• Title/Summary/Keyword: 치과 디지털 활용

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Application of 3D printer in dental clinic (치과 진료실에서 3D 프린트의 활용)

  • Kim, Hyun Dong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.2
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    • pp.82-96
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    • 2018
  • 3D printing is a process of producing 3d object from a digital file in STL format by joining, bonding, sintering or polymerizing small volume elements by layer. The various type of 3d printing is classified according to the additive manufacturing strategies. Among the types of 3D printer, SLA(StereoLithography Apparatus) and DLP(Digital Light Processing) 3D printer which use polymerization by light source are widely used in dental office. In the previous study, a full-arch scale 3d printed model is less precise than a conventional stone model. However, in scale of quadrant arch, a 3d printed model is significantly precise than a five-axis milled model. Using $3^{rd}$ Party dental CAD program, full denture, provisional crowns and diagnostic wax-up model are fabricated by 3d printer in dental office. In Orthodontics, based on virtual setup model, indirect bracket bonding tray can be generated by 3d printer. And thermoforming clear aligner can be fabricated on the 3d printed model. 3D printed individual drilling guide enable the clinician to place the dental implant on the proper position. The development of layer additive technology enhance the quality of 3d printing object and shorten the operating time of 3D printing. In the near future, traditional dental laboratory process such as casting, denture curing will be replaced by digital 3D printing.

The use of implant surveyed fixed prosthesis for removable partial denture with a few unilateral remaining teeth: A case report (편측 소수 잔존치 증례에서 CAD software를 활용한 planning 및 임플란트 서베이드 고정성 보철물을 이용한 국소의치 수복: 증례보고)

  • Park, Jeongkeun;Kim, Jong-Eun;Park, Ji-Man;Kim, Jeehwan;Shim, June-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.254-262
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    • 2019
  • As implant can be covered by National Health Insurance Service (NHIS), it was increased the interest in the removable partial denture (RPD) with the surveyed fixed prosthesis supported by implant fixture. To achieve predictable result, it needs the prudent implant planning by basic principles of RPD and patient's residual ridge. This 67 years old age male had a few unilateral remaining teeth, and hoped the treatment covered by NHIS. As using CAD software, the position of implant is planned with regarding to occlusal table of provisional denture, basic principles of RPD, and resorbed residual ridge. The definitive prostheses can ensure the stability and retention of removable prosthesis. When planning implant fixed prostheses, the digital technique was utilized to consider basic principle of RPD and resorbed residual ridge. As a result, it provided satisfactory prostheses.

A case of digital maxillary complete denture and mandibular implant overdenture fabricated by CAD-CAM technique (완전 무치악 환자에서 CAD-CAM 기법을 이용한 상악 총의치 및 하악 임플란트 피개의치 수복: 증례 보고)

  • Kim, Kun Min;Oh, Kyung Chul;Kim, Sang Hyun;Han, Chol Gwan;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.442-450
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    • 2021
  • The CAD-CAM technique is a rapidly developing field in the dental field and is applied to various fields of prosthetic treatment. Among them, the manufacturing of dentures using the milling technique classified as subtractive manufacturing is one of the commercialized digital full denture manufacturing methods. At the same time, it is possible to more efficiently manufacture a metal framework for implant overdenture by selective laser sintering or melting technique classified as an additive manufacturing method. The purpose of this article is to describe the fabrication of CAD-CAM maxillary complete denture and mandibular implant overdenture as well as its features.

Digital approach for fabrication of zirconia restoration with optimal gingival adaptation after tooth extraction: A case report (발치 후 지르코니아 보철물 제작에서 최적의 연조직 적합 형성을 위한 디지털 치료 증례)

  • Mai, Hang Nga;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.217-220
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    • 2020
  • Conventionally, when a zirconia fixed dental restoration is planned, the interim restoration is made manually and the final restoration is fabricated by the silicone impression taking at the prosthodontic stage. This conventional workflow does not provide direct relation between interim and final restorations. Moreover, the predictability of the final restoration could be low. Nowadays, the CAD/CAM based restoration fabrication and related digital techniques are developed and being applied in dentistry in multiple ways. This case report introduces a digital workflow for fabricating an optimal gingival adaptation and predictability of monolithic zirconia restoration by using CAD/CAM interim restoration, intra oral scan, and image superimposition technique in a case that required tooth extraction.

Evaluation of occlusal strength using T-Scan Novus and Dental prescale II in dental prosthodontic treatments: A case report (보철물 수복 형태에 따른 T-Scan Novus와 Dental prescale II를 이용한 교합력 평가 활용 증례)

  • Su-Hyun Choi;Yu-Sung Choi;Jong-Hyuk Lee;Seung-Ryong Ha
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.160-178
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    • 2023
  • Diagnosis and analysis of occlusal relationships are important factors in prosthetic treatment. A thorough occlusion analysis and evaluation should be performed before treatment to restore a stable interocclusal relationship. Analysis and evaluation are essential during the treatment process and at regular follow-ups. Recently, with the development of dental equipment and digital processing methods, new quantitative analysis methods that can record the patient's occlusal relationship have been introduced. Among them, the T-Scan Novus (Tekscan Inc., S. Boston, MA, USA) displays the strength of the initial contact point and the occlusal contact point of the teeth using a pressure sensor. With this, occlusal contact time of the teeth, anteroposterior and left-right balance of occlusal force can be compared. The Dental prescale II (GC Co., Tokyo, Japan) scans the occlusal contact point using a pressure-sensing film and analyzes the density of the contact point. It can measure the distribution and strength of the occlusal force of the teeth in the most natural occlusion state. Based on this, appropriate prosthetic treatment (four-unit fixed partial denture, removable partial denture, complete denture, and complete oral restoration cases) was performed according to the area and extent of the patient's tooth loss. The patient's occlusion at the first visit, treatment stage, right after treatment, and regular follow-up were compared and evaluated using a quantitative method for appropriate occlusion analysis using T-Scan Novus and Dental prescale II. This report enhances the understanding of occlusion analysis during prosthetic restoration. The results satisfied both the clinician and patients in terms of function and aesthetics.

Accuracy of implant digital scans with different intraoral scanbody shapes and library merging according to different oral exposure height (구내 스캔바디의 형태에 따른 임플란트의 디지털 스캔 정확도 및 구강 내 노출 높이에 따른 라이브러리 중첩 정확도 비교 연구)

  • Jeong, Byungjoon;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.27-35
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    • 2021
  • Purpose: The purpose of this study is to compare the accuracy of digital scans of implants according to different shapes of scanbodies, and to compare the accuracy of library merging according to different oral exposure height. Materials and methods: A master model with a single tooth edentulous site was prepared. For the first experiment, three types of intraoral scanbodies were prepared, divided into three groups, and the following experiments were conducted for each group: An internal hex implant was placed. The master model with the scanbody connected was scanned with a model scanner, and a master reference file (control group) was created. 10 files (experimental group) were created by performing 10 consecutive scans with an intraoral scanner. After superimposing the control and experimental groups, the following values were calculated: 1) Distance deviation of a designated point on the scanbody 2) Angle deviation of the major axis of the scanbody. For the second experiment, the scanbody scan data were prepared in 6 different heights. Library files were merged with each of the scan data. The distance and angular deviation were calculated using the 7 mm scan data as control group. Results: In the first experiment, there were no significant differences between A and B (P=.278), B and C (P=.568), and C and A (P=.711) in the distance deviations. There were no significant differences between A and B (P=.568), B and C (P=.546), and C and A (P=.112) in the angular deviations. Also, the scanbody showed significantly higher library merging accuracy in the groups with high oral exposure height (P<.5). Conclusion: There were no significant differences in scan accuracy according to the different shapes of scanbodies, and the accuracy of library merging increased according to exposure height of the scanbody in the oral cavity.

Investigating the perception of instructors on the use of virtual reality education (가상현실 교육적 활용에 대한 교수자의 인식조사)

  • Kim, Ji-Hyo;Park, Seong-Man;Lee, Young-Lim;Joo, Mee-Ran;Park, Eun-Seo;Park, Jong-Tae
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.11-19
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    • 2021
  • The purpose of the study is to explore a plan for effective education using virtual reality in English education. In order to achieve the purpose of the study, the perception of English education using virtual reality was comprehensively investigated and analyzed for teachers(n=20) in the field of English education. The results of the study reveal the followings: 1) Teachers are positively aware of the necessity of English education using virtual reality, but most teachers complained of a psychological burden on education using virtual reality; 2) negative responses were somewhat higher than positive responses to the expectation that virtual reality-based English content would be practical in the educational field; 3) In order to increase the effectiveness of English education using virtual reality, it is necessary to share experiences for educational experience of virtual reality and need to provide various virtual reality contents; and 4) For virtual reality educational application, there is a high demand for teaching and learning method education and training using virtual reality and provision of guidelines for education using virtual reality.

Effects of a New Clinical Training Simulator for Dental Radiography using Augmented Reality on Self-efficacy, Interest in Learning, Flow, and Practice Satisfaction (증강현실형 치과방사선촬영 시뮬레이터의 개발 및 효과검증 : 자아효능감, 학습흥미도, 학습몰입도, 실습만족도를 중심으로)

  • Gu, Ja-Young;Lee, Jae-Gi
    • Journal of Digital Contents Society
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    • v.19 no.9
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    • pp.1811-1817
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    • 2018
  • The purpose of this study is to elucidate the effects of a new clinical training simulator for dental radiography using augmented reality (AR) on user learning context. To accomplish this purpose, we divided 217 dental hygiene students into two groups. The experimental group was presented with the new clinical training simulator for dental radiography using AR, and the control group was presented with task information using a textbook. The results showed that the experimental group presented the new clinical training simulator for dental radiography using AR had a higher level of self-efficacy, interest in learning, flow, and practice satisfaction compared with the control group shown the task information using a textbook. Therefore, the AR-based radiography simulator can be utilized in dental radiology practice education as an effective educational device.

Computer-aided design and manufacturing-based full mouth rehabilitation for a patient with excessive attrition and restricted vertical dimension: A case report (심한 치아 마모와 수복 공간 부족을 보이는 환자에서 CAD/CAM 기술을 활용한 완전 구강 회복: 증례 보고)

  • Cho, Jun-Ho;Yoon, Hyung-In;Yeo, In-Sung;Han, Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.495-505
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    • 2019
  • This study reported the treatment of a patient with excessive worn dentition and limited maxillo-mandibular space for restoration, utilizing the computer-aided design and computer-aided manufacturing (CAD/CAM) technology. After the thorough examination of the patient's occlusal vertical dimension (OVD), full mouth rehabilitation was planned with increase of the OVD. The patient was satisfied with the provisional restorations establishing the increased OVD. The horizontal and vertical data of the patient's jaw relation that the provisional restorations contained were transferred to the definitive metal ceramic fixed prostheses by double scanning and three-dimensional printing. After the fixed restorations were cemented to the abutments, electronic surveying and three-dimensional printing were used to fabricate metal frameworks for the patient's removable partial dentures. The mandibular definitive removable prostheses were delivered to the patient's mouth and the full mouth rehabilitation procedures were completed. The digital technologies used for this case produced fixed and removable restorations satisfactory in masticatory, phonetic and aesthetic functions to both the patient and the dental clinician.

Prosthetic rehabilitation with digital implant planning for a minimally invasive surgery approach (디지털 임플란트 플래닝을 통한 최소침습 보철수복 증례)

  • Jeong, Areum;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.283-292
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    • 2022
  • For fixed prosthetic treatment using implants, implants must be placed in a suitable location for prosthetic treatment. During surgery, minimally invasive prosthetic restoration is possible using a flapless method using a surgical guide. The patient in this case was an 86-year-old male patient who wanted treatment due to discomfort when using conventional dentures. Due to systemic disease, the patient had difficulty using removable local dentures, so full dentures for the maxilla and fixed implants for the mandible were restored. Because there is a high risk of bleeding due to systemic disease, the implant was placed in a flapless method using a surgical guide. Finally, prostheses were fabricated with maxillary full denture and mandibular screw-retained zirconia, and this report shows satisfactory esthetic and functional recovery.