• Title/Summary/Keyword: lower jaw

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ORTHODONTIC MANAGEMENT OF CLASS III MALOCCLUSION WITH HORSESHOE APPLIANCE (Horseshoe Appliance를 이용한 III급 부정교합의 교정적 접근)

  • Han, Ji-Hye;Baik, Byeong-Ju;Yang, Yeon-Mi;Seo, Jeong-Ah;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.675-681
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    • 2005
  • The Horseshoe appliance was introduced by Dr. Schwarz, and it is used to correct sagittal relationships by elastic force in class III malocclusion. It minimizes the increment of lower anterior facial height and allows the mandible to be repositioned harmoniously with the soft tissue and muscle matrix of the jaw It has the advantages of better patient cooperation, easier construction, and more effective modification. In the patients who were treated with Horseshoe appliance, forward growth of maxilla and counterclockwise rotation of occlusal plane with labioversion of maxillary incisors and linguoversion of mandibular incisors were obtained. Minimum downward and backward rotation of mandible was accepted, so increasing of lower anterior facial height was minimized.

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Differences Between Facial Skin Temperature of the Paralyzed Side and Those of the Normal Side in Bell's Palsy Patients (Bell's Palsy 환자의 건측-환측 안면부 피부온도차이에 관한 연구)

  • Nam, Dong-Hyun;Koh, Hyung-Kyun;Park, Young-Bae
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.126-136
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    • 2007
  • Objectives : Bell's palsy in an acute peripheral facial nerve paralysis that usually affects only one side of the face. The seventh cranial nerve carries predominantly motor fibers, but also supplies some autonomic innervation, sensation to park of the ear, and taste to the anterior two thirds of the tongue. The aim of this study is to provide evidence of differences between facial skin temperature of the paralyzed side and normal side in Bell's palsy patients. Methods : the author studied 68 patients with Bell's palsy whose facial nerve function had been documented by the House-Brackmann grading system. We measured skin temperature of the forehead, zygoma, lower lip, temple and lower jaw area of the paralyzed side and those of the normal side. Results : there were significant facial skin temperature differences between the forehead area of paralyzed side and that of normal side of GrII(P<0.05) and III(P<0.05). The result also showed that the facial skin temperature difference according to the aflection period vanished when air temperature was calibrated (F=1.700, P=0.178). Conclusions : Thermography is a useful diagnostic tool in Bell's palsy if the air temperature is low enough to cool the facial skin temperature and the forehead area is evaluated as the sampling zone.

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The effect of the digital manufacturing technique of cantilevered implant-supported frameworks on abutment screw preload

  • Altuwaijri, Shahad Mohammmed;Alotaibi, Hanan Nejer;Alnassar, Talal Mughaileth
    • The Journal of Advanced Prosthodontics
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    • v.14 no.1
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    • pp.22-31
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    • 2022
  • PURPOSE. The purpose of this study was to investigate the misfit and screw preload at the implant abutment connection of implant supported fixed dental prosthesis with cantilever (ICFDP) manufactured using different digital manufacturing techniques and to compare the screw preload before and after cyclic loading. MATERIALS AND METHODS. Mandibular jaw model with four intra-foraminal implants was scanned using digital scanner. Stereolithography file was used to design a framework with nonengaging (NE) abutments and 10 mm cantilever distal to one terminal implant. Five frameworks were constructed using combined digital-conventional techniques (CAD-cast), and five frameworks were constructed using three-dimensional printing (3DP). Additional CAD-cast framework was constructed in a way that ensures passive fit (PF) to use as control. Scanning electron microscope (SEM) measured the implant abutment connection misfit. Sixty screws were used on the corresponding frameworks. Screws were torqued and pre-cyclic loading reverse torque value (RTV) was recorded. Frameworks were subjected to 200,000 loading cycles with a loading point 9 mm from the center of terminal implants adjacent to the cantilever and post-cyclic loading RTVs were recorded. RESULTS. Microscopic readings showed significant differences between frameworks. PF demonstrated the lowest measurements of 16.04 (2.6) ㎛ while CAD-cast demonstrated the highest measurements of 29.2 (3.1) ㎛. In all groups, RTVs were significantly lower than the applied torque. Post-cyclic loading RTV was significantly lower than pre-cyclic loading RTV in PF and 3DP frameworks. Differences in RTVs between the three manufacturing techniques were insignificant. CONCLUSION. Although CAD-cast and three-dimensionally printed (3DP) both produce frameworks with clinically acceptable misfit, 3DP might not be the technique of choice for maintaining screw's preload stability under an aggressive loading situation.

Fabrication of definitive complete-arch implant-supported fixed prosthesis in upper and lower completely edentulous patient using temporary prosthesis scan: a case report (상하악 완전 무치악 환자에서 임시 보철물 스캔을 이용한 일체형 임플란트 지지 고정성 보철물 수복 증례)

  • Seung-Mi Jeong;Hyun-Lak Son;Kang-Duck Choi;Byung-Ho Choi
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.243-252
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    • 2024
  • When fabricating definitive implant-supported fixed prostheses in upper and lower completely edentulous patients, it is crucial to get information about the vertical dimension, jaw relationship, implants, abutments and gingival contour. In this case, temporary prostheses were used to take the information. The temporary prosthesis was scanned outside of the mouth so that it increased the efficiency of scanning it. During the scan of the prosthesis, a scan zig which connected both posterior parts of the prosthesis was used to minimize the scan errors. We report this case because we obtained satisfactory functional and esthetic results by using the digital technology.

MEDIAN CLEFT OF THE LOWER LIP AND MANDIBLE;A CASE REPORT (하순 및 하악골 정중열의 치험례)

  • Cha, Doo-Won;Kim, Hyun-Soo;Baek, Sang-Heum;Kim, Chin-Soo;Byeon, Ki-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.263-269
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    • 2001
  • Median cleft of the lower lip and/or mandible is a rare congenital anomaly, first mentioned by Couronne in 1819. Monroe(1966), Fujino(1970), Ranta(1984) and Oostrom(1996) conducted comprehensive reviews and list cases in literature. Median cleft varies greatly, from a simple vermilion notch to a complete cleft of the lip involving the tongue, the chin, the mandible, the supporting structures of the median of the neck, and the manubrium sterni. The associated anomalies include ankyloglossia, cleft tongue, neck contraction, heart lesion, absence of hyoid bone, and so on. The etiology of median cleft is unknown. Various possibilities, such as failure of mesodermal penetration into the midline, failure of fusion of mandibular processes, external factors apart from the embryogenic pattern such as pressure, position in utero, circulatory failure caused placental adhesion, diseases in pregnancy, and so on, have been discussed. A 8-year-old girl was referred to the Dept. of Oral & Maxillofacial Surgery, Kyungpook National University Hospital and had been aware of the fact that at birth "she had something wrong with her mouth." Shortly after birth she had been examined by a plastic surgeon and at that time surgical procedure had been performed to release the tongue from the lower jaw and lip at local hospital. On admission, she had a slight notching of lower lip and two fibrous frenum ran from the lip along the ventral surface of the tongue, diastema between her mandibular central incisors, and slightly constricted bifid mandible associated independent movement of the two halves of mandible. The patient had autogenous iliac bone graft to reconstruct the mandibular midline defect. The postoperative result was uneventful. In future, the correction of the soft tissue deformities such as notching of the lower lip and partial ankyloglossia will be required for the esthetic and functional improvement.

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Simultaneous Maxillo-Mandibular Distraction Osteogenesis in Hemifacial Microsomia: a Case Report (상하악에 동시 다발성 골신장술을 이용한 반안면왜소증의 치험례)

  • Kim, Il-Kyu;Park, Jong-Won;Lee, Eon-Hwa;Yang, Jung-Eun;Chang, Jae-Won;Pyun, Yeong-Hun;Ju, Sang-Hyun;Wang, Boon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.5
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    • pp.447-453
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    • 2010
  • The hemifacial microsomia is characterized by variable underdevelopment of the craniofacial skeleton, external ear, and facial soft tissues. So, patients with hemifacial microsomia have an occlusal plane canting and malocclusion with facial asymmetry. Distraction osteogenesis (DO) with an intraoral or extraoral device is a technique using tension to generate new bone with gradual bone movement and remodeling. DO has especially been used to correct craniofacial deformities such as a hemifacial microsomia, facial asymmetry, and mandible defect that could not adequately be treated by conventional reconstruction with osteotomies. It has a significant advantage to lengthen soft and hard tissue of underdeveloped site without bone graft and a few complication such as nerve injury or muscle contracture. A 13-years old girl visited our clinic for the chief complaint of facial asymmetry. She had a left hypoplastic maxilla and mandible, occlusal plane canting and malocclusion. We diagnosed hemifacial microsomia and lanned DO to lengthen the affected side. Le Fort I osteotomy, left mandibular ramus and symphysis osteotomy were performed. The internal distraction devices fixed with screw on maxillary and mandibular ramus osteotomy sites. External devices were adapted to lower jaw for DO on symphysis osteotomy site and to upper jaw for rapid maxillary expansion (RME). At 7days after surgery, distraction was started at the rate of 1mm per day for 13days, and after 4months consolidation periods, distraction devices were removed. Simultaneous multiple maxillo-mandibular distraction osteogenesis with RME resulted in a satisfactory success in correcting facial asymmetry as well as occlusal plane canting for our hemifacial microsomia.

Early Life History of Korean Bullhead, Pseudobagrus fulvidraco( Pisces, Bagridae ), from Korea (동자개 Pseudobagurs fulvicraco(Pisces, Bagridae)의 초기생활사)

  • Kang, Eon-Jong;Lee, Cheol-Ho
    • Korean Journal of Ichthyology
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    • v.8 no.1
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    • pp.83-89
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    • 1996
  • The early life history of Korean bullhead, Pseudobagrus fulvidraco was studied to obtain some information required in aquaculture and reinforcement of natural population. The fertilized eggs were almost spherical in shape and demersal. The egg membranes were transparent with minute folds on the surface, causing them to stick to other substrates. Yolk is yellowish without oil droplets. The eggs just after fertilization were measuring $1.4{\pm}0.03mm$(1.3~1.5mm, n=10) and expanded to $1.7{\pm}0.08mm$(1.6~1.8mm, n=10) in diameter in 1.5 hr. The blastodisc was formed in 30 min and cleavage started in 1 hr after fertilization, and the intervals of each stage of cleavage was about 30 min at $25.0^{\circ}C$. The yolk from 32-cell stage to gastrula stage partly depressed and the depressed part moved clockwise. Hatching occurred in 53 hr after fertilization and hatched embryos had 18~19+20~21(38~40) myomeres measuring 4.2~4.3mm in total length. At the age 7 d after hatching, 4 pairs of barbels were already formed ; 1 pair on the posterior part of the nostril, 1 pair on the upper jaw, and 2 pairs on the lower jaw. And the posterior margin of caudal fin changed into two folds. The lateral band and the form of all fins were completed in 3 weeks.

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Early Osteological Development of the Larvae and Juveniles in Sevenband Grouper, Epinephelus septemfasciatus (Pisces: Serranidae) (능성어 (Epinephelus septemfasciatus) 자치어의 골격발달)

  • Park, Jong Youn;Hong, Chang Gi;Cho, Jae Kwon;Son, Maeng Hyun;Han, Kyeong Ho;Park, Jae Min
    • Korean Journal of Ichthyology
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    • v.27 no.3
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    • pp.189-198
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    • 2015
  • This research has been launched in order to observe the osteological development of sevenband grouper, Epinephelus septemfasciatus larvae and juveniles and will be used for the basic data of phylogenetically systematics research. We got some samples of larvae and juveniles from a adult fish which belongs to the sea cage in Geomun-do, Yeosu-si, Jeolla-namdo province, and we have watched them. The average of breeding water temperature was $21.5{\sim}24.5^{\circ}C$ (average $23.0{\pm}1.5^{\circ}C$). In yolk-sac larvae just after hatching, ossification was not observed at all, and when the average total length reached 2.66 mm, the premaxillary and maxillary forming the upper jaw, dentary forming the lower jaw, and parasphenoid forming the skull base were ossified. In addition, the preopercle and opercle forming the opercular region began to be ossified. The caudal skeleton supporting the caudal fin is built with the caudal complex consisting of the malleus and incus. Until the average total length reached 2.59 mm, ossification did not occur at all and the urostyle bent at 45-degree angle. As to the ossification of the pterygiophore, when the average total length was 6.12 mm, the first interhemal spine began to be ossified in articulation with two spines of the anal fin, and the synapse also began to be ossified in articulation with two spines of the dorsal fin. When the average total length was 21.9 mm, individuals with completed ossification of the interhemal spines and synaptic clefts began to appear.

A STUDY OF CLINICAL RESULTS ON STERI-OSS ENDOSSEOUS IMPLANTS (Steri-Oss 임플랜트의 임상 결과에 관한 연구)

  • Min, Young-Kyu;Kweon, Hyeog-Sin;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.2
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    • pp.258-272
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    • 1998
  • This investigation evaluated patients who received Steri-Oss implants from the Dental Hospital of Chosun University during the period from March 1989 to August 1997. 346 fixtures of 127 patients were included in this study. The results were as follows ; 1.The follow-up period was defined as the period between the surgical placement of the implants and the last follow-up examination. The mean follow-up period was $2.17{\pm}1.21$ years. 2.The period between fixture installation and second surgery was $0.71{\pm}0.44$ years in the maxilla and $0.46{\pm}0.21$ years in the mandible. 3.The number of fixtures which were installed in the upper jaw(112) was less than that in the lower jaw(234) and in the posterior region(260) was more than in the anterior region(86). 4.The length of fixture which was most frequently used was 12 mm and least was 8mm. Screw implants were installed more than cylindrical implants. 3.8mm implant was the most common implans, followed by 4.5mm and 3.25mm. 5.The number of augmentation cases was more than that of non-augmentation cases and the rate of augmentation cases in the maxilla was more than that in the mandible. 6.Implant restorations for partial edentulos patients(94cases) were more than single- tooth implant restorations(33cases) or implant restorations for complete edentulos patients(10cases). 7.Free-standing prostheses for partially edentulous patients were more commom than any other type of connection between implants and natural teeth. 8.Plaque Index($0.95{\pm}0.74$) and Gingival Index($0.31{\pm}0.52$) were very similar around the natural teeth and reflected an acceptable level of plaque and gingivitis control. Mean value for keratinized mucosa index($1.93{\pm}1.20$) remained fairly constant around level 2(1-2 mm keratinized epithelium). 9.Patients were generally satisfied with implant in terms of comfort, function, speech and esthetics. 10.There was not a statistically significant differences in overall survial rate between implants placed in the maxilla (91.5%) and those placed in the mandible (93.8%). Fourteen implants lost before the prosthetic rehabilitation and eleven implants lost following variable periods in function after the prosthetic phase of the treatment. 11.Cause of implant failures was exfoliation or removal of fixture due to non-osseointegration before the prosthetic rehabilitation or due to fracture of fixture, masticatory pain after the prosthetic rehabilitation. 12.The survival rate of Steri-Oss implants using the Kaplan-Meier statistical analysis was 93.8% at 2 year and 86.6% at 5 year, In all cases, implant losses occured predominantly in the healing period. There was a steep decline in the rate of implant loss after the first year. 13.The survival rate of Steri-Oss implants in the anterior region was 94.8% at 2 year and 94.8% at 5 year and that in the posterior region was 92.8% at 2 year and 75.9% at 5 year. In conclusion, this study revealed a number of parameters and guidelines for achieving an optimal success rate in osseointegration.

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Morphological Characteristics of Three Species, Genus Chaenogobius(Gobiidae), from Korea (한국산 꾹저구속(망둑어과) 3종에 대한 형태적 특징)

  • 김영자;전상린
    • Korean Journal of Environmental Biology
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    • v.18 no.4
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    • pp.387-394
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    • 2000
  • The morphological characteristics between male and female of three species, Chaenogobius urotaenia, C. sp. MR, C. sp. BW, collected from June 1996 to Aug. 1999, Korea was studied. Of 13 characters to be studied, 12 characters with exception of caudal fin ray length were significantly different among three species and these three species were distinguished each other by the results of the multiple comparison test (REGWQ test). Interspecific differences in female was distinct in body depth, head length, caudal peduncle length, caudal peduncle depth, snout length, pectoral fin ray length; In particular, C. sp. MR was shorter in upper jaw length, anal fin ray length and eye diameter, and to be smaller in head depth and head width than other two species. Chaenogobius urotaenia was longer in pelvic fin ray length. In case of male, there was not characters to distinguish each one among three species; Chaenogobius urotaenia was longer in head length, eye diameter and pelvic fin ray length than other two species, C. sp. MR to be longer in caudal peduncle length, but shorter in snout length and anal fin ray length, and to be lower in head depth. C. sp. BW was higher in body depth and caudal peduncle depth, and to be longer in upper jaw length and pectoral fin ray length. Both of male and female among three species didn't have any difference in caudal fin ray length. [Chaeogobius urotaenia, C. sp. MR, C. sp. BW, morphological characteristics].

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