• 제목/요약/키워드: lower jaw

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FABRICATION OF SURGICAL SPLINT BY USING OF SURGICAL JAW RELATOR (Surgical Jaw Relator를 이용한 Surgical splint의 제작)

  • Yang, Sang-Duck
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권2호
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    • pp.188-195
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    • 2005
  • After making the surgical treatment plan, the surgical movements are duplicated in the model surgery. During this procedure, reference points and lines are drawn on the base of the models over the dental arch, and sawcuts are made according to these marked osteotomy lines. This method requires more accuracy for better postsurgical results in that the surgical splint which enables the surgeon to position the jaws intraoperatively is made from the casts as repositioned by the model surgery, and finally it will define the postsurgical results. This technique, however, has been found to be inexact, especially when the jaws are moved in several dimensions simultaneously. To overcome this, different methods have been developed for an accurate repositioning of the jaws as planned. A new appliance, Surgical Jaw Relator, was devised by the author for the simple 3-dimensional relocation of the upper and lower models, resulting in the easy construction of the splints such as centric relation splint, intermediate and final splint. This article describes an introduction and a clinical application of this appliance.

Magnetic wireless motion capturing system and its application for jaw tracking system and 3D computer input device

  • Shin Yabukami;Kaoru Arai;Arai, Ken-Ichi;Shinya Tsuji
    • Proceedings of the Korean Magnestics Society Conference
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    • 한국자기학회 2002년도 동계연구발표회 논문개요집
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    • pp.12-12
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    • 2002
  • We present the new jaw tracking system that utilizes five degrees of freedom of head and lower jaw. The proposed method does not disturb the physiology because the system does not need to fix magnetic field sensors or clutch on the patient's body or mouth. The impact of this result goes beyond the conventional optical and magnetic tracking system of jaw movement [1][2]. Position accuracy within 1mm and reasonable cost is necessary for practical use of the jaw tracking system. (omitted)

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The study on dose variation due to exchange of Upper and Lower jaw in the linear accelerator (선형가속기에서 상위조리개와 하위조리개의 교환에 의한 선량 변화의 고찰)

  • Lim CK.;Kim HN.;Song KW.
    • The Journal of Korean Society for Radiation Therapy
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    • 제11권1호
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    • pp.6-10
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    • 1999
  • The field size can be beam output, therefore MonitorUnit can be varied due to field size dependence The purpose of this study is to evaluate and compare the dose variation according to exchange of collimator The measurements were perfomed with Wellhofer dosimetry system(water phantom. ion chamber. electrometer. system controller. build up cap. etc)and two types of linear accerlerator (Mevatron KD, MevatronMX) Scatter can be affected to field size dependence and scatter correction is separated into collimator and phantom components, scatter components can affect by exchanging of collimator Measurements of collimator scatter factor(Sc) was done in air with build up cap. 1)Square field (5cm2 to 40cm2) was measured 2)and then keeping the upper jaw constant at loom and varing lower jaw from 5cm to 40cm, 3)keeping the lower jaw constant at 10cm and varing upper jaw from 5cm to 40cm Measurements of total scatter factor(Scp) was done in water at Dmax as the procedure of collimator scatter factor measurements in water Dmax The total scatter factors were obtained to the following equation(Sp=Scp/Sc) The measured data is normalized to the data of reference field size($10{\times}10$), rectangular field is inverted to equivalent field to compare three field size data As the collimator setting is varied, the output was changed In conclusion, the error was obtained small but it must be eliminated if we intend to reach the common stated goal of $5\%$ overall uncertainty in dose determination

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CHANGES OF DENTAL OCCLUSION AFTER STROKE: CASE REPORT (뇌졸중 이후의 교합관계의 변화 증례)

  • Lee, Sung-Jong;Lee, Eun-Young;Kim, Hye-Jung;Hwang, Ji-Young;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • 제4권1호
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    • pp.26-31
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    • 2008
  • Cerebrovascular Accident(stroke) is that a sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. If stroke happens at the portion of trigeminal motor nucleus or its control part of cerebral cortex, masticatory muscles will be atrophy or paralyzed. So it is possible that dental occlusion changes after stroke. A 74-aged woman recurred mild stroke 2 month ago, who had experienced severe stroke 2 years ago. After recurrence, suddenly her upper full denture was dropped when lower denture contacted upper one. According to the her occlusion exam, her lower jaw moved back slightly compared with the occlusion of old denture. And her face had asymmetry and lower jaw dislocated to paralyzed side. A 50-aged man was treated because many cervical caries, which would occur because of an aftereffect of stroke, long-herm hospitalization and limits of self oral-care. 6 years ago he had cerebral hemorrhage and he claimed that he cannot bite exactly. Just two pairs of teeth was contact on biting, his lower jaw was located back, too. This two case suggests that dental occlusion can change after stroke.

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A Statistical Study on the Tooth Mortality and Replacement of Korean (한국인(韓國人)의 치아상실(齒牙喪失)과 회복(回復)에 관(關)한 통계학적(統計學的) 고찰(考察))

  • Kim, Myong-Dong
    • The Journal of Korean Academy of Prosthodontics
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    • 제8권1호
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    • pp.9-14
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    • 1968
  • A total of 11,039 permanent missing teeth and their 2,696 prosthetic replaced teeth in 6,123 Korean patients were selected for this study, Analyzing the data according to age, sex, jaw and the location, following results were obtained. 1. Tooth mortality and replacement were higher in female than in male. 2. Replaced teeth were only 24 percent of missing teeth. 3. More teeth were extracted and replaced on lower jaw in young patients and on upper jaw in old patients. 4. There are no significant difference in right and left sides of both jaws in missing and replaced teeth, respectively. 5. First molar was the highest percentage in both mortality and replacement. 6. Upper tooth mortality and replacement were higher in anterior portion and lower in posterior portion.

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A Study on the Name of Ho-Su(胡神) (胡神의 名稱)

  • 김진구
    • The Research Journal of the Costume Culture
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    • 제7권2호
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    • pp.225-229
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    • 1999
  • The purpose of this study was to trace and to identify the origin and meanings of the word ho-su(胡神) that is found in historical documents of Chosun dynasty period. Historical documents, books, and other written materials from Korea and China were used for this research. The word ho-su(胡神) of Korea was originated in Chinese. At the first, ho-su(胡神) was a name of a kind of sleeves. It is long and wide round sleeves with narrow wrist parts. The character ho(胡) means a jaw, lower part of a jaw, a jaw hung down, hing down and lower part. Thus, the word ho-su(胡神) is a compound word made with character ho(胡) and character su(神) sleeve. The direct meaning of ho-su(胡神) in characteristic shape of the sleeves. The second meaning of the ho-su(胡神) is the name of a dress with long and wide round sleeves with narrow wrists. The name of the ho-su as a name of a dress was taken from the name of the ho-su(胡神), a kind of sleeves.

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A COMPARATIVE STUDY ON THE POSTSURGICAL CHANGES BETWEEN ONE JAW SURGERY AND TWO-JAW SURGERY IN SKELETAL CLASS III PATIENTS (골격성 III급 부정교합자의 편악수술과 양악수술시 술후동태에 대한 비교연구)

  • Choi, Yang Sook;Son, Won-Sung
    • The korean journal of orthodontics
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    • 제27권2호
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    • pp.297-313
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    • 1997
  • The purposes of this study were to compare the soft tissue changes following hard tissue change after surgery between the one jaw and two-jaw surgery in skeletal class III patients and to get the reference of the incisal inclination at presurgical orthodontics. For this study 24 patients for the two-jaw surgery group and 18 patients for one jaw surgery group were selected. Lateral cephalograms were taken at pretreatment, after presurgical orthodontic treatment, immediately after surgical treatment and at least 6 months after surgery. They were traced and analyzed on skeletodental structure and soft tissue. The results were as follows: 1. After surgery, maxilla, maxillary incisors and upper lip were moved anteriorly and superiorly in two-jaw surgery group. Mandible and mandibular incisors were moved posteriorly and superiorly, and thickness of lower lip was increased in both group but there were no statistically significant difference. Anterior facial height was more decreased in two-jaw surgery group (p<0.05). At least 6 months after surgery, by the postorthodontic treatment, maxillary incisors were moved labially 1.44mm, mandible and mandiibular incisors were moved lingually 1.43mrn, 1.26mm respectively in one jaw surgery group. But there was no statistically significant changes of hard tissue in two :jaw surgery group. 2. The correlation coefficients of maxillary hard and soft tissue horizontal changes were high in two jaw surgery group and the ratios for soft tissue to A point were 19% at Sri, 80% at SLS, 82% at LS. The ratios for soft tissue to B point were 92% at LI, 104% at ILS in one jaw surgery group, 89% at LI, 101% at ILS in two-jaw surgery group. 3. The correlation coefficients and change ratios of mandibular incisors and LL HS on lower lip horizontal changes were 0 0.89 and 75%, 85% in one jaw surgery group, 0.93, 0.90 and 76%, 87% in two-jaw surgery group. The correlation coefficients of maxillary incisors and Sn, SLS and LS on upper lip horizontal changes were 072, 0.76 and 0.75 in two jaw surgery group and ratios of changes were 57%, 58% and 59%. 4. The regression equations between skeletal horizontal discrepancy and incisal inclinaton were taken in one jaw surgery group. Those were FMIA=57.48-2.17ANB, U1-SN=-75.02+2.17SNB and $R^2$ were 0.63, 063 respectively. So if there is skeletal horizontal discrepancy by mandibular prognathism in one jaw surgery case, we consider attaining more labial inclination of maxillary incisors than normal and more lingual inclination of mandibular incisors than normal. But correlation coefficient of the regression equations in two jaw surgery group was low, so, that equation was not reliable.

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Assessment of the increased calcification of the jaw bone with CT-Scan after dental implant placement

  • Yunus, Barunawaty
    • Imaging Science in Dentistry
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    • 제41권2호
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    • pp.59-62
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    • 2011
  • Purpose : This study was performed to evaluate the changes of jaw bone density around the dental implant after placement using computed tomography scan (CT-Scan). Materials and Methods : This retrospective study consisted of 30 patients who had lost 1 posterior tooth in maxilla or mandible and installed dental implant. The patients took CT-Scan before and after implant placement. Hounsfield Unit (HU) was measured around the implants and evaluated the difference of HU before and after implant installation. Results : The mean HU of jaw bone was 542.436 HU and 764.9 HU before and after implant placement, respectively (p<0.05). The means HUs for male were 632.3 HU and 932.2 HU and those for female 478.2 HU and 645.5 HU before and after implant placement, respectively (p<0.05). Also, the jaw bone with lower density needed longer period for implant procedure and the increased change of HU of jaw bone was less in the cases which needed longer period for osseointegration. Conclusion : CT-Scan could be used to assess the change of bone density around dental implants. Bone density around dental implant was increased after placement. The increased rate of bone density could be determined by the quality of jaw bone before implant placement.

Two-jaw surgery by use of Surgical Jaw Relator (Surgical Jaw Relator를 이용한 양악 수술 치험례)

  • Yang, Sang-Duck
    • The korean journal of orthodontics
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    • 제35권3호
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    • pp.238-249
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    • 2005
  • The contemporary two-jaw surgical approach usually involves a Le Fort osteotomy of the maxilla and a ramal osteotomy of the mandible with 3-dimensional repositioning of the jaws as well as the occlusal planes. After making the surgical treatment plan. the surgical movements are duplicated in the model surgery. During this procedure, reference poings and lines are drawn on the base of the models over the dental arch and sawcuts are mads according to these marked osteotomy lines. This technique, however, has been found to be inexact. especially when the laws are moved in several dimensions simultaneously. To overcome this. different methods have been developed for an accurate repositioning of the jaws as planned. A new appliance. Surgical Jaw Relater, has been devised by th8 author for the simple 3-dimensional relocation of the upper and lower models, resulting in the easy construction of the splints such as centric relation splint, intermediate and final splint. This article describes an introduction and a clinical application of this appliance. Through the application of this system to the orthognathic cases including two-law surgery. it is proved that the row device is very clinically useful.

The 3-Dimensional Finite Element Analysis of Minimum Implant Structure for Edentulous Jaw (무치악에 대한 최소 임플란트의 구조물의 3차원 유한요소 해석)

  • Jang, In-Sik
    • Journal of the Korean Society for Precision Engineering
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    • 제25권2호
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    • pp.148-155
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    • 2008
  • The aim of the study is to interpret the distribution of occlusal force by 3-dimensional finite element analysis of ISP(Implant Supported Prosthesis) supported by minimum number of implant to restore the edentulous patients. For this study, the Astra Tech implant system is used. Geometric modeling for 6 and 4 fixture ISP group is performed with respect to the bone, implant and one piece superstructure, respectively. Implants are arbitrarily placed according to the anatomical limit of lower jaw and for the favorable distribution of occlusal force, which is applied at the end of cantilever extension of ISP with 30mm. Element type is tetrahedral for finite element model and the typical mechanical properties, Young's modulus and Poisson's ratio of each material, cortical, cancellous bone and implant material are utilized for the finite element analysis. From this study, we can see the distribution of equivalent stress equal to real situation and speculate the difference in the stress distribution in the whole model and at each implant fixture, From the analysis, the area of maximum stress is distributed on distal contact area between bone and fixture in the crestal bone. The maximum stress is 53MPa at the 0.2mm area from the bone-implant interface in the maximum side for 300N load condition for 4 fixture case, which is slightly less than the stress calculated from allowable strain. This stress has not been deduced to directly cause the loss of crestal bone around implant fixture, but the stress can be much reduced as the old peoples may have lower chewing force. Thus, clinical trial may be performed with this treatment protocol to use 4 fixtured ISP for old patients.