• Journal of the Korea Society of Computer and Information
• /
• v.23 no.3
• /
• pp.17-23
• /
• 2018

In this paper, we propose the automatic detection method which find the middle part of tooth crown to start individual tooth segmentation. There have been many studies on the automation of individual tooth segmentation, but there are still many problems for full automation. Detection of middle part of tooth crown used as initial information for individual tooth segmentation is closely related to performance, but most studies are based on the assumption that they are already known or they can be represented by using a straight line. In this study, we have found that the jawbone curve is similar to the tooth alignment curve by spatially analyzing the CT image, and propose a method to automatically detect the middle part of tooth crown. The proposed method successfully uses the jawbone curves to successfully create a tooth alignment curve that is difficult to detect. As the middle part of tooth crown is in the form of a tooth alignment curve, the proposed method detects the middle part of tooth crown successfully. It has also been verified by experiments that the proposed method works well on real dental CT images.

• Restorative Dentistry and Endodontics
• /
• v.41 no.3
• /
• pp.210-217
• /
• 2016

Exposing sound structure of a subgingivally fractured tooth using orthodontic extrusion is considered to be a conservative way to re-establish biologic width without sacrificing esthetics or jeopardizing periodontal support of neighboring teeth. When a misaligned tooth is traumatically involved, a more comprehensive approach combining tooth extrusion and re-alignment may be necessary for a successful restorative outcome. This case report describes a successful esthetic management of a patient with complicated crown-root fracture on the maxillary right central incisor and pre-existing malocclusion in the maxillary anterior region. Forced eruption along with re-alignment of teeth by orthodontic movement seems to allow re-positioning of the fracture line to a favorable position and correction of crowding, providing a better esthetic result.

• The Journal of the Korean dental association
• /
• v.56 no.9
• /
• pp.512-520
• /
• 2018

As the demand for natural and beautiful smiles increases, the demand for anterior aesthetic treatment is increasing. Orthodontic treatment is often necessary for esthetic, healthy and natural treatment outcome. Particularly, in the case of middle-aged patients, minor tooth movement limited to anterior teeth is more effective than comprehensive orthodontic treatment which requires a long-term treatment period. Clinician who is in charge of aesthetic dentistry should have the ability to select a case that can be treated with partial orthodontic treatment and to determine the most effective treatment method. This article provides decision flowchart for case selection and choosing the best treatment modality for anterior teeth alignment.

• The korean journal of orthodontics
• /
• v.46 no.2
• /
• pp.87-95
• /
• 2016

Objective: We evaluated the effects of tooth displacement on frictional force when conventional ligating lingual brackets (CL-LBs), CL-LBs with a narrow bracket width, and self-ligating lingual brackets (SL-LBs) were used with initial leveling and alignment wires. Methods: CL-LBs (7th Generation), CL-LBs with a narrow bracket width (STb), and SL-LBs (In-Ovation L) were tested under three tooth displacement conditions: no displacement (control); a 2-mm palatal displacement (PD) of the maxillary right lateral incisor (MXLI); and a 2-mm gingival displacement (GD) of the maxillary right canine (MXC) (nine groups, n = 7 per group). A stereolithographic typodont system and artificial saliva were used. Static and kinetic frictional forces (SFF and KFF, respectively) were measured while drawing a 0.013-inch copper-nickel-titanium archwire through brackets at 0.5 mm/min for 5 minutes at $36.5^{\circ}C$. Results: The In-Ovation L exhibited lower SFF under control conditions and lower KFF under all displacement conditions than the 7th Generation and STb (all p < 0.001). No significant difference in SFF existed between the In-Ovation L and STb for a 2-mm GD of the MXC and 2-mm PD of the MXLI. A 2-mm GD of the MXC produced higher SFF and KFF than a 2-mm PD of the MXLI in all brackets (all p < 0.001). Conclusions: CL-LBs with narrow bracket widths exhibited higher KFF than SL-LBs under tooth displacement conditions. CL-LBs and ligation methods should be developed to produce SFF and KFF as low as those in SL-LBs during the initial and leveling stage.

• The Journal of the Korean dental association
• /
• v.54 no.7
• /
• pp.551-562
• /
• 2016

There are interferences between the teeth to be moved and the clear aligner made from setup. These interferences generate forces which move teeth to the desired position. However, these can cause incomplete tooth capture of clear aligner. When these interferences exceed the acceptable deformation of aligner, unwanted intrusion of teeth to be moved occurs. When correction of rotation or tipping of teeth is attempted, intrusion prevails before rotation or tipping. However, clear aligner can induce labiolingual tipping or intrusion easily. To achieve preliminary alignment including control of rotation and tipping, NiTi archwires with fixed appliance can be used first, and then clear aligner can be used for finishing in mild Class I maloccusion cases. For this purpose, clear aligner can be made using a digital setup and 3D printing. To move teeth using a clear aligner, tooth capture is critical. To improve tooth capture of clear aligners, slingshot or vertical elastics can be used. These were discussed with illustrations.

• Journal of Periodontal and Implant Science
• /
• v.34 no.1
• /
• pp.19-28
• /
• 2004

Tooth is the most important element in esthetic consideration on facial area. Tooth alignment which is in harmony with gingiva, lips, and face is also key element. The purpose of this study was to give a clinical discipline for restoration of gingival contour, which contains a ratio of maxillary 6 anterior teeth, research for gingival contour etc., in case of rehabilitation of maxillary anterior teeth. 300 Dankook university dental school students ,who is their twenties and free from periodontitis, participate in this study. The result was from each 70 males and females who had normal occlusion and tooth alignment. Length, width and length/width ratio of maxillary 6 anterior teeth were 0.74-0.81 in male, 0.81-0.84 in female. There was significant difference between male and female. The most deepest position of gingiva in maxillary central incisor and canine was located in distal part of teeth and maxillary lateral incisor was middle portion. In maxillary central incisors, gingival line of the most deepest point appeared significant difference between male and female (p<0.01) whereas there was no difference in lateral incisors and canines. Distance between interdental papilla apex and the most deepest portion appeared significant difference between male and female. Distance of the deepest position of gingiva is statistically significant except maxillary central incisors and lateral incisors. Standard deviation and mean of the width of labio-lingual were measured in cervical area and there was a significant difference both male and female.(p<0.01) From this result, we could get the mean of maxillary anterior gingival line and these results have great value in clinical guidance in studying maxillary anterior teeth.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.36 no.4
• /
• pp.173-177
• /
• 2014

The present report describe the surgical therapy, clinical course, orthodontic treatment and morphological characteristics of an adenomatoid odontogenic tumor in the maxilla of an 11-year-old patient. The cystic tumor filled the maxillary sinus and involved a tooth. Marsupialization was accompanied by partial enucleation and applied traction to the affected tooth by a fixed orthodontic appliance. Healing was uneventful and no local recurrence was observed during a 1-year period of follow-up control.

• Journal of the Korea Society of Computer and Information
• /
• v.23 no.4
• /
• pp.57-64
• /
• 2018

In this paper, we propose the automatic detection method for individual region separation using panorama image. Finding areas that contain individual teeth is one of the most important tasks in automating 3D models through individual tooth separation. In the conventional method, the maxillary and mandibular teeth regions are separated using a straight line or a specific CT slide, and the tooth regions are separated using a straight line in the vertical direction. In the conventional method, since the teeth are arranged in a curved shape, there is a problem that each tooth region is incorrectly detected in order to generate an accurate tooth region. This is a major obstacle to automating the creation of individual tooth models. In this study, we propose a method to find the correct tooth curve by using the jawbone curve which is very similar to the tooth curve in order to overcome the problem of finding the area containing the existing tooth. We have proposed a new method to accurately set individual tooth regions using the feature that individual teeth are arranged in a direction similar to the normal direction of the tooth alignment curve. In the proposed method, the maxillary and mandibular teeth can be more precisely separated than the conventional method, and the area including the individual teeth can be accurately set. Experiments using real dental CT images demonstrate the superiority of the proposed method.

• The Journal of the Korean dental association
• /
• v.15 no.2
• /
• pp.107-110
• /
• 1977

Class I malocclusion is essentially a dental dysplasia. Rotations, individual tooth malpositions, missing teeth, tooth size discrepancies, etc., fall under this classification. There are two types of class I malocclusions. One is identified by and insufficient denture base to accommodate the teeth; the other has more denture base than tooth material, creating spaces in the arch. The tooth material-to denture base discrepancies may be slight, calling for only a little increase in arch length for alignment and the correction of minor rotations. Discrepancies may also be great, in which case it becomes necessary to reduce tooth material by extraction, so as to make the tooth material more in proportion to the size of the denture base. The author had attempted orthodontic treatment of a class I malocclusion case of 13-year old boy in which high canines and impacted mandibular second premolars were involved. The author obtained good results.

• The korean journal of orthodontics
• /
• v.43 no.4
• /
• pp.201-206
• /
• 2013

This article describes the orthodontic treatment of a 25-year-old Korean female patient with anterior crowding, including palatally displaced lateral incisors. Her facial profile was satisfactory, but 3.5 mm of maxillary anterior crowding was observed. To correct this crowding, we decided to minimize the use of the conventional fixed orthodontic appliances and employed a less bulky and more aesthetic appliance for applying light continuous force. We determined the final positions of the maxillary teeth via a working model for diagnostic set up and achieved space gaining and alignment with simple Ni-Ti spring and stainless steel round tubes. Tooth alignment was achieved efficiently and aesthetically without the conventional brackets.