• Title/Summary/Keyword: 치과 보철물

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Waiting for Digital Art - digital vs analogue (디지털 아트를 위한 기다림 - 디지털 대 아날로그)

  • Shin, Jun-Hyouk
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.22 no.1
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    • pp.22-29
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    • 2013
  • In general, to conduct aesthetic restorations, various analyses are carried out using a camera from the initial examination with the final prosthesis in consideration. With the reality that many dentists are using digital cameras, it can be considered that the time of digital impression has already started. Just as the recent general trend is that more and more internationally renowned photographers are switching their film cameras to digital counterparts, it is likely that CAD/CAM will show another direction in the area of the aesthetic dentistry that we may want to pursue. With the word 'digital', the convenience and economics often come to mind in the first place. However, from the dental clinical viewpoint, it is important to improve and develop the CAD/CAM system based on understanding its specialty and superiority while respecting the conventional analog techniques. However, a regretful aspect is that it is often difficult to catch up with the latest advancements for proper referencing and follow-up of digital technologies since the CAD/CAM device and material are developing very rapidly. Accordingly, although it is ideal to have hands-on experiences in various digital material and devices, and adapt to their fast changes, it must be stressed that the clinical application is to be implemented on the basis of the proven traditional way of dental clinics in order to obtain better outcomes. This presentation will explore types of approaches that can be made by combining the traditional techniques and the CAD/CAM from the aesthetic viewpoint. In addition, it is hoped and eagerly awaited that the CAD/CAM restoration may play a significant role in the field of the 'digital art'.

A 5-year prospective clinical study of Neobiotech implants for partially edentulous patients (부분 무치악환자에서 Neobiotech 임플란트의 5년 전향적 임상연구)

  • Labriaga, Wilmart;Hong, Ju-Hee;Park, Jin-Hong;Shin, Sang-Wan;Lee, Jeong-Yol
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.272-278
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    • 2017
  • Purpose: The aim of the present prospective clinical study was to assess the cumulative survival rate (CSR) of Neobiotech implants restored with fixed partial prosthesis in relation to its potential risk factors. Materials and methods: Thirty six partially edentulous patients received Neobiotech implants and implant supported fixed partial prosthesis at Korea University Guro Hospital Dental Center from November 2009 until November 2011. The observation period was set from the implant placement and the last clinical visit until December 2015. Implant survival rate was determined using the Kaplan-Meier method. The relationship between implant survival rate and the potential risk factors were analysed using the multi Cox proportional analysis (P<.05). Results: A total of 69 implants were placed in 36 patients after a mean observation period of 45.9 months. Two out of 69 implants failed before loading, yielding a 5-year cumulative survival rate of 97.1%. The maxillary implants have a lesser CSR than the mandibular implants based on log rank test analysis (maxilla=91.3%; mandible=100% P<.05). However, the multi Cox proportional analysis showed that implant location has no significant correlation with implant failure (P>.05). Conclusion: Neobiotech implants showed predictable results with a 5 year cumulative survival rate of 97.1%.

Dental Prosthesis Causing Pneumonia in a Delirious Elderly Patient after Hip Fracture Surgery (고관절 골절 수술후 발생한 섬망환자의 치과보철물에 의한 폐렴)

  • Lee, Young-Kyun;Ha, Yong-Chan;Koo, Kyung-Hoi
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.97-100
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    • 2012
  • We report a case of delayed diagnosed pneumonia due to an aspirated metallic crown, which had been detached from a molar tooth. Dental prosthesis should be checked and a careful review of the chest radiograph is mandatory when an elderly patient with delirium after hip fracture surgery develops pneumonia postoperatively.

Comparative Study of the Surface Roughness of Working Models Fabricated by Dental CAD/CAM Scannable Stone and Type IV Gypsum Products (치과용 캐드캠 스캔전용 석고와 Type IV 석고로 제작된 작업모형의 표면조도 비교 연구)

  • Kim, Sa-Hak;Kim, Jae-Hong
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.455-460
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    • 2014
  • This study compared the surface roughness and surface characteristics between a type IV stone and scannable stone. Materials used were a type IV stone, two different kind of scannable stone. Ten specimens per experimental group were prepared according to manufacturer's direction. Surface roughness of specimen was measured using profilometer. The measurement was based on the standard of Japanese Industrial Standards 1994. The mean and standard deviations of each reference point were analyzed using one-way ANOVA and Scheff$\acute{e}$ post hoc test. The program used to handle statistical analysis was SPSS 20.0 and the significance level was set at 0.05. The difference of surface roughness was statistically significant in order of Scannable Stone $10.07{\pm}0.02{\mu}m$, Scannable Stone $20.08{\pm}0.03{\mu}m$, Type IV $0.10{\pm}0.04{\mu}m$. These results will have to be confirmed in further clinical application researches.

Pneumonia due to tooth-like foreign body aspiration in a child with seizure disorder (경련성 질환을 가진 장애 아동에서 치아로 추정되는 이물질 흡인에 의한 폐렴)

  • Park, Minji;Lee, Ko-Eun;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.26-30
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    • 2018
  • Aspiration of tooth can occur not only during dental treatment, but also due to factors like trauma or physiologic exfoliation of primary tooth. If this occurs, complications such as fever, cough, dyspnea, pain, and bronchitis can be appeared. 9 years-old girl with Lennox-Gastau syndrome visited the dental clinic for regular checkups. Calcified tooth-like material was observed in the chest PA x-ray, and maxillary left primary first molar was not observed in the patient's oral cavity. She had a history of hospitalization for pneumonia two months ago. Because it was considered that the tooth was likely to be aspirated and caused pneumonia, the extraction of remaining primary teeth with mobility was performed. It is necessary to reduce the risk of aspiration in patient with disabilities by performing active treatment such as removal of primary tooth with mobility or ill-fitting restorations.

Design of a non-contacting single infrared sensor for high frequency dental casting machine (치과용 고주파 주조기를 위한 비접촉 단일 온도센서 설계)

  • Hwang, In;Won, Yonggwan;Lee, Sang-Hun;Song, Sung-Geun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.8
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    • pp.1546-1552
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    • 2016
  • In addition, because it uses preheating to dissolve an alloy in general, it is hard to regulate the appropriate melting temperature of the alloy and brewing time and shows the defect of the supplementation thing due to the super-heating. Once the alloy is molten and then most of the casting by attaching a sight glass or non-contact temperature sensor is suitable casting temperature the operator pressing a button to generate a centrifugal force to inject the molten alloy into a crucible in the casting ring. These results, and most of the cast temperature is too high or too low to generate a lot of casting defects do not get into a uniform cast body. In this paper, we developed a dental casting machine for high frequency using a single temperature sensor which can measure the actual temperature of the alloy than the temperature of the external non-contact measurement using a temperature sensor.

Full-mouth rehabilitation of a patient with severe tooth wear using a gothic arch tracer and stabilization splint. (비기능적 습관에 의한 전반적인 마모 환자의 고딕아치 기록장치 및 교합안정장치를 통한 완전 구강 회복 증례)

  • Sungwoo Ju
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.23-32
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    • 2023
  • A patient with para-functional habits can cause widespread teeth wear, along with temporomandibular joint disorders and myofascial pain syndrome in the masticatory muscles. Prolonged teeth wear is associated with a decrease in vertical occlusal dimension, leading to issues such as changes in facial morphology, decreased masticatory efficiency, and temporomandibular joint disorders. To achieve a three-dimensional full-mouth rehabilitation in patients with decreased vertical occlusal dimension, accurate diagnosis, analysis, and proactive treatment planning are essential. Prosthetic treatment accompanied by the restoration of physiological vertical occlusal dimension and the re-establishment of a normal occlusal plane is necessary. This case report presents a full-mouth rehabilitation case involving a patient with overall teeth wear, showing decreased vertical occlusal dimension which results in discomfort in the temporomandibular joint and aesthetic dissatisfaction. The report highlights the successful outcome achieved through the use of occlusal stabilization splint for temporomandibular joint stability and Gothic arch tracing devices for the re-establishment of intermaxillary relationships. Also, through adjustments and adaptation assessment using provisional prostheses, favorable outcomes were achieved both functionally and aesthetically.

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.

Valplast$^{(R)}$ flexible removable partial denture for a patient with medically compromised conditions : a clinical report (전신적 질환자 및 예후가 불량한 환자에서 Valplast$^{(R)}$ 탄성 국소의치의 적용)

  • Choi, Bohm;Kim, Seong-Hun;Lee, Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.3
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    • pp.295-300
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    • 2009
  • Statement of problem: As the number of elders is growing with the advancement of medicine, partially or fully edentulous patients have increased. Medically compromised conditions are common in the older population so that it should be taken into account in prosthetic treatment planning as well as their economic conditions. In the older patients, removable prosthesis has been preferred to implant prosthesis. However, cast metal based removable partial dentures also has several limitations. Purpose: In this report, we present several cases of Valplast$^{(R)}$ flexible denture which were fabricated in patients who had medically compromised conditions or whose remaining teeth showed a relatively poor prognosis. Results & Conclusion: This article describes an alternative treatment for a partially edentulous patient with mouth opening limitation, after cancer surgery, compromised general condition and questionable remaining teeth. In these patients, Valplast$^{(R)}$ flexible denture was used because of its unique characteristics and the results were all satisfactory. Patients had 1-2 check-up and there were no postoperative pain or fracture of denture up to now.

Effect of fabrication method and surface polishing on the surface roughness and microbial adhesion of provisional restoration (임시 수복물의 제작 방식과 표면 연마가 표면 거칠기와 세균 부착에 미치는 영향)

  • Yeon-Ho Jung;Hyun-Jun Kong;Yu-Lee Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.3
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    • pp.149-158
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    • 2024
  • Purpose: This study aims to investigate the effects of provisional restoration fabrication methods and surface polishing on surface roughness and microbial adhesion through in vitro experiments. Materials and Methods: 120 cylindrical provisional restoration resin blocks (10 × 10 × 2.5 mm) were manufactured according to four fabrication methods, and 30 specimens were assigned to each group. Afterwards, they were divided into non-polishing group, #400 grit SiC polishing group, and #800 grit SiC polishing group and polished to a 10 × 10 × 2 mm specimen size (n = 10). The surface roughness Ra and Ry of the specimen was measured using a Surface Roughness Tester. Three specimens were extracted from each group and were coated with artificial saliva, and then Streptococcus mutans were cultured on the specimens at 37℃ for 4 hours. The cultured specimens were fixed to fixatives and photographed using a scanning electron microscope. For statistical analysis, the two way of ANOVA was performed for surface roughness Ra and Ry, respectively, and the surface roughness was tested post-mortem with a Scheffe test. Results: The fabrication method and the degree of surface polishing of the provisional restorations had a significant effect on both surface roughness Ra and Ry, and had an interaction effect. There was no significant difference in Ra and Ry values in all polishing groups in DLP and LCD groups. Conclusion: The fabrication method and surface polishing of the provisional restoration had a significant effect on surface roughness and showed different adhesion patterns for S. mutans adhesion.