• Title/Summary/Keyword: 수복 방법

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Effect of the marginal position of prosthesis on stress distribution of teeth with abfraction lesion using finite element analysis (보철물 변연의 위치가 abfraction된 치아의 응력 분포에 미치는 영향에 대한 유한요소법적 분석)

  • Kim, Myeong-Hyeon;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.202-210
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    • 2014
  • Purpose: The aim of this study was to evaluate the stress concentration and distribution whether restoring the cavity or not while restoring with metal ceramic crown on tooth with abfraction lesion using finite element analysis. Materials and methods: Maxillary first premolar was selected and made a total of 10 finite element model. Model 1 was natural tooth; Model 2 was tooth with metal ceramic crown restoration which margin was positioned above 2 mm from CEJ; Model 3 was tooth with metal ceramic crown restoration which margin was positioned on CEJ; Model 4 was natural tooth which has abfraction lesion; Model 5 and 6 had abfraction lesion and the other condition was same as model 2 and 3, respectively; Model 7 was natural tooth which had abfraction lesion restored with composite resin; Model 8 and 9 was tooth with metal ceramic crown after restoring on abfraction lesion with composite resin; Model 10 was restored tooth on abfraction lesion with composite resin and metal ceramic crown restoration which margin is positioned on lower border of abfraction lesion. Load A and Load B was also designed. Von Mises value was evaluated on each point. Results: Under load A or load B, on tooth with abfraction lesion, stress was concentrated on the apex of lesion. Under load A or load B, on tooth that abfraction lesion was restored with composite resin, the stress value was reduced on the apex. Conclusion: In case of abfraction lesion was restored with composite resin, the stress was concentrated on the apical border of restored cavity regardless of marginal position. It was favorable to place crown margin on the enamel for restoring with metal ceramic crown.

Maxillary anterior implant restoration with appropriate anterior guidance using T-Scan in a patient with full fixed prostheses (전악 고정성 보철 수복 환자에서 T-Scan 분석을 이용해 전-측방유도를 부여한 상악 임플란트 보철 수복)

  • Nam, Rae-Kyeong;Pang, Eun-Kyoung;Cho, Young-Eun;Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.419-426
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    • 2017
  • In implant restorations, it is difficult for the patient to percept any symptoms. In addition, they are absent of shock absorbers, which can lead to mechanical failure if stress distribution is not considered. Since maxillary anterior multiple-implant restorations play a significant role in guiding the functional movement of the mandible by distributing lateral force, it is crucial to form appropriate occlusion. The use of the T-scan system is more advantageous in assessing 'dynamic occlusion', such as the change of occlusion over time, the amount of tooth contact during functional movement, and assessing the occlusion in the less-visible posterior teeth. The case is reported as it has satisfactory results in harmonious anterior guidance of a maxillary anterior multiple-implant restoration using T-scan analysis.

Application of dental implant for orthodontic anchorage (보철 수복용 임플란트의 교정치료를 위한 고정원의 활용)

  • Kang, Hyo-Jin;Park, Eun-Jin;Kim, Sun-Jong;Pang, Eun-Kyoung
    • The Journal of the Korean dental association
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    • v.54 no.6
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    • pp.404-413
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    • 2016
  • Currently, dental implants have become predictable and reliable adjuncts for oral rehabilitation. Osseointegrated implants can be used to provide rigid orthodontic anchorage and have advantages compared conventional orthodontic anchorage especially when there were edentulous areas and implants were scheduled as a treatment plan. Orthodontic force doesn't cause the bone loss of osseointegrated implants. Implant materials, surgical protocols and healing time before loading follow the conventional treatment protocol. Because the implants, once installed, can't change the location, meticulous treatment planning should be preceded. Further investigations are needed to standardize the treatment protocol.

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Immediate restorations in a fully edentulous patient utilizing digital system: A case report (완전 무치악 환자에서 디지털 시스템을 이용한 임플란트 즉시 보철수복 증례)

  • Fang, Jeong-Whan;Jeong, Seung-Mi;Kang, Se-Ha;Hwang, Chan-Hyeon;Kim, Dae-Hwan;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.157-166
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    • 2015
  • This article describes how to use CBCT and an intraoral scanner in a fully edentulous case that enables the clinician to place implants with flapless guided surgery and to engage prefabricated, customized implant abutments at the time of implant surgery, with only 1 clinical consultation before implant surgery. The patient's existing denture is used to simulate the teeth, the soft tissue and the vertical dimension of occlusion, and jaw relationship in the fully edentulous jaw. It provides clinicians with a fast workflow and improves clinical efficiency.

SURGICAL EXTRUSION OF THE CROWN-ROOT FRACTURED INCISORS: CASE REPORTS (외과적 정출술을 이용한 치관-치근 파절된 미성숙 영구치의 치험례)

  • Lee, Eun-Mi;Kim, Tae-Wan;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Sun-Hyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.305-312
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    • 2008
  • Crown-root fractures occur throughout both crown and root, and are defined as fractures involving enamel, dentin and cementum. The fractures may be grouped according to pulpal involvement into complicated and uncomplicated one. Crown-root fractures often occur on maxillary anterior teeth and comprise 5% of injuries affecting the permanent dentition and 2% in the primary dentition. To restore crown-root fractured tooth, biologic width must be maintained. For maintaining biologic width, such methods as gingivectomy following osteoplasty or orthodontic extrusion or surgical extrusion are available. Surgical extrusion is a method that extracts the tooth and replants the fractured tooth supragingivally. It is indicated when the length of the crown fragment is less than half the length of the clinical root. In these cases, root canal treatment and crown restoration using light-cured composite resin were performed after surgical extrusion. In following periodic examinations, favorable outcome was observed.

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Effect of lining application techniques on microleakage in class II composite restorations (다양한 방식으로 적용한 이장재가 2급와동 복합레진 수복의 미세누출에 미치는 영향)

  • Hwang, Byung-Moon;Kim, Joo-Hyung;Park, Ji-Man;Millstein, Philip;Park, Eun-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.145-151
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    • 2014
  • Purpose: The purpose of this study was to investigate the microleakage in class II cavity resin restorations used with resin-modified glass ionomer (RMGI) lining material depending on two different applying methods; classical delivery method using a dental explorer and a specially designed rotating bur. Materials and Methods: A total thirty-six extracted teeth were prepared with a class II proximal box, and randomly divided into three groups: 1) control group with no lining added and the proximal box restored (Group I), 2) the second group used RMGI as a lining material which was spread with an explorer (Group II), 3) the third group used a specially designed rotating bur to thin out RMGI (Group III). All teeth were restored with the same manner using incrementally placed resin composite. All 36 teeth were prepared and sectioned for the dye penetration test, and observed with a stereomicroscope for scoring the dye penetration. Results: When RMGI liners were used, both groups using an explorer and the special bur with the liner had significantly less microleakage than the control group with no liner (P < 0.05). The 50% of the group with RMGI liner using the bur showed no microleakage under a dye penetration test whereas all the teeth in control group showed microleakage of different degrees. However, there was no statistically significant difference between Group II and Group III. Conclusion: RMGI is an effective lining material to decrease microleakage in class II composite resin restorations regardless of applying methods.

Arthroscopic ACL Reconstruction - Current Concepts -

  • Lee, Byeong-Il
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.93-101
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    • 2005
  • 일반적으로 전방 십자인대 손상의 치료만큼 관심과 논쟁의 대상이 되는 분야도 드문 것으로 알려져 있다. 치료 방법으로는 과거에는 보존적 요법이나 일차 수복술, 관절외 재건술 등이 시행되었으나, 근래에는 관절경하에 재건술이 가장 보편화되고 선호되는 방법으로 발전되어 왔다. 현재까지 400개 이상의 전방십자인대 재건술의 방법이 문헌상 발표되고 있으나 아직까지도 이상적인 방법은 없는 것으로 알려져 있다. 재건술의 성공을 위하여 환자의 선택, 수술시기, 수술방법 재건술의 기본원칙에 대한 이해 등이 중요한 요인으로 인정되며, 이에 대한 문헌고찰과 최근경향 등에 대하여 논하고자 한다.

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THE EFFECT OF DIFFERENT CURING MODES ON COMPOSITE RESIN/DENTIN BOND STRENGTH IN CLASS ICAVITIES (1급 와동에서 상아질과 복합레진의 결합강도에 대한 중합방법의 효과)

  • Baek, Shin-Young;Cho, Young-Gon;Song, Byeong-Choon
    • Restorative Dentistry and Endodontics
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    • v.33 no.5
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    • pp.428-434
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    • 2008
  • The purpose of this study was to compare the microtensile bond strength in Class I cavities associated with different light curing modes of same light energy density. Occlusal enamel was removed to expose a flat dentin surface and twenty box-shaped Class I cavities were prepared in dentin. Single Bond (3M Dental product) was applied and Z 250 was inserted using bulk technique. The composite was light-cured using one of four techniques, pulse delay (PD group), soft-start (SS group), pulse cure (PC group) and standard continuous cure (CC group). The light-curing unit capable of adjusting time and intensity (VIP, Bisco Dental product) was selected and the light energy density for all curing modes was fixed at $16J/cm^2$. After storage for 24 hours, specimens were sectioned into beams with a rectangular cross-sectional area of approximately $1mm^2$ Microtensile bond strength $({\mu}TBS)$ test was per- formed using a univel·sal testing machine (EZ Test, Shimadzu Co.). The results were analyzed using oneway ANOVA and Tukey's test at significance level 0.05. The ${\mu}TBS$ of PD group and SS group was higher than that of PC group and CC group. Within the limitations of this in vitro study, modification of curing modes such as pulse delay and soft start polymerization can improve resin/dentin bond strength in Class I cavities by controlling polymerization velocity of composite resin.

Clinical performance of esthetic ceramic partial-coverage restorations with supra-gingival margin using minimally invasive tooth preparation method according to the concept of adhesive dentistry (접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 심미적인 치은 연상 변연 도재 부분피개관 수복 증례)

  • Hong, Myung-Sik;Choi, Yu-Sung;Lee, Jong-Hyuk;Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.319-332
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    • 2021
  • With the rapid development of aesthetic ceramic materials and resin adhesives, the transition from metal ceramic crown to all-ceramic restoration is being actively carried out. When making porcelain restorations, the advantages can be maximized only when appropriate forms and techniques are used. Recently, an esthetic partial-coverage restoration method with supra-gingival margins was introduced by applying a minimally invasive tooth removal method that preserves enamel as much as possible and enhances adhesion efficiency. Through this, various advantages such as minimization of tooth structure removal and ease of excess cement removal can be obtained. In addition, since this manufacturing method does not require cord packing, it is possible to save time for impression taking and reduce patient discomfort. Furthermore, the margins can be clearly obtained without the intervention of gingival fluid or blood, making it possible to manufacture more accurate restorations. In the following cases of patients with partial tooth defects, esthetic ceramic partial-coverage restorations with supra-gingival margin was applied using minimally invasive tooth preparation method according to the concept of adhesive dentistry. Therefore, unnecessary tooth abutment preparation was prevented and residual tooth structure could be preserved as much as possible. After delivery of the ceramic partial-coverage restorations, favorable outcome was obtained.

Immediate implantation for single mandibular first molar restoration: clinical case report (하악 제1대구치 단일 수복을 위한 발치 즉시 임플란트의 임상증례)

  • Park, Cheol-Woo
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.4-12
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    • 2021
  • Immediate implantation is widely applied as it is recognized as a useful implant treatment in dental clinic due to its various advantages as well as being able to shorten the treatment period. Immediate implant treatment was performed on 5 patients who needed extraction of the mandibular first molar for various reasons, shortening the overall treatment period, and obtaining satisfactory results. Immediate implantation after extraction is a high-level treatment that requires proper initial fixation at the exact location of the extraction socket and the surrounding soft tissues, but is considered to be a clinically very useful prosthetic restoration method