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Esthetic improvements through systematic diagnosis and treatment procedures in patients with unesthetic maxillary anterior teeth proportion after orthodontic treatment: Case report (교정치료 후 비심미적인 상악 전치부 비율을 가진 환자에서 체계적인 진단 및 치료과정을 통해 심미성이 개선된 보철 수복 증례)

  • Lee, Seong-Min;Choi, Yu-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.262-275
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    • 2015
  • The treatment of areas demanding esthetic requirements, such as maxillary anterior teeth, should take into account the achievement of a healthy, harmonious to the surrounding tissue, and an attractive smile line. In this case report, smile line, soft tissue and hard tissue morphology, and the anatomy and proportion of the tooth, must be considered. In patients with unesthetic maxillary anterior ratio due to inadequate gingival contour and diastema caused by peg lateralis, it would be challenging to achieve an esthetic restoration by orthodontic treatment alone. In such case, after orthodontic treatment, dento-gingivo-facial compositional diagnosis and analysis, followed by gingivectomy and prosthodontic restoration is needed to improve the interdental mesial/distal, width/length ratio to achieve a satisfactory esthetic result. In addition, when improving the tooth proportion of peg lateralis by prosthodontic treatment, Porcelain laminate veneer (PLV), which results in less tooth structure loss, reproduction of similar shade to that of the proximal tooth and high transparency, is recommended. This case report demonstrates esthetic improvements by prosthodontic restoration through systematic diagnosis and treatment procedure in patients with unesthetic maxillary anterior proportion after orthodontic treatment due to peg lateralis by means of two female patients aged twenty years old.

THE USE OF REMOVABLE APPLIANCE FOR THE CORRECTION OF MINOR IRREGULARITIES IN ANTERIOR SEGMENT (전치부의 경미한 공간부조화 개선을 위한 가철성 장치의 적용 예)

  • Kwak, Ah-Ram;Choi, Yeong-Chul;Park, Jae-Hong;Choi, Seong-Chul;Kim, Gwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.685-693
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    • 2007
  • Class I malocclusion without skeletal problem results from tooth size/arch-size discrepancies, either evidenced by crowding, or spacing problems. Treatment method can be chosen according to dentition, the amount of arch discrepancy, patient compliance, or patient demands. We report of clear aligner and spring aligner that can be applicated in cases of permanent dentition with minimal arch discrepancy in anterior segment. There are some limits of application, but these are very useful appliances in the selective case. When crowding exists, definitive analysis and diagnosis should be made before starting treatment because certain amount of space must be obtained somewhere in the dentition to resolve the crowding. Therefore, appliance should be applied when lacking space is small. Also, in cases with spacing arch circumference is reduced after alignment so no problem in intermaxilla occlusal relationship must be confirmed. In case with crowding, judicious removal of interproximal enamel is indicated.

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The Security Life Cycler Energy Service Platform for Universal Middleware (유니버설미들웨어기반 생명주기 보안에너지 서비스플랫폼 연구)

  • Lee, Hae-Jun;Hwang, Chi-Gon;Yoon, Chang-Pyo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.6
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    • pp.1197-1202
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    • 2017
  • Security services that support electric energy service gateway require relatively high reliability. In particular, the application services that accompany communications and data are run organically. Each of the security services should support a secure service platform that supports a secure, scalable life cycle for existing services which should be extends security layer of Universal Middleware. In this convergence platform, it is the study of security transfer modular services that allow independent life cycle management of systems through Universal middleware. First, It is modular in terms of energy consumption service and data, enabling real-time operation, communications, remote management and applications. Second, the life cycle of the secure module to support start, stop and updating of the security module by applying the security policy module layer concept. It is modular system enabling to design of dyanmic models in the smart grid, the service was intended to be standardized and applied to the security service platform.

The Study of Security Life Cycler Energy Service Platform or Universal Middleware (유니버설미들웨어상의 생명주기기반 보안에너지 서비스플랫폼 연구)

  • Lee, Hae-Jun;Hwang, Chi-Gon;Yoon, Chang-Pyo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.291-293
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    • 2017
  • Security services that support electric energy service gateway require relatively high reliability. In particular, the application services that accompany communications and data are run organically. Each of the security services should support a secure service platform that supports a secure, scalable life cycle for existing services which should be extends security layer of Universal Middleware such as OSGi platform. In this convergence platform, it is the study of security transfer modular services that allow independent life cycle management of systems through Universal middleware. First, It is modular in terms of energy consumption service and data, enabling real-time operation, communications, remote management and applications. Second, the life cycle of the secure module to support the life cycle of secure, delete, start and updating of the security module by applying the security policy module layer concept. It is modular in terms of power generation and accountability, enabling us to distinguish between reliability and accountability in a large volume of data models in the smart grid, the service was intended to be standardized and applied to the security service platform.

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IN VITRO COMPARISON OF VARIOUS DIAGNOSTIC METHODS OF OCCLUSAL CAR10US LESIONS (교합면 우식병소의 다양한 진단법에 관한 비교연구)

  • Kim, Jae-Gon;Kim, Young-Jin;Kim, Young-Sin;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.613-619
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    • 2001
  • The aims of this study were to compare the accuracy, sensitivity and specificity of cnventional visual examination, radiography and a new laser fluorescence method, KaVo Diagnodent, for the detection of occlusal caries lesions. One hundred sound human premolars and molars which had no restorations or interproximal cavities were tested by three methods. Tooth lesions depth was assessed at histologic examination using Caries detector dye The following results were obtained. 1. Diagnodent show 7.8 in sound tooth, 25.4 in initial caries, 30.5 in enamel caries, and 53.8 in dentin caries with average score 2. Spearman and Pearson relation coefficient was high between tooth-specimen test with dye and Diagnodent(0.736, 0.619), visual examination(0.664, 0.666), and was low between tooth-specimen test with dye and radiographic examination(P<0.01, total) 3. Accuracy of occlusal caries was highest on Diagnodent(65%) and lowest on radiographic examination(35%) 4. In initial caries, the sensitivity and specificity of Diagnodent method was the highest. In enamel caries, the sensitivity of visual examination was the highest and specificity of Diagnodent method was the highest. In dentinal caries, the sensitivity and specificity of Diagnodent method was the highest and sensitivity of visual examination was the lowest.

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SURGICAL EXTRACTION OF MULTIPLE SUPERNUMERARY TEETH BY TWO-STAGE PROCEDURE (상악 절치부에 매복된 다수 과잉치의 외과적 발거)

  • Hong, Eun-Hye;Kim, Seong-Oh;Lee, Jae-Ho;Choi, Hyung-Jun;Son, Heung-Kyu;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.333-338
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    • 2008
  • Supernumerary teeth are characterized by an excess number of teeth, which can be responsible for a variety of irregularities in the primary and transitional dentition. Supernumerary teeth, especially in the maxillary anterior region, may prevent the eruption of adjacent permanent teeth and cause their ectopic eruption, diastema, root resorption, or formation of dentigerous cyst. Therefore, early diagnosis of supernumerary teeth is important for prevention of such complications, and adequate treatment should be given according to their location, number, and morphologic features. In this case, four supernumerary teeth in the maxillary anterior region were disturbing the eruption of adjacent permanent incisors. Two of them were located in proximity to the central incisor tooth germs that their immediate removal may injure the permanent tooth germs. In order to minimize such complications, surgical extraction of the four supernumerary teeth was performed in two stages. At first, only two inverted conical supernumerary teeth were extracted. The other two tuberculous supernumerary teeth, close to the permanent tooth germs, were extracted later after their natural dislocation. In that way, we could minimize affects on the neighboring permanent tooth germs and also the amount of alveolar bone removed during surgery.

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ORTHODONTIC TREATMENT THROUGH EXTRACT10N OF UPPER AND LOWER LATERAL TEETH (상하악 측절치 발거를 통한 전치부 총생의 치료)

  • Park, Sang-Hyun;Lee, Kwang-Hee;Kim, Dae-Eop;Lee, Jong-Seon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.547-552
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    • 2001
  • Extracting mandibular incisors for orthodontic treatment may adversely affect the occlusion. However, when properly used, extraction of mandibular inciors is a selection for the correction of the malocclusion. Generally, treatment for crowding needs to select between nonextraction and four premolar extraction. Approaches for crowded mandibular incisors include distal movement of posterior teeth, lateral movement of canines, labial movement of incisors, interproximal enamel reduction, removal of premolars, removal of one or two incisors, and various combinations of the above. Extraction of incisors is used in case of crowding, anterior tooth size discrepancy, absent of maxillary lateral incisors, and ectopic eruption. But severe overjet. overbite, and space are the contraindication of it. A patient had severe crowding on upper anterior teeth, impacted upper left lateral incisor, palatal ectopic eruption of upper right incisor and severe crowding on lower anterior teeth. Lower lateral incisors are extracted for space availability and facial esthetics. We report the case of orthodontic treatment of upper and lower anterior crowding through extraction of lateral incisor.

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