• Title/Summary/Keyword: 잔존 치아

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Treatment of retrograde peri-implantitis: seven-year follow-up study (역행성 임플란트 근단병소 주위염(Retrograde Peri-implantitis) 치료의 7년 관찰)

  • Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.259-264
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    • 2014
  • Retrograde peri-implantitis (RPI) is defined as a clinically symptomatic periapical lesion. RPI is generally accompanied by symptoms of pain, tenderness, swelling and fistula. Several etiologic factors of RPI were possible, residual bacteria would be the main cause of RPI. Various treatment modalities have been introduced: debridement only or a combination of debridement with the grafting material accompanied by a detoxification of the infected implant surfaces, apicoectomy and so on. Although the definitive management methods remain undefined, many favorable clinical results of a treatment of RPI have been published. This case report introduces the 7-year long-term clinical result of the application the principle: implant surface detoxification using saline and chlorhexidine and guided bone regeneration with bone graft material and barrier membrane. If the implant was not mobile, it would be possible to treat RPI according to surgical approach and good results will be maintained over long term.

A COMPARATIVE STUDY OF THE EFFECT OF CHLORHEXIDINE ON THE BOND STRENGTH OF ADHESIVE RESTORATION (클로르헥시딘이 접착성 수복재의 결합에 미치는 영향에 관한 비교 연구)

  • Yeom, Hae-Woong;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.30-37
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    • 2002
  • Bacterial microleakage around restorations is considered the principal cause of pulpal inflammation associated with restorations. The rationale for using cavity disinfectant is based on its antimicrobial properties but the cavity disinfectant may leave debris on dentin surfaces. The purpose of this study was to evaluate the effect of 2% chlorhexidine on shear bond strength and microleakage of adhesive restoration. 45 sound bovine teeth were used for the shear bond strength test and 30 for the micorleakage. For the experimental groups, 2% chlorhexidine was applied before the restorations, and was not for the control groups. The result from the this study can be summarized as follows; 1. No significant difference could be found in shear bond strength of each group. 2. No significant difference could be found in microleakage of each group.

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Treatment plan for missing mandibular 4 incisors (하악 4전치 상실시 치료 계획)

  • Hahn, Kwang Jin
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.1
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    • pp.25-34
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    • 2016
  • Treatment of missing mandibular 4 incisors is often thought to be easier then other place during surgical and prothetic procedure. But clinicians encounter unexpected difficulties such as restricted implant site due to mesio-distal width of mandibular incisors, limited space as a result of crowing and mesial drift, esthetic problem after severe alveolar bone resorption, and difficulties of provisionalization Through cases, possible treatment options for missing mandibular incisors would be discussed. Treatment options for missing mandibular 4 incisors Place narrow type implant or one body mini implant on exact tooth position when there is no bone resorption Regular size implant on interseptal bone area when there is severe bone resorption Consider using resin bonded bridge(resin retained bridge/resin bonded fixed partial denture) as a tentative prosthesis when patient resists extracting remaining incisors with poor prognosis.

Implant Supported Overdenture using Milled Titanium Bar with $Locator^{(R)}$ Attachment on Fully Edentulous Maxillae : A Case Report (상악 완전 무치악에서 $Locator^{(R)}$ attachment가 장착된 milled titanium bar를 이용한 임플란트 지지 피개의치: 증례 보고)

  • Oh, Sang-Chun;Han, Ji-Suk;Kim, Min-Jeong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.2
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    • pp.223-231
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    • 2011
  • The purpose of this case report is to introduce new attachment system(milled titanium bar with $Locator^{(R)}$ attachment) for implant supported overdenture in maxillary edentulous patients. A 56-years-old male patient visited the hospital due to the mobility of his maxillary fixed partial dentures(10-unit bridge). Including temporomandibular joint(TMJ), there was no specific PMHs to influence dental treatment. In radiographic and clinical evaluation, there was a severe bone resorption and mobility in maxillary teeth. Accordingly all the remaining maxillary teeth was extracted and fabrication of implant supported overdenture was planned. The milled titanium bar with $Locator^{(R)}$ was designed as an attachment system, considering the stability and retention of denture, masticatory efficiency, oral hygiene care, esthetics, pronunciation, and patient's financial state. The milled titanium bar was manufactured using CAD/CAM technology, and $Locator^{(R)}$ attachment connected to the bar by tap & drill method. For over 1-year, in terms of function and esthetics, satisfactory result was obtained.

CLEANLINESS AND WALL MORPHOLOGY OF ROOT-END RETROGRADE CAVITY MADE BY ULTRASONIC DIAMOND INSTRUMENTS (초음파 다이아몬드 기구로 형성된 치근단 역충전 와동의 정화도 및 와벽형태)

  • Kim, Sung-Kyo;Lim, Choon-Hee;Kwon, Tae-Kyung
    • Restorative Dentistry and Endodontics
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    • v.23 no.1
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    • pp.515-524
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    • 1998
  • The purposes of this study were to observe the cavity wall morphology and to evaluate the degree of cavity cleanliness when root-end retrograde cavity preparation was done with ultrasonic diamond instruments. To observe the morphology of retrocavity and to evaluate the degree of cavity cleanliness. root-end resections were done on 20 palatal roots of extracted maxillary first molars after canal filling with gutta-percha. Retrocavities were prepared using either ultrasonic diamond instruments or stainless steel ones of medium power setting of level 6 ($Miniendo^{TM}$, EIE, CA, U.S.A.). Morphology of the cavity. degrees of the remaining canal debris and smear layer were evaluated under the scanning electron microscope. The results were as follows: Cavities prepared with ultrasonic diamond instruments showed scratched appearance of wall, while ultrasonic stainless steel preparation showed hatcheted appearance. Ultrasonic diamond instruments induced more smear layer than stainless steel ones did (p<0.01) in the cavity. However, there was no significant difference in canal debris (p>0.05).

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A Study on Denture Satisfaction in Rural Elderly People (농촌지역 노인의 의치만족도)

  • Lee, Ga-Ryoung;Yoo, Wang-Keun
    • Journal of agricultural medicine and community health
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    • v.35 no.1
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    • pp.56-66
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    • 2010
  • Objectives: The study aimed to explore dental status and denture satisfaction in some rural elderly people. Methods: A total of 546 participants aged over 65 years was surveyed cross-sectionally. The subjects were surveyed with regard to their denture satisfaction by a structured questionnaire. The Wilcoxon or Kruskal-Wallis test was used for analysis. Results: As for respondents' satisfaction for dentures by the Likert scale of 5 score, aesthetic satisfaction (3.73) was highest, followed by general satisfaction (3.56) and masticatory functions satisfaction (3.45). In addition, the educational level, occupation, monthly income, the number of remaining teeth, use of denture variables have statistically significant difference in the denture satisfaction of those elderly people interviewed. Conclusions: The results showed that denture satisfaction in some rural elderly people was different in each categories. Consequently, providing tailor-made oral health education programs for the effective denture management of the elderly people should be needed in order to improve the quality of life of the aged.

Full mouth rehabilitation for a patient with vertical dimension loss using digital diagnostic analysis: A clinical report (수직고경이 감소된 환자의 디지털 진단 분석을 이용한 완전 구강 회복 증례)

  • Choi, Yeawon;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Kim, Hyeong-Seob;Kwon, Kung-Rock;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.487-496
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    • 2021
  • Full mouth rehabilitation is re-organizing the occlusion of the remaining teeth and missing teeth considering the functions, esthetics, and neuromuscular harmony. With the loss of multiple teeth, the patient's occlusal plane gradually collapses and the vertical dimension can be reduced. Since reduced vertical dimension can be a potential etiology of the temporomandibular joint and masticatory muscles, prosthetic restoration with increased vertical dimension is required. This case report is about a 68 years old patient with vertical dimension loss due to worn dentition and multiple loss of teeth. In this case, the loss of vertical dimension is assessed carefully using the digital dentistry technology. Using CAD software in digital analysis step, the occlusal plane was established and evaluated using several criteria. Orienting the position of the bone and teeth using CBCT image, patient's condition was visualized in 3 dimension and treatment planning was possible virtually. The information that matches the patient's condylar position with the articulator, which is the virtual face bow, is reproduced on the actual articulator, and evaluated again. After the evaluation, provisional prosthesis was fabricated and it was confirmed that the patient adapts without any abnormality. This was implemented as a final prosthesis. As a result, the patient obtained satisfying results, utilizing the benefits of digital dentistry technology and traditional methods.

Effect of a Fluoride - Containing Orthodontic Primer for Preventing Enamel Demineralization around Bracket (불소를 함유한 교정용 접착제의 브라켓 주변 법랑질 탈회 예방 효과)

  • Jang, Hayoung;Kim, Jongbin;Kim, Jongsoo;Oh, Sohee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.4
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    • pp.412-418
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    • 2017
  • During orthodontic treatment, formation of white spot lesions (WSLs) around brackets has long been recognized as a potential risk. This study performed to investigate effect of preventing enamel demineralization and remineralization by application of fluoride-containing orthodontic primer. Fifty extracted bovine incisors teeth were randomly allocated to 3 groups: (I) Non-preparation specimens, (II) Application of Light Bond$^{TM}$ as fluoride containing orthodontic primer, (III) Application of Transbond$^{TM}$ XT Primer as traditional orthodontic primer without fluoride. Each group is demineralized under artificial carious solution. The demineralization pattern was evaluated using a Q-ray view, Vickers hardness test and polarized light microscope. The remained primer was calculated as 35 - 50%. The highest surface microhardness was shown on Light Bond$^{TM}$ surface. There were statistically significant differences in Vickers microhardness number between adjacent areas of Light Bond$^{TM}$ and non-prepared area. There was almost no demineralization of the enamel surface under the Light Bond$^{TM}$. At the adjacent site of Light Bond$^{TM}$, the shallow caries pattern and remineralization appearance were also observed. These results suggest that the use of fluoride-containing primers may be useful for bracket attachment to reduce enamel demineralization during orthodontic treatment.

Esthetic removable partial denture with implants and resin clasp: Case report (임플란트와 레진 클래스프를 이용한 심미 가철성 국소의치 증례)

  • Kim, Su-Min;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.58-65
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    • 2015
  • For the rehabilitation of fully edentulous patients, implant-supported removable partial dentures can be considered as one of the treatment options with complete dentures or implant-supported overdentures. If removable partial dentures are used in combination with a small number of implants placed in strategically important positions, it can offer additional stability, retention and support through implants and reduce a burden of surgical procedures compared with fixed implant-supported prostheses with extensive implant placement. Moreover, the economical benefit can be expected as well. The purpose of this case report is to present a treatment in which an implant-supported removable partial denture was fabricated considering residual alveolar bone status and demands after teeth loss in a patient who had been using a distal extension removable partial denture for a long period of time. In anterior area, fixed prostheses were fabricated with implant placement and in posterior area, short implants provide only support for the removable partial denture. In addition, denture base and clasp were made of thermoplastic acrylic resin. Finally, functionally and aesthetically satisfying treatment results can be achieved.

Debris removal efficiency depend on different ultrasonic irrigation protocols (초음파 세정 프로토콜에 따른 근관 내 잔사 제거의 효율성 비교)

  • Heo, Gun;Kim, Jin-Woo;Cho, Kyung-Mo;Enkhbileg, Nyamsuren;Lee, Eun-Hye;Park, Se-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.104-111
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    • 2020
  • Purpose: The purpose of this study is comparing the efficiency of debris removal of passive ultrasonic irrigation depend on different protocols. Materials and Methods: Forty-eight mandibular premolars were randomly divided into 2 groups depend on vibration power (Weak and Strong, n = 24). And then two groups were subdivided into 3 groups depend on the number of times that PUI used (1, 2 and 3, n = 8). After standardization, teeth were split into two halves. On the wall of one half of root canal, three depressions were cut at 1, 3 and 5 mm from the apex and in the same way two depressions were cut on the other half of root canal at 2, 4 mm from the apex. Each depression was filled with mixture of dentine and NaOCl. After irrigation, images of the root canal wall were taken, and then the amount of remaining dentine debris was evaluated. Results: There was no significant difference between weak and strong power of vibration groups. Weak vibration groups did not show significant difference depend on the different number of times PUI used. But in the strong vibration groups, twice and three times used groups show better removal efficiency. Conclusion: The removal efficiency of dentine debris is not significantly different depend on the power of vibration. And multiple use of PUI could have better irrigating effects at the apical third area in the strong vibration group.