灰岩 地域 굴참나무群集의 構造와 土壤의 物理, 化學的 性質)

  • Kim, Joon-Ho;Hyeong-Tae Mun;Young-Se Kwak
    • The Korean Journal of Ecology
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    • v.14 no.2
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    • pp.159-169
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    • 1991
  • Floristic cmposition and soil properties were analyzed in chines cork oak(quercus variabilis)cmmunities in the limestone area, tanyang, ch'ungbuk province in korea. The tree layer was composed of quercus dentata, platycarya strobilacea, fraxinus rhynchophylla and others as wel as quercus variabilis. the shrub layer was dominated by ulmus davidiana for. suberosa,shrubby q. variabilis. euonymus alatus and rhus chinensis. among these, u. davidiana for. suberosa was known to have a restricted distribution to calcareous area, and 9 species in the shrub layer including e. alatus, indigofera kirilowii and rhamnus davurica belonged to the calcicole. The herb layer was dominated by carex lanceolata and spodiopogen cotulifer. ten specirs including g. lanceolata, clematis mandshurica, isachne globosa, lithospermum arvense and scabiosa mansenensis belonged to the calcicode. soil texture was classified to clay loam in both top and subsoil. Water cotent and organic matter were consistentl higher in top soil than in subsoil. soil ph rangd 7.8~8.4. Total n concentration in top soil ranged from 0.2 to 0.4mg/g, which was higher than that in subsoil. Available p and exchangeable k concentretion were also significantly higher in op soil than in subsoil. However, exchangeable ca concentration was similar betweenthe top and the subsoil. Unlike the other nutrients, exchangeable mg concentration in top soil was lower than that in subsoil. orangic matter, n, p and k content in this chinese cork oak stand showed as much as the other noncalcareous sites. Soil properties in this study area seemed to have been influenced by casts forming activities of earthworms.

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Comparison of the marginal fit of milled yttrium stabilized zirconium dioxide crowns obtained by scanning silicone impressions and by scanning stone replicas

  • Yus, Estefania Aranda;Cantarell, Josep Maria Anglada;Alonso, Antonio Minarro
    • The Journal of Advanced Prosthodontics
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    • v.10 no.3
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    • pp.236-244
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    • 2018
  • PURPOSE. To determine the discrepancy in monolithic zirconium dioxide crowns made with computer-aided design and computer-aided manufacturing (CAD/CAM) systems by comparing scans of silicone impressions and of master casts. MATERIALS AND METHODS. From a Cr-Co master die of a first upper left molar, 30 silicone impressions were taken. The 30 silicone impressions were scanned with the laboratory scanner, thus obtaining 30 milled monolithic yttrium stabilized zirconium dioxide (YSZD) crowns (the silicone group). They were poured and the working models were scanned, obtaining 30 milled monolithic yttrium stabilized zirconium dioxide (YSZD) crowns (the plaster group). Three predetermined points were analyzed in each side of the crown (Mesial, Distal, Vestibular and Palatal), and the marginal fit was evaluated with SEM (${\times}600$). The response variable is the discrepancy from the master model. A repeated measures ANOVA with two within subject factors was performed to study significance of main factors and interaction. RESULTS. Mean marginal discrepancy was $22.42{\pm}35.65{\mu}m$ in the silicone group and $8.94{\pm}14.69{\mu}m$ in the plaster group. The statistical analysis showed significant differences between the two groups and also among the four aspects. Interaction was also significant (P=.02). CONCLUSION. The mean marginal fit values of the two groups were within the clinically acceptable values. Significant differences were found between the groups according to the aspects studied. Various factors influenced the accuracy of digitizing, such as the design, the geometry, and the preparation guidance, as well as the texture, roughness and the color of the scanned material.

A Study on the Position of the Maxillary Anterior Teeth and Orientation of Occlusal Plane in Dentulous Korean Adults (한국 성인 유치악자의 상악전치 및 교합평면에 관한 연구)

  • Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.3
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    • pp.197-203
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    • 2007
  • Statement of problem: It is very important to establish the suitable position for artificial maxillary anterior teeth and the orientation of occlusal plane in fabrication of the complete dentures. Incisive papilla has been considered the most useful anatomic landmark in the arranging of a maxillary anterior artificial teeth. Purpose: To determine correct position of upper anterior artificial teeth in complete denture patients, relationship of incisive papilla, intercanine line, occlusal plane were evaluated in Korean adults. Materials and Method: Maxillary casts were made in 60 Korean dentate subjects. Each cast was mounted in Hanau modular articulator using Hanau spring bow. Then, anatomic landmarks were determined in each cast. Distance from central incisor to incisive papilla, distance from incisive papilla to intercanine line and discrepancies between frankfurt plane and occlusal plane were measured and analysed. Results: 1. The mean distance between the posterior point of incisive papilla and the incisal edge of central incisor was 11.20 mm (in male 11.77 mm, in female 10.55 mm) and there was no significant difference in measured values between male and female 2. The mean distance between the posterior point of incisive papilla and intercanine line was 2.52 mm (Male 2.57 mm, Female 2.35 mm) and there were no significant differencies in measured values between male and female 3. The mean discripancy between the Frankfurt plane and the occlusal plane were 9. 75 degree (Male 9.81 degree, Female 9.55 degree), and there was no significant difference in measured values between left and right sides.

The Surface Properties using various separating materials of dental gypsum products (다양한 석고 분리제를 이용한 치과용 석고의 표면 특성에 관한 연구)

  • Sung, Hwan-Kyung;Lee, Gyu-Sun;Hwang, Jae-Sun
    • Journal of Technologic Dentistry
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    • v.30 no.1
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    • pp.17-23
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    • 2008
  • Gypsum products are used for the preparation of stone casts of oral and maxillofacial structures and as important adjuncts to dental laboratory operations involved in the production of dental prosthesis. Accuracy and dimensional stability over time are properties of concern in fixed prothodontics. Gypsum products used in denstry are a form calcium sulfate hemihydrate and are classified as 1 of 5 types according to International Standard Organization(ISO) 6873. All die materials exhibit some dimensional change during setting, but expansion and contraction during setting and dimensional changes in response to varations in temperature and the water-powder ratio must be minimal. Although numerous investigators have studied the properties of die materials, several products have been introduced recently with manufacturer claims of superior dimensional stalility. The aim of this study was to determine the surface properties using various separating materials of dental gypsum products The results were as follows 1. In the comparison of first and second plaster distances before separation in different separating agent, there was no significant difference except using Trio separating agent. The interface using Trio separating agent forms like to pores. 2. In the comparison of first and second plaster distances after separation in different separating agent, there was significant difference. The interface of plasters using WD-40, Trio and Vaseline was showed some gaps. Each they were measured at average 7.97 $\pm$ 2.07 ${\mu}m$, 63.09 $\pm$ 23.25 ${\mu}m$, 27.59 $\pm$ 4.19 ${\mu}m$. 3. In the comparison of the surface, the surface of control sample(using none seperating agent) showed irregular properties and the surface using Trio and Vaseline become wrinkled. Specially the surface using Vaseline was showed shiny properties. But the surface using MAGIC SEP, Plaster seperating agent, WD-40 showed regular properties.

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A COMPARATIVE STUDY ON THE DIMENSIONAL CHANGE OF THE DIFFERENT DENTURE BASES

  • Kim, Myung-Joo;Kim, Chang-Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.6
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    • pp.712-721
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    • 2006
  • Statement of problem. Acrylic resin is most commonly used for denture bases. However, acrylic resin has week points of volumetric shrinkage during polymerization that reduces denture fit. The expandability of POSS (Polyhedral Oligomeric Silsesquioxane) containing polymer could be expected to reduce the polymerization shrinkage of denture bases and would increase the adaptability of the denture to the tissue. Purpose. The purpose of this study was to compare the dimensional stability in the conventional acrylic resin base, POSS-containing acrylic resin base, and metal bases. Materials and methods. Thirty six maxillary edentulous casts and dentures of different base were fabricated. Tooth movement and tissue contour change of denture after processing (resin curing, deflasking, decasting and finishing without polishing) and immersion in artificial saliva at $37^{\circ}C$ for 1 week and 4 weeks were measured using digital measuring microscope and threedimensional laser scanner. Results. The results were as follows: 1. The conventional resin group showed significant (p<0.01) dimensional change throughout the procedure (processing and immersion in artificial saliva). 2. After processing, the metal group and POSS resin group showed lower linear and 3-dimensional change than conventional resin group (p<0.01). 3. There was no statistically significant linear and 3-dimensional change after immersion for 1 week and 4 weeks in metal and POSS resin group. 4. In all groups, the midline and alveolar ridge crest area presented smaller 3-dimensional change compared with vestibule and posterior palatal seal area after processing and soaking in artificial saliva for 1 week and 4 weeks (p<0.01). Conclusion. In this study, a reinforced acrylic-based resin with POSS showed good dimensional stability.

A CLINICAL STUDY ON ANCHORAGE CONTROL OF MOLAR ANCHORING SPRING(MAS) DURING RETRACTION OF THE MAXILLARY CANINE (상악 견치 후방견인시 MAS(Molar Anchoring Spring)의 저항원 조절에 대한 임상적 연구)

  • Kim, Sun-Min;Rhee, Joon-No;Row, Joon;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.269-276
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    • 1998
  • In maxillary canine retraction by means of sliding mechanics, we designed MAS(molar anchoring spring) to prevent anchorage loss and uncontrolled tipping of tooth movement and have applied it in clinical cases. The anchorage control of the maxillary first molar and type of tooth movement of the maxillary canine were studied in 31 subjects. The measurements were made on cephalograms, orthopantomograms and dental casts. The obtained results were as follows. 1. In case of the maxillary first molar, there was a little sagittal anchorage loss, but there was no vertical & transverse anchorage loss. 2. In case of the maxillary canine, there was distal tipping movement and also there was a little intrusion tendency.

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Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator

  • Ponces, Maria Joao;Tavares, Jose Pedro;Lopes, Jorge Dias;Ferreira, Afonso Pinhao
    • The korean journal of orthodontics
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    • v.44 no.6
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    • pp.312-319
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    • 2014
  • Objective: Facial-type-associated variations in diagnostic features have several implications in orthodontics. For example, in hyperdivergent craniofacial types, growth imbalances are compensated by displacement of the condyle. When diagnosis and treatment planning involves centric relation (CR), detailed knowledge of the condylar position is desirable. The present study aimed to measure condylar displacement (CD) between CR and maximum intercuspation in three facial types of an asymptomatic orthodontic population. Methods: The study was conducted in 108 patients classified into three groups of 36 individuals each (27 women and 9 men; mean age, 20.5 years), based on the following facial patterns: hyperdivergent, hypodivergent, and intermediate. To quantify CD along the horizontal and vertical axes, the condylar position was analyzed using mounted casts on a semi-adjustable articulator and a mandibular position indicator. The Student t-test was used to compare CD between the groups. Results: Vertical displacement was found to be significantly different between the hyperdivergent and hypodivergent groups (p < 0.0002) and between the hyperdivergent and intermediate groups (p < 0.0006). The differences in horizontal displacement were not significant between the groups. In each group, vertical CD was more evident than horizontal displacement was. Conclusions: All facial types, especially the hyperdivergent type, carried a significantly high risk of CD. Therefore, the possibility of CD should be carefully evaluated and considered in the assessment of all orthodontic cases in order to accurately assess jaw relationships and avoid possible misdiagnosis.