• The Journal of the Korean dental association
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• v.55 no.12
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• pp.842-849
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• 2017

The term, 'crossed occlusion' implies clinical situation in which the residual teeth in one arch have no contact with those in the antagonistic arch, resulting in the collapse of occlusal vertical dimension. The treatment goal of this pathologic condition is restoration of the collapsed vertical dimension and stabilization of abnormal mandibular position. Previously, konus removable prostheses or tooth supported overdentures were suggested to solve crossed occlusion. Nowadays, dental implants have been used for definitive support to solve this problem. In this case report, a 65 years old female patient had a crossed occlusion, in which the maxillary posterior residual teeth and mandibular anterior residual teeth cross. Interim removable and fixed dental prostheses were used to confirm the proper vertical and horizontal jaw relation. After that, the mandibular posterior edentulous region was restored with implant-supported fixed dental prostheses. Computer tomography guided implant surgery was performed according to the concept of the restoration-driven implant placement. The maxillary anterior edentulous region was restored with Kennedy class IV removable prosthesis, considering the patient's economic status. The patient's jaw position and prostheses have been well maintained at the follow-up after 6 months of definitive restoration. The antero-posterior crossed occlusion problems appeared to be effectively solved with the combination of removable in one arch and implant-supported fixed prostheses in the other.

• The Journal of the Korean dental association
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• v.58 no.4
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• pp.194-205
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• 2020

Objective: The purpose of this study was to evaluate the accuracy of the inter-arch relationship of digital models generated using two types of intraoral scanners. Methods: In total, 34 plaster model samples were used. Two corresponding digital models were created using two types of intraoral scanners. A total of 15 variables were measured. The plaster model was directly measured using a digital caliper, while the digital models were measured using a software. The accuracy of the measurements was evaluated using repeated measures analysis of variance and the Friedman test. Results: Among the 15 measurements, 6 measurements[Overjet, Overbite, DZ_11-41 (Distance between the gingival zenith of maxillary right central incisor and mandibular right central incisor), DZ_16-46 (Distance between the gingival zenith of maxillary right first molar and mandibular right first molar), DZ_13-33 (Distance between the gingival zenith of maxillary right canine and mandibular left canine), and DZ_23-43 (Distance between the gingival zenith of maxillary left canine and mandibular right canine)]showed statistically significant differences, with DZ_23-43 showing the largest difference of 0.18 mm. The other measurements showed no statistically significant differences. Conclusions: Regardless of the type of scanner used for preparation, digital models can be used as clinically acceptable alternatives to conventional plaster models.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.30 no.6
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• pp.516-525
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• 2004

Mandibular symphyseal distraction osteogenesis is an alternative approach for correcting mandibular transverse deficiencies and dental crowding. The traditional approaches for these are extraction of teeth and arch expansion with traditional orthodontic treatment. Also extractions are usually unavoidable in patients with severe crowding. The purpose of this study is to evaluate the effect of mandibular symphyseal distraction osteogenesis by use of tooth-borne expansion appliance. All of 12 patients had been performed distraction osteogenesis. The surgical procedures were accomplished under local anesthesia and intravenous sedation in an ambulatory surgical setting using a routine distraction protocol. The latency period was 5 days or 7 days after symphyseal osteotomies. The rate & rhyth is a intermittent, 0.75mm or 1.0 mm per day and stabilized for 6, 8 weeks after distraction. The time of orthodontic tooth movement after distraction was variable from 2 weeks to 8 weeks (mean 3 weeks). All patients had been evaluated with study casts, plain periapical films, panorama radiograms before & after surgery. Mandibular symphyseal distraction osteogenesis increased mandibular arch width and corrected dental crowding, with paralleling tooth-borne movement, without proclination of the mandibular incisors.

• Journal of Dental Anesthesia and Pain Medicine
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• v.20 no.5
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• pp.331-335
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• 2020

Various anesthetic techniques have been utilized for maxillo-mandibular fixation. We report the case of a patient with bilateral condylar and zygomatic arch fractures who had severe pulmonary dysfunction. The patient was administered bilateral image-guided Gasserian ganglion block through the foramen ovale to achieve surgical anesthesia. The technical details, advantages, and disadvantages of this rather unusual technique are discussed. The procedure could be a feasible technique when performed meticulously in cases where other approaches are deemed difficult.

• The korean journal of orthodontics
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• v.18 no.1 s.25
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• pp.217-225
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• 1988

This study was undertaken to examine relationship between tooth size and arch dimension in dental crowding. Two groups of dental casts were selected on the basis of dental crowding. One group, consisting of 51 pairs of dental casts (24 male and 27 female), exhibited remarkable dental crowding. A second group, consisting of 60 pairs of dental casts (30 male and 30 female), exhibited little or no crowding. Mean and standard deviation of the following parameters were used to compare two groups. individual and collective mesiodistal tooth diameters, buccal and lingual arch widths and arch area. The following results were obtained. 1. The crowed group revealed larger tooth size than noncrowded group. (p < 0.01) 2. The crowded group smaller maxillary dental arch dimension than noncrowded group except lingual arch width at canine region. (p < 0.01) 3. The corwded group revealed smaller mandibular dental arch dimension than noncrowded group except lingal arch width at second premalar region in the male and buccal arch width at canine, premolar region in the female. (p < 0.01) 4. The crowded group revealed smaller arch area than noncrowded group in the female (p < 0.01), but there was no significance in the male.

• The korean journal of orthodontics
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• v.24 no.2
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• pp.247-273
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• 1994

The purpose of this study was to evaluate the dental arch morphology and the occlusal characteristics in the Koreans from the dental-anthropological point of view. The sample consisted of dental stone casts obtained from 120 Korean adults and 142 Japanese adults. Japanese casts and Caucasian data had been preserved at the Dept, of Orthodontics of Tokyo Medical and Dental University. Tooth size and dental arch morphology of the Koreans were compared with that of the Japanese. On the other hand, the variations of 30 crown traits, categorized and quantitatively graded, were compared between two peoples and the frequency distribution of each crown traits were analyzed by means of Chi-square test. The results were summerized as followings ; 1. There was a significant sexual difference in dental arch length and width in the Korean, in which male had a longer and wider dental arch than female. There was a close resemblance for dental arch morphology between the Koreans and the Japanese, except for a little longer mandibular arch of the Japanese. 2. In general, Korean male had wider crown than female, particulary in central incisor,canine,1st molar of maxilla and canine, 1st and 2nd molar of mandible with significance. The Korean had wider maxillary first molar, smaller mandibular first and second molar than the Japanese in both sex. 3. In crown traits of the Korean, shovel-shaped incisor showed lower frequency distribution than in the Japanese, but higher than in the Caucasians. Frequency of incisor reduction was shown higher distribution than in the Japanese and the Caucasians. Carabelli's tubercle showed higher frequency distribution than in Japanese, but remarkably lower than in Caucasians.

• The Journal of Korean Academy of Prosthodontics
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• v.33 no.1
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• pp.98-129
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• 1995

The purpose of this study was to evaluate how mandibular implant-supported fixed complete prosthesis, implant and mandible responded mechanically, according to curvature of arch, number and location of fixture, and amounts of load. The shape of mandibular arch was tapered or square form and, 4 or 6 fixtures were implanted in each arch model. A vertical load of 10kg was applied at the center of prosthesis and a vertical load of 20kg was applied at the location of the 10mm or 20mm cantilever posterior to the most distal implant. Three-dimensional finite element analysis was performed for stress distribution and deflection using commercial software(ABAQUS program) for Sun-SPARC Workstation. The results were as follows : 1. The case square arch form was more stable to compare with that of tapered arch form in respect of stress distribution and displacement under vertical load on the center of prosthesis. 2. 6-implants cases were more stable than 4-implants cases for decreasing bending torque under vertical load on the center of prosthesis. 3. Under vertical load on cantilever extension, the case of 10mm long cantilever was more stable than that of 20mm long cantilever in respect of stress distribution and displacement. 4. Under vertical load on cantilever extension, 6-implants cases had a tendency to reduce displacement and to increase the reaction force of supporting point due to increasing of the bending stiffness of the prosthesis than 4-implant case. 5. When the ends of 10mm or 20mm long cantilever were loaded, the most distal implant was under compressive stress but the second most distal implant was under the highest tensile stress and the remaining implants were under varying tensile stress. 6. Because 6-implants cases had smaller displacement than 4-implants cases, 6-implants cases were more favorable in respect of prevention of screw loosening under repeated loadings.

• Journal of dental hygiene science
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• v.14 no.3
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• pp.390-396
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• 2014

The purpose of this study was to examine the size, form of dental arch and occlusion type in college students in our country and the relationship of the factors. The subjects in this study were 210 selected dental hygiene students. The collected data were analyzed by a statistical package PASW 18.0. When their size, form and occlusion of dental arch were analyzed, the inter-canine width of the maxillary was 34.38 mm, and the inter-first molar width was 52.05 mm. The canine depth was 8.60 mm, and the first molar depth was 28.69 mm. As for the mandibular, the inter-canine width was 26.42 mm, and the inter-first molar width was 44.83 mm. The canine depth was 5.54 mm, and the first molar depth was 24.38 mm. Concerning the form of dental arch, the percentage of normal dental arch in the maxillary stood at 29.0, and that of crowding stood at 60.5. The percentage of spacing stood at 10.5. In the case of the mandibular, the percentage of normal dental arch stood at 29.0; crowding, 55.7; and spacing, 15.2. In relation to occlusion, the percentage of normal occlusion stood at 16.7. As to malocclusion, class I that accounted for 55.7 was most common, and class II and class III respectively accounted for 20.5 and 7.1. When the size of dental arch was compared according to the form and occlusion of it, dental arch was largest (45.95 mm) in size when the form of dental arch in the inter-first molar width of the mandibular was spacing. The size of dental arch was 44.73 mm when its form in the same region was normal, and that was 44.58 mm when its form in the same region was crowding (p=0.032). Regarding the relationship between the form and occlusion of dental arch, crowding was most common when there were class I, II and III of malocclusion both in the maxillary and mandibular.

• Journal of Korean Dental Science
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• v.10 no.2
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• pp.74-81
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• 2017

This report describes two cases of complete arch implant-supported restorations. The first patient had seven dental implants in each arch with monolithic zirconia frameworks. At four weeks' follow-up, the one-piece maxillary framework was fractured, which was re-designed and re-fabricated using laser-sintered cobalt-chrome alloy. The second patient had four implants in the mandible only. A mandibular monolithic zirconia framework and a maxillary conventional complete denture were fabricated and delivered. At five years' follow-up, the patient reported no significant discomfort. Careful consideration and monitoring of the status of antagonistic arches and stress distribution on zirconia frameworks were suggested for complete arch implant-supported fixed restorations.

• The Journal of the Korean dental association
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• v.23 no.11 s.198
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• pp.979-986
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• 1985

This is a case report of orthognathic surgery for the correction of maxillary retrusion and mandibular protrusion. The summary and results are as follows, 1. The maxillary retrusion was corrected by LeFort I osteotomy. 2. The mandibular protrusion was corrected by sagittal split osteotomies in the rami. 3. And, for the correction of the discrepancy between max8llary and mandibular arches, the mandibular arch was widened by the midsymphyseal step osteotomy. 4. The ratios of horizontal changes of soft tissue to hard tissue at the points, Subnasale (Sn), Labrale superius (Ls), Labrale inferius (L9), and Supramentale (B) were 67.6%, 43.2$, 70.2% and 87.7%, respectively.