• Title/Summary/Keyword: Guide cone

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Correlations of temporomandibular joint morphology and position using cone-beam computed tomography and dynamic functional analysis in orthodontic patients: A cross-sectional study

  • Bin Xu;Jung-Jin Park;Seong-Hun Kim
    • The korean journal of orthodontics
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    • v.54 no.5
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    • pp.325-341
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    • 2024
  • Objective: To correlate temporomandibular joint (TMJ) morphology and position with cone-beam computed tomography (CBCT) images, Joint Vibration Analysis (JVA), and Jaw Tracker (JT) to develop a radiation-free, dynamic method for screening and monitoring the TMJ in orthodontic patients. Methods: A total of 236 orthodontic patients without symptoms of TMJ disorders who had undergone CBCT were selected for the JVA and JT tests in this cross-sectional study. TMJ position and morphology were measured using a three-dimensional analysis software. JT measurements involved six opening-closing cycles, and JVA measurements were performed using a metronome to guide the mouth opening-closing movements of the patients. The correlations among the three measuring devices were evaluated. Results: Abnormalities in condylar surface morphology affected the mandibular range of motion. The cut-off value results show that when various measurement groups are within a certain range, abnormalities may be observed in morphology (area under the curve, 0.81; P < 0.001). A 300/< 300 Hz ratio ≥ 0.09 suggested abnormal morphology (P < 0.05). Correlations were observed among the maximum opening velocity, maximum vertical opening position, and joint spaces in the JT measurements. Correlations were also observed between the > 300/< 300 Hz ratio, median frequency, total integral, integral < 300 Hz, and peak frequency with joint spaces in the JVA measurements. Conclusions: JT and JVA may serve as rapid, non-invasive, and radiation-free dynamic diagnostic tools for monitoring and screening TMJ abnormalities before and during orthodontic treatment.

The application of "bone window technique" using piezoelectric saws and a CAD/CAM-guided surgical stent in endodontic microsurgery on a mandibular molar case

  • Kim, Ukseong;Kim, Sunil;Kim, Euiseong
    • Restorative Dentistry and Endodontics
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    • v.45 no.3
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    • pp.27.1-27.9
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    • 2020
  • Apical surgery for a mandibular molar is still challenging for many reasons. This report describes the applications of computer-guided cortical 'bone-window technique' using piezoelectric saws that prevented any nerve damage in performing endodontic microsurgery of a mandibular molar. A 49-year-old woman presented with gumboil on tooth #36 (previously endodontically treated tooth) and was diagnosed with chronic apical abscess. Periapical lesions were confirmed using cone-beam computed tomography (CBCT). Endodontic microsurgery for the mesial and distal roots of tooth #36 was planned. Following the transfer of data of the CBCT images and the scanned cast to an implant surgical planning program, data from both devices were merged. A surgical stent was designed, on the superimposed three-dimensional model, to guide the preparation of a cortical window on the buccal side of tooth #36. Endodontic microsurgery was performed with a printed surgical template. Minimal osteotomy was required and preservation of the buccal cortical plate rendered this endodontic surgery less traumatic. No postoperative complications such as mental nerve damage were reported. Window technique guided by a computer-aided design/computer-aided manufacture based surgical template can be considerably useful in endodontic microsurgery in complicated cases.

A simplified CAD/CAM extraoral surgical guide for therapeutic injections

  • Cameron, Andrew;Custodio, Antonio Luis Neto;Bakr, Mahmoud;Reher, Peter
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.3
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    • pp.253-260
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    • 2021
  • Therapeutic injections into the craniofacial region can be a complex procedure because of the nature of its anatomical structure. This technical note demonstrates a process for creating an extra-oral template to inject therapeutic substances into the temporomandibular joint and the lateral pterygoid muscle. The described process involves merging cone-beam computed tomography data and extra-oral facial scans obtained using a mobile device to establish a correlated data set for virtual planning. Virtual injection points were simulated using existing dental implant planning software to assist clinicians in precisely targeting specific anatomical structures. A template was designed and then 3D printed. The printed template showed adequate surface fit. This innovative process demonstrates a potential new clinical technique. However, further validation and in vivo trials are necessary to assess its full potential.

Fiber-reinforced composite post removal using guided endodontics: a case report

  • Changgi Cho ;Hyo Jin Jo ;Jung-Hong Ha
    • Restorative Dentistry and Endodontics
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    • v.46 no.4
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    • pp.50.1-50.8
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    • 2021
  • Although several techniques have been proposed to remove fiber-reinforced composite (FRC) post, no safe and efficient technique has been established. Recently, a guided endodontics technique has been introduced in cases of pulp canal obliteration. This study describes 2 cases of FRC post removal from maxillary anterior teeth using this guided endodontics technique with a dental operating microscope. Optically scanned data set from plaster cast model was superimposed with the data set of cone-beam computed tomography. By implant planning software, the path of a guide drill was selected. Based on them, a customized stent was fabricated and utilized to remove the FRC post. Employing guided endodontics, the FRC post was removed quickly and safely with minimizing the loss of the remaining tooth structure. The guided endodontics was a useful option for FRC post removal.

Development of Automatic Hole Position Measurement System using the CCD-camera (CCD-카메라를 이용한 홀 변위 자동측정시스템 개발)

  • 김병규;최재영;강희준;노영식
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.127-130
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    • 2004
  • For the quality control of the industrial products, an automatic hole measuring system has been developed. The measurement device allows X-Y movement due to contact forces between a hole and its own circular cone and the device is attached to an industrial robot. Its measurement accuracy is about 0.04mm. This movement of the plate is measured by two LVDT sensor system. But this system using the LVDT sensors is restricted by high cost and precision of measurement and correspondence of environment so particularly, a vision system with CCD-Camera is discussed in this paper for the above mentioned purpose. The device consists of two of two links jointed with hinge pins basically and, they guarantee free movement of the touch prove attached on the second link in the same plane. These links are returned to home position by the spring plungers automatically after each process for the next one. On the surface of the touch prove, it has a circular white mark for camera recognition. The system detect and notify the center coordinate of capture mark image through the image processing. Its measuring accuracy has been proved to be about $\pm$0.01mm through the repeated implementation over 200 times. This technique will shows the advantage of touch-indirect image capture idea using cone-shaped touch prove in various symmetrical shaped holes particulary, like tapped holes, chamfered holes, etc As a result, we attained our object in a view of the accuracy, economical efficiency, and functionality

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The Effect of Reynolds Number on the Three-Dimensional Flow Measurements with a Two-Stage Cone-Type Five-Hole Probe in a Non-Nulling Mode (Reynolds 수가 2단 원추형 5공프로브를 이용한 3차원 유동 측정에 미치는 영향 - 저속 유동장에서의 보정 결과 -)

  • Lee, Sang-U;Jeon, Sang-Bae
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.26 no.1
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    • pp.27-38
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    • 2002
  • The effects of Reynolds number on the non-nulling calibrations of a cone-type ave-type probe in low-speed flows have been investigated at Reynolds numbers of 2.04$\times$10$^3$, 4.09$\times$10$^3$and 6.13$\times$10$^3$. The calibration is conducted at the pitch and yaw angles in ranges between -35 degrees and 35 degrees with an angle interval of 5 degrees. In addition to the calibration coefficients, reduced pitch and yaw angles, static and total pressures, and velocity magnitude are obtained through a typical non-nulling reduction procedure. The result shows that each calibration coefficient, in general, is a function of both the pitch and yaw angles, so that the pre-existing calibration data in a nulling mode are not enough in accounting far the full non-nulling calibration characteristics. Due to interference of the probe stem, the calibration coefficient are more sensitive to Reynolds number at positive pitch angles than at negative ones. The calibration data reduced in this study may serve as a guide line in the estimation of uncertainty intervals resulted from the Reynolds number effects at low Reynolds numbers.

Four-Year Experience Using an Advanced Interdisciplinary Hybrid Operating Room : Potentials in Treatment of Cerebrovascular Disease

  • Jeon, Hong Jun;Lee, Jong Young;Cho, Byung-Moon;Yoon, Dae Young;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.35-45
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    • 2019
  • Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.

Accuracy assessment of implant placement using a stereolithographic surgical guide made with digital scan (디지털 스캔을 이용하여 제작된 임플란트 수술가이드의 정확도)

  • Jeong, Seung-Mi;Fang, Jeong-Whan;Hwang, Chan-Hyeon;Kang, Se-Ha;Choi, Byung-Ho;Fang, Yiqin;Jeon, Hyongtae;An, Sunghun
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.111-119
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    • 2015
  • Purpose: The objective of this study was to evaluate the accuracy of a stereolithographic surgical guide that was made with information from intraoral digital impressions and cone beam CT (CBCT). Materials and methods: Six sets of resin maxilla and mandible models with missing teeth were used in this study. Intraoral digital impressions were made. The virtual models provided by these intraoral digital impressions and by the CBCT scan images of the resin models were used to create a surgical guide. Implant surgery was performed on the resin models using the surgical guide. After implant placement, the models were subjected to another CBCT scan to compare the planned and actual implant positions. Deviations in position, depth and axis between the planned and actual positions were measured for each implant. Results: The mean deviation of the insertion point and angulation were 0.28 mm and $0.26^{\circ}$, apex point were 0.11 mm and 0.14 mm respectively. The implants were situated at a mean of 0.44 mm coronal to the planned vertical position. Conclusion: This study demonstrates that stereolithographic surgical guides created without the use of impressions and stone models show promising accuracy in implant placement.

Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery: a prospective clinical study

  • Lee, Du-Hyeong;An, Seo-Young;Hong, Min-Ho;Jeon, Kyoung-Bae;Lee, Kyu-Bok
    • The Journal of Advanced Prosthodontics
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    • v.8 no.3
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    • pp.207-213
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    • 2016
  • PURPOSE. A recently introduced direct drill-guiding implant surgery system features minimal tolerance of surgical instruments in the metal sleeve by using shank-modified drills and a sleeve-incorporated stereolithographic guide template. The purpose of this study was to evaluate the accuracy of this new guided surgery system in partially edentulous patients using geometric analyses. MATERIALS AND METHODS. For the study, 21 implants were placed in 11 consecutive patients using the direct drill-guiding implant surgery system. The stereolithographic surgical guide was fabricated using cone-beam computed tomography, digital scanning, computer-aided design and computer-assisted manufacturing, and additive manufacturing processes. After surgery, the positional and angular deviations between planned and placed implants were measured at the abutment level using implant-planning software. The Kruskal-Wallis test and Mann-Whitney U test were used to compare the deviations (${\alpha}=.05$). RESULTS. The mean horizontal deviations were 0.593 mm (SD 0.238) mesiodistally and 0.691 mm (SD 0.344) buccolingually. The mean vertical deviation was 0.925 mm (SD 0.376) occlusogingivally. The vertical deviation was significantly larger than the horizontal deviation (P=.018). The mean angular deviation was 2.024 degrees (SD 0.942) mesiodistally and 2.390 degrees (SD 1.142) buccolingually. CONCLUSION. The direct drill-guiding implant surgery system demonstrates high accuracy in placing implants. Use of the drill shank as the guiding component is an effective way for reducing tolerance.

Full mouth rehabilitation utilizing computer guided implant surgery and CAD/CAM (Computer guided implant surgery와 CAD/CAM을 활용한 전악 수복 증례)

  • Kim, Sungjin;Han, Jung-Suk;Kim, Sung-Hun;Yoon, Hyung-In;Yeo, In-Sung Luke
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.57-65
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    • 2019
  • Computer aided design and manufacturing and implant surgery using a guide template improve restoration-driven implant treatment procedures. This case utilized those digital technologies to make definitive prostheses for a patient. According to the work flow of digital dentistry, cone beam computed tomography established the treatment plan, which was followed to make the guide template for implant placement. The template guided the implants to be installed as planned. The customized abutments and surveyed fixed restorations were digitally designed and made. The metal framework of the removable partial denture was cast from resin pattern using an additive manufacturing technique, and the artificial resin teeth were replaced with the zirconia onlays for occlusal stability. These full mouth rehabilitation procedures provided functionally and aesthetically satisfactory results for the patient.