• Title/Summary/Keyword: Advanced Dentistry

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Palatal root resection of compromised maxillary first molars (구개근 절제술을 이용한 상악 제일 대구치의 치료)

  • Jeong, Seong-Nyum
    • Journal of Periodontal and Implant Science
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    • v.39 no.3
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    • pp.375-381
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    • 2009
  • Purpose: Root resection can be a valuable procedure when the tooth in question has a high strategic value. The prognosis of root resection has been well documented in previous studies, but the results focused on the palatal root resection have not been discussed in depth. I represent here the short term effectiveness of palatal root resection of maxillary first molars. Methods: Palatal root resection was performed on maxillary first molars of three patients. All the palatal roots were floating state on the radiographic finding and showed full probing depth and purulent exudation at initial examination. Reduction of palatal cusp and occlusal table was performed concomitantly. Endodontic therapy was completed after root resection. Results: Compromised maxillary first molars were treated successfully by palatal root resection in 3 cases. The mobility of resected tooth was decreased a little bit. The probing pocket depth of remaining buccal roots was not increased compared to initial depth. All the patients satisfied with comfort and cost effective results and the fact they could save their natural teeth. Conclusions: Within the above results, palatal root resection is an effective procedure treating compromised maxillary first molar showing advanced palatal bone loss to root apex with or without pulp involvement when proper case selection is performed.

Gender difference in speech intelligibility using speech intelligibility tests and acoustic analyses

  • Kwon, Ho-Beom
    • The Journal of Advanced Prosthodontics
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    • v.2 no.3
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    • pp.71-76
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    • 2010
  • PURPOSE. The purpose of this study was to compare men with women in terms of speech intelligibility, to investigate the validity of objective acoustic parameters related with speech intelligibility, and to try to set up the standard data for the future study in various field in prosthodontics. MATERIALS AND METHODS. Twenty men and women were served as subjects in the present study. After recording of sample sounds, speech intelligibility tests by three speech pathologists and acoustic analyses were performed. Comparison of the speech intelligibility test scores and acoustic parameters such as fundamental frequency, fundamental frequency range, formant frequency, formant ranges, vowel working space area, and vowel dispersion were done between men and women. In addition, the correlations between the speech intelligibility values and acoustic variables were analyzed. RESULTS. Women showed significantly higher speech intelligibility scores than men and there were significant difference between men and women in most of acoustic parameters used in the present study. However, the correlations between the speech intelligibility scores and acoustic parameters were low. CONCLUSION. Speech intelligibility test and acoustic parameters used in the present study were effective in differentiating male voice from female voice and their values might be used in the future studies related patients involved with maxillofacial prosthodontics. However, further studies are needed on the correlation between speech intelligibility tests and objective acoustic parameters.

Finite element analysis on stress distribution of maxillary implant-retained overdentures depending on the Bar attachment design and palatal coverage

  • Kim, Min-Jeong;Hong, Sung-Ok
    • The Journal of Advanced Prosthodontics
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    • v.8 no.2
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    • pp.85-93
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    • 2016
  • PURPOSE. The purpose of this study was to determine the effect of anchorage systems and palatal coverage of denture base on load transfer in maxillary implant-retained overdenture. MATERIALS AND METHODS. Maxillary implant-retained overdentures with 4 implants placed in the anterior region of edentulous maxilla were converted into a 3-D numerical model, and stress distribution patterns in implant supporting bone in the case of unilateral vertical loading on maxillary right first molar were compared with each other depending on various types of anchorage system and palatal coverage extent of denture base using three-dimensional finite element analysis. RESULTS. In all experimental models, the highest stress was concentrated on the most distal implant and implant supporting bone on loaded side. The stress at the most distal implant-supporting bone was concentrated on the cortical bone. In all anchorage system without palatal coverage of denture base, higher stresses were concentrated on the most distal implant and implant supporting bone on loaded side. CONCLUSION. It could be suggested that when making maxillary implant retained overdenture, using Hader bar instead of milled bar and full palatal coverage rather than partial palatal coverage are more beneficial in distributing the stress that is applied on implant supporting bone.

Use of Laryngeal Mask Airway in Sevoflurane Sedation for the Difficult Airway (Sevoflurane 흡입진정에서 어려운 기도관리를 위한 LMA 활용)

  • You, Tae-Min;Doh, Re-Mee;Song, Young-Gyun;Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.4
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    • pp.235-241
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    • 2012
  • Although sevoflurane sedation have the advantage of the reduction of anxiety and pain relief, difficult airway is attributed to increased agitation, tachycardia, desaturation, ventilation difficulty, sedation failure. In the sedation for dental treatment, we should pay more attention to the airway management because dental procedures take place in the mouth of airway unlike any other area. The layngeal mask airway (LMA) has become commonly used device for airway management during anesthesia for relatively short procedures, such as minor oral surgery and dental procedures. It can be inserted without use of a larygoscope and muscle relexants, and insertion is easy to achieve and generally takes less time than endotracheal intubation. The LMA is an excellent barrier against aspiration of saliva, blood within the surgical field but should not be used in patients at risk of aspiration In this study, we reported that after a failure of airway management in inhalation sedation, we performed the short-emergency dental treatment successfully, using a laryngeal mask.

A study on the satisfaction of dental laboratory technology and curriculum demands (치기공학과 교육과정 만족도 및 교육과정에 대한 요구)

  • LEE, Sun-Kyoung;Kwon, Soon-Suk
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.337-345
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    • 2019
  • Purpose: The purpose of this study was to enhance curriculum satisfaction of dental laboratory technology and curriculum demands. Methods: From March 5 to March 31, 2019, a self-written questionnaire was conducted for 195 students from the department of dental laboratory technology at a university in Gangwon-do. The analytical methods used were descriptive statistical analysis, frequency analysis, cross analysis, correlation analysis and reliability analysis. The collected data was used for SPSS 18.0 for Windows statistics program. Results: The demand of the school education includes systematic experiments and demand of practical training, acquisition of professional knowledge, introduction of advanced technology curriculum, reduction of national examination-oriented curriculum, and increased professionalism and professionalism as professional professionals. Investigated by the ethics. In addition, they were strongly aware of the necessity of digital education related to CAD / CAM, and there was a high demand for how to operate programs, scanning and design. Conclusion: The curriculum needs to be reorganized to cultivate dental technicians in a changing era, and in-depth centralized curriculum in fields with high practical needs, as well as vocational and ethical views as professionals.

Surface Characteristics of TiN and ZrN Film Coated STD 61 by Sputtering (스퍼터링법으로 TiN 및 ZrN 피막 코팅된 STD 61의 표면특성)

  • Eun, Sang-Won;Choe, Han-Cheol
    • Journal of the Korean institute of surface engineering
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    • v.43 no.6
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    • pp.260-265
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    • 2010
  • STD 61 steel has been widely used for tools, metallic mold and die for press working because of its favorable mechanical properties such as high toughness, and creep strength as well as excellent oxidation resistance. The STD 61 tool steel coated with TiN and ZrN by sputtering results in improvement of wear and corrosion resistance. In this study, surface characteristics of TiN and ZrN film coated STD 61 by sputtering were studied by using FE-SEM, EDS, XRD, and XRR and nanoindentation tests. From the results of surface characteristics of coated specimen, the ZrN coated surface showed finer granular than that of TiN coated surface. The coated layer structures of ZrN and TiN were grown to (111) and (200) preferred orientation. From the results of XRR test for surface roughness, density and growth rate of coating film, surface roughness and growth rate of ZrN coated film revealed lower values those of TiN coated film, whereas density of ZrN coated film showed higher values than that of TiN coated film. From the nanohardness and elastic modulus test, nanohardness value and elastic modulus of ZrN coated film became higher than those of TiN coated film.

In vitro antimicrobial effect of the tissue conditioner containing silver nanoparticles

  • Nam, Ki-Young
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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    • pp.20-24
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    • 2011
  • PURPOSE. The aim of this study was to identify in vitro antimicrobial activity of the tissue conditioner containing silver nanoparticles on microbial strains, Staphylococcus aureus, Streptococcus mutans and Candida albicans. MATERIALS AND METHODS. Experimental disc samples ($20.0{\times}3.0$ mm) of tissue conditioner (GC Soft-Liner, GC cooperation, Tokyo, Japan) containing 0.1 - 3.0% silver nanoparticles (0%: control) were fabricated. Samples were placed on separate culture plate dish and microbial suspensions (100 ${\mu}L$) of tested strains were inoculated then incubated at $37^{\circ}C$. Microbial growth was verified at 24 hrs and 72 hrs and the antimicrobial effects of samples were evaluated as a percentage of viable cells in withdrawn suspension (100 ${\mu}L$). Data were recorded as the mean of three colony forming unit (CFU) numerations and the borderline of the antimicrobial effect was determined at 0.1% viable cells. RESULTS. A 0.1% silver nanoparticles combined to tissue conditioner displayed minimal bactericidal effect against Staphylococcus aureus and Streptococcus mutans strains, a 0.5% for fungal strain. Control group did not show any microbial inhibitory effect and there were no statistical difference between 24 hrs and extended 72 hrs incubation time (P > .05). CONCLUSION. Within the limitation of this in vitro study, the results suggest that the tissue conditioner containing silver nanoparticles could be an antimicrobial dental material in denture plaque control. Further mechanical stability and toxicity studies are still required.

Hydroxyapatite-Based Biomaterials for Hard Tissue Applications

  • Kim Hae-Won;Kim Hyoun-Ee
    • Journal of Biomedical Engineering Research
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    • v.26 no.5
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    • pp.319-330
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    • 2005
  • Over the past few decades, much effort has been made to improve the mechanical and biological performance of HA, in order to extend its range of applications. As a major inorganic component of human hard tissues, hydroxyapatite bioceramic is regarded as being one of the most biocompatible materials. Numerous in vitro and in vivo studies have confirmed its excellent bioactivity, osteoconductivity and bone forming ability. However, because of its poor mechanical properties, its use in hard tissue applications has been restricted to those areas in which it can be used in the form of small sized powders/granules or in the non-load bearing sites. A number of researchers have focused on improving the mechanical and biological performance of HA, as well as on the formulation of hybrid and composite systems in order to extend its range of applications. In this article, we reviewed our recent works on HA-based biomaterials; i) the strengthening of HA with ceramic oxides, ii) HA-based bioactive coatings on metallic implants, iii) HA-based porous scaffolds and iv) HA-polymer hybrids/composites.

Biophysical therapy and biostimulation in unfavorable bony circumstances: adjunctive therapies for osseointegration

  • Kim, Yong-Deok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.4
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    • pp.195-203
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    • 2012
  • Dental implants using titanium have greatly advanced through the improvement of designs and surface treatments. Nonetheless, the anatomical limits and physiological changes of the patient are still regarded as obstacles in increasing the success rate of implants further, even with the enhancement of implant products. So there have been many efforts to overcome these limits. The intrinsic potential for bone regeneration can be stimulated through adjuvant treatments with the continuous improvement of implant properties, and this can play an important role in achieving optimum osseointegration toward peripheral bone tissue and securing ultimate long-term implant stability in standard surgical procedures. For this purpose, various chemical, biological, or biophysical measures were developed such as bone grafts, materials, pharmacological agents, growth factors, and bone formation proteins. The biophysical stimulation of bone union includes non-invasive and safe methods. In the beginning, it was developed as a method to enhance the healing of fractures, but later evolved into Pulsed Electromagnetic Field, Low-Intensity Pulsed Ultrasound, and Low-Level Laser Therapy. Their beneficial effects were confirmed in many studies. This study sought to examine bone-implant union and its latest trend as well as the biophysical stimulation method to enhance the union. In particular, this study suggested the enhancement of the function of cells and tissues under a disadvantageous bone metabolism environment through such adjunctive stimulation. This study is expected to serve as a treatment guideline for implant-bone union under unfavorable circumstances caused by systemic diseases hampering bone metabolism or the host environment.

Tensile bond strength of four denture resins to porcelain teeth with different surface treatment

  • El-Sheikh, Mohamed;Powers, John
    • The Journal of Advanced Prosthodontics
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    • v.5 no.4
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    • pp.423-427
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    • 2013
  • PURPOSE. This study evaluated the bond strength between porcelain denture teeth (Bioblend 43D) and four different polymerized denture resins (Lucitone 199, Palapress, Acron MC, Triad) with and without a bonding agent and after four different types of surface treatment (polished, HF etched, sandblasted, air-abraded). MATERIALS AND METHODS. Central incisor porcelain denture teeth were divided into 32 groups of 5 each. Tensile bond strength (MPa) was determined using a testing machine at crosshead speed of 0.5 mm/min. Mean and standard deviation are listed. Data were analyzed by two-way ANOVA. Means were compared by Tukey-Kramer intervals at 0.05 significance level. RESULTS. All surface treatment increased bond strength compared to polished surface and the highest bond strength was found with Palapress resin with etched porcelain surface (8.1 MPa). Bonding agent improved the bond strength of all denture resins to porcelain teeth. Superior bonding was found with Palapress and air-abraded porcelain (39 MPa). CONCLUSION. Resins with different curing methods affect the bond strength of porcelain teeth to denture bases. Superior bonding was found with auto-polymerized resin (Palapress). Application of ceramic primer and bonding agent to porcelain teeth with and without surface treatment will improve the bond strength of all denture resins to porcelain teeth.