• Title/Summary/Keyword: 인접면 접촉

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Evaluation of the proximal contact and comparison of methods for measuring in normal dentition (건강한 자연치열에서 인접면 접촉의 평가 및 측정방법에 따른 비교분석)

  • Ji-Eun Kim;Cheong-Hee Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.198-203
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    • 2023
  • Purpose. The aim of this study was to evaluate the proximal contact with a dental floss compared to a celluloid strip and a metal strip in normal dental arch and investigate what the most effective method for measuring is. Materials and methods. The subjects of this study was consisted with 20 healthy adults (10 males and 10 females) who had normal dentition. A dentist with more than 5 years of clinical experience evaluated the proximal contacts using a dental floss method, a celluloid strip method, and a metal strip method. Statistical analysis were performed by the use of Mann-Whitney U test. A P-value < .05 was considered statistically significant in all analysis. In addition, in the evaluation of proximal contact using a dental floss, the measurement of proximal contact using a celluloid strip and a metal strip was compared. Results. 80 % of all proximal contact was proper. Proper proximal contact was observed at the posterior area compared to the anterior area (P < .05). And male had proper proximal contact at the anterior area, female had proper proximal contact at the posterior area (P < .05). The consistency analysis between the results of the celluloid strip and the metal strip experiment on the results obtained from the floss using the consistency scale Kappa index shows that using celluloid strip is more advantageous than using the metal strip. Conclusion. Only 80% of all proximal contact was proper. Using celluloid strips with various thickness for evaluating of proximal contact is considered to be helpful for accurate measuring of proximal contact.

Effect of open proximal contact on adjacent tooth and implant (개방된 인접면 접촉이 인접자연치와 임플란트에 미치는 영향)

  • Moon, Sohyun;Kim, Gwangyun;Cho, Seonghun;Song, Joohun;Kim, Hee-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.9-17
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    • 2022
  • Purpose: The purpose of this study is to investigate how open contacts impact the natural teeth and dental implant prostheses. Materials and Methods: Following criteria were used to select 20 implant crowns with open proximal contacts as the experimental group (Group A): the restorations were delivered in Chosun University Dental Hospital between 2008 and 2018, the restorations are in the posterior region, opposing teeth are fixed dental prostheses, neighboring teeth are sound natural teeth, the patient had been on the maintenance program for at least 3 years. Another 20 implant crowns with closed proximal contacts were selected as the control group (Group B) using the same criteria. Between the two groups, dental caries and food impaction of the neighboring natural teeth and marginal bone-loss of the implants were compared and evaluated. Results: There was no statistically significant difference between Group A and Group B in the occurrence rates of dental caries, food impaction, and marginal bone-loss. The amount of marginal bone-loss, however, revealed statistically significant differences between the two groups, with Group A showing 0.80 ± 0.39 mm loss and Group B showing 1.1 ± 0.43 mm loss. Conclusion: Implant prostheses with open contacts could be clinically considered in select cases as such restorations revealed no harmful effects on neighboring teeth and implant restorations within the perimeters of this study.

Time Serial Change of Proximal Contact Tightness after Crown Restoration (인공치관 수복 후 인접면 접촉강도의 경시적 변화)

  • Na, Hyun-Joon;Kang, Dong-Wan;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.197-204
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    • 2010
  • The purpose of the study was to observe the time serial changes in proximal contact tightness after single crown restoration. Initial proximal contact tightness before crown preparation and after prosthesis restoration were measured repeatedly in 12 subjects. In consequence proximal contact tightness of temporary setting on prosthesis was bigger than contact tightness before initial preparation, contact tightness of the prostheses of 1-2 weeks after the setting was similar to that before the preparation, tightness of 2-4 weeks after the setting showed little change and maintained constant contact tightness.

Morphological Assessment of Proximal Restoration Depending on Different Matrix Systems in Primary Molars with a 3D Scanner: In Vitro Studies (매트릭스 시스템에 따른 유구치 인접면 수복물에 대한 3D 스캐너를 이용한 형태학적 평가: 실험실적 연구)

  • Hyewon Shin;Nanyoung Lee;Joohun Song;JoonSeong Kim;Myeongkwan Jih
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.4
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    • pp.396-408
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    • 2023
  • The purpose of this study was to compare the proximal surface contour, size of contact area, and volume difference before and after restoration in artificial teeth of primary molars during proximal composite resin restoration using different matrix systems. Four types of artificial teeth were restored with composite resin using sectional matrix systems-Palodent V3 Sectional Matrix System and myJunior Kitand a circumferential matrix system-Tofflemire Matrix System-and modeled threedimensionally for analysis. When sectional matrix systems were used, there was a higher probability of concave proximal surface contour and simultaneously greater contact area and volume. This is attributed to the dead soft properties of the matrix band used in sectional matrix systems, which can lead to deformation of the band and hence an excessive amount of resin applied around the contact point. Additionally, the rubber wedge in the sectional matrix system may not help the matrix band fit into the cavity. Therefore, based on the findings of this study, morphological aspects need to be carefully considered for proximal composite resin restoration of primary molars using sectional matrix systems.

Intrusion phenomenon of natural tooth bounded by implant-prostheses: a clinical report (임플란트 사이에 있는 자연치 함입 증례)

  • Kim, Joong-Hyun;Yang, Sun-Bong;Jo, Young-Sung;Park, Young-Bum
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.324-330
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    • 2014
  • In case of implant-tooth connected prosthesis, a natural tooth tends to intrude. There are several mechanisms that explain an intrusion phenomenon. So it is reco mmended not to connect an implant with a natural tooth. A 68-year-old female had upper left $2^{nd}$ premolar and $2^{nd}$ molar extracted and underwent implant surgery on the missing area. We made an implant prosthesis and treated upper left $1^{st}$ molar with a gold crown. 2.5 year later, the patient complained about loose proximal contact and food impaction between upper left $1^{st}$ molar and $2^{nd}$ molar. Mesial side of upper left $2^{nd}$ molar implant prosthesis was soldered so that proximal contact became tight again. But after 7 months, about 2 mm intrusion of upper left $1^{st}$ molar occurred, and the patient felt periodontally originated pain on intruded upper left $1^{st}$ molar. After the gold crown on upper left $1^{st}$ molar was removed, extrusion occurred and pain was relived.

Clinical Evaluation of High Density Posterior Composite (고밀도 구치부 복합레진의 임상적 평가)

  • Hur, Dae-Seong;Cho, Kyung-Mo;Shin, Dong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.25 no.2
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    • pp.254-261
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    • 2000
  • 본 연구에서는 35개의 구치부 2급 와동에 고밀도 구치부 복합레진(Surefil, Caulk, U.S.A.)을 수복하였다. 단일 충전군은 18개 치아의 인접면 와동을 한꺼번에 충전한 후 광중합하였고 분할 충전군은 17개 치아의 인접면 와동을 두 층으로 나누어 충전 및 광중합하였다. 6개월 후의 임상검사 결과 다음과 같은 결론을 얻었다. 1. 기초검사에서 단일 충전군과 분할 충전군 모두 색상조화도(Color match)를 제외한 다른 검사 항목들에서 Alfa로 나타났다. 2. 단일 충전군은 6개월 후 모든 검사(색상 조화도 제외)에서 인접면 접촉도(Proximal contact), 변연부 변색(Marginal discoloration), 술후 과민증(Postoperative sensitivity) 검사에서 소수의 치아가 Bravo, Charlie로 나타났으나 기초 검사와 3개월 후 검사 사이에 통계적으로 유의한 차이는 보이지 않았다. 3. 분할 충전군은 6개월 후 시행된 모든 검사(색상 조화도 제외)에서 인접면 접촉도(Proximal contact), 술후 과민증(Postoperative sensitivity) 검사에서 소수의 치아가 Bravo, Charlie로 나타났으나 기초 검사와 6개월후 검시 사이에 통계적으로 유의한 차이는 보이지 않았다. 4. 모든 검사항목에서 단일 충전군과 분할 충전군을 비교한 결과 통계적으로 유의한 차이는 보이지 않았다. 따라서 고밀도 구치부 복합레진(Surefil, Caulk, U.S.A)은 색상 재현의 어려움을 제외하고는 여러 평가에서 우수하게 나타났으므로 본 연구 결과를 기준으로 보면 이전 복합레진의 단점이 보완되어 구치부 2급 와동에 적절하게 사용될 수 있다고 사료되며 단일 충전군과 분할 충전군 사이에 통계적으로 유의한 차이를 보이지 않으므로 시술 시간을 좀 더 단축시킬 수 있을 것으로 사료된다.

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Interproximal contact loss between implant-supported prostheses: a clinical report (임플란트 고정성 보철물 사이에서의 인접면 접촉상실: 증례보고)

  • Yeon-Hee Park;Kyoung-A Kim;Jung-Jin Lee;Jae-Min Seo
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.47-53
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    • 2024
  • Interproximal contact loss (ICL) is the most frequent complication in partially edentulous patients treated with implant-supported prostheses. However, in most cases, ICL occurs between the implant prosthesis and the natural tooth due to the movement of the natural tooth. There are several causes of ICL that occur between an implant prosthesis and a natural tooth. There are only a few reported cases of ICL occurring between implant prostheses, and explaining the causes of ICL between implant prostheses and natural teeth is challenging. This clinical report describes cases of ICL between implant prostheses and discusses its causes and countermeasures.

Various solutions of open interproximal contact (OIC) (OIC (open interproximal contact)의 다양한 해결 방법)

  • Park, Jong-Hyun;Cho, Lee-Ra
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.1
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    • pp.18-26
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    • 2019
  • Open interproximal contact (OIC) is a phenomenon that can be observed to occur between an implant restoration and the adjacent tooth Food packing is very uncomfortable for patients. Efforts to relieve discomfort in various ways seem necessary.

접촉 저항법을 응용한 트라이볼로지 문제점의 해석

  • 김청균
    • Tribology and Lubricants
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    • v.10 no.2
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    • pp.1-4
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    • 1994
  • 금속과 금속이 접합할 때 발생하는 고유 저항값은 접촉소재의 종류, 접촉면의 상태, 접촉조건(하중, 온도, 정적 또는 동적인 접촉 등), 주변환경에 따라서 변한다. 소재가 접촉할 때 발생되는 저항값의 변화특성을 적극적으로 이용한 것이 전기 저항법(Electrical Contact Resistance Method)이다. 접촉 저항법의 특징은 접촉시 발생되는 저항값이 미세하게 변화한다 할지라도 모두 계측이 가능하다는 점이다. 그동안의 연구는 ㅈ로 단일 접촉점(Single Contact Spots) 위주의 단편적인 실험적 연구를 통하여 접촉 저항법에 대한 신뢰도 확보에 노력하였으나, 최근에는 접촉점이 인접한 다른 접촉부위에 미치는 영향, 즉 다수 접촉점군(Multiple Contact Spots and Clusters)의 거동해석에 더욱 큰 연구 비중을 두고 있다. 접촉점군 상호간의 영향에 관한 연구가 많이 진행되기는 하였지만 해석모델의 적절성 여부가 실험적 데이타를 통하여 확인이 아직 안되었기 때문에 기존의 접촉저항 추정식을 직접 사용하기가 어려웠으나 최근에 볼군-원판 모델에 대한 접촉점과 다수의 접촉점군 상호간에 발생될 수 있는 접촉저항 특성을 실험적으로 해석하여 보다 정확한 해석모델이 제시되었다.

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.