• 제목/요약/키워드: Tipping

검색결과 214건 처리시간 0.031초

외과적 술식을 동반한 급속 상악 확장술의 임상 연구 (CLINICAL STUDY OF SURGICALLY ASSISTED RAPID MAXILLARY EXPANSION)

  • 양찬영;민승기;오승환;권경환;이준;차재원
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권1호
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    • pp.60-69
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    • 2005
  • Orthopedic rapid maxillary expansion(RME) has been a common treatment modality used to widen narrow maxillae in young children. However, since more skeletally matured adolescents or adults has closed midpalatal suture, the result of RME was undesirable because of dental tipping with little or no basal skeletal movement and resulted to many other complications. After such treatment, complications often occurred such as alveolar bending, compression of periodontal ligament, extrusion, buccal tipping, and severe relapse. Thus, surgically assisted rapid maxillary expansion(SA-RME) is required, especially for patients over 14 years old, to skeletally release maxillary expansion. We used two methods of maxillary expansion surgery. Surgically assisted rapid maxillary expansion(SA-RME) & surgically assisted posterior segmental expansion(SA-PSE) were used for narrow maxilla. The study was divided into two groups(SA-RME group and SA-PSE group). SA-RME group was consisted of 2 males and 4 females, and the ages of materials ranged from 15 years to 25 years with a mean of 20.2 years. SA-PSE group was consisted of 1 male and 5 females, and the ages ranged from 13 years to 23 years with a mean of 18.7 years. Dental study models were fabricated before starting the expansion and immediately after the expansion was completed. It was fabricated again 1 month later, 3 months later when the expansion device was removed, and 6 months later after the expansion was completed. A repeated measures analysis of variance(ANOVA) test was applied to assess changes between each groups over time. The amount of expansion and the amount of tipping movement each in both groups were compared by using paired t-test and it was also compared between each subjects within the group by using independent t-test. Both SA-RME and SA-PSE group showed stable results, but SA-PSE group showed statical significance in tipping movement of second premolar. We compared 6 patients who recieved SA-RME with 6 patients who received SA-PSE, and appraised the clinical usefulness.

Comparative Analysis of Stress Distribution in Composite Resin Brackets with Metal Slot of Permanent Maxillary Central Incisor Using the Finite Element Method: A Pilot Study

  • Im, Jae-Jung;Song, Jae-Joon;Kim, Nan-Hee;Heo, Jin-Young;Jung, Gyu-Un;Hwang, Kyung-Gyun;Park, Chang-Joo
    • Journal of Korean Dental Science
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    • 제4권2호
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    • pp.46-51
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    • 2011
  • Purpose: For aesthetic reasons, composite resin brackets are widely used. However, related studies are rare. This pilot study sought to compare the stress distributions in two commercially available composite resin brackets with metal slot. Materials and Methods: Two commercially available resin brackets -- full-metal slot resin bracket (fSRB) and partial-metal slot resin bracket (pSRB) with straight wire appliance dimension of $0.022{\times}0.028$ in -- were selected. In each bracket, 3-dimensional finite element models were constructed, and stress level was evaluated using finite element analysis. By loading the tipping force and torsion moment, which are similar to those applied by the stainless steel rectangular wire ($0.019{\times}0.025$ -in), stress distributions were calculated, and von Mises stress values were obtained. Results: In pSRB and fSRB, the stress value of the torque moment was much higher than that of the tipping force. The pSRB showed higher stress value than fSRB in both tipping force and torque moment because of the difference in size and configuration of the metal frame inserted into the slot. More stress was also found to be concentrated on the slot area than the wing area in fSRB. Conclusion: The slot form of fSRB was found to be more resistant to the stress of tipping and torque than the slot form of pSRB. In addition, the slot areas -- rather than the wing areas -- of the bracket showed breakage susceptibility. Therefore, resistance to the torque moment on the slot area should be considered in bracket design.

혼합치열기 반대교합자에서 III급 악간견인력의 효과에 관한 연구 (THE EFFECTS OF CLASS III INTERMAXILLARY TRACTION IN MIXED DENTITION WITH ANTERIOR CROSSBITES)

  • 백종은;정규림
    • 대한치과교정학회지
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    • 제21권2호
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    • pp.419-432
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    • 1991
  • The purpose of this study is to observe how the Class III intermaxillary elastics act upon the craniofacial structures of mixed dentition with anterior crossbites. The cephalometric headplafes of 16 childrens treated only with Class III elastics (C III elastics group) and 23 childrens treated with Class III elastics and Reverse pull headgear simultaneously (C III elastics + RPHG group) were traced, digitized and statistically analyzed. The results were as follows. 1 . Anterior displacement of maxilla was observed in both groups. 2. Simultaneous Class III elastics and reverse pull headgear group showed the counterclockwise rotation of maxilla, however Class III elastics group manifested no rotational change of maxilla. 3. Simultaneous Class III elastics and reverse pull headgear group showed the downward and backward rotation of mandible, however Class III elastics group manifested no rotational change of mandible. 4. Counterclockwise canting of occlusal plane, labial tipping of upper incisor and lingual tipping of lower incisor and mesial displacement of upper molar to pterygoid root vertical were observed in both groups.

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양면시장형 컨버전스 산업생태계에서 플랫폼 경쟁에 관한 진화게임 모형 (An Application of Evolutionary Game Theory to Platform Competition in Two Sided Market)

  • 김도훈
    • 한국경영과학회지
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    • 제35권4호
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    • pp.55-79
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    • 2010
  • This study deals with a model for platform competition in a two-sided market. We suppose there are both direct and indirect network externalities between suppliers and users of each platform. Moreover, we suppose that both users and suppliers are distributed in their relative affinity for each platform type. That is, each user [supplier] has his/her own preferential position toward each platform, and users [suppliers] are horizontally differentiated over [0, 1]. And for analytical tractability, some parameters like direct and indirect network externalities are the same across the markets. Given the parameters and the pricing profile, users and suppliers conduct subscription game, where participants select the platform that gives them the highest payoffs. This game proceeds according to a replicator dynamics of the evolutionary game, which is simplified by properly defining gains from participant's strategy in the subscription game. We find that depending on the strength of these network effects, there might either be multiple stable equilibria, at which users and suppliers distribute across both platforms, or one unstable interior equilibrium corresponding to the market tipping in favor of either platform. In both cases, we also consider the pricing power of competing platform providers under the framework of the Stackelberg game. In particular, our study examines the possible effects of the type of competition between platform providers, which may constrain the equilibrium selection in the subscription game.

각종의 HEAD GEAR를 사용한 정형력이 두개안면 골에 미치는 영향에 대한 광탄성적 연구 (A PHOTOELASTIC ANALYSIS OF THE EFFECT OF ORTHOPEDIC FORCES ON THE CRANIOFACIAL COMPLEX UTILIZING THE THREE KINDS OF THE HEAD GEAR)

  • 김광호
    • 대한치과교정학회지
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    • 제16권1호
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    • pp.71-84
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    • 1986
  • The purpose of this study was to analyze the effect of orthopedic forces on the craniofacial complex utilizing the three kinds of the head gear. (high pull head gear, straight pull head gear, cervical pull head gear) For this study, the teeth and alveolar bone and palate were reproduced from birefringent materials and other parts of craniofacial complex were coated with birefringent material on the model. The effect of orthopedic forces on the craniofacial complex was analyzed by photoelastic method using transmission polariscope and reflection polariscope. The results were as follows. 1. The cervical pull head gear had the greatest tipping effect on the maxillary molars and high pull head gear had the least tipping effect. 2. In areas stressed, the cervical pull head gear stressed the greatest degree. 3. Only cervical pull head gear produced stress at the zygomaticofrontal suture and the posterior region of palate. 4. The straight pull head gear and high pull head gear produced stress at just inferior to the anterior nasal spine. 5. The cervical pull head gear and straight pull head gear produced tensile stress at the fronto-maxillary suture. 6. The pterygoid plates of the sphenoid bone, the zygomatic arches, the junction of the maxilla with the lacrimal and ethmoid bone, and the maxillary molars were affected by three types of head gear.

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치주인대의 비선형성을 고려한 치아 교정용 호선의 굽힘 최적화 (Bending Optimization of Archwire for Orthodontics Considering the Nonlinearity of Periodontal Ligament)

  • 허지인;이권희
    • 한국기계가공학회지
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    • 제12권6호
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    • pp.77-83
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    • 2013
  • Orthodontics is a branch of dentistry that is concerned with the study and treatment of malocclusion, which may result from tooth irregularities, disproportionate jaw relationships, or both. Orthodontic devices consist of brackets, archwire connected to each bracket, and bends and hooks for auxiliary functions. Basically, orthodontics involves the interaction of brackets and archwire. It should be noted that uncontrolled tipping can occur due to unwanted movement of the teeth. The bending of an archwire can control the angle of an archwire and the rotation of a tooth. In this study, we predict the relationship between the bending angle of an archwire and the rotation of a tooth using the Kriging interpolation method. Also, we calculate the angle of an archwire that occurs at the minimum value of tooth rotation.

BTL과 BTO사업의 인과순환구조 분석과 경제성 비교에 관한 연구 (A Study on the Causal Loop Analysis and the Economics of BTO and BTL System of PFI)

  • 최남희
    • 한국시스템다이내믹스연구
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    • 제12권4호
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    • pp.35-62
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    • 2011
  • PFI(Private Finance Initiative) for suppling SOC and public facilities instead of Government Infrastructure Project introduced from 1994. BTO(Build-Transfer-Operate) project had been major type of PFI system from 1994 to 2005. But after changed the Law of PFI on SOC, the BTL project newly introduced. In BTO system, the Government retrieves the investment through the operating income, but in BTL system, the government lease the facilities. As the BTO and BTL projects are widely adopted and implemented to ease the fiscal burden of government, but it has caused the tremendous fiscal burden each year over the period operation. Therefore this study attempted to analyze the question, that is, why government fiscal burden tipping? Hence, this paper, compares the difference of business structure between BTO and BTL project and explore the vicious and virtuous business structure, with the method of circular causal loop analysis. As a result, it has shown that there are some positive feedback and negative feedback loops cause the tipping and easing of government fiscal burden.

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최근 태풍 호우에서 보이는 인류세 지문의 변화: 임계점을 넘어서 (Anthropogenic Fingerprint on Recent Changes in Typhoon Heavy Rainfall beyond Tipping-Point)

  • 김형준;우츠미 노부유키
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2023년도 학술발표회
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    • pp.87-87
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    • 2023
  • The impact of climate change on typhoons is a major concern in East Asia, especially due to the destructive effects of heavy rainfall on society and the economy, as many megacities are located along coastal regions. Although observations suggest significant changes in typhoon heavy rainfall, the extent to which anthropogenic forcing contributes to these changes has yet to be determined. In this study, we demonstrate that anthropogenic global warming has a substantial impact on the observed changes in typhoon heavy rainfall in the western North Pacific region. Observation data indicates that, in general, typhoon heavy rainfall has increased (decreased) in coastal East Asia (tropical western North Pacific) during the latter half of the 20th century and beyond. This spatial distribution is similar to the "anthropogenic fingerprint" observed from a set of large ensemble climate simulations, which represents the difference between Earth systems with and without human-induced greenhouse gas emissions. This provides evidence to support the claim that the significant increase in the frequency of typhoon heavy rainfall along coastal East Asia cannot be solely explained by natural variability. In addition, our results indicate that the signal of the "anthropogenic fingerprint" has been increasing rapidly since the mid-1970s and departed from natural variability in the early 2000s, indicating that the regional summer climate has already crossed the tipping point.

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골격성 고정원을 이용한 상악 6전치 후방 견인시 힘의 적용점 변화에 따른 치아 이동 양상에 관한 유한 요소법적 분석 (Three-dimensional finite element analysis of initial tooth displacement according to force application point during maxillary six anterior teeth retraction using skeletal anchorage)

  • 김찬년;성재현;경희문
    • 대한치과교정학회지
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    • 제33권5호
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    • pp.339-350
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    • 2003
  • 본 연구에서는 활주법을 이용한 전치부 후방 견인시 micro-implant의 다양한 수직적 위치와 전치부에서 힘의 적용점에 따른 치아 이동 양상을 관찰하여 공간 폐쇄시 전치부의 설측 경사와 정출력을 방지할 수 있는 micro-implant의 위치와 전치부 힘의 적용점의 위치를 알아보고자 하였다. 유한 요소 모델을 이용하여 제1소구치가 발거된 상악 치열궁 형태를 제작하고 $.022"{\times}.028"$ 슬롯 브라켓을 모형화하여 치아에 부착시켰다. $.019"{\times}.025"$ stainless steel 선재를 3차원 beam모형으로 제작하고 상악 측절치와 견치 브라켓 사이의 선재 상에 $.032"{\times}.032"$ 크기의 stainless steel hook을 수직으로 8mm의 높이로 형성하였으며, 선재로부터 2mm높이에서 1mm간격으로 8mm까지 힘 적용점을 설정하였다. 지름 1.2mm,길이 6mm의 micro-implant를 제2소구치와 제1대구치 사이의 치조골에 선재로부터 4mm에서 10mm까지 2mm간격으로 4개를 위치시켰다 각각의 micro-implant와 전치부 hook에 150gm의 힘을 적용시켜 다양한 힘 적용점에 따른 치아의 초기 변위를 분석하여 다음의 결과를 얻을 수 있었다. 1. Micro-implant 높이가 4m일 경우 5mm이하의 전치부 hook 높이에서는 전치부 설측 경사 이동이 일어났으며 전치부 hook 높이가 6m이상 되었을 때 전치부 순측 경사 이동이 일어났다. 2. Micro-implant높이가 6mm일 경우 5mm이하의 전치부 hook높이에서 전치부 설측 경사 이동이 일어났으며 전치부 hook 높이가 6mm 이상 되었을 때 전치부 순측 경사 이동이 일어났다 이것은 4mm micro-implant에서의 실험결과와 유사한 이동 양상을 나타내었지만, micro-implant높이가 6mm일 때 전치부 설측 경사 이동이 좀더 감소하였다. 3. Micro-implant높이가 8m일 경우 전치부 hook높이가 2mm일 때 전치의 설측 경사 이동이 일어났으며 3mm이상의 전치부 hook 높이에서 순측 경사 이동이 비례적으로 증가하였다. 4. Micro-implant높이가 10mm일 경우 전치부 hook 높이가 2mm 이상에서 전치의 순측 경사 이동이 비례적ㅇ로 증가하였다. 5. 전치부 hook 높이가 증가할수록 전치의 순측 경사 이동이 증가되지만 선재의 뒤틀림에 의한 변형이 증가되므로 견치와 소구치 부위에서 정출력이 발생하는 바람직하지 못한 치아 이동 양상이 일어났다. 6. Micro-implant를 이용한 상악 5전치 후방 견인시 구치부의 이동은 선재와 브라켓 사이의 마찰력에 의해서 원심경사 이동이 발생하였다.