• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.28.1-28.6
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• 2016

Backgrounds: Insufficient intermaxillary space is caused by non-restoration following tooth extraction in the past, and this involves eruption of the opposing teeth and changes of the arch structure. Such cases are difficult just by a simple prosthetic approach, and diversified treatment plans should be established. Among these, posterior maxillary segmental osteotomy (PMSO) is an efficient treatment option than extraction of opposing teeth as it surgically repositions multiple erupted teeth and alveolar bone. PMSO can preserve the natural teeth; therefore, it is being regarded as a treatment method which can improve insufficient intermaxillary space significantly. Case presentation: In this case report, the first patient received PMSO in order to place an implant in the mandibular edentulous space after decreased vertical dimension is restored, and the second patient received PMSO along with orthodontic treatment to obtain the intermaxillary space and balance the interarch molar width. Conclusion: PMSO is the treatment of choice when occlusion is compromised in the presence of decreased vertical dimension or arch length discrepancy.

• 대한치과보철학회지
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• 제43권3호
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• pp.331-337
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• 2005

For a missing teeth, orthodontic treatment may be a better choice of treatment in comparison to a conventional prosthetic replacement such as FPD, resin bonded prosthesis in view of aesthetics, periodontal health and function. Occasionally after an orthodontic treatment, an insufficient space may occur. The mini-implant could be an alternative in situations of narrow ridge dimension, where conventional root form implant could be compromised. The aim of this clinical report is to describe how a space that could not be restored with a traditional root form endosteal implant was managed and to present a technique to achieve optimal anterior esthetics in single implant restoration.

• 한국정밀공학회지
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• 제18권6호
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• pp.102-108
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• 2001

This paper addresses an analytical approach to the mechanical error analysis of gear train and tolerance design and manufacture of gear train in restricted space considering motor driving torque, driving system inertia, motor acceleration, motor rotor inertia and friction torque. The gear train is designed to have optimum gear ratio in restricted space and each gear is manufactured to have the lowest weight and each gear tooth is heat-treated to have robustness. Based on the small difference between the mechanical error analysis and measurement, gear train design with optimum gear ratio and restricted space and robustness is proposed.

• 한국군사과학기술학회지
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• 제2권1호
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• pp.132-138
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• 1999

This paper addresses an analytical approach to the mechanical error analysis of gear train and tolerance design and manufacture of gear train in restricted space considering motor driving torque, driving system inertia, motor acceleration, motor rotor inertia and friction torque. The gear train is designed to have optimum gear ratio in restricted space and each gear is manufactured to have the lowest weight and each gear tooth is heat-treated to have robustness. Based on the small difference between the mechanical error analysis and measurement, gear train design with optimum gear ratio and restricted space and robustness is proposed

• 대한소아치과학회지
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• 제36권2호
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• pp.281-287
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• 2009

유치열이 혼합치열기를 거쳐 영구치열로 교환되는, 소아 및 청소년기에서는 맹출장애가 흔히 관찰된다. 이로 인해 치아의 맹출시기를 놓치게 되면 심미적 문제 인접치아의 전위 및 치근흡수, 부정교합 등의 많은 문제를 야기한다. 치아 중 제1대구치는 특히 교합 및 발육에 중요하게 관여하며 기능적, 형태적으로 건전한 교합의 발육 및 유지에 필수적인 치아이다. 그러므로 이들 이상증례를 조기에 파악하고 문제점에 대응하는 것은 보다 적절한 교합관리에 중요한 부분이라 할 수 있다. 상악 제1대구치의 맹출장애는 크게 맹출지연, 매복, 일차정체 및 이차정체로 나누어서 생각할 수 있다. 매복의 원인 중 물리적 장애물이 존재할 경우 우선 이를 제거하고 치아발육 상태에 따라 제거 후 관찰, 외과적 노출 또는 교정적 견인 등으로 치료가능하며 이소맹출에 의 한 매복일 경우 brass wire, pendulum applinace, 제2유구치 발치후 공간 유지 및 공간확보 등으로 치료를 할 수 있다. 본 증례들은 혼합치열기의 환아로서 맹출장애를 보이는 상악제1대구치의 진단 및 그에 따른 치료를 통해 양호한 치료결과를 보여 이를 보고하는 바이다.

• 대한소아치과학회지
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• 제39권4호
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• pp.390-396
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• 2012

저위교합이란 치아가 출은 이후 유착 등의 원인으로 맹출이 정지되어 주위조직이 정상적으로 성장함에 따라 정상교합보다 낮아진 상태를 말한다. 저위교합을 방치하는 경우 이환치의 만기잔존과 대합치의 정출 및 인접치의 경사에 따른 공간상실, 교합압과 식편압입으로 인한 인접치의 치주 조직 파괴와 치아우식 감수성의 증가, 계승치의 맹출경로 변위 또는 매복과 같은 문제점이 발생할 수 있으므로 정기검진을 통한 진단과 이에 따른 적절한 치료가 필요하다. 저위교합을 보이는 유구치의 치료방법으로는 후속 영구치의 유무, 저위교합의 발생 시기 및 진단 시기, 저위교합의 정도 등에 따라서 주기적인 관찰, 보존적 접근 방법, 수복치료, 교정적 방법을 통한 공간확장술과 발치 등이 있다. 본 증례에서는 상악 제2유구치의 저위교합 및 제2소구치 치배의 변위를 보이는 3명의 환아를 대상으로 가철성 교정장치를 이용한 공간확장술 및 유구치의 발치를 시행함으로써 변위되었던 제2소구치 치배의 정상 맹출을 유도하였다.

• 한국터널지하공간학회 논문집
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• 제15권4호
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• pp.431-442
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• 2013

기존의 연구에서 삼각형 돌출부의 크기 즉 돌출부 길이 및 돌출부 경사각 변화에 따른 전단거동 및 파괴 형상 특성에 대한 광범위한 실험적 연구는 부족하였다. 본 연구에서는 직접전단시험기를 사용하여 삼각형 돌출부의 전단거동에 있어서 돌출부의 길이 및 경사각 특성이 표면 돌출부의 파괴 형상 특성에 미치는 영향을 규명하고자 한다. 이를 위하여 돌출부 길이는 4가지로 변환하였고, 수직응력은 3가지로, 그리고 돌출부 경사각은 3개의 각도로 변환하면서 총 36회의 시험을 수행하였다. 시험을 수행한 시편은 3차원 형상측정기를 사용하여 파괴 형상 특성을 정량적으로 분석하였다. 이러한 시험을 통하여, 수직응력 변화에 따른 돌출부의 파괴 형상 특성을 조사하였다. 또한 각각의 경사각에서 돌출부의 길이를 변화시켜 시험을 수행함으로써, 특정 수직응력 하에서 돌출부가 파괴되는 길이 및 높이를 정의하였다.

• 대한치과교정학회지
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• 제20권3호
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• pp.447-462
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• 1990

The objective of this experiment is to observe structural differences in the othodontic movement of vital (control group) and devitalized (experimental group) teeth in the mongrel dogs. The 5 utilized dogs in this experiment were approximately 1 year of age and their average weight was about 12 Kg. Endodontic therapy was performed on the 2nd premolars in upper & lower jaws of each animal under the general anesthesia by intravascular injection of 25mg/kg of pentobarbital sodium. The canals of the teeth were obturated by using gutta percha in conjunction with root canal sealer (AH26 Densply). One of the roots in the 2nd premolars was hemisected to make an extraction space for the devitalized teeth to be moved. The edgewise technique was employed for the movement of the teeth. Orthodontic models and intraoral roentgenograms were taken before and after orthodontic tooth movement. The open coil springs (.010 x .040) were used at interbraket space in order to provide equal forces (75gm) between the teeth in each arch wire. After 13 weeks of active orthodontic tooth movement, dogs were sacrified and the experimental results w ere examined through the intraoral radiography, microscopic examination and scanning electromicroscopic examination at the root sulfate. From the results of the study, the following conclusions may be drawn: The root resolution and cemental deposition were observed within the pressure and tension site in both group. 2. The root resorbed lacunae were observed in the cementum and/or into the dentin in both group. 3. The prominent osteoblastic activities were observed on the alveolar margin in the tension site in both group. 4. A few of blood vessels were observed in the pressure site, but also lots of blood vessels were observed in the tension site especially in the periphery of the alveolar bone in both group. 5. In the pressure site, resorbed lacunae were formed with deep and narrow cavity in the control group; the shallow and wide cavity in the experimental group. 6. In the pressure site, the repaired cementum or cementoid tissue was lined on cementum in the experimental group, but not in the control group. 7. There was no significant difference between external root resolution of endodontically and vital teeth when both were subjected to orthodontic forces.

• Restorative Dentistry and Endodontics
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• 제13권1호
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• pp.151-158
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• 1988

The purpose of this study was to evaluate the effect of canal filling methods and post-space preparation time on the apical seal of endodontically treated teeth. Seventy-six single-rooted human teeth were divided into 6 groups and each tooth was obturated and prepared post-space according to the purpose of this study. After all specimens were immersed in Indian ink, decalcified and cleared, the degree of dye penetration into the root canals observed by magnifying glass (X20) and measured by caliper. The results were as follows: 1. In the thermatic condensation, no significant difference in ink penetration occured when the post-spaces were created immediately after obturation or when they were made a week later. 2. In the lateral condensation, no significant difference in ink penetration existed between teeth whose post-space were prepared immediately or delayed. 3. In comparison of experimental groups and control groups, no significant difference showed when the groups were obturated with McSpadden compactor but when the teeth were laterally condensed, the experimental groups showed less ink penetration than controls. 4. Thermatic condensed teeth with McSpadden compactor were less ink penetration thn laterally condensed teeth.

• The Journal of Advanced Prosthodontics
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• 제10권3호
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• pp.218-226
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• 2018

PURPOSE. The aim of this study was to define a color space of non-vital teeth and to compare it with the color space of matched vital teeth, recorded in the same patients. MATERIALS AND METHODS. In a group of 218 patients, with the age range from 17 to 70, the middle third of the buccal surface of 359 devitalized teeth was measured using a clinical spectrophotometer (Vita Easyshade Advance). Lightness ($L^*$), chromatic parameters ($a^*$, $b^*$), chroma ($C^*$), hue angle (h) and the closest Vita shade in Classical and 3D Master codifications were recorded. For each patient, the same data were recorded in a vital reference tooth. The measurements were performed by the same operator with the same spectrophotometer, using a standardized protocol for color evaluation. RESULTS. The color coordinates of non-vital teeth varied as follows: lightness $L^*$: 52.83-92.93, $C^*$: 8.23-58.90, h: 51.20-101.53, $a^*$: -2.53-24.80, $b^*$: 8.10-53.43. For the reference vital teeth, the ranges of color parameters were: $L^*$: 60.90-97.16, $C^*$: 8.43-39.23, h: 75.30-101.13, $a^*$: -2.36-9.60, $b^*$: 8.36-39.23. The color differences between vital and non-vital teeth depended on tooth group, but not on patient age. CONCLUSION. Non-vital teeth had a wider color space than vital ones. Non-vital teeth were darker (decreased lightness), more saturated (increased chroma), and with an increased range of the hue interval. An increased tendency towards positive values on the $a^*$ and $b^*$ axes suggested redder and yellower non-vital teeth compared to vital ones.