• Title/Summary/Keyword: 심한 마모

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Rehabilitation using twin-stage method for a Sjögren's syndrome patient with severe discoloration and attrition on upper and lower anterior teeth (상하악 전치부 심한 변색과 마모를 보이는 쉐그렌 증후군 환자에서 twin-stage법을 이용한 수복증례)

  • Lee, Seon-Ki;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.291-297
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    • 2016
  • Patients with $Sj{\ddot{o}}gren^{\prime}s$ syndrome usually suffer from teeth discoloration and attrition due to xerostomia. If the anterior teeth are badly worn, problems such as loss of anterior guidance, occlusal disharmony, and limited space for restoration may occur. However, ideal occlusion is obtained in both centric and eccentric relation by regaining the disocclusion of the posterior teeth through the anterior and lateral guidance using twin-stage method. In this case, rehabilitation was performed for a $Sj{\ddot{o}}gren^{\prime}s$ syndrome patient with maxillary and mandibular incisor's severe attrition and teeth discoloration by using twin-stage method.

유동유발진동에 의한 제어봉 Fretting Wear의 열수력학적 원인 분석

  • Kim, Sang-Nyeong;Shin, Cheol
    • Proceedings of the Korean Nuclear Society Conference
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    • 1998.05a
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    • pp.489-495
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    • 1998
  • 최근 울진 1,2호기의 급정지 제어봉 E.C.T(Eddy Current Test) 결과 Fretting Wear가 심한 것이 관찰되었다. 이는 유동유발 진동에 의해 제어봉과 그 지지물 간의 접촉으로 인한 손상이 주요인으로 추정되고 있다. 제어봉 손상은 제어봉 교체로 인한 비용뿐만 아니라 마모금속의 방사화로 인한 냉각재의 오염을 수반한다. 따라서 본 연구는 원자로의 유동유발진동을 선별하여 파손 위치 및 형태, 유동조건, 제어봉과 안내관의 기하학적 구조 등을 분석한 결과 지배적인 손상원인을 Turbulence Excitation과 Fluidelastic Instability로 선정하였다. 특히 안내관내의 6번째 card 위치에서 발생하는 높은 마모현상이 난류도 증가에 의한 손상임을 제시하였다

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Full mouth rehabilitation using zirconia crown in severe worn dentition: a case report (마모가 심한 환자에서 지르코니아 크라운을 이용하여 전악 수복한 증례)

  • Park, Jung-Hyun;Sohn, Sang-Hyuk;Cho, Sung-Am
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.202-208
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    • 2016
  • The progressive attrition of teeth is a normal process by aging. However, excessive tooth wear with decreased vertical dimension of occlusion and collapse of occlusal plane may cause pathologic pulpal condition, occlusal disharmony and functional disorders. In this case, a patient with severely worn dentition was treated. Diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated with zirconia crown and routine clinical assessments were made. Esthetically and functionally satisfactory results were obtained.

Full mouth rehabilitation of severely worn dentition with implants and removable partial dentures (심한 마모를 가진 환자에서 임플란트와 가철성 국소의치를 이용한 전악수복 증례)

  • Lee, Shin Eon;Lee, Won Sup;Lee, Cheol Won;Lee, Su Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.70-76
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    • 2018
  • Excessive tooth wear can lead to decrease in occlusal vertical dimension and can cause pathological changes in the oral environment and masticatory system. When recovering occlusal vertical dimension and occlusion, accurate diagnosis and analysis are essential. This clinical case describes a 75-year-old woman with severely worn dentition due to loss of the posterior support. Full mouth rehabilitation with occlusal vertical dimension increment was planned. Clinical and radiographic examinations, occlusal vertical dimension evaluation, and diagnostic wax-up were performed and patient adaptability was evaluated using provisional restorations. As for definitive restoration, considering economic condition of the patient, removable partial denture was fabricated and solitary implants were placed in the mandibular left and right posterior region to increase support and retention of the removable partial denture. During one year of follow-up, functional and esthetic outcomes were observed satisfactory.

A case of direct restore using 4-META/MMA-TBB resin containing organic filler in patients with severe occlusal surface wear and enamel fracture (심한 교합면 마모 및 교두 파절 환자에서 유기필러를 함유한 4-META/MMA-TBB 레진을 활용한 직접수복 증례)

  • Dae-Sik Kim;Gyeong-Je Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.222-228
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    • 2023
  • Attrition is the loss of tooth hard tissue due to contact between teeth, and in severe cases, dentin is exposed, accompanied by selective corrosion and excessive wear of teeth, which is called cupping. If these lesions are left untreated, the size of the lesion gradually increases, breaking the unsupported enamel, resulting in a decrease in aesthetics and chewing function. In this case report, patients with cupping and enamel fracture due to severe attrition were directly restored using a resin with soft properties containing organic fillers. In the follow-up observation six years later, most of the filling of the occlusal surface was eliminated, but the filling on the buccal surfaces remained relatively intact, and it was confirmed that this type of resin was suitable for the area where the occlusal force was relatively weak rather than the area where the occlusal force was greatly applied.

Oral rehabilitation of excessive tooth wear patient using zirconia fixed prosthesis with increased vertical dimension (과도한 치아 마모 환자의 수직 교합 고경 증가를 동반한 지르코니아 고정성 보철물 전악 수복 증례)

  • Jang, Ju-Ho;Choi, Yeon-Jo;Ryu, Jae-Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.121-129
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    • 2020
  • From the point of view of oral rehabilitation, the treatment of extensive tooth wear requires a prosthetic approach. Physiological tooth wear is considered as a normal process and generally does not require treatment, but excessive tooth wear causes problems like inadequate occlusion and esthetics. Changes of occlusal vertical dimension should be made through accurate diagnosis and analysis. Also, the patient's adaptation to the changed occlusal vertical dimension should be assessed over time. This case was a 60-year-old male patient who complained of a decrease in chewing function and esthetics due to severe tooth wear. Full-mouth rehabilitation was performed with a tooth supported fixed prosthesis. An occlusal stabilization splint and provisional restoration were used to evaluate the adaptation to increased occlusal vertical dimension and induce a stable centric relation position. After that, monolithic zirconia prosthesis was delivered. We report this as a satisfactory functional recovery and esthetics.