• The Journal of Korean Academy of Prosthodontics
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• v.58 no.2
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• pp.121-129
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• 2020

From the point of view of oral rehabilitation, the treatment of extensive tooth wear requires a prosthetic approach. Physiological tooth wear is considered as a normal process and generally does not require treatment, but excessive tooth wear causes problems like inadequate occlusion and esthetics. Changes of occlusal vertical dimension should be made through accurate diagnosis and analysis. Also, the patient's adaptation to the changed occlusal vertical dimension should be assessed over time. This case was a 60-year-old male patient who complained of a decrease in chewing function and esthetics due to severe tooth wear. Full-mouth rehabilitation was performed with a tooth supported fixed prosthesis. An occlusal stabilization splint and provisional restoration were used to evaluate the adaptation to increased occlusal vertical dimension and induce a stable centric relation position. After that, monolithic zirconia prosthesis was delivered. We report this as a satisfactory functional recovery and esthetics.

• The Journal of Korean Academy of Prosthodontics
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• v.36 no.5
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• pp.683-700
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• 1998

치아경조직의 소실은 반드시 치아우식증이나 사고에 의해서만 일어나는 것이 아니라 마모에 의해서도 일어난다. 마모에 영향을 미치는 인자들은 시간/나이, 성별, 이갈이와 같은 과기능, 저작력, 위장관장애, 음식물, 환경적인 영향, 타액의 상태 그리고 교합적인 조건들이 있다. 한편 중심위와 최대교두감합위 불일치가 악구강계에 미치는 영향에 관해서는 아직도 논란이 분분하다. 본 연구의 목적은 중심위와 최대교두감합위의 불일치가 치아마모에 미치는 영향과 중심위에서 제일 먼저 닿는 치아와 나머지 치아의 마모에 있어서 차이에 대해서 알아 보는 것이다. 본 연구는 두개하악관절과 저작습관에 이상이 없으며, 식이습관에 문제가 없으며 치아우식증과 치주질환, 수복물, 교정 또는 교합치료의 경험이 없는 21세에서 25세 사이의 서울대학교 치과대학생을 대상으로 하였다. 교합기를 이용하여 중심위 교합-최대교두교두감합위 불일치를 조사하여, 중심위 교합-최대교두감합위가 불일치가 작은 군과 큰 군으로 나누었다. 각 군은 각각 10명의 피검자들로 구성되었다. 각 피검자의 인상채득 후 CR mounting을 시행하고 중심위교합-최대감합위 불일치를 측정한 다음 임상검사로 ordinal scale을 측정하고 모형을 통해 arbitrary scale을 측정하였다. 평균치아마모도 그리고 중심위에서 먼저 닿는 치아와 나머지 치아, 나머지 구치의 마모도를 각각 조사하여 통계처리하였다. 1. 평균치아마모도는 ordinal scale로 측정하였을 때 중심위 교합-최대교두감합위 불일치가 작은 군과 큰 군 사이에 통계적으로 유의할만한 차이가 없었다(p>0.05) 2. 평균치아마모도는 arbitrary scale로 측정하였을 때 중심위 교합-최대교두감합위 불일치가 작은 군과 큰 군 사이에 통계적으로 유의할만한 차이가 없었다(p>0.05). 3. CR에서 먼저 닿는 치아와 나머지 치아, 나머지 구치의 마모도는 ordinal scale로 측정하였을 때 통계적으로 유의한 차이가 없었다(p>0.05). 4. CR에서 먼저 닿는 치아와 나머지 치아, 나머지 구치의 마모도는 arbitrary scale로 측정하였을 때 먼저 닿는 치아에서 통계적으로 유의한 높은 수준의 마모도를 보였다(p<0.05).

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.1 no.1
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• pp.29-37
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• 1971

Modern orthodontics implies not only occlusal excellence, but also the positioning of teeth to produce optimal facial harmony for the individual patients. Several methods have been used in the study of facial height, width and depth were made from living subjects. These methods, however, complicate to control the subjects, therefore many investigators have used profile cephalometric technics. Practically, cephalometric technics were used m orthodontic treatment, maxillo-facial surgery and anthropometric studies. Author was studied to investigate the normal standards of soft tissue profile in Korean adolescences. The subjects consisted of 53 males and 54 females from 17 to 22 years of age and with normal occlusion and acceptable profile. Aluminum filter was designed to obtain both hard and soft tissue structures on a single film. Eight profile landmarks were plotted and drawn on the tracings of all cephalograms and eighteen depth, height and angles were measured from each landmarks of the cephalograms. The following conclusIOns were obtained from this studies; 1. Total facial convexity was 170. 75 in males and females samples and lower facial and: labiomandibular convexity were each of 141.44, 171.05. 2. Maxillary and mandibular sulcus angulations were 137.61, 129.52 and upper and lower lip inclinations were each of 123.26 and 49.56 in male and females. 3. Soft tissue depth of several points were as follows; Subnasale 18.74㎜ in males and 16.65㎜ in females Pogonion 13.40㎜ in males and 13.07㎜ in females upper lip 14.06㎜ in males and 11.91㎜ in females . lower lip 15.46㎜, 13.63㎜ in males and females 4. The protrusion of nose were 16.28㎜ in males and 15.56㎜ in females 5. The vertical length of upper and lower lips were 25.67㎜, 52.96㎜ and the lip posture was indicated 93.43 per cent (closed state) in centric occlusions.

• Imaging Science in Dentistry
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• v.38 no.1
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• pp.23-27
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• 2008

Purpose: The aim of this study was to evaluate the change in the position of the mandibular condyle within articular fossa by a CBCT after wearing complete denture (CD). Materials and Methods: CBCT of 34 temporomandibular joints were taken from 9 male and 8 female patients with CB $Mercuray^{TM}$ (Hitachi, Japan) before and after wearing a CD for rehabilitation. Position of mandibular condyle within articular fossa at centric occlusion was evaluated with $Vimplant2.0^{TM}$ (CyberMed, Korea) on the central parasagittal view and curved panoramic coronal view of the condylar head. A statistical evaluation was done with SPSS. Results: The range of anteroposterior positional rate (AP) of condylar head within articular fossa was -16-5 and -10-12 respectively on the right and left sides. Before wearing CD, the AP rate showed discrepancy between right and left sides (p<0.05). After wearing CD, both condyles showed a tendency to decrease in posterior condylar position (right side; p<0.05). The average discrepancy between right and left side in mediolateral positional rate (MD) was 15.5 and 4.5 respectively before and after wearing CD. The improvement was observed in mediolateral relationship of both condylar heads after wearing CD (p< 0.01). Before wearing CD, the average horizontal angle of long axis of condylar head was $79.6{\pm}2.7^{\circ}\;and\;80.1{\pm}5.7^{\circ}$ respectively on the right and left sides. After wearing CD, both condyles were rotated in the same direction in average on axial plane. Conclusion: We observed with CBCT the significant clinical evidence in case of positional change of mandibular condyle after wearing complete denture.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.2
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• pp.236-243
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• 2005

Anterior openbite is defined as the lack of contacts between the functional occluding teeth on vertical line at centric occlusion and classified into functional and skeletal anterior openbite based on its causes and characteristics. In mixed dentition, habit control and the elimination of abnormal perioral muscle function and moving the vertical direction development to the sagittal direction of the mandible by the functional appliance is a goal of treatment. This study presents the effective interception of oral habit by the tongue crib and functional-fixed treatment and treatment response of openbite related to tongue thrust habit.

• The Journal of Korean Academy of Prosthodontics
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• v.24 no.1
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• pp.141-150
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• 1986

This study conducted 2 types of occlusal splint therapy to eliminate clicking sound. 15 patients who had clicking on their joints were selected, and divided, at random, into 3 groups. In the first group, 4 persons put on stabilization splint and in the second group, 6 persons put on anterior repositioning splint which had made condyle to protrude 3mm, and in the last group, 5 persons put on anterior repositioning splint which had made condyle to protrude 6mm. Patients who wore anterior repositioning splint were instructed to use the splint for all days. The evaluation of clicking was measured by occlusal soundscope. The clicking was converted to aucostic signal by the attached microphone, instead of vibrating sensor The in-put aucostic signal on the occlusal soundscope made it possible to observe the experiment's result. Anterior repositioning splint was produced in the centric occlusion state, when the model was mounted to articulator and inserted two pieces of 3mm and 6mm resin blocks each into the rear wall of articulator fossa. The observation of the patients who wore three different splints for 3 weeks has reached the following conclusions: 1. Stabilization splint produced no effect in eliminating the clicking sound. 2. Anterior repositioning splint therapy with 3mm condylar protrusion produced significant improvement in eliminating the clicking sound. 3. The 6mm protruded anterior repositioning splint caused pain on affected TMJ area as well as the clicking on unaffected joint.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.2
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• pp.311-316
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• 2006

A scissors bite in the posterior teeth occurs when the upper teeth are positioned totally or unilaterally buccal to the lower teeth in centric occlusion. This malocclusion can result from either excessive width of maxilla, deficient width mandible, or combination of both. The malocclusion can lead to hindered growth of jaws or to asymmetry between the jaws, Besides, the severe lingual inclination of the mandibular posterior teeth prevents adequate mastication. Thus, the scissors bite is in need of immediate interceptive orthodontic intervention. The common treatments of the scissors bite is to expand the mandibular arch: fixed or removable appliances. In our clinic, we made a success in treatment of the scissors bite using the Schwarz appliance. We treated the scissors bite using the lower Schwarz appliance for a mean observation period of 21 months. The subjects were 2 boys, aged 4 years.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.11 no.1
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• pp.23-32
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• 1981

The purpose of this study was to assess temporomandibular joint subluxation by means of cephalometry using two lateral cephalograms from each person with in centric occlusion and wide-open mouth position, and to compare patient group with subluxation to normal control group in the measurements and correlation coefficient. The 200 cephalograms of 100 Korean adults, patient group consisted of 24 females and 26 males ranged from 17 to 63 years age and the normal control group consisted of 20 females and 30 males ranged from 18 to 56 years age, were studied and analyzed statistically. The results were as follows; 1. In the comparison of patient group vs normal control group in the measurements, statistically significant differences were found in C-C', C'-PTM, K-FH, K-PTM, Gn-Gn', C-S-C', Gn-S-Gn', Gn-K-Gn', GoGn-SN, and GoGn-Go'Gn'. K-point* of patient group was located antero - superiorly than of normal control group, and the significance level was higher in K-PTM than in K-FH. There was no statistically significant difference found in local relationship of C-point between patient group and normal control group. The values of correlation coefficient among all measurements were in 0.958≥r≥-0.760, and the highest value was in Gn-Gn' to GoGn-Go'Gn' and Gn-K-Gn' to Gn-Gn', and the lowest value was in C'-PTM to Gn-K-Gn' of normal control group. K was determined as a point of intersection by a perpendicular bisector of Gn-Gn' and a perpendicular bisector of C-C'.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.12 no.1
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• pp.49-56
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• 1982

The purpose of this study was to observe the anatomic variation of condylar head and the positional relationship between condylar head and other anatomic structures of head by means of cephalometry using the submentovertex cephalogram from each person in centric occlusion for producing a good quality of temporomandibular joint radiograph. The 100 submentovertex cephalograms of 100 Korean adults consisted of 50 females ranged from 20 to 24 years age and 50 males ranged from 22 to 30 years age, were studied and analyzed statistically. The results were as follows; 1. The mean of the horizontal angulation of condylar head to the transmeatal line (EE-LA) was 18.5° (S.D. 7.9°), and all measurements that indicate the horizontal angulation of condylar head showed considerable differences among individuals. 2. In the comparison of male vs. female in the measurements, statistically significant differences were found in the majority of measurement items, and with exception of R-LA and LA-LA, the rest of these measurements were larger in male than in female. 3. In the comparison of left vs. right in the measurements, statistically significant differences were found in the majority of measurement items, and with exception of PC-CC, the rest of these measurements were larger in right than in left. As above, because the majority of measurements that involve the horizontal angulation of condylar head varied among individuals, between male and female, and between left and right, the condition of various temporomandibular joint radiography should be determined by means of cephalometry using the submentovertex cephalogram for producing the accurate radiographic image of temporomandibular joint.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.2
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• pp.210-219
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• 2021

Excessive teeth wear can lead to reduced chewing efficiency, occlusal plane collapse, and facial changes. Full mouth rehabilitation with a change in vertical dimension may cause pain in the temporomandibular joint, masticatory muscle and teeth, so an accurate diagnosis and treatment plan is required. In this case, a 69-year-old man had excessive teeth wear with a loss of posterior support. We evaluated the degree of adaptation to the increased vertical dimension with the removable occlusal splint and provisional restoration. We report this case because the treatment result has been functionally and aesthetically satisfactory by providing stable anterior guidance, proper posterior teeth disclusion, and even contact of all teeth in centric occlusion.