• Title/Summary/Keyword: 보철

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Overdenture with magnetic attachments for a patient with Parkinson's disease: a case report (파킨슨병 환자의 자성 피개의치 수복 증례)

  • Ma, Bo-Young;Min, Byung-Kwee;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Chan;Shin, Jin-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.301-306
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    • 2016
  • It is very hard for edentulous patients to satisfy retention and stability with their complete denture. Especially, for patients with systemic diseases such as Parkinson's disease causing involuntary and limited movements, fabricating complete dentures may be challenging to both dentists and patients due to functional limitations. To overcome this problem, overdentures can be used through conserving retained roots. In this case, a 45-year-old male patient had to extract numerous teeth due to dental caries, and at the time of visit he was taking drugs for diabetes and Parkinson's disease for a period of long time. A complete denture was applied to maxilla, and for mandible, an overdenture on two preserved retained roots was applied where its retention and stability were obtained by magnetic attachments. This case reports that overdenture with retained roots improved overall functional limitations.

A 3 year prospective study of survival rate of narrow diameter implants (좁은 직경 임플란트 3년간의 생존율에 관한 후향적 연구)

  • Lee, Sung-Jo;Jung, Sae-Young;Shin, Hyun-Seung;Park, Jung-Chul;Song, Young-Gyun;Cho, In-Woo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.1
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    • pp.32-38
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    • 2018
  • Purpose: The purpose of present study was to retrospectively analyze the survival rate of narrow diameter implant less than 3.6 mm by initial stability and radiographic measurements. Materials and Methods: In total, 24 patients who received 38 narrow diameter implants (${\leq}3.6mm$ in diameter, ${\geq}7mm$ in length) were enrolled in this retrospective study. The cumulative survival rate was calculated and various factors were investigated according to the implant platform diameter, body diameter, length, position, concomitant use of guided bone regeneration in implant placement and final prosthesis type. Initial stability was investigated with implant stability quotient (ISQ) value. The mesial and distal marginal bone level (MBL) change was calculated with radiography. Results: The overall survival rate was 92.11%. Mean ISQ value and MBL change of survival implants was 66.26 and $0.14{\pm}0.31mm$, respectively. None of the implants with platform diameters larger than the body diameter failed. Conclusion: In conclusion, the findings of present study suggest that narrow diameter implant could be predictable treatment in narrow alveolar ridge.

Research on the Performance of Total Heat Exchanger in a Solar Air-Conditioning System (태양열 이용 냉난방 공조시스템 중 전열교환기 성능에 관한 연구)

  • Kim, K.H.;Choi, K.H.;Kum, J.S.;Kim, B.C.;Kim, J.R.
    • Solar Energy
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    • v.19 no.4
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    • pp.45-53
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    • 1999
  • This report Introduces a total heat exchanger in a solar air-conditioning system using Lithium Chloride(LiCl) solution. The hot and humid outside air is cooled and dehumidified by LiCl solution that is sprayed on the packed layer of the total heat exchanger. LiCl solution once diluted is concentrated again in a regenerator using solar energy. Three types as the packed materials were used in this experiment and the dehumidification performance was evaluated by the value of $k_xa(kg/h{\cdot}m^3{\cdot}{\Delta}x)$, overall mass transfer coefficient based on a humidity ratio potential difference, the influence of inlet LiCl solution flow rate, air flow rate, packed layer height on $k_xa$ was investigated. It was found that air flow rate, LiCl solution flow rate, packed layer height for all types had a great influnce on the value of $k_xa$.

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Infection control of dental implant hand drivers using ethanol solution (에탄올을 이용한 치과 임플란트 핸드 드라이버의 감염 관리에 대한 연구)

  • Yu, Song-Yi;Lee, Jin-Han
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.3
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    • pp.158-167
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    • 2020
  • Purpose: The purpose of this study was to study the effects of the utilization of ethanol solution in infection control of dental implant hand drivers, a common practice in dental prosthodontic clinics. Materials and Methods: Infection control methods were divided into two groups. One swabbed with 83% ethanol gauze and the other immersed in 83% ethanol solution for 30, 60, 90, 120, 150, 180 and 300 second intervals after inoculation of the dental implant hand drivers with Staphylococcus aureus. After measuring the number of colony forming units and analyzing the optical density, the effects of infection control in the experimental group were compared with the positive control group without infection control after inoculation with bacteria and the negative control group without inoculation with bacteria after sterilization. Results: The number of colony forming units and optical density analysis showed a statistically significant difference compared to the positive control. On the other hand, there was no statistically significant difference between the negative control and the group immersed in the 83% ethanol solution for more than 150 seconds. Conclusion: It is recommended to use the ethanol solution as a pre-cleaning process before sterilization, since the intermediate-level disinfection method using ethanol solution alone for the infection control of the dental implant hand driver cannot clinically secure the sterility.

Calcium Mitigation in the Bovine Pericardial Tissue in the Rat Subcutaneous Implantation model - $MgCl_2$ Effect (백서 피하에 이식된 우심낭편의 석회화 방지에 관한 연구 -$MgCl_2$ 효과-)

  • 안재호
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.451-455
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    • 1998
  • Bovine pericardial bioprosthesis treated with glutaraldehyde is one of the most popular prosthetic materials, but late calcific degeneration must be solved. According to the alleged hypothesis of this calcification mechanism the free aldehyde groups on the surface of the tissue treated with glutaraldehyde bind to the circulating free calcium and induce mineralization. For mitigating the calcific degeneration, I added MgCl2 into the 0.625% glutaraldehyde solution to compete with calcium for binding to free aldehyde from the glutaraldehyde. I prepared 60 pieces of square shaped bovine pericardia and fixed in the 0.625% glutaraldehyde solution as control group(group 1), and the other 60 pieces in the same glutaraldehyde solution with 4g/L MgCl2 6H2O as the other group(group 2). After fixation for 1 month these were implanted into the bellies of 60 Sprague-Dawley rats subdermally and extracted on 1 month, 2 months, 3 months and 6 months later. With atomic absorption spectophotometry I measured the deposited calcium amount with the following results; 1 month and 2 months after implantation I could not find any differences between two groups, but in the 3rd month calcium was 1.738 mg/g in group 1 and 0.786 mg/g in group 2 and in the 6th month calcium had risen to 3.102 mg/g in group 1 and 1.623 mg/g in group 2, which has statistical significance(p<0.05). This means magnesium shows meaningful calcium mitigation effects on subcutaneously implanted bovine pericardium in the rat models.

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Study of endodontic working length of Korean posterior teeth (한국인의 구치부 근관작업장에 관한 연구)

  • Kim, Jeong-Yeob;Lee, Sang-Hoon;Lee, Gwang-Hee;Park, Sang-Hyuk
    • Restorative Dentistry and Endodontics
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    • v.35 no.6
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    • pp.429-435
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    • 2010
  • Objectives: The aim of this study was to investigate average working lengths of Korean posterior teeth and evaluate validity of endodontic file length. Materials and Methods: The endodontic working length of the posterior teeth of 670 Korean patients were measured than each mean value and standard deviation were investigated than the frequency deviation and standard deviation per each length were calculated. Results: Among the canals of premolar, 66.5% of canal length was marked under 20 mm by endodontic working length and 95.4% could be measured under 22 mm and Among the canals of molars, 95.5% of canal length was marked under 20 mm endodontic working length. Conclusions: With the result of measurement of endodontic working length of premolars of Korean, it suggested that 23 mm endodontic file is more proper than the 21 mm and 25 mm file on the market.

Effect of polymerization temperature on the mechanical properties of provisional prosthesis resins (중합 온도가 임시 보철용 수지의 기계적 성질에 미치는 영향)

  • Hong, Min-Ho;Ha, Jung-Yun;Kwon, Tae-Yub
    • Korean Journal of Dental Materials
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    • v.44 no.4
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    • pp.311-318
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    • 2017
  • The purpose of this study was to examine the effects of the curing sequence and polymerization temperature on the flexural strength and microhardness of two provisional resins (Bis-acryl resin composite and polymethyl methacrylate (PMMA)). Polymerization was carried out under various conditions, in air at $25^{\circ}C$ (control) and in hot water (40, 50, 60, 70, and $80^{\circ}C$). The flexural strength test was conducted according to ISO-4049. The Knoop hardness was measured. For the Bis-acryl resin, the temperature up to $50^{\circ}C$ did not increase the flexural strength nor the hardness of the bis-acryl resin composite (p>0.05) but higher temperatures increased the strengths. For the PMMA resin, flexural strength increased with temperatures up to $70^{\circ}C$ and then decreased slightly. Bis-acryl resin composite had higher mechanical properties than the PMMA resin. The effect of heat was more pronounced in the bis-acryl resin composite than in the PMMA resin (p<0.05).

In vitro wear behavior between enamel cusp and three aesthetic restorative materials: Zirconia, porcelain, and composite resin

  • Jang, Yong-Seok;Nguyen, Thuy-Duong Thi;Ko, Young-Han;Lee, Dae-Woo;Baik, Byeong Ju;Lee, Min-Ho;Bae, Tae-Sung
    • The Journal of Advanced Prosthodontics
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    • v.11 no.1
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    • pp.7-15
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    • 2019
  • PURPOSE. The aim of this study was to identify the effects of three aesthetic restorative materials on the wear between tooth and restoration by a pin-on-disk manner. MATERIALS AND METHODS. Six aesthetic restorative materials were used to prepare disk specimens for wear test, which were Lava Zirconia as zirconia group, Vintage MP and Cerabien ZR as veneering porcelain group, Gradia Direct microhybrid composite containing prepolymerized fillers, Filtek Z250 microhybrid composite containing zirconia glass and colloidal silica particles, and Filtek Z350 nanocomposite as composite resin group. Vertical loss of the worn cusp, change of the surface roughness of the restoration materials, and the surface topography were investigated after wear test under 9.8-N contact load. RESULTS. The porcelain groups (Vintage MP and Cerabien ZR) caused the largest vertical loss of teeth when compared with those of the composite resin and zirconia groups, and Filtek Z250 microhybrid composite results in the second-largest vertical loss of teeth. The surface of Filtek Z350 nanocomposite was deeply worn out, but visible wear on the surface of the zirconia and Gradia Direct microhybrid composite was not observed. When the zirconia surface was roughened by sand-blasting, vertical loss of teeth considerably increased when compared with that in the case of fine polished zirconia. CONCLUSION. It was identified that microhybrid composite resin containing a prepolymerized filler and zirconia with reduced surface roughness by polishing were the most desirable restorative materials among the tested materials to prevent the two-body wear between aesthetic restorative material and tooth.

Analysis of the 2-dimensional marginal fit of the occlusal surface and the 3-dimensional accuracy of the inner surface of the occlusal surface according to the inlay prosthesis structure made of composite resin (복합레진으로 제작한 인레이 보철물 구조에 따른 교합면 부위의 2차원 변연 적합도 및 내면 부위의 3차원 정확성 분석)

  • Kim, Dong-Yeon;Lee, Tae-Hee;Park, Dong-In;Park, Jin-Young;Jeong, Il-Do;Lee, Ha-Na;Kim, Ji-Hwan;Kim, Woong-Chul
    • Journal of Technologic Dentistry
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    • v.41 no.1
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    • pp.21-27
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    • 2019
  • Purpose: To evaluate 2D and 3D of occulsal, mesial-occlusal and mesial-occlusal-distal cavity of composite resin inlay. Methods: Abutment tooth 16, 36 of FDI system was selected for the study. Inlay prostheses classified as occlusal cavity (OC group), mesial-occlusal (MOC) and mesial-occlusal-distal cavity (MODC) were prepared using composite resin. Composite resin was injected with composite resin in prepared tooth cavity and then photopolymerized with UV light. Additional thermal polymerization was performed. Marginal gap of composite resin inlays were measured by digital microscope(x160) with silicone replica technique. The data was analyzed from statistical software for Kruskal-Wallis test (${\alpha}=0.05$). 3-dimensional analysis was analyzed through superimposition method. Results: The smallest 2D marginal fit measure of the three groups was $47.0{\pm}21.6{\mu}m$ in the MOC group. The largest 2D marginal was $69.1{\pm}33.8{\mu}m$ in the MODC group. In the trueness of the three groups, the most accurate figure was $14.4{\pm}2.3{\mu}m$ for the MODC group. In Precision, the most accurate figure was $14.5{\pm}4.3{\mu}m$ for the MODC group. Conclusion : In this study, 2D marginal fit of OC, MOC, and MODC cavities fabricated with composite resin was applicable to all clinical applications. In the 3D inner surface accuracy evaluation, the MODC group showed the accuracy results.

Proposal for a gingival shade guide based on in vivo spectrophotometric measurements

  • Polo, Cristina Gomez;Montero, Javier;Casado, Ana Maria Martin
    • The Journal of Advanced Prosthodontics
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    • v.11 no.5
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    • pp.239-246
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    • 2019
  • PURPOSE. The purpose of this study was to propose and assess a shade guide for pink gingival aesthetics using a Spanish population sample. MATERIALS AND METHODS. The $L^*$, $C^*$, h, $a^*$ and $b^*$ coordinates of 259 participants were measured using a spectrophotometer in 3 standardized points along the attached gingiva of the maxillary central incisors. A hierarchical clustering analysis was applied to obtain separate solutions regarding the number of shade tabs. For each of the solutions obtained, color differences (${\Delta}E^*$) were calculated using the CIELab and CIEDE2000 formulas, and the proposed shade guide was selected considering (1) the color differences between tabs and (2) the coverage error of each of the solutions. RESULTS. The proposed shade guide consisted of 8 gingival shade tabs and achieved CIELab and CIEDE2000 coverage errors of less than the respective 50:50% acceptability thresholds (${\Delta}E^*=4.6$ units and ${\Delta}E_{00}=4.1$). The coordinates for the various gingival shade tabs were as follows: Tab 1: $L^*43.3$, $a^*21.9$, $b^*12.3$ (1.6); Tab 2: $L^*42.9$, $a^*34.1$, $b^*19.1$; Tab 3: $L^*46.5$, $a^*25.8$, $b^*10.9$; Tab 4: $L^*46.5$, $a^*27.3$, $b^*15.1$; Tab 5: $L^*49.6$, $a^*23.5$, $b^*16.8$; Tab 6: $L^*51.5$, $a^*19.7$, $b^*13.6$; Tab 7: $L^*55.9$, $a^*22.0$, $b^*15.0$; and Tab 8: $L^*56.0$, $a^*19.9$, $b^*18.8$. CONCLUSION. The CIELab and CIEDE2000 coverage errors for the 8 shade tabs of the proposed gingival shade guide were significantly lower than those of other guides. Therefore, despite the limitations of this study, the proposed guide is more appropriate for matching gingival shade in the Spanish general population.