본문 바로가기
KERD
논문KCI 등재

하악 제1대구치 상실 시 인접 및 대합 치아들의 이동양상에 따른 교합력 변화: 스트레인게이지를 이용한 비교 연구

Changes in occlusal force depending on the movement of the adjacent and opposing teeth after loss of lower first molar: comparative study by using a strain gauge

박지만|전윤식|송명자
대한턱관절교합학회 (Korean academy of stomatognathic function and occlusion)|2016.03|구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)|제32권 제1호|pp. 47-59|DOI http://dx.doi.org/10.14368/jdras.2016.32.1.47

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

교합력strain gaugeocclusal force대구치 상실인접치 경사스트레인게이지loss of lower molartilted adjacent tooth
주제분류치의학

초록

목적: 하악 제1대구치 상실 시 인접 및 대합 치아들의 경사 및 정출 정도에 따른 교합력의 변화를 스트레인게이지를 이용하여 측정 및 비교하는 것이다. 연구 재료 및 방법: 인접 및 대합 치아들의 경사 및 정출이 심화되는 정도를 점진적으로 네 개의 다이에 표현 후, CAD/CAM 제작 맞춤형 다이 시스템을 통하여 주모형에 부착 및 교체 가능하도록 하였다. 치아에 스트레인게이지를 부착 후, 만능물성시험기로 저작력을 가하면서 상하악 치아의 교합력을 측정하였다. 통계처리는 독립표본 t검증과 일원배치 분산분석을 시행하였다(α = .05). 결과: 대구치 상실 후 치아이동에 따른 교합력의 양상은, 네 단계의 모형에 대한 교합력의 차이가 통계적으로 유의하였고, 감소 추세였다. 음식물 저작 시 인접 치아들의 이동에 따라 상악 제1, 2소구치, 하악 제2대구치에서 점차 교합력이 감소되었다. 음식물의 경도가 감소함에 따라 치아의 교합력이 점차적으로 감소하였다. 육포 저작 시 하악 제2대구치의 교합력이 가장 높게 측정되었다(P < 0.05). 결론: 하악 제1대구치가 상실되고 치아 이동이 일어나기 전에는 저작 시 치아가 상실되지 않았을 때에 비해 인접 및 대합 치아들의 교합력이 높은 반면, 치아 이동이 진행됨에 따라 교합력은 정량적으로 감소하였다.

Abstract

Purpose: The aim of this study was to investigate the changes in occlusal force after loss of the lower first molar depending on the inclination and extrusion of the adjacent and opposing teeth by using a strain gauge. Materials and Methods: Anatomic teeth were used to reconstruct the normal dental arch with loss of the lower right first molar. A uniformly thick layer of silicone was applied to the root to mimic the periodontal ligament. Four stages of dies with varying degrees of inclination and extrusion of the adjacent and opposing teeth were constructed and attached to master model interchangeably by using a CAD/CAM fabricated customized die system. The strain gauges were attached to teeth and a universal testing machine was used to determine the changes in occlusal force. An independent t-test and one-way ANOVA were performed (α = .05). Results: While simulating chewing food, the upper first, second premolar and lower second molar showed greater occlusal force than before extraction. When the change of adjacent teeth’s occlusal force with their progressive movement after molar loss was evaluated, the difference among four die models was significant and was in the decreasing aspect (P < 0.05). Conclusion: When the lower first molar was lost and the adjacent teeth did not move yet, the occlusal force in adjacent teeth was higher than that when the lower first molar still existed. In addition, the occlusal force in the upper premolars and lower second molar decreased significantly with the progressive movement of adjacent teeth.

참고문헌 (47)

  1. Yalisove I, "Telescopic prosthesis therapy", pp.104~107 (1977), George F. Strickly Co.
  2. Stern N, "The tilted posterior tooth. Part I: etiology, syndrome, and prevention", J Prosthet Dent, 46, pp.404~407 (1981)
  3. Craddock HL, "Occlusal changes following posterior tooth loss in adults. Part 3. A study of clinical parameters associated with the presence of occlusal interferences following posterior tooth loss", J Prosthodont, 17, pp.25~30 (2008)
  4. Goldman HM, "Periodontal therapy", pp.40~ (1973), The C. V. Mosby Co.
  5. Wehrbein H, "Mesio-marginal findings at tilted molars: a histological-histomorphometric study", Eur J Orthod, 23, pp.663~670 (2001)
  6. Yang HS, "A two-dimensional stress analysis comparing fixed prosthodontic approaches to the tilted molar abutment", Int J Prosthodont, 4, pp.416~424 (1991)
  7. Gibbs CH, "Maximum clenching force of patients with moderate loss of posterior tooth support: a pilot study", J Prosthet Dent, 88, pp.498~502 (2002)
  8. Agerberg G, "Chewing ability in relation to dental and general health: analysis of data obtained from a questionnaire", Acta Odontol Scand, 39, pp.147~153 (1981)
  9. Osterberg T, "Relationship between dental state and dietary intake in 70-year-old males and females in Göteborg, Sweden: a population study", J Oral Rehabil, 9, pp.509~521 (1982)
  10. Manly RS, "Masticatory performance and efficiency", J Dent Res, 29, pp.448~462 (1950)
  11. Devlin H, "Bite force and masseter muscle electromyographic activity during onset of an isometric clench in man", Arch Oral Biol, 30, pp.213~215 (1985)
  12. Fontijn-Tekamp FA, "Swallowing thresholds of mandibular implant-retained overdentures with variable portion sizes", Clin Oral Implants Res, 15, pp.375~380 (2004)
  13. Helkimo E, "Bite force and state of dentition", Acta Odontol Scand, 35, pp.297~303 (1977)
  14. Tsuga K, "Self-assessed masticatory ability in relation to maximal bite force and dental state in 80-year-old subjects", J Oral Rehabil, 25, pp.117~124 (1998)
  15. Hemley S, "Fundamentals of occlusion" (1944), W.B. Saunders
  16. Anderson DJ, "Measurement of stress in mastication. II", J Dent Res, 35, pp.671~673 (1956)
  17. Fløystrand F, "A novel miniature bite force recorder and its clinical application", Acta Odontol Scand, 40, pp.209~214 (1982)
  18. Seo JC, "Study on changes in the maximum bite force after orthognathic surgery", J Korean Assoc Oral Maxillofac Surg, 22, pp.121~129 (1996)
  19. Cho YC, "A study on maximum bite force after dental implantation", J Korean Assoc Oral Maxillofac Surg, 23, pp.541~547 (1997)
  20. Jung BY, "Occlusal force and oral tactile sensibility measured in partially edentulous patients with Brånemark implants and natural teeth: a clinical study", J Korean Acad Prosthodont, 37, pp.23~41 (1999)
  21. 권호근, "dental prescale과 편측 교합력 측정기를 이용한 정상성인의 교합력 비교", 대한치과보철학회지, 44(1), pp.103~111 (2006), 대한치과보철학회
  22. Maness W, "Comparison of the duration of occlusal contacts during habitual closure using the digital occlusal senser", J Dent Res, 65, pp.141~ (1986)
  23. Throckmorton GS, "Calibration of T-scan sensors for recording bite forces in denture patients", J Oral Rehabil, 36, pp.636~643 (2009)
  24. Oyen OJ, "Strain gauge analysis of the frontozygomatic region of the zygomatic complex", J Oral Maxillofac Surg, 54, pp.1092~1095 (1996)
  25. Kim SC, "An analytical study on strain distribution using strain gauge attached on root surface", Korean J Orthod, 31, pp.325~333 (2001)
  26. Duyck J, "Three-dimensional force measurements on oral implants: a methodological study", J Oral Rehabil, 27, pp.744~753 (2000)
  27. Heo W, "Friction properties according to vertical and horizontal tooth displacement and bracket type during inital leveling and alignment", Angle Orthod, 81, pp.653~661 (2011)
  28. 손병섭, "A strain gauge analysis of implant-supported cantilevered fixed prosthesis under distal static load", 대한치과보철학회지, 45(6), pp.717~723 (2007), 대한치과보철학회
  29. Pedersen E, "Tooth displacement analysed on human autopsy material by means of a strain gauge technique", Eur J Orthod, 13, pp.65~74 (1991)
  30. Gunne HS, "The effect of new complete dentures on mastication and dietary intake", Acta Odontol Scand, 43, pp.257~268 (1985)
  31. Yurkstas A, "A functional evaluation of fixed and removable bridgework", J Prosthet Dent, 1, pp.570~577 (1951)
  32. Yurkstas AA, "The effect of missing teeth on masticatory performance and efficiency", J Prosthet Dent, 4, pp.120~123 (1954)
  33. Lambrecht JR, "The influence of occlusal contact area on chewing performance", J Prosthet Dent, 15, pp.444~450 (1965)
  34. Iwase M, "Bite force, occlusal contact area and masticatory efficiency before and after orthognathic surgical correction of mandibular prognathism", Int J Oral Maxillofac Surg, 35, pp.1102~1107 (2006)
  35. 윤혜림, "한국인에서의 부정교합 여부와 골격형태, 연령, 성별에 따른 교합력의 비교", 대한치과교정학회지, 40(5), pp.304~313 (2010), 대한치과교정학회
  36. Korioth TW, "Number and location of occlusal contacts in intercuspal position", J Prosthet Dent, 64, pp.206~210 (1990)
  37. Picton DC, "Tilting movements of teeth during biting", Arch Oral Biol, 7, pp.151~159 (1962)
  38. Southard TE, "The anterior component of occlusal force. Part 1. measurement and distribution", Am J Orthod Dentofacial Orthop, 96, pp.493~500 (1989)
  39. Strange HE, "A three-dimensional consideration of occlusion", Am J Orthod Oral Surg, 26, pp.787~792 (1940)
  40. Begg PR, "Begg orthodontic theory and technique", pp.60~ (1965), W.B. Saunders Co.
  41. Behrend DA, "The mandibular posterior fixed partial denture", J Prosthet Dent, 37, pp.622~638 (1977)
  42. Hood JA, "Modification of stresses in alveolar bone induced by a tilted molar", J Prosthet Dent, 34, pp.415~421 (1975)
  43. Sawicka M, "Uprighting partially impacted permanent second molars", Angle Orthod, 77, pp.148~154 (2007)
  44. Kraal JH, "Periodontal conditions in patients after molar uprighting", J Prosthet Dent, 43, pp.156~162 (1980)
  45. Shiau YY, "Evaluation of biting performance with standardized test foods", J Oral Rehabil, 26, pp.447~452 (1999)
  46. Kohyama K, "Effects of sample hardness on human chewing force: a model study using silicone rubber", Arch Oral Biol, 49, pp.805~816 (2004)
  47. Proffit WR, "Occlusal forces in normal- and long-faced adults", J Dent Res, 62, pp.566~570 (1983)

관련 논문AI추천

교합력 측정방법의 변천사 및 임상 적용정현정대한통합치과학회 · 대한통합치과학회지2017 · 제6권 제1호교합력 측정의 방법과 임상적 적용박지만, 전윤식, 허성주대한치과의사협회 · 대한치과의사협회지2012 · 제50권 제1호교합력에 영향을 미치는 몇 가지 임상적 요소에 대한 고찰박재한대한치과의사협회 · 대한치과의사협회지2022 · 제60권 제12호Strain of implants depending on occlusion types in mandibular implant-supported fixed prostheses곽재영, 김성균, 손병섭, 이수영, 허성주대한치과보철학회 · The Journal of Advanced of Prosthodontics2011 · 제3권 제1호교정용 호선 굵기에 따른 교합력 비교김민석, 임자경대한구강해부학회 · 대한구강해부학회지2021 · 제42권 제1호T-scan III 시스템을 이용한 하악 측방운동 시 교합접촉 양상의 분석이상민대한턱관절교합학회 · 구강회복응용과학지2013 · 제29권 제1호

이 간행물의 다른 논문 (10건)

교합력 측정에 영향을 주는 요인이원섭, 권호범, 임영준, 임치호, 김명주pp. 1-7금속-도재 가공치 하부구조 제작에서 이상적인 형태와 임상에서 사용되는 형태의 차이 분석임수연, 김욱태pp. 8-15Effect of fluoride-containing gel on the roughness of a titanium surface and the promotion of bacterial growth이시영, 이재관, 엄흥식, 장범석, 김선진pp. 16-23미세입자 분사마모 표면처리가 Fiber-Reinforced Composite 포스트의 굴곡강도에 미치는 영향심은주, 조경모, 김진우, 박세희pp. 24-31C-shaped root canal system in mandibular 2nd molars in Korean people evaluated by cone beam computed tomography남욱, 김미연, 김선호, 김정희, 송병철pp. 32-37
원문 보기