• Journal of the Korean Academy of Esthetic Dentistry
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• v.32 no.2
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• pp.36-45
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• 2023

The aesthetic appearance of the incisors is essential for a natural and healthy smile, and it is also an important factor for confidence in interpersonal relationships. If there is crowding or protrusion of the anterior teeth, root canal treatment and excessive tooth removal are often required to resolve it in a short period of time. However, it is difficult to achieve sustainable aesthetic results. In this case, orthodontic treatment will be necessary to preserve the remaining tooth structure as much as possible. Middle-aged and elderly patients are often aware of the need for orthodontic treatment, but they are hesitant to use the traditional orthodontic treatment method using brackets because of the social gaze. In this case, clear aligners can be a good option. So, in this article, a case in which aesthetic needs were resolved with clear aligners alone and another case in which satisfactory results were obtained through restorative treatment following clear aligners application are reported.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.24 no.2
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• pp.134-142
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• 2015

Esthetic dentistry has been developed through the diverse material and technique. Approach and interest in esthetic of anteriors was driven by needs and wants of patients. Alpha and omega of esthetics is determined by patients, as Charles Pincus who is the pioneer of esthetic dentistry described in his article 1967. To meet with wants and needs of patients, dentists suggest possible various treatment options. Cosmetic grinding quoted by Pincus is one of the conservative approaches and provide effective esthetic improvement with minimal invasive concepts. In a high technology era, cosmetic grinding needs to be revisited. Review of some clinical cases shows the value and limitation of it.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.32 no.2
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• pp.69-75
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• 2023

Diastema often does not cause functional problems, but it is not without aesthetic issues. It is considered a serious aesthetic flaw by many patients. Traditional orthodontic and prosthetic treatments have been the mainstream treatment, but there has been an increasing demand for treatment using composite resin. Even though anterior teeth are relatively easy to access and have good visibility, many dentists do not prefer resin-based treatments because they are more complicated and time-consuming than expected. In this article, we will examine four techniques for addressing diastema and discuss their advantages and disadvantages.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.21 no.1
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• pp.23-42
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• 2012

심미 영역에서 발치후 즉시 식립시 가장 기본이 되는 성공의 핵심 요소는, 발치후 발치와 리모델링에 대한 생물학적 이해와 3차원적으로 정확한 임플란트의 식립 위치다. 그에 더해서, 상악 측절치 부위는 중절치나 견치 부위와 다른 해부학적 특성을 갖고 있고 이는 발치후 즉시 식립을 할 때 치료법을 결정하고 좋은 결과를 얻는데 있어 매우 중요한 고려 요소가 된다. 순측 치조골의 함몰 정도, 인접 상악 전치 치근의 수렴 정도, 크라운-치근이 이루는 각도와 치조골 프로파일 이 세가지를 치료 전에 잘 평가하고 치료 전략을 세운다면 심미적으로 우수한 좋은 결과를 얻는데 도움이 될 것이다.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.14 no.2
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• pp.29-38
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• 2005

• Journal of the Korean Academy of Esthetic Dentistry
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• v.12 no.1
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• pp.45-48
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• 2003

• Journal of the Korean Academy of Esthetic Dentistry
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• v.10 no.2
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• pp.37-43
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• 2001

• The Journal of Korean Academy of Prosthodontics
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• v.53 no.3
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• pp.262-275
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• 2015

The treatment of areas demanding esthetic requirements, such as maxillary anterior teeth, should take into account the achievement of a healthy, harmonious to the surrounding tissue, and an attractive smile line. In this case report, smile line, soft tissue and hard tissue morphology, and the anatomy and proportion of the tooth, must be considered. In patients with unesthetic maxillary anterior ratio due to inadequate gingival contour and diastema caused by peg lateralis, it would be challenging to achieve an esthetic restoration by orthodontic treatment alone. In such case, after orthodontic treatment, dento-gingivo-facial compositional diagnosis and analysis, followed by gingivectomy and prosthodontic restoration is needed to improve the interdental mesial/distal, width/length ratio to achieve a satisfactory esthetic result. In addition, when improving the tooth proportion of peg lateralis by prosthodontic treatment, Porcelain laminate veneer (PLV), which results in less tooth structure loss, reproduction of similar shade to that of the proximal tooth and high transparency, is recommended. This case report demonstrates esthetic improvements by prosthodontic restoration through systematic diagnosis and treatment procedure in patients with unesthetic maxillary anterior proportion after orthodontic treatment due to peg lateralis by means of two female patients aged twenty years old.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.21 no.1
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• pp.4-22
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• 2012

치경부에 발생된 병소 부위(cervical lesion)는 "우식성 병소(caries lesion)"와 "비우식성 병소(non-caries lesion)"로 분류할 수 있다. 우식성 병소는 구강 내 세균들의 활동에 기인하여 발생된 병소로서 경조직 손상 부위의 수복과 함께 우식이 재발하지 않도록 체계적으로 대응하는 것이 필요하다. 비우식성 병소는 산성 물질, 저작력 및 이물질에 의한 마모 작용과 같은 다양한 원인에 의해 발생될 수 있으며, 수복 치료에 앞서 병소에 발생 원인을 규명하는 것이 중요하다. 먼저 병소 유발 원인에 대한 분석과 이에 대한 적절한 조치를 취한 후에 수복 치료를 시행하는 것이 바람직하다. 심미적인 요구가 높은 치경부 병소의 수복을 위하여 사용될 수 있는 재료는 "불소를 방출하는 재료"와 "불소를 방출하지 않는 재료"로 나뉘어지는데, 세균의 활동에 의해 형성된 우식성 병소의 수복에는 불소를 방출하는 재료를 사용하는 것이 추천된다. 우수한 심미성과 보다 강력한 유지력이 요구되는 경우에는 복합 레진계 수복 재료들을 사용하여 수복하게 되는데, 이 경우에는 "접착 술식(bonding procedure)"이 중요한 역할을 수행하게 된다. "접착 술식"은 수복물의 일차적인 유지 뿐 아니라 지각과민을 해소하고 2차 우식을 방지하며, 궁극적으로 수복물의 수명을 좌우하는 결정적인 역할을 수행한다. 자연 치아를 최대한 보존하고자 하는 "최소침습(minimum intervention)" 개념에 바탕을 두고 세심하게 형성된 와동에 각각의 증례에 최적화된 수복 재료를 선택하여 수복치료를 시행한다면 보다 심미적이고 환자가 편안한 치경부 수복물을 완성할 수 있을 것이다.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.19 no.1
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• pp.17-21
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• 2010