• Title/Summary/Keyword: 심미 치과학

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Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report (Class III 악간관계와 교합평면 부조화를 보이는 환자의 전악수복증례)

  • Kim, Hayeong;Paek, Janghyun;Kwon, Kung-Rock;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.451-457
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    • 2016
  • Prosthodontic decision-making process is done through analysis of clinical information and mutual communication between patient and dentist. When opposing teeth are extruded due to missing tooth or tooth defects, selection of appropriate treatment plan and predictory prognosis can be complicated in functional rehabilitation. In case of severely disharmonious occlusal plane result from extruded teeth, re-establishment of the occlusal plane is required, if necessary via prudent evaluation. In this case, class III patient had unesthetic appearance and mastication discomfort caused by disharmonious occlusal plane due to severe extrusion. Through a structured diagnostic process, appropriate treatment plan was selected. Esthetic and functional results were obtained through from full mouth rehabilitation with re-establishment of the occlusal plane.

DENTAL MANAGEMENT OF ECTODERMAL DYSPLASIA : A CASE REPORT (외배엽 이형성증 환자의 치험례)

  • Jang, Hyang-Gil;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.631-639
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    • 2009
  • Ectodermal dysplasia is a genetic disease which shows various congenital dysplasias in tissues differentiated from the ectoderm. As the most common type of the ectodermal dysplasia, hypohidrotic ectodermal dysplasia(HED) shows dysplasia mainly in the hair, fingernails, teeth and the skin. Symptoms are more severe in males than in females and heterozygous females are usually normal showing no symptom. The treatment for these patients differ according to individuals, but since patients can easily become depressed socially and emotionally due to a decrease in mastication and speech function caused by multiple loss of teeth as well as some aesthetic problems, an early treatment is required. In a case, with a 10 years-old boy diagnosed with HED which shows partial edentia of the maxilla, and the edentia of the mandible in the pediatric dentistry department of the Chosun University Dental Hospital, a fabrication of denture resulted in the recovery of mastication and speech function and aesthetic improvement due to an increase of the face height.

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COMBINED ORTHODONTIC-SURGICAL TREATMENT FOR CLASS III PATIENT WITH MIDFACIAL DEFICIENCY AND MANDIBULAR PROGNATHISM (중안면부 함몰과 하악전돌을 동반한 III 급 부정교합자의 교정-악교정수술 복합치료)

  • Cho, Eun-Jung;Kim, Jong-Tae;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.637-645
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    • 1996
  • In non-growing Class III malocclusion, the critical aspects which determine the need of orthognatic surgery are the severity of skeletal discrepancy, incisor inclination, overbile and soft tissue profile. Two-jaw surgery is more effective in correcting severe sagittal, vertical, transverse skeletal discrepancies and facial asymmetry. And more esthetic and stable profile can be achieved by two-jaw surgery Some midfacial deficiency Patients can be treated by Pyramidal Le Fort II osteotomy to maintain infraorbital rim and malar complex and to advance nasomaxillary complex. Others who require advancement of infraorbital rim and malar complex can be treated by quadrangular Le Fort II osteotomy. On the following cases, patients who had represented midfacial deficiency and mandibular prognathism were treated with combined orthodontic-surgical therapy by Le Fort II osteotomy and BSSRO.

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CASE REPORT OF AMELOGENESIS IMPERFECTA (법랑질형성부전증에 대한 증례보고)

  • Baik, Byeoung-Ju;Kim, Sang-Hoon;Lee, Seung-Ik;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.499-504
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    • 2000
  • Amelogenesis imperfecta is defined as a genetically determined effect affecting enamel formation and may be associated with other ectodermal or systemic disorders. It is entirely an ectodermal disturbance, since the mesodermal components of the teeth are basically normal. The presentation of diverse clinical manifestations in 1:14,000 to 1:16,000. Classification of the AI types considers mode of inheritance and clinical manifestations. The most widely accepted classification system recognize three major groups; i.e., hypoplastic(thin enamel), hypocalcified(primary mineralization defect), hypomaturation(defect in enamel maturation). The treatment is that at first, genetic counselling must be practiced, and in anterior teeth, composite resin veneer or jacket crown for esthetics, and in posterior teeth, stainlees steel crown or gold onlay.

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A review of biocompatibility of zirconia and bioactivity as a zirconia implant: In vivo experiment (지르코니아의 생체적합성과 임플란트로서의 생체활성에 대한 연구: In vivo 실험 문헌 고찰)

  • Suh, Da-Won;Kim, Young-Kyun;Yi, Yang-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.88-94
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    • 2019
  • Increasing demands for esthetic dental treatment, zirconia, which has high mechanical and esthetic properties, had been applied more and more in clinics. Therefore, assessment of biocompatibility of zirconia is necessary. In this article, a review of in vivo studies of zirconia compatibility was performed. In vivo studies showed zirconia had great biocompatibility both on soft and hard tissue. Studies with various animals and patients reported high biocompatibility of zirconia. In terms of bone synthesis and bone adhesion, zirconia showed similar biocompatible properties to titanium. On the other hand, zirconia could be used as implant. For using as an implant, various methods of Hydroxyapatite (HA) coating had been suggested. Since HA coating on titanium implant showed some problems such as low bonding strength and degeneration of HA, HA-zirconia composite, HA-coated zirconia, and HA-zirconia functionally graded material (FGM) or intermediate layer of alumina had been proposed. These methods showed higher bonding strength and biocompatibility.

Considerations for minimizing food impaction after implant prosthesis: Adjacent and antagonistic teeth (임플란트 보철 후의 식편압입을 최소화하기 위한 고려사항: 인접치와 대합치)

  • Lee-Ra, Cho
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.31 no.2
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    • pp.47-55
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    • 2022
  • Food impaction due to proximal space opening after implant restoration is a very common phenomenon in patients who have implant prosthesis. This occurs because the movement mechanism between the implant and the tooth is different, and it occurs about 30-60% over time. Contributing factors include the arch (mandible), region (posterior teeth), adjacent teeth (non-vital teeth), and antagonist teeth (natural teeth or implants), etc. While this phenomenon cannot be prevented, efforts should be made to minimize it. In order to have an ideal proximal contact as much as possible, the concave shape or the prominent lower proximal shape should be modified to create a symmetrical proximal shape. with the buccal dentate in the upper third height should be adjusted. Other conditions should be modified so that the heights of the marginal ridges are similar. Since an irregular occlusal plane is a cause of poor prognosis, food impaction should be minimized by restoring the ideal occlusal plane by correcting the extruded antagonist and reduction of the disto-buccal cusp.

Reconstruction of Interdental papilla through ELSA technique : A Clinical Case Report (ELSA테크닉을 이용한 치간유두의 재생)

  • Jung, Sung Koog
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.91-101
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    • 2021
  • The interdental papilla area is a difficult area for connective tissue graft (CTG) due to its narrow space. So Regeneration of interdental papilla is very challenging work. It is very difficult when the teeth have contact with adjacent teeth, but if there was only 3mm of space between the teeth, CTG was not very difficult. Therefore, through the orthodontic force, a 3mm space between the teeth was intentionally created. The CTG was performed using a microblade, and only one vertical incision was performed off the gingival margin, and the graft was performed by inserting the grafts through here. After a period of maintenance, I was able to gather the teeth again with orthodontic force and regenerate the interdental papilla. I named this technique ELSA Technique (Enlargement of space - Labial graft - Squeezing - for Augmentation of papilla). If interdental papilla is lost due to periodontal disease, ELSA techniques can regenerate interdental papilla very efficiently.

Complete denture rehabilitation in the edentulous patient with severe mandibular bone resorption and vascular malformation using closed mouth impression and monoplane occlusion: A case report (심한 하악골 흡수와 혈관기형을 보이는 무치악 환자에서 폐구인상법과 단일평면교합법을 이용한 총의치 수복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.220-227
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    • 2021
  • A patient failed to use conventional complete dentures due to severe mandibular bone resorption and soft tissue hyperplasia on lips, tongue and oral vestibule from vascular malformation. The treatment of choice would be an implant-retained overdenture, however, he refused owing to high cost. The closed mouth impression technique using BPS principle, CR record registration with gothic arch tracing and monoplane occlusion using non-anatomic teeth were used to fabricate complete dentures for this patient. Patient satisfaction, the retention and the stability of complete dentures were highly improved as a result.

Prosthetic rehabilitation for a maxillectomy patient using 3D printing assisted closed hollow bulb obturator: a case report (상악골 결손부 환자에서 3D printing을 이용한 closed hollow bulb obturator 수복 증례)

  • Oh, Miju;Lee, Jonghyuk;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.191-198
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    • 2019
  • This case report presents a closed hollow bulb obturator made by 3D printing for a maxillectomy patient. Final impression was taken according to the instructions and impression trays provided by the Magic $denture^{TM}$ system. Vertical dimension, facial appearance, and retention had been checked with the try-in denture. The try-in denture was corrected and adjusted to fulfill the demand of the patients, then these were reflected to the final design of the denture. The defect area was designed as a closed hollow bulb shape to reduce the weight and to provide uniform thickness of the denture. The patient satisfied with the esthetics and function of the denture.

Clinical Report by using hybrid telescopic double crown Removable Partial Denture on a few remaining teeth with severe periodontal disease (치주적으로 불리한 소수 잔존치에서 하이브리드 텔레스코픽 이중관 국소의치를 이용한 임상증례)

  • Seo, Jang-Won;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.24-30
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    • 2019
  • The successful results of the treatment using a double crown denture have been reported in several papers for some of the few remaining teeth in patient. In particular, double crown dentures may be an alternative to treatment in cases where the periodontal status is poor and clasp type removable partial dentures are inappropriate (crown/root ratio > 1). In this case, the patient visited clinic with a chief complaint of difficulty in mastication due to loss of posterior teeth and overall teeth mobility. After teeth with severe periodontitis were extracted, treatment plan of mandible is Kennedy class I removable partial denture (RPD) and treatment plan of maxilla is hybrid telescopic double crown RPD with a friction pin. Patient is well adapted after the prosthetic treatment and we report due to achieving satisfactory results in pronunciation, mastication, retention and aesthetics.