• Title/Summary/Keyword: 수복 술식

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CLINICAL EVALUATION OF AMALGAM BONDING : TWO YEARS FOLLOW-UP (접착형 아말감의 2년 후 임상적 평가)

  • Ryu, Phil-Jun;Hahn, Se-Hyun;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.530-534
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    • 2001
  • Many dental practitioners are bonding amalgam to tooth structure. The potential advantage of this procedure, suggested by in vitro test results, are reduced microleakage, which could lead to a reduced incidence of postoperative sensitivity ; increased strength of the prepared tooth ; and retention of restoration in less retentive preparations, with the potential fer conserving tooth structure. Although in vitro studies support this procedure, its efficacy has not been adequately confirmed in the clinical environment. The authors placed traditional Class I and Class II, bonded and unbonded amalgam restorations in 76 teeth. Fuji I Glass Ionomer luting cement was the bonding agent selected. Marginal adaptation were evaluated after two years. the authors found no significant difference in marginal adaptation between bonded and unbonded restorations.

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Naturalization of Implant Prostheses (자연감 있는 임플란트 보철물)

  • Kim, Dae-Hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.96-103
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    • 1999
  • Restoration of missing oral tissues by using implant therapy is one of viable options in prosthodontic treatment. The purpose of oral rehabilitation are function, esthetics and phonetics. Recently, with the increasing esthetic demand of the patient, dentists and laboratory technicians are more concern ed about natural appearance of implant prostheses. There are so many factors which affect final esthetic results of treatment such a shape, color, proportion, gingival contour etc. To provide natural and vivid looking artificial prostheses to a patient, the careful diagnosis, treatment plan and laboratory Support is crucial. Several cases will be reviewed and discussed in terms of material, gingival shape, contour, speech and connection mode etc. to fabricate natural looking implant prostheses.

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The use of granulation tissue for the esthetic implant restoration for missing tooth due to alveolar bone loss (치조골 소실로 발치하게 된 치아의 심미적인 임플란트 수복을 위한 granulation tissue의 활용)

  • Lee, Chang Kyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.33-39
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    • 2021
  • When maxillary anterior tooth is extracted due to alveolar bone loss, the augmentation of alveolar ridge is very important for esthetic implant restoration. Because alveolar bone loss increases after extraction, the ridge preservation performed right after tooth extraction is meaningful for esthetic implant restoration. However, no achievement of primary closure during ridge preservation can negatively affect bone regeneration. To overcome this problem, we can use granulation tissue in the extraction socket for primary closure. This case report confirmed that primary closure using granulation tissue resulted in not only ridge preservation but also ridge augmentation by providing an environment more advantageous of bone regeneration than the open wound.

INFLUENCE OF POST TYPES AND SIZES ON FRACTURE RESISTANCE IN THE IMMATURE TOOTH MODEL (미성숙 치아 모델에서 포스트의 종류와 크기가 치아의 파절 저항성에 미치는 영향에 관한 연구)

  • Kim, Jong-Hyun;Park, Sung-Ho;Park, Jeong-Won;Jung, Il-Young
    • Restorative Dentistry and Endodontics
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    • v.35 no.4
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    • pp.257-266
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    • 2010
  • The purpose of this study was to determine the effect of post types and sizes on fracture resistance in immature tooth model with various restorative techniques. Bovine incisors were sectioned 8 mm above and 12 mm below the cementoenamel junction to simulate immature tooth model. To compare various post-and-core restorations, canals were restored with gutta-percha and resin core, or reinforced dentin wall with dual-cured resin composite, followed by placement of D.T. LIGHT-POST, ParaPost XT, and various sizes of EverStick Post individually. All of specimens were stored in the distilled water for 72 hours and underwent 6,000 thermal cycles. After simulation of periodontal ligament structure with polyether impression material, compressive load was applied at 45 degrees to the long axis of the specimen until fracture was occurred. Experimental groups reinforced with post and composite resin were shown significantly higher fracture strength than gutta-percha group without post placement (p < 0.05). Most specimens fractured limited to cervical third of roots. Post types did not influence on fracture resistance and fracture level significantly when cement space was filled with dual-cured resin composite. In addition, no statistically significant differences were seen between customized and standardized glass fiber posts, which cement spaces were filled with resin cement or composite resin individually. Therefore, root reinforcement procedures as above in immature teeth improved fracture resistance regardless of post types and sizes.

Review of a Laminate Veneer Technique using a Castable Apatite Ceramic Material (Castable Apatite Ceramics Laminate Veneers 술식에 대한 고찰)

  • Yang, Jae-Ho
    • The Journal of the Korean dental association
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    • v.25 no.11 s.222
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    • pp.1019-1028
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    • 1987
  • 결손된 치질과 변색된 법랑질을 수복하기 위해 많은 재료와 술식이 개발되어왔다. 즉 silicate cement, PMMA resin, BISGMA composite resin, glass ionomer cement, porcelain등이 이용되어 왔으나 이것들은 biocompatible하지 않아 이상적인 재료는 아니다. 따라서 인간의 결손된 enamel을 수복할 수 있는 새로운 생역학적인 재료가 필요하게 되었다. 필자는 최근 관심의 대상이 되고 있는 porcelain laminate veneer system(층상 도재 전장관)에 관하여 문헌을 중심으로 고찰해 보고자 한다(국내에서는 장완식 교수께서 1987년 6월10일 보철학교실 세미나에서 video tape를 통해 소개한바 있음). 여기서는 Hobo, Iwata(1985)등이 소개한 castable apatite ceramic material을 이용한 laminate veneer술식에 관해 기술하고 내화성 모형(refractory cast)을 이용한 laminate술식과 비교 기술하고자 한다.

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Easy, Efficient Class II composite resin restoration technique (쉽고 효율적인 클래스 II 복합레진수복테크닉)

  • Lee, Changhoon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.2
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    • pp.66-74
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    • 2018
  • Composite resin restoration on class II cavities is a challenging procedure since it is tough to replicate proper contact, the natural shape of the tooth, etc. Moreover, it is not familiar with the procedure and tools for this specific situation, neither. Nowadays the patients, however, request more and more composite restorations which are relatively quick and more esthetic. In this case report, the class II composite resin restoration procedure is illustrated step by step. Every step must be considered its final consequence thoroughly. In this approach, we can minimize the finishing procedure and save our effort and time.

DEVELOPMENT OF ANTICARIOGENIC COMPOSITE RESIN (항우식성 복합레진의 가능성)

  • Park, Jeong-Won
    • Restorative Dentistry and Endodontics
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    • v.35 no.2
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    • pp.65-68
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    • 2010
  • Due to the improvement of the composite resin and esthetic desire of the patient, amalgam restoration has been replaced by composite resin. However, still there are many unsolved problems, for example, technique sensitivity, polymerization shrinkage stress and limited mechanical properties. These factors results in fracture of the restoration and secondary caries of the tooth. Also the use of the dental bonding system should be used for the retention of the restoration. In this paper, I want to talk about the present and the future of the remineralizing component released from dental composite resin to overcome the secondary caries and there possibility in the clinical use.

Evaluation of marginal and internal gap under model-free monolithic zirconia restoration fabricated by digital intraoral scanner (디지털 구강스캐너로 모형 없이 제작한 전부지르코니아 수복물의 변연 및 내면 적합도 평가)

  • Lee, Jong-Won;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.210-217
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    • 2016
  • Purpose: The aim of this study was to evaluate the marginal and internal adaptation of monolithic zirconia restoration made without physical model by digital intraoral scanner. Materials and methods: A prospective clinical trial was performed on 11 restorations as a pilot study. The monolithic zirconia restorations were fabricated after digital intraoral impression taking by intraoral scanner (TRIOS, 3shape, Copenhagen, Denmark), computer-aided designing, and milling manufacturing process. Completed zirconia crowns were tried in the patients' mouth and a replica technique was used to acquire the crown-abutment replica. The absolute marginal discrepancy, marginal gap, and internal gap of axial, line angle, and occlusal part were measured after sectioning the replica in the mesiodistal and buccolingual direction. Statistical analysis was performed using Kruskal-Wallis and Mann-Whitney U test (${\alpha}=.05$). Results: From the adaptation analysis by replica, the statistically significant difference was not found between mesiodistal and buccolingual sections (P>.05), but there was significant difference among the measurement location (P<.01). The amount of absolute marginal discrepancy was larger than those of marginal gap and internal gap (P<.01). Conclusion: Within the limitations of this study, the adaptation accuracy of model-free monolithic zirconia restoration fabricated by intraoral scanner exhibited clinically acceptable result. However, the margin of zirconia crown showed tendency of overcontour and cautious clinical application and follow up is necessary.

Digital intraoral impression for immediate provisional restoration of maxillary single implant: A case report (구강 내 디지털 인상채득을 통한 상악 전치부 임플란트 즉시 임시 보철 수복 증례)

  • Chang, Yun-Jeong;Kim, Hong-Jun;Song, Mi-Kyoung;Moon, Ji-Eun;Lee, Hal-La;Park, Chan-Ik
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.234-243
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    • 2015
  • Developing of digital technique, it is possible to fabricate implant prostheses for edentulous area using intraoral 3-dimentional information throughout implant diagnosis and treatment process. It is being changed that from the method using CAD/CAM, producing prostheses by model scanning after conventional impression and model processing, to the method of fabricating implant provisional restorations and customized abutments by digital impression after connecting digital impression copings (scanbody) and implant fixtures without models. But, this digital method has not been actively used for implant prostheses not yet. Specially, it is short of intraoral digital impression cases for immediate provisional restorations of the maxillary anterior implants. The gingival contour impression of maxillary anterior area is very important for esthetic restorations. Accordingly, in this case report, the using a digital impression coping (scanbody) and digital impression by CEREC Omnicam (Sirona, Bensheim, Germany) or Trios (3shape, Copenhagen, Denmark) were introduced for immediate provisional restorations in 3 cases needed a single implant restoration in maxillary anterior area. The clinical results were satisfactory on the convenience and accuracy of digital impression technique and the good esthetics of final restorations.

INFLUENCE OF REBONDING PROCEDURES ON MICROLEAKAGE OF COMPOSITE RESIN RESTORATIONS (복합레진 수복 시 재접착 술식이 미세누출에 미치는 영향)

  • Lee, Mi-Ae;Seo, Duck-Kyu;Son, Ho-Hyun;Cho, Byeong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.35 no.3
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    • pp.164-172
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    • 2010
  • During a composite resin restoration, an anticipating contraction gap is usually tried to seal with low-viscosity resin after successive polishing, etching, rinsing and drying steps, which as a whole is called rebonding procedure. However, the gap might already have been filled with water or debris before applying the sealing resin. We hypothesized that microleakage would decrease if the rebonding agent was applied before the polishing step, i.e., immediately after curing composite resin. On the buccal and lingual surfaces of 35 extracted human molar teeth, class V cavities were prepared with the occlusal margin in enamel and the gingival margin in dentin. They were restored with a hybrid composite resin Z250 (3M ESPE, USA) using an adhesive AdperTM Single Bond 2 (3M ESPE). As rebonding agents, BisCover LV (Bisco, USA), ScotchBond Multi-Purpose adhesive (3M ESPE) and an experimental adhesive were applied on the restoration margins before polishing step or after successive polishing and etching steps. The infiltration depth of 2% methylene blue into the margin was measured using an optical stereomicroscope. The correlation between viscosity of rebonding agents and mciroleakage was also evaluated. There were no statistically significant differences in the microleakage within the rebonding procedures, within the rebonding agents, and within the margins. However, when the restorations were not rebonded, the microleakage at gingival margin was significantly higher than those groups rebonded with 3 agents (p < 0.05). The difference was not observed at the occlusal margin. No significant correlation was found between viscosity of rebonding agents and microleakage, except very weak correlation in case of rebonding after polishing and etching at gingival margin.