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Closed Mouth Impression technique에 관한 연구
장완식,Chang, Wan-Shik 대한치과보철학회 1975 대한치과보철학회지 Vol.13 No.1
The author conducted an clinical study of closed mouth impression technique with a case of complete denture patient of favorable ridge contour to see the effect on the lingual border molding of lower denture. As a result, the shape of the border was formulated a quite different contour from the open mouth impression technique. The obtained contour had to be reshaped considerably. It was found that functional harmony with the surrounding tissue was difficult to be maintained. However, the contour is surely stable and favorable form for the retention of the lower denture provided patient is possible to adapt.
교합외상(咬合外傷)이 치주조직(齒周組織)에 미치는 영향(影響)에 관(關)한 실험적(實驗的) 연구(硏究)
장완식,Chang, Wan-Shik 대한치과보철학회 1978 대한치과보철학회지 Vol.16 No.1
The author attempted to observe the histological changes of the periodontal structures induced by trauma from occlusion. Eighteen healthy rabbits were devided into two groups; control and experimental group. Three rabbits were kept as control group, while metal crowns were seated on unilateral lower molar teeth of fifteen rabbits were kept as experimental group. And the interocc1usal distance of the incisal edge was kept 1.5mm from begining to the end of the experimental period. Rabbits of each group consisting with three rabbits were killed at the intervals of three days, one week, two weeks, four weeks, eight weeks. The antagonistic teeth of maxilla including periodontal teeth were excised and decalcified for histologic preparation. The results obtained were as follows. 1. Destructions and ulcer formation of the sulcular epithelium and gingival epithelium occurred and persisted from the beginning of the experiment to the four weeks after experiment. The epithelal attachment were proliferated apically. 2. The pressure site were observed at the apical protion, where they showed compression of the periodontal ligament, thrombosis and congestion of blood vessels and hemorrhages. 3. At the pressure site, there appeared osteoclasts and bone resorption from the first week of experiment and it became more prominent at the second week with the extend into the marrow spaces adjacent to the periodontal membrane. 4. The phenomenon of bone apposition and resorption occurred at the fourth week of experiment. The reverse line of bone trabecular were more prominent. And the reactions were ceased at the eighth week of experiment.