Superimposed Rubber Pattern법에 의한 성인 정상 및 비정상 교합자의 교합 양상에 관한 연구

최대균,이성복,권영혁,최부병,Choi, Dae-Gyun,Lee, Sung-Bok,Kwon, Young-Hyuk,Choi, Boo-Byung 대한치과보철학회 1995 대한치과보철학회지 Vol.33 No.3

In order to analyze the occlusin of intercuspation with maximun bite force, fifteen healthy adult subjects with the ages 23 to 27 were studied(Group1 ; 5-normal occlusion with Angle's Class1, Group2 ; 5-Angle's Class2 malocclusion, Group3 ; 5-Angle’s Class3 malocclusion). Head Position was fixed with occlusal plane paralleling to horizontal line and occlusal registration r cord was made with polyether rubber impression material(Ramitec, ESPECo. West Germany). After all subject were trained for maximum intercuspation at least 5 times, occlusal registration procedure was repeated for this study. Lower posterior rubber occlusal registration records were sliced with 1mm thickness using precision metal sliding channel(Hitachi Ind. Co., Japan). Gross sectional drawings were traced from occluding view of upper and lower posterior teeth on the rubber slices using digitizer, and superimposed for the determination of each drawing distance(Superimposed Rubber Pattern Method). Based on superimposed rubber pattern drawings, total area of occlusal view, sum of each area of the 5 divided occlusal contact provinces and its ratio, total area and number of occlusal contact area were determined to elucidate occlusal stability in the normal and abnormal occlusion groups. The data were analysed by t-test(p=0.05) to determine statistical significance. The obtained results were as follows : 1. Group1 showed the largest standard area with occlusal view of the lower posterior teeth and Group3 showed the smallest area. There was a significant difference between Group2 and Group3(p=0.025), and Gropu1 was not statistically different for both Group2 and Group3. 2. Means and ratio of the under 2.0mm area(D) and ratio showed $197.49mm^2$, 59.76% in Group1, $188,69mm^2$, 56.10% in Group2, and $174.23mm^2$, 55.76% in Group3. The results that Group1 has the most area/ratio and Group3 has the least area/ratio can be considered Group1 is the most advantageous for masticatory effective area, and Group3 is the least adnantageous. 3. Means and ratio of the under 1.0mm area(C) were $198.96mm^2$, 42.65% in Group1, 123.06$mm^2$, 46.58% in Group2, and $92.24mm^2$, 29.52% in Group3. These data means that Group1 is the most advantageous in terms of masticatory effective area and Group3 is the least. 4. Means and ratio of the under 0.5mm area(B) were $86.68mm^2$, 26.68% in Group1, $62.98mm^2$, 18.71% in Group2, and $36.44mm^2$, 11.66% in Group3. These can also be considered Group1 is the most advantageous for masticatory effective area and occlusal stability. 5. Means and ratio of the under 0.05mm area(A) were $30.92mm^2$, 9.21% in Group1, $14.31mm^2$, 4.25% in Group2, and $7.59mm^2$, 2.43% in Group3. The area ratio of the each subject group was(4.1) : (1.9) : (1)and the data of the under 0.05mm area has the intimate relationship with inter-group and intra-group data/ratio. 6. First molar showed the most occlusal contact points in all subject group and Group1 showed somewhat uniformly distributed occlusal contact point except first premolar. In Group2, all contact point in posterior teeth showed significantly reduced distribution except first molar. Group3 showed evenly distributed contace points in first and second molars.

상악 전치부 결손이 발음에 미치는 영향에 관한 연구

노창섭,최대균,우이형,최부병,Roh Chang-Sup,Choi Dae-Gyun,Woo Yi-Hyung,Choi Boo-Byung 대한치과보철학회 1992 대한치과보철학회지 Vol.30 No.3

This study was performed to investigate the phonetic alterations with upper anterior teeth were missing. To compare the changes of the phonations, before and after insertion of the temporary prosthesis, six subjects who lost their upper anterior teeth were selected (2-male, 4-female). Tested sounds (/ga(가), na(나), da(다), ra(라), sa(사), ja(자), cha(차), ta(타), pa(파), ha(하), gi(기), ni(니), di(디), ri(리), si(시), jl(지), chi(치), ti(티), pi(피), hi(히), seu(스), se(세), so(소), su(수)/were programmed into an IBM AT with and without temporary prosthesis. These experiments were analyzed by formants, consonants durations, and energy level changes with an LSI speech work station program. During the pronunciation of the tested sounds (with and without temporary prosthesis), mandibular movements were recorded to a Mandibular Kinesiogram and analyzed . The findings led to the following conclusions: 1. Objective differences could not be found. However, in every informant, subjective improvement could be noticed. 2. There were no persistant correlations of the formant's changes. And in every informant, phonetic changes were variable. 3. There were various changes of the consonant durations in every informant. By and large, those of /si(시), jl(지), chi(치), Pi(피), hi(히)/ were longer than other tested sounds. After insertion of the prosthesis, durations were shorter. Consonants with /i(ㅣ)/ were longer than with /a(ㅏ)/, with or without prosthesis. 4. With and without temporary prosthesis, mandibular movements were various in the frontal view. Mandibular movements showed lateral deviations, and mandibular positions with /si(시), ji(지), ti(티), seu(스), hi(히)/ were nearer to the mandibular rest position. 5. The kinds of temporary prosthesis and conditions of the missing teeth influenced every informant variously, so there were no correlation between informants. 6. Energy levels increased in all tested sounds with a fixed temporary prosthesis. And, there were no differences between before and after insertion of a removable temporary prosthesis. However, sibilant sounds, and consonants with /i(ㅣ)/ showed a little increased energy level.

인산(燐酸) ESTER계(系) 접착성(接着性) 시멘트의 치수반응(齒髓反應)에 관(關)한 실험적(實驗的) 연구(硏究)

이혜영,최대균,최부병,박남수,Lee, Hye-Young,Choi, Dae-Gyun,Choi, Boo-Byung,Park, Nam-Soo 대한치과보철학회 1986 대한치과보철학회지 Vol.24 No.1

It is considered that etching solution or material itself of phosphoric ester cement will induce not a little pulpal irritation, if applied directly onto unsealed dentinal tubules. This study was designed to confirm above consideration by comparing two different conditions between $Ca(OH)_2$-based and non-$Ca(OH)_2$-based group. Posterior teeth of 15 male dogs were selected for this experiment. One experimental group was filled with cement after $Ca(OH)_2$-basing and enamel-etching, the other experimental group after enamel etching without $Ca(OH)_2$-basing. And both of two experimental groups were observed at 2 hours, 15 hours, 3 days, 1 week, 2 weeks, 4 weeks, and 6 weeks after filling. The findings reached to the following conclusions histologically. 1. In both groups, the damaged odontoblasts were atrophied and eventually disappeared. 2. In non-based group at early stage, odontoblasts were severely atrophied and defective areas were appeared between odontoblast cell layers. However, in based group, the odontoblasts were arranged slight irregularly. 3. In non-based group, a small number of undifferentiated cells below the odontoblast cell layers started to appear at 1 week after filling. However, in based group, the undifferentiated cells were appeared at 15 hours after filling. 4. In non-based group, formation of reparative dentin was not begun until late stage of experiment. However, in based group, formation of reparative dentin matrix was begun at 2 weeks after filling and very thickened reparative dentin was formed at 6 weeks after filling. 5. In odontoblast cell layers of both groups, dilated capillaries were observed. 6. Argyrophilic fibers were reticularly condensed in zone of Weil, and they were connected to the pulp tissue and dentin.

이중관으로 연결된 자연치와 임플랜트의 악골 내응력분포에 관한 3차원 유한요소분석

이수옥,최대균,권긍록,우이형,Lee, Su-Ok,Choi, Dae-Gyun,Kwon, Kung-Rock,Woo, Yi-Hyung 대한치과보철학회 2008 대한치과보철학회지 Vol.46 No.4

서론: 임플랜트와 자연치가 혼재하는 증례에 있어서 보철물의 연결여부와 그 결과에 대해 논쟁이 많이 있어왔다. 본 연구에서는 임플랜트와 자연치를 이중관으로 연결했을 경우에 치조골 내에서 임플랜트 주변 조직의 하중에 대한 응력의 양상을 분석하여 자연 치와 임플랜트를 연결하는 보철물의 방식으로 이중관의 사용가능성을 비교 분석하고자 하였다. 연구재료 및 방법: 실험군으로서는 한 개의 자연치아와 한 개의 임플랜트를 이중관으로 연결한 모델을 사용하고, 대조군으로 두 개의 임플랜트를 이중관으로 연결한 모델을 사용하여 응력분포의 차이를 비교분석하였다. 임플랜트와 자연치 각각 통상적인 금합금을 사용하여 내,외관을 모델링한 후 각각의 외관을 연결한 구조를 형성한다. 내관과 외관은 $6^{\circ}$의 경사도 (taper)로 형성하고 내외관 사이의 공간을 인정하여, 하중을 가했을 경우 내외관 사이에 합금의 마찰력과 변위를 계산하여, 그 결과가 골내 임플랜트의 응력 분포에 영향을 줄 수 있도록 실험모델을 형성하였다. 하중은 일반적인 저작력의 크기로 임플랜트 부위와 자연치 부위에 각각 부여하여 응력의 차이를 비교하였으며, 최종적으로 대조군과의 차이를 비교하고자 하였다. 하중 조건은 임플랜트와 자연치아 사이, 임플랜트 후방, 전방부 자연치아의 사이에 하중을 가하였으며, Load case 1, 2, 3로 분류하였다. 실험을 위해서 ANSYS Version 8.1을 사용하여 3차원 유한 요소 분석을 시행하였다. 연구성적: 지대주에 가해지는 응력 - 최대 응력은 실험군이 대조군에 비해 각각 2.4 (Load Case1), 1.02 (Load Case2), 0.46 (Load Case3)배 높게 나타났으며,Load Case3의 경우 대조군의 최대응력이 더욱 높게 나타났는데, 이것은 전치부 치아의 경우 하중을 효과적으로 분산하기 때문인 것으로 보인다. 악골내에 가해지는 응력 - 악골내에서 최대 응력은 실험군이 대조군에 비해 각각 1.69 (Load Case1), 1.26 (Load Case2), 1.93 (Load Case3) 배 크게 나타났다 결론: 임플랜트와 자연치아가 혼재된 경우, 이중관으로 상부 보철물을 연결한 경우, 임플랜트만으로 구성된 대조군에 비해, 임플랜트 및 임플랜트 식립 부위의 악골에 가해지는 최대 응력은 1.02 에서 2.4배 가량 높게 나타났다. 자연치아의 움직임이 임플랜트의 경부 및 악골 내에 응력을 집중시킨 것으로 보이며, 자연치아가 있는 악골부위에서는 응력이 거의 발생하지 않았다. 본 실험의 경우 자연치아와 임플랜트에서 모든 하중을 받는 것으로 계산하였고, 실제 가철성 의치에서 나타나는 점막의 영향을 배제하였기 때문에, 실제 임상에서는 후방 임플랜트에 미치는 최대 응력의 크기는 2.4배 이하일 것으로 추정할 수 있다. 앞으로, 실제 임상에 적용하였을 경우, 임플랜트에 미치는 영향 및 자연치아에 미치는 결과에 대한 연구가 필요할 것이다. Purpoose: For decades dental implants have been used widely in the field of prosthetic dentistry. However there is confusion when establishing treatment plans in cases where some teeth are remained but an insufficient number of implants can be used due to limited anatomical status and ecomomical problems. Many clinicians have tried to connect natural teeth and implants, and it still has controversy. But, there have been few studies on mechanical analysis of connecting natural teeth and implants with konus telescopic removable partial dentures. The purpose of this study was to analyze the stress distribution of prosthesis, abutment and alveolar bone when teeth and implants were connected with the konus telescopic denture, by means of 3-dimensional finite element analysis. Material and methods: The assumption of this study was that there were 2 mandibular canine (11 mm in length, 4 mm in diameter) and 2 implants(10 mm in length, 4 mm in diameter) which are located in the second premolar region. The mandible, teeth, implants, abutments, and connectors are modeled, and analyzed with the commercial software, ANSYS Version 8.1(Swanson, Inc., USA). The control group used implants instead of natural teeth. 21038 elements, 23544 nodes were used in experimental group and 107595 elements, 21963 nodes were used in control group, Stress distribution was evaluated under 150 N vertical load on 3 experimental conditions - between teeth and implants (Load case 1), posterior to implants (Load case 2), between natural teeth (Load case 3). Results: 1. In all load cases, higher von mises stress value was observed in the experimental group. 2. Maximum von miss stress observed in all load cases and all locations were as follows ; a. 929.44 Mpa in the experimental group, 640.044 Mpa in the control group in outer crown and connector - The experimental group showed 1.45 times high value compared with the control group. b. 145,051 Mpa in the experimental group, 142.338 Mpa in the control group in abutment - The experimental group showed 1.02times high value compared with the control group. c. 32.489 Mpa in the experimental group, 25.765 Mpa in the control group in alveolar bone - The experimental group showed 1.26times higher value compared with the control group. 3. All maximum von mises stress was observed in load case 2, and maxim von mises stress in alveolar bone was 32.489 Mpa at which implant failure cannot occur. 4. If maximum von mises stress is compared between two groups, the value of the experimental group is 1.02 times higher than the control group in abutment, 1.26 times higher than the control group in alveolar bone. Conclusion: If natural teeth and implants are connected with the konus telescopic denture, maximum stress will be similar in abutment, 1.26 times higher in alveolar bone than the control group. With this result, there may be possible to make to avoid konus telescopic dentures where natural teeth and implants exist together.

구개상의 두께가 한국어 단모음 발음에 미치는 영향에 관한 연구 -컴퓨터를 이용한 선형 예측 분석과 LOG AREA RATIO 분석-

이정만,최대균,박남수,최부병,Lee, Joung-Man,Choi, Dae-Gyun,Park, Nam-Soo,Choi, Boo-Byung 대한치과보철학회 1988 대한치과보철학회지 Vol.26 No.1

This study was performed to investigate the sound distortion following the alternation of the palatal plate thickness, for this study, 3 subjects who were born in Seoul and spoke Seoul dialect were recruited from K university male student population. First, their sounds of /아(a)/, 어(e)/, 오(o)/, 우(u)/, 으($\.{+}$), 이(i)/,에(e)/ without inserting plate were recorded , and then the sounds with palatal plates of different thickness were recorded, respectively. The palatal plates was constructed to cover the alveolar & palatal surfaces of the maxilla with an approximate thickness of 1.0mm, 2.5mm, and thickness of 2.5mm over the alveolar ridge & 1.0mm elsewhere and, named B, C, D-type, in succession. Series of analysis were administered through Computer (16 bit IBM PC/AT) at analyze the sound distortions. These experiments were analyzed by the LPC, Log Area Ratio. The findings led to the following conclusions: 1. Sound distortions were relatively minute in each condition and informations, however, /이(i)/ was the most distorted vowel in all conditions. 2. By and large, sound distortion was large in C, D-types. However, there was no correlation of the distortion rate on the 3 informants, and all tested vowels. 3. It was similar to LPC, Log Area Ratio distortion rates. 4. It was found that the sound distortion wit]1 plate inserted was verified to the numeric value with LPC and Log Area Ratio method.

정상인(正常人)의 저작운동시(咀嚼運動時) 교근(咬筋)과 측두근(側頭筋)의 근활성도(筋活性度)에 관(關)한 연구(硏究)

백영걸,최대균,박남수,최부병,Paik, Young-Geol,Choi, Dae-Gyun,Park, Nam-Soo,Choi, Boo-Byung 대한치과보철학회 1987 대한치과보철학회지 Vol.25 No.1

The purpose of this study was to standardize and classify the coordination pattern among the left and right masseter and anterior temporal muscles, in terms of integrated EMG values per stroke during gum chewing in normal subjects. In this study, 20 normal subjects were selected to chew a piece of gum and integrated EMG from middle portion of the masseter and anterior temporal muscles on both sides were recorded 20 times during each of the right and left chewing respectively. And the Bioelectric Processor Model EM2 (Myo-tronies Research, Inc., U.S.A.) with the surface electrodes was used to record the EMG activity during all experimental procedures. The results were as follows; 1. In all subjects, the chewing side masseter muscle was predominantly active among the four muscles examined. 2. The integrated EMG value of the middle of masseter muscle was significantly predominant than those of the anterior temporal muscle (p<0.0001) on the chewing side, but no significant predominant was observed on the nonchewing side (p<0.98). 3. In comparison with same muscles on the chewing and nonchewing side, low correlation coefficient was found between the middle of masseter muscles (R=0.317), but high correlation coefficient was found between the anterior temporal muscles (R=0.738). Between two muscles on the same side, there were significant correlation in the chewing (R=0.557) and nonchewing side (R=0.625). 4. In the coordination patterns among four muscles examined, distinct individual differences were found, but in an identical subject one fixed pattern appeared with significant reproducibility.

하악 측방운동시 평형측 과두의 운동 궤적에 관한 컴퓨터 분석

이동현,최대균,박남수,Lee Dong-Hyun,Choi Dae-Gyun,Park Nam-Soo 대한치과보철학회 1993 대한치과보철학회지 Vol.31 No.4

The purpose of this study was to research the condylar path and the anterior angle of glenoid fossae and classify the patterns of condylar path. Thirty male and female dental students with normal occlesion and masticatory system ranging in age from 21 to 30, without present symptoms and an)r history of TM joint disturbance, were selected for this study. Transcranial radiographs of TM joints under mandibular lateral movement were obtained. By the computer analysis on the radiographs, the angle of posterior slope of articular eminance, the sagittal condylar guidance angie, condylar movement patterns and the height of glenoid fossa was measured respectively, and studied their interrelationship comparatively. The results obtained were as follows : 1. The total distance of condylar movement on balancing side during mandibular lateral movement was 4.55mm for Lt. and 4.78mm for Rt. when mandible moved from C.R. to canine to canine relation and 7.86mm for the Lt. and 8.10mm for the Rt. when mandible moved from C.R. to 7.5mm. 2. The horizontal distance of condylar movement on balancing side during mandibular lateral movements was 3.16mm for the Lt. and 3.52mm for the Rt. when mandible moved from C.R. to canine to canine relation and 6.10mm for the Lt. and 6.30mm for the Rt. when mandible moved from C.R. to 7.5mm. 3. The sagittal condylar guidance angle on balancing side during mandibular lateral movements was $45.96^{\circ}$ for the Lt. and $43.22^{\circ}$ for the Rt. when mandible moved from C.R. from canine to canine relation and $41.14^{\circ}$ for the Lt. and $39.77^{\circ}$ for the Rt. when mandible moved from C.R. to 7.5mm. 4. The height of glenoid fossa was 8.23mm for the Lt. and 7.80mm for the Rt. and the angle of posterior slope of articular eminence was $38.30^{\circ}$ for the Lt. and $38.79^{\circ}$ for the Rt. by method-A and $55.61^{\circ}$ for the Lt. and $55.64^{\circ}$ for the Rt. by method-B. 5. The sequence of the frequency of condylar movement patterns on balancing side during mandibular lateral movement were concave type(30 cases), convex type(16 cases), reverse S shape curve(9 cases) and S shape curve(5 cases) when mandible moved from C.R. to canine to canine relation and concave type(27 cases), 5 shape curve(13 cases), convex type(11 cases) and reverse S shape curve(9 cases) when mandible moved from C.R. to 7.5mm.

악관절의 자기공명영상과 시상단층 방사선촬영상에 관한 비교연구

이성복,최대균,최부병,Lee, Sung-Bok,Choi, Dae-Gyun,Choi, Boo-Byung 대한치과보철학회 1993 대한치과보철학회지 Vol.31 No.2

For understanding of anatomy, physiology, and diseases of human TMJ, it is required to evaluate quantitatively the movement of the disc and condyle head of mandible. The histologic section of cadaver TMJ were examined, and the magnification of the MR image and its details of anatomy were evaluated. And then a quantitative analytic method, by comparing the Sectograph and the MR image of vital human TMJ, was proposed. For this study, 15 subjects(Male, 24~35years) were selected from a prosthodontic examination randomly, and each subject’s five interocclusal rubber registration records were made on the ICP, and 5, 10, 15, and 20mmjaw opening positions. All subjects were radiographed with a Denar Quint Sectograph Image System(Denar Corp., USA), and imaged with a MRP-20EX MR Image System(0.2T, Permanent Magnet Type, Hitachi Medical Corp., Japan) using an 100mm diameter bilateral type surface coil. These images were traced on the acetate tracing paper, and analyzed In this study, the findings led to the following conclusions. 1. In comparison of the histologic section of autopsy specimen with the MR image at the same section, the size(dimension) of MR image was 70% of the real one. It was possible to recognize the shape of articular disc, anterior and posterior attachments, and adjacent soft tissues, because of the excellent reproducibility of anatomical structure. 2. When we compared the amount of joint space on MR image with that of joint space on sectograph, the amount of joint space on sectograph was significantly greater than that of joint space on MR image, except at the top of condylar head. 3. The position of minimum joint space on sectograph at intercuspal position didn't coincide with the middle position of articular disc on MR image, and was approximately in the anterior third of posterior band of articular disc. 4. The amount of condylar movement on MR image at opening movement was greater than that of articular disc movement. From Intercuspal position to 5mm jaw-opening movement, the condylar movement showed hinge one, and over the range 5mm jaw-opening it suggested hinge & translatory one. 5. In terms of area variation of articular disc measured on MR image in sagittal plane, the area of posterior band increased with increasing the amount of Jaw opening, but the area of anterior band decreased conversely.

하악 임플랜트 유지형 피개의치의 안정성과 하악골 응력분포에 대한 3차원 유한요소법적 연구

홍해룡,최대균,백진,권긍록,Hong, Hae-Ryong,Choi, Dae-Gyun,Bak, Jin,Kwon, Kung-Rock 대한치과보철학회 2007 대한치과보철학회지 Vol.45 No.5

Statement of problem: Recently there are on an increasing trend of using implants-especially in edentulous mandible of severly alveolar bone recessed. Purpose: The aim of this study was to analyze the displacement and stress distribution of various mandibular implant-retained overdenture models supported by two implants in interforaminal region under the occlusion scheme load. Material and method: FEA models were made by the 3D scanning of the edentulous mandibular dentiform. The three models were named as Model M1, M2, and M3 accord ing to the position of implants: M1, Lt. incisor area, M2, Canine area, and M3, 1st Premolar area. Inter-implant angulation model was named as M4. Conventional complete denture was named M5 and used as a control group. Ball implant and Gold matrice were used as a retentive anchors. The occlusion type loads were applied horizontally over each tooth. Results: 1. In mandibular implant retained overdenture Canine Protected Occlusion type load resulted in higher levels of stress to the implants and female matrices than other types of loads. 2. The overdenture model M1, with implants in lateral incisor areas resulted in lower stress concentration to the implants and female matrices than other models. 3. In mandibular implant retained overdenture the stresses of the implant and female matrice were lower in mesially inclined implant than these of parallel installed implant. Conclusion: Lateral incisor areas could be the best site for the implants in mandibular implant-retained overdenture. The mandibular implant retained overdenture models mentioned above showed to the lowest stress to the implants and female matrices.

3-Dimensional scan을 이용한 치아 마모량 측정 방법에 관한 연구

김승준,최대균,권긍록,이석형,Kim Seung-June,Choi Dae-Gyun,Kwon Kung-Rock,Lee Seok-Hyung 대한치과보철학회 2004 대한치과보철학회지 Vol.42 No.1

Statement of problem : Tooth wear is physiological phenomenon. Ninety-seven percent of normal people have tooth wear and about 7% has pathologic teeth wear. If we know the amount of tooth surface loss caused by pathologic tooth wear, we may restore it ideally Purpose : Recently measurement of tooth wear by using 3D scan has been increasing. Therefore, we need to know how accurate 3D scan is. Past accuracy test on 3D scan was about linear change, but as we know that tooth wear is volume change. Thus, the purpose of this study is to know how accurate 3D scan is. Material and Methods : For accuracy test of 3D scanner volume values measured by 3D scanner and micro-balance were compared. For test I, preliminary, 3 ball samples and 3 circular cones were made with pattern resin. For test II, 10 teeth shape rubber samples were used. Results and Conclusion : 1. The result of the accuracy test on 3D scan with 3 ball samples and 3 circular cones made of pattern resin has no significant difference(p<0.05). 2. The result of the accuracy test on 3D scan with 10 samples of tooth shape rubber has no significant difference (p<0.05). As a result, we may concluded the analysis of quantifying tooth wear used by 3D scan is useful in the clinic.