• The Journal of Korean Academy of Prosthodontics
• /
• v.33 no.2
• /
• pp.281-299
• /
• 1995

The purpose of this study was to evaluate the degree of occlusal contact under the fixed implant prosthesis of partially edentulous patients which was hased on occlusal concept of implant prosthesis. From the patients who have free-standing implant supported prosthesis of unilateral partially edentulous area, occlusal and occlusal contact point of th enatural tooth side and implant side of light closure and heavy closure were analyzed by T-scan system throuht pre-and post-adjustment and the degree of occlusal contact was estimated by Shimstock. The following results were obtained : 1. The occlusal force of natural tooth side(NF) from mid-sagittal axis was relatively constant at light and heavy closure through pre-and post-adjustment, but the occlusal force of implant side(IF) was decreased significantly at light closure(P<0.01) and heavy closure(P<0.05) of post-adjustment. 2. Natural tooth side-implant side moment(MIMoment) fo occlusal force from mid-sagittal axis was significant(p<0.05) through pre-and post-adjustment and the deviation from mid-sagittal axis was increased at light closure of post-adjustment, but was decreased at heavy closure of post-adjustment. 3. Comparing the NF and IF, IF was greater at heavy closure of pre-adjustment, and NF was greater at light closure of post-adjustment, and the NF and IF was relatively equally distributed at light closure of pre-adjustment and at heavy closure of post-adjustment. 4. The number of occlusal contact point of natural tooth side(NC) was relatively constant through pre-and post-adjustment, but the number of occlusal contact point of implant side(IC) was significantly decreased(P<0.05) at light closure of post-adjustment, and was not significant but was lesser at heavy closure of post-adjustment. 5. Difference of the NC and IC was greater at light closure of post-adjustment, but it was less at heavy closure of post-adjustment, and therefore occlusal contact point of natural tooth side and implant side was relatively equally distributed at heavy closure of postadjustment. 6. When bilaterally distribution of occlusal force and occlusal contact point was established, degree of occlusal contact of implant suporoted prosthesis with opoosing teeth at light clousre was $34.13{\pm}21.69{\mu}m$.

• The Journal of the Korean dental association
• /
• v.53 no.6
• /
• pp.402-410
• /
• 2015

The aims of occlusal adjustment are as follows: to eliminate occlusal interference, to redirect force generated during function to which is favorable for teeth, to improve mastication efficiency and simultaneously establish stable maximal intercuspation or centric occlusion. Also, it should permit mandible to move freely from all positions. The sequence of occlusal adjustment in natural teeth and fixed prosthesis shall be as follows: 1) Eliminate interference that prevent optimal intercuspation and recontouring adjustment 2) Establish maximal intercuspation 3) Eliminate interference in lateral mandibular movement 4) Eliminate interference in anterior mandibular movement 5) Refine occlusal relationships.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.16 no.2
• /
• pp.133-147
• /
• 2000

A well-planned, precise occlusal adjustment of natural teeth has some distinct advantages over other forms of occlusal therapy. It should be emphasized, however, that an occlusal adjustment is an irreversible procedure and has definite contraindications in some mouths. Generally, the treatment methods for the patients that has open-bite will be following as below. : (1) Use of removable orthopedic repositioning appliance, (2) Orthodontics, (3) Full or partial reconstruction of the dentition, (4) Orthognathic surgical procedure, (5) Occlusal adjustment of the existing natural teeth, (6) Any combination of the above. Above all, the advantages of occlusal adjustment of natural teeth are : (1) the patient is more able to adapt to the changes in jaw position and posture; (2) the phonetic or speaking ability of the patient is not significantly changed and usually is improved; (3) the esthetics of the natural teeth is not altered and often is better; (4) the hygiene of the individual teeth is easily maintained; and (5) the functional usage of the teeth as cutting and chewing devices is markedly improved. The objective of an occlusal adjustment, as with any form of occlusal therapy, is to correct or remove the occlusal interferences, or premature contacts, on the occluding parts of the teeth which prevent a centric relation closure of the mandible. A systematic, disciplined approach can be followed in treatment, the objectives should be listed. They are : (1) Centric relation occlusion of the posterior teeth. (2) Proper "coupling" of the anterior teeth. (3) An acceptable disclusive angle of the anterior teeth in harmony with the condylar movement patterns. (4) Stability of the corrected occlusion. (5) Resolution of the related symptoms. For the patient with open-bite on anterior and posterior teeth, this case report shows the treatment methods in combination the fixed prosthesis with the selective cutting of the natural teeth. Occlusal adjustment is no longer an elective procedure but a mandatory one for patients requiring restorations and those in treatment for TMD dysfunctions or those whose dentitions show signs of occlusal trauma. Occlusal adjustment is essential for all who do not display the above lists.

• Journal of Oral Medicine and Pain
• /
• v.11 no.1
• /
• pp.29-35
• /
• 1986

18 TMD patients who received occlusal adjustment in PNUH though Jan.1984 to 1985 were followed up for short-term(2-6yrs.) and long-term(1-2yrs.) evaluation. The obtained results were as follows : 1. Pain index showed gradual decrease after occlusal adjustment and significant change on long-term evaluation. 2. Noise index had no significant change throughout the all follow-up evaluation. 3. Opening limitation index showed gradual decrease after occlusal adjustment and significant change on both long-term and short-term evaluation. 4. Maximum comfortable opening exhibited more and more increase and significant change on long-term evaluation.

• The Journal of Korean Academy of Prosthodontics
• /
• v.52 no.3
• /
• pp.246-251
• /
• 2014

In case of prosthesis fabrication by CAD/CAM, location, area and contour of occlusal contacts can be adjusted so more functional occlusion can be acquired. Also, errors in a manufacturing process is reduced compared to cast metal prostheses and porcelain fused metal prostheses fabricated by conventional methods such as casting and porcelain build up. Therefore, prostheses by CAD/CAM show superior occlusion accuracy. Recently, virtual articulator function has been introduced to CAD/CAM system, which reproduces mandibular movement against maxilla. Thus, it is possible to consider occlusal interference in anterior/lateral movement as well as closing movement. There have been many studies on the marginal and internal fit of prostheses using zirconia but the occlusal fit of zirconia crown fabricated by CAD/CAM has not been researched as much. In this case report, 7 zirconia crowns were designed and fabricated by CAD/CAM for total 5 patients. The models of zirconia crowns before and after occlusal adjustment during intraoral try-in were scanned for occlusal contacts, which were compared to evaluate accuracy of prostheses and understand patterns of occlusal adjustment. Most of the occlusal adjustments were done on functional cusps and slopes of zirconia crown, and the magnitude of occlusal adjustment ranged from $15{\mu}m$ to $60{\mu}m$. In the zirconia crown fabricated with CAD/CAM systems, the occlusal adjustment is a necessary procedure, so additional procedures will be needed for compensating reduced mechanical properties.

• The Journal of the Korean dental association
• /
• v.25 no.10 s.221
• /
• pp.927-930
• /
• 1987

하기 내용은 네델란드 Amsterdam치대의 Hansson교수와 스웨덴 Karolinska의 Riise교수의 ‘악관절 기능장애환자의 진단 및 처치’에 관한 course work의 내용중 일부이며 최근에 유럽제국에서는 시술이 간편하여 임상가에게 널리 이용되는 방법중에 하나이다. 현금에는 TMJ를 전공하는 학자들도 그 분야의 광범위성에 비추어 전공을 세분화하는 경향이 있어 Dr. Hansson은 splint therapy에 의한 muscle activity를 Dr. Riise는 occlusal adjustment를 주로 연구하고 있다.

• The Journal of Korean Academy of Prosthodontics
• /
• v.27 no.2
• /
• pp.271-277
• /
• 1989

The purpose of this preliminary report was to describe the operating procedure of T-scan system and to identify the location, timing and force of occlusal contact in patient with normal occlusion using computerized T-scan system. From the preliminary observation , the author obtained the following results. 1. T-scan system displayed 2 dimensional and 3 dimensional description of occlusion: contact locations, timing (sequence) and forces of occlusal contacts. 2. The T-scan sensor was the most important part of the T-scan system. 3. The data of T-scan system cannot be stored in computer diskett. 4. The T-scan system is thought to be the most effective system to detect occlusal contacts and can be applied to the followings : occlusal diagnosis, occlusal equilibration, crown and bridge restorative procedures, denture adjustment, implant procedures, splint adjustment, laboratory procedures, periodontal treatment, orthodontics, TMJ treatment and patient education etc.

• Journal of Korean Dental Science
• /
• v.11 no.1
• /
• pp.21-31
• /
• 2018

Occlusion may change spontaneously but dental treatment or trauma in the patients with temporomandibular disorders (TMDs) may also alter occlusion. This report presents three cases displaying occlusal changes. Review of literature emphasizes the significance of TMD treatment. Conservative treatment modalities such as counseling, medication, physical therapy and splint therapy may be selected as initial treatment options. Irreversible or invasive treatment, such as orthodontic, prosthodontic, and occlusal adjustment should not be attempted early. In case there is no response to conservative treatment, joint injection, muscle injection, arthrocentesis or arthroscopic surgery might be performed.

• The Journal of Advanced Prosthodontics
• /
• v.13 no.6
• /
• pp.351-360
• /
• 2021

PURPOSE. The aim of this study was to evaluate the efficiency of occlusal and interproximal adjustments of single implant crowns (SIC), comparing a digital cast-free approach (CF) and a protocol using 3D printed casts (PC). MATERIALS AND METHODS. A titanium implant was inserted at position of lower right first molar in a typodont. The implant position was scanned using an intraoral scanner and SICs were fabricated accordingly. Ten crowns (CF; n = 10) were subject to a digital cast-free workflow without any labside occlusal and interproximal modifications. Ten other identical crowns (PC) were adjusted to 3D printed casts before delivery. All crowns were then adapted to the testing model, simulating chair-side adjustments during clinical placement. Adjustment time, quantity of adjustments, and contact relationship were assessed. Data were analyzed using SPSS software (P < .05). RESULTS. Median and interquartile range (IQR) of clinical adjustment time was 02:44 (IQR 00:45) minutes in group CF and 01:46 (IQR 00:21) minutes in group PC. Laboratory and clinical adjustment time in group PC was 04:25 (IQR 00:59) minutes in total. Mean and standard deviation (±SD) of root mean squared error (RMSE) of quantity of clinical adjustments was 45 ± 7 ㎛ in group CF and 34 ± 6 ㎛ in group PC. RMSE of total adjustments was 61 ± 11 ㎛ in group PC. Quality of occlusal contacts was better in group CF. CONCLUSION. Time effort for clinical adjustments was higher in the cast-free protocol, whereas quantity of modifications was lower, and the occlusal contact relationship was found more favourable.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.19 no.1
• /
• pp.49-55
• /
• 2003

When treating the occlusion the dentist must ensure that patients do not develop an occlusal awareness or neurosis after therapy. This means that after treatment patients should not be conscious of the dentition at rest, in occlusion, or during function. Butactually this goal is not easy to reach in daily practice. The dental technician works with rigid casts and dies that do not move. The dentist must use fixed prostheses that have been made in a laboratory setting in a clinical environment that is significantly different. In this article relativey easy cast adjustment technique which can decrease the time necessary to clinically adjust the occlusion of newly fabricated fixed prostheses, and actual occlusal equilibration technique for natural and restored dentition will be discussed.