• The Journal of the Korean dental association
• /
• v.51 no.6
• /
• pp.330-336
• /
• 2013

Considering the high prevalence, transverse control in adult patients presenting relatively narrow maxillary width is a challenging issue. This study compared the pattern of arch expansion induced by either miniscrew-assisted rapid palatal expander (MARPE) or continuous archwire engaged on self-ligating brackets. Age-matched adults groups(N=15 each) were treated with respective appliance. In both groups, all intercanine, interpremolar, and intermolar widths increased, and significantly greater change was noted in the intermolar region. Buccal tipping was minimal in both groups. Subsequent arch length increase, lingual tipping of incisors and distal tipping of molars were also found in both groups. According to the results, it can be concluded that the MARPE induced generally more arch expansion, particularly in the intermolar width, indicating that the adults showing buccal crossbite of the molars may have to undergo expansion via MARPE prior to arch alignment using continuous archwire.

• The Journal of Korean Academy of Prosthodontics
• /
• v.37 no.4
• /
• pp.506-515
• /
• 1999

Dental practice can produce and spread some infectious diseases from patients to dentist, dental assistant, and dental labors. One possible method for preventing these cross-contamination is to immerse dental impression in chemical disinfectants. So for many investigators studied on the dimensional changes of dental impressions and on the surface qualities of stone casts made from impression following immersion in disinfectants. This study was proposed to evaluate some popular impression disinfectant combination from the point of dimensional stability. Impression was taken from dental arch-shaped metal model. Irreversible hydrocolloid and 3 elastomers(polyvinyl siloxane, polysulfide, polyether) were immersed in 3 disinfectants (2% glutaraldehyde, 1% povidone-iodine, 0.5% sodium hypochlorite) for 10 minutes and measured both cross-arch and anterior-posterior distance under stereo microscope to evaluate dimensional change. The results obtained were as follows: 1. Dimensional changes of irreversible hydrocolloid impression was statistically different in cross-arch and anterior-posterior distance when immersed in 2% glutaraldehyde solution and in anterior-posterior distance when immersed in 0.5% sodium hypochlorite solution from control group (p<0.05). 2. Dimensional changes of polyvinyl siloxane and polysulfide impression were not statistically different from control group (p>0.05). 3. Dimensional changes of polyether impression was statistically different in cross-arch distance when immersed in 0.5% sodium hypochlorite solution and in anterior-posterior distance when immersed in 1% povidone-iodine solution from control group (p<0.05). 4. In all cases, dimensional changes were less than 0.1% from the original dimension and concluded clinically acceptable.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.37 no.3
• /
• pp.157-170
• /
• 2021

Loss of posterior bite support might cause unstable occlusal relationship and when the mandible slides forward in the centric or habitual occlusion, excessive load is applied to the anterior region followed by causing the occlusal plane to collapse or leading to a decrease in occlusal vertical dimension. In addition, disorder of temporomandibular joint function may occur. The inter-dental arch discrepancy causes a mismatch in the vertical and horizontal overlap of the anterior and posterior regions. The deep bite in the anterior region and the scissor bite in the posterior region cause unstable occlusal contact and insufficient occlusal contact area. This report was to rehabilitate a patient with above-mentioned complex problems. Physiologic adaptation to increased vertical dimension and new occlusal plane were evaluated using provisional prostheses, and definitive prostheses was fabricated using cross-mounting technique. Stable occlusion, harmonious teeth overlap and adequate occlusal plane were established, so functionally and aesthetically satisfactory results are obtained.

• The Journal of Korean Academy of Prosthodontics
• /
• v.62 no.3
• /
• pp.201-214
• /
• 2024

In patients with unstable mandibular movements who are accompanied by involuntary facial muscle movements and asymmetrical changes in the facial features, many difficulties exist in determining the vertical dimension of occlusion, recording centric relation, and transferring information about the occlusal plane. In this case, for a patient with unilateral facial nerve palsy who was edentulous for a long period of time, a CAD-CAM provisional prosthesis was fabricated using a 3D printing customized gothic arch tracer and a prefabricated occlusal plane recorder, the POP bow system, to achieve a stable interarch relationship. Afterwards, a full mouth implant fixed prosthesis was fabricated by delivering an appropriate vertical dimension of occlusion, a reproducible centric relation, and a correct three-dimensional occlusal plane, and continuous maintenance was performed to restore functional and aesthetic oral health to the patient.

• The Journal of Korean Academy of Prosthodontics
• /
• v.62 no.1
• /
• pp.64-71
• /
• 2024

The most critical aspect of full-arch prosthodontic treatment is evaluating whether the patient's vertical occlusal dimension is appropriate, and if necessary, restoring it through increasing vertical dimension. If the vertical occlusal dimension is too low, it can lead to reduced chewing efficiency, as well as not only aesthetic concerns but also potential issues like hyperactivity of muscles and posterior displacement of the mandible. This report is about the patient dissatisfied with pronunciation and aesthetics due to an inappropriate vertical occlusal dimension resulting from prior prosthetic interventions, underwent full-arch prosthodontic restoration treatment. Through the utilization of digital diagnostic apparatus, a comprehensive evaluation was undertaken for patient's vertical occlusal dimension, occlusal plane orientation, and the condition of prosthetic restorations. Through 3D facial scanning, the facial landmarks were discerned, and subsequently, the new occlusal plane was established. This provided the foundation for a digitally guided diagnostic wax-up. An elevation of 5 mm from the incisor was determined. Comprehensive dental rehabilitation was then executed for all remaining teeth, excluding the maxillary four incisors. The treatment protocol followed a systematic approach by initially creating implant-supported restorations on both sides of the dental arch to establish a stable occlusal contact. Subsequently, prosthetic restorations for the natural dentition were generated. Diagnostic and treatment planning were established through the utilization of facial scanning. This subsequently led to a reduction in treatment complexity and an expedited treatment timeline.

• The korean journal of orthodontics
• /
• v.40 no.5
• /
• pp.334-341
• /
• 2010

Objective: The purpose of this study was to evaluate morphologic differences in the mandibular arch between Egyptian and Korean subjects. Methods: The Egyptian sample consisted of 94 mandibular casts (35 Class I, 32 Class II and 27 Class III). The Korean sample consisted of 462 mandibular casts (114 Class I, 119 Class II, and 135 Class III). The most facial portion of 13 proximal contact areas was digitized from photocopied images of the mandibular dental arches. Clinical bracket points were calculated for each tooth. The subjects were grouped according to arch form to compare the frequency distribution of the 3 arch forms between the ethnic groups in each Angle classification. Results: Egyptians had significantly narrower intermolar and intercanine widths ($p$ < 0.001), and shallower intermolar and intercanine depths ($p$ < 0.001) than Koreans. There was an even frequency distribution of the 3 arch forms within the Egyptian group ($p$ = 0.46). However, in the Korean group, the most frequent arch form was the square arch form (46.7%), while the frequency of the tapered arch form was significantly lower (18.8%). Conclusions: These results might provide helpful information in evaluating morphologic differences between ethnic groups in selection of preformed superelastic archwires.

• The Journal of the Korean dental association
• /
• v.9 no.1
• /
• pp.43-48
• /
• 1971

The purpose of this study is to evaluate the influence of genetics of the dimensions of dental arches in twins. Thirty-four pairs of Korean twins, of which twenty-three were monozygotic and eleven dizygotic, participated in the study. The twins ranged in age from 6 years to 12 years with mixed dentition. The results were as follows: 1) No significant differences were observed between male and female in mean interpair diffenences of monozygotic twins. 2) Mean interpair differences of monozygotic twins were lesser than these of dizygotic twins. 3) Highly significiant zygotic differences were observed in the mean interpair differences of the width of upper and lower dental arch. This suggest that there is a significant component of hereditary variability.

• The korean journal of orthodontics
• /
• v.47 no.2
• /
• pp.100-107
• /
• 2017

Objective: To analyze the long-term changes in maxillary arch widths and buccal corridor ratios in orthodontic patients treated with and without premolar extractions. Methods: The study included 53 patients who were divided into the extraction (n = 28) and nonextraction (n = 25) groups. These patients had complete orthodontic records from the pretreatment (T1), posttreatment (T2), and postretention (T3) periods. Their mean retention and postretention times were 4 years 2 months and 17 years 8 months, respectively. Dental models and smiling photographs from all three periods were digitized to compare the changes in three dental arch width measurements and three buccal corridor ratios over time between the extraction and nonextraction groups. Data were analyzed using analysis of variance tests. Post-hoc multiple comparisons were made using Bonferroni correction. Results: Soft-tissue extension during smiling increased with age in both groups. The maximum dental width to smile width ratio (MDW/SW) also showed a favorable increase with treatment in both groups (p < 0.05), and remained virtually stable at T3 (p > 0.05). According to the MDW/SW ratio, the mean difference in the buccal corridor space of the two groups was $2.4{\pm}0.2%$ at T3. Additionally, no significant group ${\times}$ time interaction was found for any of the buccal corridor ratios studied. Conclusions: Premolar extractions did not negatively affect transverse maxillary arch widths and buccal corridor ratios. The long-term outcome of orthodontic treatment was comparable between the study groups.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.33 no.3
• /
• pp.510-521
• /
• 2006

This investigation was undertaken to examine the extent to which tooth size and arch dimension each contribute to dental crowding. The sample included 50 subjects with well aligned dentition (25 males, 25 females) and those of 40 subjects with gross dental crowding(20 males, 20 females). Plaster model and digital model made from alginate impression taken at the one visit. Tooth size, arch length, arch perimeter, intercanine width and intermolar width was measured on the plaster and digital models. The findings in this study lead to the following conclusions. 1. In maxilla, the mesiodistal diameters of lateral incisor and premolars of the crowded group were significantly larger than those of the normal occlusion group (P<0.05). 2. In mandible, the mesiodistal diameters of central incisor, canine and premolars of crowded group were significantly larger than those of the normal occlusion group (P<0.05). 3. In maxilla, arch perimeter and intermolar width of crowded group were significantly smaller than normal occlusion group but intercanine width of crowded group were larger than normal occlusion group (P<0.05). There was no significantly difference in arch length (P>0.05). 4. In mandible, arch perimeter of crowded group was smaller than normal occlusion group(P<0.05). There were no difference in arch length intermolar width and intercanine width (P>0.05) 5. In the analysis of correlation coefficients of arch length discrepancy with variables, arch perimeter, intermolar width and mesiodistal width of 2nd premolar showed positive correlations in maxilla. 6. There was a significant difference between tooth width measurements made by the 2 methods, with all the digital model measurement larger than plaster model measurements (P<0.05) : the magnitude of the differences does not appear to be clinically relevant. 7. In the analysis for reproducibility, the plaster model measurement was showed lower degree of correlation between 1st and 2nd measurement than digital model.

• The Journal of Korean Academy of Prosthodontics
• /
• v.60 no.2
• /
• pp.175-186
• /
• 2022

A crossed occlusion resulting from the presence of posterior teeth in one arch but no opposing teeth in the opposite arch results in collapse of the vertical dimension. In this case, the patient has a class III malocclusion with crossed occlusion and anterior crossbite. In order to evaluate the proper vertical dimension, provisional denture was used to stabilize the vertical occlusal dimension for 3 months. After, provisional fixed restoration was used for the stabilizing occlusal relationship and aesthetic improvement for lip support. Definitive prosthesis in implants in the mandible and abutments in the maxillary were using Porcelain-fused-to-metal crown (PFM) crown and the maxillary unilateral edentulous area was treated with removable partial dentures. Through this, proper support of the posterior region and normal anterior occlusal relationship were formed, and the patient was able to obtain aesthetically and functionally satisfactory treatment results.