• Title/Summary/Keyword: 심미 치과학

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Superimposition: a simple method to minimize occlusal adjustment of monolithic restoration (디지털 장비의 중첩기능을 이용하여 단일체 수복물의 교합조정을 최소화한 증례)

  • Choi, Changhun;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.253-258
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    • 2016
  • The development of translucent zirconia enabled clinicians to choose a monolithic zirconia crown as one treatment modality in the posterior dentition. Careful occlusal adjustments are recommended for monolithic zirconia crowns because grinding zirconia inevitably causes phase transformation, which may deteriorate mechanical properties. intraoral scanners enable the clinician to scan and superimpose a complete tooth structure before preparation onto the prepared abutment. This technique helps to reproduce the original tooth form and occlusion of the patient. In this case report, prostheses were fabricated for patients with cracked or fractured tooth by applying intraoral scanner, Computer aided design-computer aided manufacturing (CAD-CAM) and monolithic zirconia crown to reproduce the occlusion of original tooth and to minimize occlusal adjustment. The clinical results were satisfactory in both esthetic and functional aspects.

Full mouth rehabilitation of deep bite patient with segmental osteotomy and orthodontic treatment (분절골절단술과 교정치료를 동반한 과개교합 환자의 완전구강회복 증례)

  • Chu, Seung-Sik;Cho, Woong-Rae;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.26-38
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    • 2015
  • Teeth wear and extrusion of antagonist are commonly observed in deep bite patient having severe vertical and horizontal overlap. These problems cause collapse of occlusal plane and abnormal anterior guidance. Without restoring harmonious occlusion, loss of multiple teeth and decreased masticatory function could not be prevented. To resolve problems associated with deep bite, multidisciplinary treatment including oral surgical, orthodontic and prosthetic treatment should be performed. This clinical report describes the results of increasing occlusal vertical dimension with a full-mouth restoration procedure. The treatment procedures include extraoral and intraoral examination, diagnosis, treatment planning, diagnostic wax-up, segmental osteotomy, orthodontic intrusion and prosthodontic rehabilitation. Full mouth rehabilitation with increasing occlusal vertical dimension can solve esthetic and functional problems.

Diagnosis and Treatment of Malocclusions using the Invisalign System (인비절라인 시스템을 이용한 부정교합의 진단 및 치료)

  • Kim, Hyungsoo;Ahn, Jae-Hyun;Boyd, Robert L.
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.21-29
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    • 2003
  • Recent developments in software technology have made it possible to create a virtual three-dimensional model of the dental arches from digitally scanned casts of a patient's dentition. This modelmay then be manipulated with software to produce stages of tooth movement from the initial malocclusion to the final desired occlusion. A sterolithograghic model is made for each stage of tooth movement which is the basis for construction of a series of clear and thin overlay appliances. These appliances are worn full time by the patient to move the teeth according to the programmed stages of movement. Malocclusions involving mild to moderate crowding and space closure have been proven to be successfully treated with this appliance. Experience with this appliance has demonstrated excellent patient compliance with less discomfort, improved esthetics and oral hygiene control, when compared with fixed orthodontic appliances. Orthodontic treatment with this appliance is a potentially useful alternative approach to fixed appliances for treatment of a variety of malocclusions in patients with fully erupted permanent teeth.

Level of perception related to changes in lower facial height (하안면 고경 변화의 인지도에 관한 연구)

  • Park, Seung-Hyun;Kim, Young-Jin;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.174-181
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    • 2005
  • Understanding the level of a person's perception of changes that have occurred on the face after orthodontic treatment is critical to the process of orthodontic diagnosis and treatment planning. The purpose of this study was to determine the level of perception of profile and frontal changes in lower facial height. Forty students attending art school participated in a study evaluating the level of a participant's perception of changes in the lower facial height. Participants compared computer-graphic frontal and profile photographs with balanced proportions and photograph simulations of 1, 2, 3, and 4mm changes in lower facial height from stomion to the chin. At least a 2 mm change in lower facial height for the profile view and 3mm in the frontal view was needed to be perceived after orthodontic treatment. The level of a person's perception of the change in lower facial height was more sensitive in the profile view than in the frontal view, and information about facial changes given prior to evaluation enhanced the level of perception.

Two-jaw surgery by use of Surgical Jaw Relator (Surgical Jaw Relator를 이용한 양악 수술 치험례)

  • Yang, Sang-Duck
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.238-249
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    • 2005
  • The contemporary two-jaw surgical approach usually involves a Le Fort osteotomy of the maxilla and a ramal osteotomy of the mandible with 3-dimensional repositioning of the jaws as well as the occlusal planes. After making the surgical treatment plan. the surgical movements are duplicated in the model surgery. During this procedure, reference poings and lines are drawn on the base of the models over the dental arch and sawcuts are mads according to these marked osteotomy lines. This technique, however, has been found to be inexact. especially when the laws are moved in several dimensions simultaneously. To overcome this. different methods have been developed for an accurate repositioning of the jaws as planned. A new appliance. Surgical Jaw Relater, has been devised by th8 author for the simple 3-dimensional relocation of the upper and lower models, resulting in the easy construction of the splints such as centric relation splint, intermediate and final splint. This article describes an introduction and a clinical application of this appliance. Through the application of this system to the orthognathic cases including two-law surgery. it is proved that the row device is very clinically useful.

A CLINICAL CONSIDERATION ON THE TEETH TRANSPOSITIONS (치아전위의 임상적 고찰)

  • Kim, Seung-Mee;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.38-43
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    • 1999
  • Tooth transposition is the phenomenon in which two teeth in the dental arch are exchanged. The tooth most frequently involved in transposition is the permanent maxillary canine, especially with the first premolar. The etiology of transposition is still an enigma. Interchange of tooth germs, migration during eruption, genetic factor, local pathologic factors may be suggested as possible etiologic factors. There are three main options for treatment, which are the extraction of one of the transposed teeth, the alignment in the transposed position, the orthodontic movement of the teeth to their correct positions. If complete transposition occurred especially in mandible, alignment of teeth in the transposed position followed by occlusal reduction and esthetic restoration is usually recommended. The presented two-case report will describe the maxillary canine to the first premolar and to lateral incisor transposition with associated peg lateralis and retained primary canines. Although alignment the transposed teeth in original position is ideal treatment, it companies many complication as root resorption, alveolar bone destruction, gingival deheisence, etc. Therefore the treatment procedures in these case was relative cost-benefit effective method to both clinician and patients.

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CLINICAL EVALUATION OF VENEERED STAINLESS STEEL CROWN RESTORATION BY SILICOATER TECHNIQUE : CASE REPORT (Silicoater technique을 이용한 veneered stainless steel crown수복의 임상적 평가)

  • Jeong, Youn-Hwa;Kim, Wang-Kwen;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.103-108
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    • 1999
  • Restoration of severly carious, malformed or traumatically fractured primary incisors is one of the most difficult challenges in restorative dental care for preschoolers. In restoring primary anterior teeth, four types of complete coverage crowns have been attempted over the years. Stainless steel crowns, open-faced stainless steel crowns, acid-etched crowns(strip crowns), and preformed polycarbonate crowns have been the choices. While these restorations have been acceptable for many patients, they all have very distinct limitations. The ideal full coronal restoration for a primary incisor requires durability, retention, and esthetics. This paper reported veneered stainless steel crown restoration of primary anterior teeth by silicoater technique. Veneered stainless steel crown restoration by silicoater technique is considered to be a durable, retentive, and esthetic restoration.

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THE REVERSE TWIN BLOCK APPLIANCE WITH REMOVABLE LIP PADS (가철식 Lip Pad가 부가된 Reverse Twin Block 장치)

  • Kim, Sung-Ki;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.32-37
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    • 1999
  • Twin blocks are bite-blocks that effectively modify the occlusal inclined plane to induce favorably directed occlusal forces by causing a functional mandibular displacement. One of the advantage is that full-time wear can be possible because of less interference with normal function such as eating and speaking. So rapid correction of malocclusion is expected. Reverse twin block appliance is modification for correction of class III malocclusion with sagittal component. For increased growth stimulation effort on premaxilla, lip pads can be added. But with lip pads, patients are incapable of full-time wear especially during mealtime. So, removable lip pads can be used for stimulation of growth on premaxilla without any restriction of function. The advantages of the reverse twin block appliance with removable lip pads are: 1. Full-time wear is possible (including mealtime). 2. Patients' cooperation and adaptation is excellent. 3. There is no period of dual bite. 4. Orthopedic correction is achieved by multiple modes, shortening the treatment time. The applied case shows that the reverse twin block appliance with removable lip pads is effective for treatment of class III malocclusion and can shorten the time of treatment.

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Rehabilitation in a patient with limited restorable space using double scanning technique: A case report (구치부 보철 수복 공간이 부족한 환자에서 이중 스캔을 이용한 구강회복 증례)

  • Kim, Jun-Yub;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Yang, Hongso
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.205-211
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    • 2017
  • Loss of posterior support may cause extrusion of antagonistic teeth and excessive wear of remaining teeth which often leads to the destruction of the occlusal plane. In such cases, it is critical to verify the need to increase vertical dimension of occlusion (VDO). Should you increase VDO, provisionalization is crucial in evaluating function and esthetics. Double scanning technique is a useful method when fabricating definitive restoration that mimic provisional restoration. In this case, a patient with apparently no loss of VDO and insufficient interocclusal space for dental materials due to loss of posterior support and extrusion of antagonistic teeth was rehabilitated using double scanning technique.

Titanium-zirconium alloy narrow-diameter implants for the rehabilitation of horizontally deficient mandibular posterior edentulous ridges (좁은 치조제를 가진 하악 구치부에서 지르코늄-티타늄 합금의 작은 직경 임플란트 사용 증례)

  • Lee, In Hye;Park, Young Bum;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.212-217
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    • 2017
  • In case of the insufficient horizontal bone loss, a regular diameter implant is not possible without lateral bone augmentation. In this situation, narrow diameter implants (NDIs) could be the alternative to lateral bone augmentation procedures. However, complication generally expected with the NDI is implant fracture. Recently, the survival rate and success rate of NDI in the posterior region are similar to that of standard-diameter implants (SDIs). These 3 case reports demonstrate the incorporation of NDI to replace missing mandibular posterior teeth. So far, the follow-up examination period was maintained and no unusual complications were presented for more than four years. Long term follow-up clinical data are needed to confirm the excellent clinical performance of these implants.