• Journal of Dental Rehabilitation and Applied Science
• /
• v.20 no.2
• /
• pp.95-107
• /
• 2004

The prosthodontic treatment of Class II division 2 malocclusions is challenging. Ideally, these malocclusions should be identified at an early age and corrected with orthodontic treatment; otherwise, the individual develops a habitual position characterized by deep overbite and significant retruded position of mandibular condyle at the TMjoint fossa. This article describes a clinical protocol for the occlusal rehabilitation of patients with Class II div.2 malocclusions. Within this protocol, an occlusal splint was used to locate the most suitable maxillary-mandibular relationship for function and range of motion. The splint increased the vertical dimension and reduced pain on TMjoints. After transfer this relationship to an articulator for fabrication of provisional restorations, the CR position and centric prematurity contact between maxilla and mandible was used to determine the tentative vertical dimension of occlusion(VDO). The amount of elevation of VDO was decided on the articulated model. The provisional restorations were accurately transfered to a patient's mouth in clinical procedures using tattoo points. The final restoration was delivered after some trial periods with provisional restorations. The theory behind this protocol and its associated clinical procedures is presented along with a discussion.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.18 no.2
• /
• pp.113-118
• /
• 2002

Conventional radiograph, computed tomograph (CT), magnetic resonance image (MRI) are commonly used methods for diagnosis of oro-maxillofacial cancer. MRI is an effective tool to verify soft tissue lesion however, metal produces black artifacts in the image. Therefore, metal structure should be removed before taking MRI to diagnose head and neck cancer patients. A 52-year-old female patient with adenocarcinoma in the posterior right soft palate was referred to take a MRI before surgery. She has 7-unit porcelain fused to metal bridge in the maxilla. Eight-unit Tagis-Vectris fixed partial denture was fabricated to replace her existing PFM bridge to take a MRI without any artifact before and after surgery. The patient satisfied with her restorations in terms of esthetics, function after 11 months. Even though minor staining was detected, Tagis-Vectris restoration fixed partial denture was intact during observation period.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.25 no.3
• /
• pp.243-253
• /
• 2009

This report described a technique utilizing a computer-aided design (CAD) /computer-aided machining (CAM) - guided surgical implant placement and prefabricated fixed complete denture for an immediately loaded restoration. A patient with an edentulous maxilla and mandible received 6 implants in maxilla and 6 implants in the mandible using CAD/CAM surgical templates. Prefabricated provisional maxillary and mandibular implant supported fixed prostheses were connected immediately after implant installation. Provisional prostheses were evaluated for aesthetics, function during 6 months. Definitive prostheses were fabricated.

• The Journal of Korean Academy of Prosthodontics
• /
• v.49 no.1
• /
• pp.80-86
• /
• 2011

When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.

• The Journal of Korean Academy of Prosthodontics
• /
• v.56 no.2
• /
• pp.126-133
• /
• 2018

The development of cone beam computerized tomography (CBCT) allows three-dimensional analysis of the patient's anatomy. The surgical guide is a combination of CBCT, computer-aided design/computer-aided manufacturing (CAD/CAM) and implant diagnostics software, which allows well planned prostheses design and ideal implant placement. Guided surgery minimizes possible anatomical damage and allows for more reproducible treatment planning. In this case, the operation time was shortened by using a surgical guide for multiple implants placement in a fully edentulous patient. Immediate loading were performed more easily using preliminary preparation of provisional prosthesis. The patient was satisfied with improved esthetics and chewing function.

• Journal of Digital Convergence
• /
• v.18 no.4
• /
• pp.309-314
• /
• 2020

Polymethyl methacrylate (PMMA) is concerned with promoting oral infection due to its low antibacterial activity. To overcome this, the nanoparticles of Ag-MSN, nGO, and CNP were mixed with MMA liquid in a weight ratio of 0, 0.25, 0.5, 1.0, 2.0% compared to resin powder using Orthocryl from Dentarum, a calibration resin, and then instructed by the manufacturer. Accordingly, a specimen for calibration was prepared by mixing PMMA: MMA (1.2: 1) ratio, and physical properties of the calibration resin, antifungal experiments, and statistical analysis were performed. As a result of antibacterial experiments, the antibacterial properties of Ag-MSN increased. In nGO, the antibacterial adhesive effect increased hydrophilicity, not a change in surface roughness. The higher the CNP concentration, the higher the antibacterial activity. This suggests its potential usefulness as an antibacterial dental material for orthodontic devices and temporary restorations.

• Journal of Technologic Dentistry
• /
• v.43 no.3
• /
• pp.77-83
• /
• 2021

Purpose: The purpose of this in vitro study was to measure and compare the thickness-dependent color dimensions of digital light processing (DLP) three-dimensional (3D) printer and conventional interim restorative resin. Methods: Specimens (N=60) were fabricated using either subtractive manufacturing (S group) or DLP 3D printing (D group) material. All milled and 3D-printed specimens were allocated into three different groups (n=10) according to different thicknesses as follows: 1.0, 1.5, and 2.0 mm. Color measurements in the CIELab coordinates were made using a spectrophotometer under room light conditions (1,003 lux). The color differences (𝚫E^*) between the specimen and control target data were calculated. Data were analyzed using the oneway analysis of variance (ANOVA). Post hoc comparisons were conducted using Tukey's honestly significant difference method (α=0.05 for all tests). Results: The 𝚫L^*, 𝚫a^*, 𝚫b^*, and 𝚫E^* values of interim restorative resin produced by DLP 3D printing were obtained in terms of the specimen's thickness increased compared with the increases by subtractive manufacturing. When the thickness was similar, the color difference between subtractive manufacturing and DLP 3D printing was ≥5.5, which is a value required by the dentist for remanufacturing. Conclusion: Color was influenced by the thickness of the interim restorative resin produced by DLP 3D printing.

• The Journal of Korean Academy of Prosthodontics
• /
• v.60 no.1
• /
• pp.80-90
• /
• 2022

With the development of digital dentistry, it is being applied in various ways of dental treatment. This case report presents the definitive prosthesis designed in advance with a re-established vertical dimension and the digital technology, which determined the amount of tooth preparation, in order to preserve as much tooth structure as possible in a patient with pathological wear of the posterior teeth and loss of vertical dimension. For accurate tooth preparation, the guides of the occlusal and axial surfaces were digitally and additively manufactured. Then, aesthetics and anterior guidance were established at the provisional stage. The information of the provisional restoration was delivered to the definitive stage by double scanning. The digital technology, including the virtual planning and the guided tooth removal, produced the definitive restorations satisfactory to both the patient and clinician.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.38 no.1
• /
• pp.26-33
• /
• 2022

Anterior tooth spacing is observed by pathological tooth movement (PTM), which is common in periodontal patients. And various occlusal factors contribute to PTM, especially in the maxillary anterior region, when there is excessive occlusal force, flaring due to position problem easily occurs. Teeth with loss of periodontal support tissue can secure stability when expanding the support area through intentional splinting, and change the occlusion when restored as a fixed prosthesis. After confirming the stable occlusion through the provisional prosthesis, it can be transferred to the final prosthesis through CAD-CAM. In this case, we present a long-term stable case through accurate diagnosis and treatment of the maxillary anterior teeth that have lost interdental contact.

• Journal of the Korean Society of Industry Convergence
• /
• v.27 no.2_2
• /
• pp.389-395
• /
• 2024

The purpose of this study was to evaluate the effect of different washing solvents and washing methods on the flexural strength of 3D printed temporary resin. A bar(25 × 2 × 2 mm) was produced with a layer thickness of 50 ㎛ using an LCD-type 3D printer and divided into 15 groups(n = 10, each) according to washing solution(IPA; 99% isopropyl alcohol, TPM; 93% Tripropylene glycol monomethylether, ETL; Ethanol, TWC; Twin 3D Cleaner, and DNC; DIO navi Cleaner) and washing method(Dip; Dip washing, Ultra; Ultrasonic washing, and Auto; Automated washing). All groups were washed for 5 minutes, and post-cured for 5 minutes using a UV LED light curing machine. The Flexural strength was measured using a three-point bending test using a universal testing machine. For statistical analysis, one-way ANOVA, Tukey HSD post hoc test, Kruskal-Wallis test and post-hoc by Bonferroni-Dunn test(𝛼=.05) were performed depending on whether the normality test was satisfied. In all washing solvents except TPM and DNC, the Dip group showed the lowest flexural strength values, while the Auto group showed the highest flexural strength values except for DNC. Additionally, the washing solution showed completely different flexural strength values depending on the washing method.