• Title/Summary/Keyword: 치과 보철물

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A Study on the Dental Prosthesis status and needs of Elderly in Korea (From the 2010 Korean National Examination Health and Nutrition survey) (한국노인의 치과보철물 상태 및 필요도에 관한 연구 - 5기 1차년도(2010년) 국민건강영양조사를 이용하여 -)

  • Jung, Hyo-Kyung;Lee, Jong-Do
    • Journal of Technologic Dentistry
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    • v.34 no.3
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    • pp.315-324
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    • 2012
  • Purpose: The purpose of this study was to survey dental prosthesis and dental prosthesis needs of elderly for improving oral health status. Methods: The data collected from 'The fifth Korean national health and nutrition examination survey 2010' was analyzed in this study. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for Windows. We determined frequencies and percentage, calculating means, and standard deviations, and determined statistical significance using cross-tabulation analysis, logistic regression analysis. Results: General characteristics showed differences in mandible fixed crown bridge needs associated with periodontal disease. General characteristics showed differences in maxillar partial and full denture with gender, age, education, perceived oral health. General characteristics showed differences in mandible partial and full denture with age, residence, education, perceived oral health. Conclusion: In order to improve oral health of the elderly, Dental prosthesis support policy and oral health policy are necessary.

Volume difference in upper central incisor preparation according to the changes of restorative design and marginal location (상악 중절치 삭제 시 수복 디자인과 변연부 위치에 따른 부피 변화)

  • Kim, Chong-Hyun;Park, Young-Bum;Kim, Sung-Tae;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.2
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    • pp.152-160
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    • 2011
  • Purpose: The aim of this study was to evaluate the volumetric change of teeth after preparation for various designs and margin locations through Micro CT analysis (Skyscan 1076: SKYSCAN, Konitch, Belgium). Materials and methods: The 36 artificial teeth were used to determine reduction volume of upper central incisor. According to the restorative design these 36 teeth were divided into 4 groups and according to the marginal location each group was divided into 3 subgroups. The volume of unprepared teeth was obtained by using Micro CT and the volume of prepared teeth was obtained in the same method. The CT scanned images before and after preparation were superimposed. Results: The volume difference was significantly increased as follows: traditional laminate veneer < full laminate veneer < all ceramic crown < metal ceramic crown. One-way ANOVA and Tukey multiple comparison analyses were used to analyze the data in this study. In each group the volume difference was significantly increased as follows: 1 mm above CEJ < CEJ < 1 mm below CEJ (P<.05). The % volume difference of all ceramic crown and metal ceramic crown was 31 - 48% and that of laminate veneer was 14 - 30%. The volume difference of the traditional laminate veneer was 1/3 of that of metal ceramic crown. The full laminate (1 mm below CEJ) and all ceramic crown (1 mm above CEJ) showed a similar volume difference. Metal ceramic crown showed 13.7% more volume difference than all ceramic crown. Conclusion: There exists the difference in volumetric change according to designs of restoration and margin locations of preparation.

Clinical Convergence Angle of Prepared Tooth for full Veneer Crowns (전부 피개관의 치아 형성 시 축면 경사각에 대한 조사)

  • Kim, Sung-Jin;Pae, Ah-Ran;Woo, Yi-Hyung;Kim, Hyeong-Seob
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.1
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    • pp.21-32
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    • 2010
  • The convergence angle of a prepared tooth is a very important factor in the retention and resistance of a crown restoration. But various intraoral environments and clinician's techniques make it difficult to obtain the ideal inclination. Therefore, in this study, clinical convergence angle of a prepared tooth was investigated. The data was collected from the patient models of prosthodontic residents and the patient models of general practitioners. The images of mesiodistal and buccolingual surfaces were taken with a digital camera to evaluate the convergence angle on 'ImageJ' program. The images were classified according to the criteria (1. Clinician group, 2. Position in the dental arch, 3. The purpose of abutment preparation)and then analyzed. The mean convergence angle of a prepared tooth for Korean clinicians was $15.02^{\circ}$ (${\pm}10.13^{\circ}$). 1. It was significant in the convergence angle between the general practitioner group and the prosthodontic resident group(p<0.05). 2. It was significant between the mesiodistal and buccolingual surface in the the prosthodontic resident group(p<0.05). 3. For the general practitioner group, it was significant when anteriors and premolars were compared with molars(p<0.05). For the prosthodontic resident group, it was significant when anteriors and premolars were compared with molars (p<0.05). 4. When divided into upper and lower arches, for the general practitioner group, it showed significant difference in the buccolingual aspect(p<0.05). Also in the prosthodontic resident group, it showed significant difference in the buccolingual aspect(p<0.05). 5. Dividing left and right sides of the arches, there was no significant difference in the general practitioner group and the prosthodontic resident group(p>0.05). 6. In the general practitioner group, it was significant in the mesiodistal axial convergence angle of single crown abutment and 3 unit bridge abutment(p<0.05). In the prosthodontic resident group, it was significant in the mesiodistal and overall axial convergence angle of single crown abutment and 3 unit bridge abutment(p<0.05). Clinical convergence angle of prepared tooth in Korea was included in agreement with other studies investigating convergence angle that ranged from 10 to 22 degrees, achieved in clinical practice.

The convergence study on the use of dental impression materials (치과용 인상재의 사용 실태에 대한 융합 연구)

  • Jang, Sun-Ok;Choi, Eun-Mi;Kang, Min-Kyung;Shim, Youn-Soo;Cho, Yoon-Jeong;Oh, Sang-Hwan;Choi, Yu-Ri
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.195-203
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    • 2018
  • This study was conducted to investigate the types and methods of dental impression materials used in dental clinics in south Korea, the questionnaire was surveyed by a self-administered method for one dentist in a one dental clinic, the collected data were statistically analyzed using SPSS 20. The most frequently used addition silicone impression materials were used in most dental treatment. It was confirmed that the method of taking impression materials having different flow properties(light body and heavy body) was most preferred at one time, also, the implant impression taking method was the most preferred for two rubber impression materials with different flow properties, both direct and indirect. There were statistically significant differences in age and clinical experience between the methods of impression taking of casting restorations and prosthetic according to general characteristics. These results are expected to be helpful for the development of theoretical and practical work based on the basic data for impression material development and research and the preference of impression materials required for dental professional in clinical practice.

Evaluation of Metal Volume and Proton Dose Distribution Using MVCT for Head and Neck Proton Treatment Plan (두경부 양성자 치료계획 시 MVCT를 이용한 Metal Volume 평가 및 양성자 선량분포 평가)

  • Seo, Sung Gook;Kwon, Dong Yeol;Park, Se Joon;Park, Yong Chul;Choi, Byung Ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.31 no.1
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    • pp.25-32
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    • 2019
  • Purpose: The size, shape, and volume of prosthetic appliance depend on the metal artifacts resulting from dental implant during head and neck treatment with radiation. This reduced the accuracy of contouring targets and surrounding normal tissues in radiation treatment plan. Therefore, the purpose of this study is to obtain the images of metal representing the size of tooth through MVCT, SMART-MAR CT and KVCT, evaluate the volumes, apply them into the proton therapy plan, and analyze the difference of dose distribution. Materials and Methods : Metal A ($0.5{\times}0.5{\times}0.5cm$), Metal B ($1{\times}1{\times}1cm$), and Metal C ($1{\times}2{\times}1cm$) similar in size to inlay, crown, and bridge taking the treatments used at the dentist's into account were made with Cerrobend ($9.64g/cm^3$). Metal was placed into the In House Head & Neck Phantom and by using CT Simulator (Discovery CT 590RT, GE, USA) the images of KVCT and SMART-MAR were obtained with slice thickness 1.25 mm. The images of MVCT were obtained in the same way with $RADIXACT^{(R)}$ Series (Accuracy $Precision^{(R)}$, USA). The images of metal obtained through MVCT, SMART-MAR CT, and KVCT were compared in both size of axis X, Y, and Z and volume based on the Autocontour Thresholds Raw Values from the computerized treatment planning equipment Pinnacle (Ver 9.10, Philips, Palo Alto, USA). The proton treatment plan (Ray station 5.1, RaySearch, USA) was set by fusing the contour of metal B ($1{\times}1{\times}1cm$) obtained from the above experiment by each CT into KVCT in order to compare the difference of dose distribution. Result: Referencing the actual sizes, it was appeared: Metal A (MVCT: 1.0 times, SMART-MAR CT: 1.84 times, and KVCT: 1.92 times), Metal B (MVCT: 1.02 times, SMART-MAR CT: 1.47 times, and KVCT: 1.82 times), and Metal C (MVCT: 1.0 times, SMART-MAR CT: 1.46 times, and KVCT: 1.66 times). MVCT was measured most similarly to the actual metal volume. As a result of measurement by applying the volume of metal B into proton treatment plan, the dose of $D_{99%}$ volume was measured as: MVCT: 3094 CcGE, SMART-MAR CT: 2902 CcGE, and KVCT: 2880 CcGE, against the reference 3082 CcGE Conclusion: Overall volume and axes X and Z were most identical to the actual sizes in MVCT and axis Y, which is in the superior-Inferior direction, was regular in length without differences in CT. The best dose distribution was shown in MVCT having similar size, shape, and volume of metal when treating head and neck protons. Thus it is thought that it would be very useful if the contour of prosthetic appliance using MVCT is applied into KVCT for proton treatment plan.

Comparison of marginal fit before and after porcelain build-up of two kinds of CAD/CAM zirconia all-ceramic restorations (두 종류의 CAD/CAM 지르코니아 전부도재관의 도재 축성 전후의 변연적합도 비교)

  • Shin, Ho-Sik;Kim, Seok-Gyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.5
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    • pp.528-534
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    • 2008
  • Purpose: Marginal fit is one of the important components for the successful prosthodontic restoration. Poor fitting margin of the restoration causes hypersensitivity, secondary caries, and plaque accumulation, which later result in prosthodontic failure. CAD/CAM zirconia all-ceramic restorations, such as $LAVA^{(R)}$ (3M ESPE, St.Paul, MN) and $EVEREST^{(R)}$ (KaVo Dental GmbH, Biberach, Germany) systems were recently introduced in Korea. It is clinically meaningful to evaluate the changes of the marginal fit of the CAD/CAM zirconia systems before and after build-up. The purposes of this study are to compare the marginal fit of the two CAD/CAM all-ceramic systems with that of the ceramometal restoration, before and after porcelain build-up Material and methods: A maxillary first premolar dentiform tooth was prepared with 2.0 mm occlusal reduction, 1.0 mm axial reduction, chamfer margin, and 6 degree taperness in the axial wall. The prepared dentiform die was duplicated into the metal abutment die. The metal die was placed in the dental study model, and the full arch impressions of the model were made. Twenty four copings of 3 groups which were $LAVA^{(R)}$, $EVEREST^{(R)}$, and ceramometal restorations were fabricated. Each coping was cemented on the metal die with color-mixed Fit-checker $II^{(R)}$ (GC Cor., Tokyo, Japan). The marginal opening of each coping was measured with $Microhiscope^{(R)}$ system (HIROX KH-1000 ING-Plus, Seoul, Korea. X300 magnification). After porcelain build-up, the marginal openings of $LAVA^{(R)}$, $EVEREST^{(R)}$,and ceramometal restorations were also evaluated in the same method. Statistical analysis was done with paired t-test and one-way ANOVA test. Results: In coping states, the mean marginal opening for $EVEREST^{(R)}$ restorations was $52.00{\pm}11.94\;{\mu}m$ for $LAVA^{(R)}$ restorations $56.97{\pm}10.00\;{\mu}m$, and for ceramometal restorations $97.38{\pm}18.54\;{\mu}m$. After porcelain build-up, the mean marginal opening for $EVEREST^{(R)}$ restorations was $61.69{\pm}19.33\;{\mu}m$, for $LAVA^{(R)}$ restorations $70.81{\pm}12.99\;{\mu}m$, and for ceramometal restorations $1115.25{\pm}23.86\;{\mu}m$. Conclusion: 1. $LAVA^{(R)}$ and $EVEREST^{(R)}$ restorations in comparison with ceramometal restorations showed better marginal fit, which had significant differences (P < 0.05) in coping state and also after porcelain build-up . 2. The mean marginal opening values between $LAVA^{(R)}$ and $EVEREST^{(R)}$ restorations did not showed significant differences after porcelain build-up as well as in coping state (P > .05). 3. $EVEREST^{(R)}$, $LAVA^{(R)}$ and ceramometal restorations showed a little increased marginal opening after porcelain build-up, but did not show any statistical significance (P > .05).

Geometric Snapping for 3D Triangular Meshes and Its Applications (3차원 삼각형 메쉬에 대한 기하학적 스내핑과 그의 응용)

  • 유관희;하종성
    • Journal of KIISE:Computer Systems and Theory
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    • v.31 no.3_4
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    • pp.239-246
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    • 2004
  • Image snapping for an image moves the cursor location to nearby features in the image, such as edges. In this paper, we propose geometric snapping for 3D triangular meshes, which is extended from image snapping. Similar to image snapping, geometric snapping also moves the cursor location naturally to a location which represents main geometric features in the 3D triangular meshes. Movement of cursor is based on the approximate curvatures which appear geometric features on the 3D triangular meshes. The proposed geometric snapping can be applied to extract main geometric features on 3D triangular meshes. Moreover, it can be applied to extract the geometric features of a tooth which are necessary for generating the occlusal surfaces in dental prostheses.

Rehabilitation using mandibular implant overdenture with CAD/CAM milled bar: A case report (CAD/CAM 시스템으로 제작한 Milled Bar를 이용한 하악 임플란트 피개의치 수복증례)

  • Ban, Min-Hee;Yang, Hongso;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Shin, Jin-Ho;Park, Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.292-299
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    • 2017
  • Long-term alveolar bone resorption in edentulous patient causes difficulty in denture use. Applying an implant overdenture with 2 to 4 implants to edentulous patient is easily approachable. Moreover, it improves denture stability, support, and retention. Milled bar, the attachment used in implant overdenture, can be used to induce better stability and retention to the supporting structure than conventional bar. It has become convenient to use due to the development of CAD/CAM system which had allowed the simplification of dental techniques. In this case, application of conventional maxillary full denture and mandibular overdenture made of CAD/CAM milled bar with 4 implants showed satisfactory results in the patient who had used upper and lower full dentures for a long time.

CLINICAL STUDY ON THE RELAPSE OF DIASTEMA (전치부 공극의 치료후 재발에 관한 임상적 고찰)

  • Park, Hyo-Sang;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.95-104
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    • 1994
  • There are orthodontic closure, surgincal closure, prosthetic solution in the treatment of diastema. The orthodontic closure has been widely used owing to its conservative nature, but retention after treatment has been difficult and problematic. So, authors observed relapse and retention after the orthodontic closure of 3 diastema cases. The results might be summarized as follows : The space that had been approximated between central incisors, was reopened by the use of retention appliance which did not join two central incisors together though fixed prothesis. By the frenectomy, circumferential supracrestal fibrotomy and lingual bonded retainer which joined two central incisors together after the orthodontic closure of diastema, were good results obtained. The frenectomy, fibrotomy, and the fixed retention appliance which joined two central incisors together must be needed after the orthodontic closure of diastema.

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MICROSTRUCTURE OF COMBINATION CLASP JOINTS IN REMOVABLE PARTIAL DENTURE (가철성(可撤性) 국부의치(局部義齒)에서 연합(聯合) Clasp 연결부위(連結部位)의 미세구조(微細構造))

  • Son, Han-Kee;Kim, Tae-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.22 no.1
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    • pp.123-132
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    • 1984
  • To evaluate the microstructure of various combination clasp joint in removable partial denture, the auther selected framework alloys (Type IV gold alloy, Dentaurium, Ticonium 100) and wrought wires (gold alloy, Ticonium) for this study. Twelve series of combination joints were made by investment soldering technic and wrought wire embedded casting technic. All specimens were cut cross-sectionally and longitudinally, then examined with metallurgical microscope. The results were as follows; Some diffusion was observed in the properly constructed combination clasp joints. In soldered joints, empolying precious alloys were more favorable than non-precious alloys. In castion joints, assemblage of same alloy between framework and wrought wire was superior to other groups. Some impurities were observed in both joints by technical problems.

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