• Title/Summary/Keyword: 심미 치과학

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Ectopic Eruption of transposed mandibular lateral incisors

  • Kim, Ga-Yeong;Kim, Seon-A
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.12 no.1
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    • pp.39-42
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    • 2003
  • Mandibular permanent lateral incisors showing bilateral transposition and ectopic eruption were seen beside deciduous first molars in a female aged 8yr 8month. Repositioning of the ectopic lateral incisor is difficult not only because of its distal displacement and severe rotation but also because of the potential development of transposition with the erupting canine. This paper is focused on the diagnosis of the ectopic eruption and advocates treatment with active orthodontic management at the early stage of mixed dentition, before the eruption of the permanent cuspid.

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Orthodontic Treatment with Autotransplantation of Impacted Tooth (매복치의 자가치아이식과 교정치료를 통한 심미적 치험례)

  • Lee, Gye-Bok;Gang, Eun-Ha;Kim, Ga-Yeong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.2
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    • pp.9-14
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    • 2001
  • Autotransplantation of tooth has recently become a combined method with orthodontic therapy. With the use of autotransplantation, it has become possible for orthodontists to solve complicated problems in the dental arches. Autotransplanted teeth showed the same development as their contralaterals with respect to both eruption and root growth. This indicates that autotransplantation and orthodontic treatment is a method that should be considered in case of impacted, missing, or malformed teeth. In this report two cases are presented to demonstrate that orthodontic treatment with autotransplantation can contribute to more satisfactory solution to the problem for impacted teeth.

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Pressable Ceramic을 이용한 전치부 Spacing의 무삭제 심미보철수복

  • Im, Ui-Bin;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.2
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    • pp.15-20
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    • 2001
  • The spaced dentition is a common clinical finding. The careful analysis of clinically spaced dentition is a necessity for effective treatment planning. Spaced dentition often exists in the presence of intact teeth. Therefore, special care should be taken in order to obtain the most successful esthetic effect and to prevent overtreatment as well. The aesthetic restorative dental treatment using the porcelain laminate veneers is getting more popular than the complex orthodontic treatment, and prosthetic solutions that require sacrifice of sound tooth structure. The physical strength of porcelain laminate veneers is not as good as porcelain fused metal crowns, and more researches are needed in the field of bonding between composite cement and porcelain laminate veneer. However, the esthetic results from this unprepared porcelain laminate veneers were satisfactory with Authentic (Ceramay, Germany) pressable ceramic technique and resin cement (Rely X Veneer, 3M). This article deals with 2 cases of unprepared porcelain laminate veneers on anterior teeth.

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Factors affecting fracture of full contour monolithic zirconia dental prosthesis in laboratory process (구치부 심미수복, 풀지르코니아 크라운의 파절원인과 그 해결방안)

  • Lee, Soo Young
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.77-79
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    • 2014
  • There are several factors affected fractures of full contour zirconia (FCZ) dental prosthesis in laboratory process. First, residual moisture can cause zirconia cracks. Complete dry is requisite before zirconia sintering to prevent zirconia cracks. Second, slow cooling rate is essential to prevent cracks during zirconia sintering process. Cracks in bridge pontic area, thick dental implant prosthesis can be prevented by slow cooling rate such as 3 degree Celsius per minute during zirconia sintering. Third, slow heating rate and slow cooling rate during staining and glazing procedure is necessary to inhibit thermal shock of sintered dental zirconia. Lower preheat temperature of porcelain furnace is recommended. Finally, using diamond disc to open embrasure can lead cracks.

Novel design of implant prosthesis considering esthetics and periodontal maintenance: case report (심미성 및 치주 조직의 유지 관리를 고려한 임플란트 보철 증례)

  • Paek, Janghyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.70-76
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    • 2014
  • After extraction of tooth, alveolar ridge resorption is inevitable in most cases. Clinicians confront with horizontal and vertical resorption of alveolar bone. Without massive amount of bone and soft tissue graft, dental implant will be placed apically to gain stability. In those cases, not only white esthetic part, but also pink esthetic part should be restored with pink porcelain. The margin of prosthesis should be located apically to reproduce natural look with adjacent teeth. However, when the margin is located apically, it is always hard to remove remaining cement, thus complications may arise. In this report, a novel design of implant prosthesis is introduced to solve those issues. The novel design is consisted of zirconia framework with pink porcelain and separate crowns on top of the framework. It eliminates the possibility of cement remnants by bringing the crown margin coronally. Pink esthetic part is incorporated in abutment part instead of crown part and the screw hole is covered with separate crowns.

An efficient way of communication between dentists and dental technicians to ensure optimum clinical outcome with implant restorations (임플란트 보철물 제작시 치과의사와 기공사가 효과적으로 소통하는 한가지 방법)

  • Kim, Chonghwa
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.66-74
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    • 2020
  • Communication and cooperation between dentists and dental technicians are two essential elements for the fabrication of high quality 'custom' prosthesis. For successful communication and cooperation between the two groups, however, dentists and dental technicians must share common understanding about clinical dentistry. Ironically, it is often noticed that they are not really sharing the same clinical knowledge. Although there is a strong association between 'Emergence Profile' of implant prostheses and periodontal health or esthetics, no definite guideline has ever been provided for ideal emergence profile of implant prosthesis in literature. Problems resulted from inherent differences between implants and natural teeth must be acknowledged and shared between dentists and dental technicians so that they can come up with desirable clinical results with implant prostheses.

Zirconia resin-bonded fixed partial denture in maxillary single-tooth edentulous area: A case report (상악 전치부 단일치 상실 환자에서 지르코니아 레진접착성 고정성 국소의치를 이용한 수복 증례)

  • Rojee Oh;Hee-Won Jang;Na-Hong Kim;Joo-Hyuk Bang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.135-142
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    • 2023
  • Resin-bonded fixed partial denture (RBFPD)as known as Maryland bridge is is a well-known conservative method for its minimized invasion of the teeth for an anterior single tooth edentulous area. Despite of its various advantages, RBFPD was not widespread because of its high debonding rates, non-esthetic look or weak structure for material property. Currently, with the introduction of zirconia to dental material for RBFPD, Maryland bridge entered upon a new phase. Zirconia surmounts poor esthetics of metal framework, having proper strength, and overcomes ceramic's structural weakness, being sufficiently esthetic. In this case, edentulous area of maxillary left lateral incisor was restored using zirconia resin-bonded fixed partial denture. Restoration of missing tooth in anterior area was achieved using non-invasive and esthetic prosthesis, then we report this case as satisfactory results were obtained for both the operator and the patient.

Full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear (치아 마모로 인한 수직고경감소와 과개교합을 가진 환자의 완전 구강 회복 증례)

  • Chae, Hyun-Seok;Jeon, Bo-Seul;Lee, Jung-Jin;Ahn, Seung-Geun;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.405-415
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    • 2019
  • Excessive tooth wear can cause irreversible damage to the occlusal surface and can alter the anterior occlusal relationship by destroying the structure of the anterior teeth needed for esthetics and proper anterior guidance. The anterior deep bite is not a morbid occlusion by itself, but it may cause problems such as soft tissue trauma, opposing tooth eruption, tooth wear, and occlusal trauma if there are no stable occlusal contacts between the lower incisal edge against its upper lingual surface. The most important goal of treatment is to form stable occlusal contact in centric relation. In this case report, patients with decrease in vertical dimension and anterior deep bite due to maxillary posterior tooth loss and excessive tooth wear were treated full mouth rehabilitation with increased vertical dimension to regain the space for restoration and improve anterior occlusal relationship and esthetics. The functional and aesthetic problems of the patient could be solved by the equal intensity contact of all the teeth in centic relation (CR), anterior guidance in harmony with the functional movement, and restoration of the wear surface beyond the enamel range.

Implant-assisted removable partial denture using Milled-Bar and Attachment in partially edentulous maxilla: A case report (상악 부분 무치악 환자에서 Milled-bar와 어태치먼트를 이용한 임플란트 부분 피개의치 수복 증례 보고)

  • Jeong, Yun-Su;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.412-419
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    • 2022
  • For treatment of partially edentulous patients, a treatment using implant is widely used. Treatment method using implant are implant fixed prostheses and removable partial dentures, and for patients with severe bone resorption, removable implant overdenture with the effects of aesthetic and reducing cost can be used as treatment options. Specially, prosthesis with milled-bar and attachment has the effect of being splinted between implant fixtures, higher retention and stability than conventional removable partial denture. And it has the effect of improvement of aesthetic through lip support by denture base. In this case, the patient with severe alveolar bone resorption and partial edentulous maxilla and mandible was treated by implant-assisted removable partial denture using Milled-bar and ADD-TOC attachment. The esthetic was improved by removing the clasp because of effects of additional retention by using the attachment, and reducing palatal coverage of implant-assisted removable partial denture. The clinical results were satisfactory on the aspect of aesthetic and masticatory function.

Post-endodontic Restoration on Erupting Permanent First Molars Using Endocrown with a Polyglass Composite Resin: Report of Two Cases (맹출 중인 제1대구치의 근관 치료 후 엔도크라운을 통한 수복 증례 보고)

  • Jeong, Hyuntae;Kim, Seonmi;Kim, Jaehwan;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.111-118
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    • 2019
  • Post-endodontic restorations are both important and challenging for clinical success in endodontically treated posterior teeth. Several options have been proposed to restore endodontically treated molars. In pediatric dentistry, restoration using conventional single crowns, especially for partially erupted molars with insufficient retentive tooth structure, has proven to be difficult. However, the endocrown presents a conservative and esthetic restorative alternative to conventional crowns with post-and-core, as it acquires additional retention within the pulp chamber. The tooth preparation consists of a circular, equigingival, butt-joint margin and a central retention cavity in the pulp chamber that helps to construct both the crown and core as a single unit. This case report describes the esthetic and conservative endocrown restorations of erupting permanent first molars with extensive coronal destruction.