• Title/Summary/Keyword: 치과 심미성

Search Result 543, Processing Time 0.026 seconds

Pontic site development with an implant submergence technique for unaesthetic implant in the anterior maxilla (상악 전치부 임플란트의 비심미성 개선을 위한 임플란트 침수(submergence)를 동반한 치조제 증대술)

  • Song, Yujeong;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.36 no.4
    • /
    • pp.289-295
    • /
    • 2020
  • Improving implant esthetics is very difficult, especially in cases where unaesthetic problems are related to implants in the maxillary anterior dentition. A 69-year old male patient was referred by a prosthodontist for periodic pus discharge and an unaesthetic implant prosthesis (maxillary right lateral incisor). The implant was placed too deeply and showed soft tissue volume deficiency and a long clinical crown. After a clinical and radiographic examination, implant submergence and alveolar ridge augmentation were performed to enhance the aesthetics instead of an explantation. The treatment plan was as follows: extraction the adjacent teeth with tooth mobility, secondary caries, and poor prognosis; placement an additional dental implant with hard and soft tissue grafting; fabrication a fixed bridge using implant abutments. A fixed esthetic prosthesis using implants was fabricated, and the patient was satisfied with the prosthesis. A ridge augmentation with implant submergence may be an alternative for solving the problems of unaesthetic implant restorations in the esthetic zone.

Anterior esthetic restoration using DSD (digital smile design) for a patient with congenital missing tooth of maxillary central incisor (선천적 상악 우측 중절치 결손 환자에서 DSD (digital smile design)를 이용한 전치부 수복 증례)

  • Park, Hye Jeong;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.35 no.3
    • /
    • pp.170-179
    • /
    • 2019
  • The prosthodontic treatments in maxillary anterior teeth focus on achieving esthetic appearances. It is possible to improve the esthetic appearance by adjusting the shape, arrangement, and color of the maxillary anterior teeth. For anterior teeth restoration, it is necessary to evaluate the relationship of teeth, lip and gingival architecture with the facial profile of patient. Also, clinician needs to fully understand what the patient wants to. DSD (digital smile design) concept can be applied as a tool to improve communication with the clinician, technician and patient. In addition, DSD can help to meet the needs of the patient. In this case, it was impossible to achieve symmetry due to congenital missing of maxillary central incisor. The definitive treatment goal was to get the harmony of maxillary anterior teeth, lip and the patient's face. This case report describes that the patient and clinician got the satisfying esthetic outcome by using DSD.

Full mouth rehabilitation of iatrogenic attrition patient (의원성 마모 환자의 전악 수복 증례)

  • Lim, Na-Kyung;Shin, Soo-Yeon
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.59 no.2
    • /
    • pp.228-237
    • /
    • 2021
  • Physiologic tooth attrition is accepted as a natural change. But when pathologic changes, such as loss of occlusal vertical dimension, masticatory pain, loss of masticatory function, and loss of esthetics occur, restorative measures should be taken by dentist. A patient visited the clinic with the chief complaint of 'My lower teeth bite the palate and it hurts'. It was diagnosed as iatrogenic attrition of lower natural dentition caused by inappropriate upper restorations, resulting in traumatic overbite. Through model analysis and diagnostic wax up, increase in vertical dimension was decided. Upper and lower dentitions were restored with new prostheses. After restoration, satisfactory outcomes were achieved both in functional and esthetic aspects.

Zirconia resin-bonded fixed partial denture in maxillary single-tooth edentulous area: A case report (상악 전치부 단일치 상실 환자에서 지르코니아 레진접착성 고정성 국소의치를 이용한 수복 증례)

  • Rojee Oh;Hee-Won Jang;Na-Hong Kim;Joo-Hyuk Bang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.61 no.2
    • /
    • pp.135-142
    • /
    • 2023
  • Resin-bonded fixed partial denture (RBFPD)as known as Maryland bridge is is a well-known conservative method for its minimized invasion of the teeth for an anterior single tooth edentulous area. Despite of its various advantages, RBFPD was not widespread because of its high debonding rates, non-esthetic look or weak structure for material property. Currently, with the introduction of zirconia to dental material for RBFPD, Maryland bridge entered upon a new phase. Zirconia surmounts poor esthetics of metal framework, having proper strength, and overcomes ceramic's structural weakness, being sufficiently esthetic. In this case, edentulous area of maxillary left lateral incisor was restored using zirconia resin-bonded fixed partial denture. Restoration of missing tooth in anterior area was achieved using non-invasive and esthetic prosthesis, then we report this case as satisfactory results were obtained for both the operator and the patient.

Prosthetic treatment in esthetic area with monolithic zirconia using coloring liquid: a case report (착색용액과 Monolithic Zirconia를 이용한 심미적인 부위의 보철 치료)

  • Lee, Mun-Ho;Kim, Joon-Seong;Park, Eun-Chul;Kim, Hee-Jung
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.60 no.3
    • /
    • pp.293-300
    • /
    • 2022
  • Various materials and restorative options have been introduced recently with growing interest in esthetic dental treatment in modern society. Zirconia is especially known for its biocompatibility as well as remarkable toughness and resistance to wear, but it is limited in its use for esthetically focused treatment in anterior region for its white opacity. Lately the development of different kinds of zirconium blocks, such as colored block, clear block, and multi-layered block, allowed more extensive use of zirconia as a treatment option. This report describes a case, in which a prosthetic crown maxillary anterior region was stained with a combination of various coloring liquids before sintering to reproduce natural-looking color scheme in final restoration. The case was reported as the utilization of coloring liquid on monolithic zirconia crown could achieve esthetically satisfying prosthesis for both dentist and patient.

Case report of immediate placement of maxillary central incisor due to traumatic injury (외상으로 인한 상악 중절치 발치 즉시 임플란트 증례 보고)

  • Choi, Minsik
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.31 no.2
    • /
    • pp.40-46
    • /
    • 2022
  • In maxilary anteriors, aesthetic aspect are of critical importance. but it is difficult to achieve esthetic results because of the narrow buccal-lingual alveolar bone width compared to the posterior teeth and alveolar bone resorption during tooth extraction. This case report describes how to minimize alveolar bone resorption and soft tissue collapse when immediate implant placement is done after extraction of the maxillary anterior teeth due to trauma.

Considerations for sound periodontal condition of the esthetic restoration by dental technician (심미보철물의 건강한 치주환경을 위해 치과기공사가 생각해야 할 고려점)

  • Jang, won-pil
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.28 no.1
    • /
    • pp.42-53
    • /
    • 2019
  • I think the following conditions should be met for a successful anterior aesthetic restorations. They include the patient's facial and dental harmony, the coordination between the tooth and periodontal tissue, and the continuity with the adjacent teeth. However, in the laboratory process of making restorations, the dental technician works on the model without meeting the patient in person, so he or she has to rely on his or her knowledge and skills to make restoration within limited information. In this article, I discuss the biological criteria that I think as a dental technician and the forms of restorations and how to grant them to the sound periodontal condition.

총의치에서의 실패원인과 그 대책

  • Jo, Hye-Won
    • The Journal of the Korean dental association
    • /
    • v.36 no.5 s.348
    • /
    • pp.344-352
    • /
    • 1998
  • 아무리 총의치를 완벽하게 만들고자 해도 환자는 불만을 표시하게 된다. 총의치 환자에서 가장 많이 나타나는 문제는 동통(pain)이 있거나, 유지력 혹은 안정성 부족으로 의치가 헐거움,씹기가 어렵거나 씹을때 소리가 나는 것, 구토,발음,심미성 부족 등이다. 이같은 문제는 장착 직후부터 수 개월 후까지 언제든지 나타날수 있다. 이에 대한 원인과 해결책을 간략하게 살펴보고자 한다.

  • PDF