• 제목/요약/키워드: Aesthetic restoration

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성공적인 전치부 심미 임플란트를 위한 3가지 요소 (Three key factors for successful esthetic anterior implant restoration)

  • 임필
    • 대한심미치과학회지
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    • 제25권1호
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    • pp.35-49
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    • 2016
  • 최근 심미성에 대한 요구가 점점 증가함에 따라, 이제는 임플란트 수복에 있어서도 기능적인 면 뿐만 아니라 심미적인 면이 더욱 강조되고 있다. 상악 전치부 임플란트 수복은 임상가들에게 항상 도전적인 과제로 다가오는데 그 이유는 다음의 세 가지 요소를 모두 필요로 하기 때문이다. 첫째, 충분한 경조직이 필요하고 둘째, 충분한 연조직이 필요하며 그리고 셋째, 심미적인 수복물이 필요하다. 연조직의 심미성은 그 하부에 있는 경조직에 의존하게 되는데 그 이유는 하부의 경조직의 골격적인 지지가 있어야만 그것을 바탕으로 그 위에 건강하고 심미적인 연조직이 안정적으로 유지될 수 있기 때문이다. 그러므로, 경조직 재건은 심미적인 임플란트 수복에 있어서 첫번째 단계이며, 특히 3차원적으로 적절한 임플란트의 식립 위치 설정은 심미성 있는 최종 수복물을 얻기 위해서 가장 중요한 단계라고 할 수 있다. 그 다음으로 두번째 단계가 순측으로 충분한 두께의 연조직을 얻기 위한 수술 기법이며, 마지막 세번쨰 단계가 적절한 출현외곽을 갖는 임시 수복물을 통해서 얻어진 심미적인 최종 수복물이다. 본 임상 증례 보고는 순측의 골 열개 결손에서의 골 증대술 과정과 전치부 영역에 주로 사용되는 VIP-CT 라고 일컫는 유경 판막술을 이용한 연조직 증대술, 그리고 임시 수복물을 통한 연조직 형태 만들기와 맞춤형 인상 코핑을 이용한 인상채득법 등을 소개함으로써 경조직, 연조직, 수복물의 세 가지 요소가 심미적인 최종 수복물을 위해 서로 어떻게 조화를 이루어내는지 알아보고자 한다.

심미보철물의 임상적 원리 (Clinical Principles in Esthetic Restoration)

  • 이종엽
    • 대한심미치과학회지
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    • 제8권1호
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    • pp.10-17
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    • 1999
  • Replacements for natural dentition must fulfil many criteria. An important aspect, especially for the patient, is aesthetic consideration. The shape and colour can be important factors in the aesthetic success of an anterior restoration. In order to allow for proper shape; the outline form, the spatial position of individual teeth and the surface characteristics must be considered. For the colour; translucency, value, chroma and hue must be expressed exactly. The dentist and technicians should catch up these very specific characteristics of the patient and convert them accurately to the restorations with the simplest way.

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Maxillary anterior single implant prosthesis ; a clinical case

  • Kim Seung-June;Kwon Kung-Rock;Lee Sung-Bok;Woo Yi-Hyung;Choi Dae-Gyun;Choi Boo-Byung
    • 대한치과보철학회지
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    • 제39권3호
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    • pp.306-312
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    • 2001
  • Achieving an aesthetic implant-supported restoration in the single tooth missing case can be challenging when the implant site is in e anterior region. The objective of this report is to focus on presurgical evaluation of implant site and systematic development of related prosthetic modalities. An accurate diagnostic evaluation, a systematically developed pesurgical plan, and knowledge and clinical skill of the various related therapeutic modalities are indispensible. Collection of patient's information, appropriate abutment selection, soft tissue contour, implant axis, and occlusion need to be discussed for aesthetic clinical outcome. For aesthetic restoration, such as surgical guide stent for precise implant positioning customized provisional restoration for development of optimal periimplant soft tissue contours, and fabrication customized abutment (mesiostructure) for veriable emergence profile, are recommended.

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경관단위분류를 통한 경관가치평가 및 경관계획적 활용 (Landscape Assessment and Landscape Planning based on Landscapetope Classification)

  • 권오성;이현택;나정화;조현주
    • 한국환경복원기술학회지
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    • 제17권1호
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    • pp.65-79
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    • 2014
  • This study selected Nakdong River basin zone in Daegu as an example area to conduct landscapetope classification and aesthetic value assessment of landscape according to the classified landscapetope. The main result of this research can be summed up as following. First, the result of landscapetope type classification showed 28 types of landscapetope including complex residential area (AA), natural stream type with copious vegetation (BA), forest type centered on mixed forest of soft and hardwood (EB) along with 129 types of imputed specific landscapetope. The result of the total first assessment using B-VAT showed the first grade 10 types, II grade 4 types, III grade6 types, IV grade 3 types, 5 types for V grade with the lowest value. The second assessment conducted toward the landscapetope types with the grade higher than the average (including III grade) in the result of the first assessment showed that there are 66 spaces for the sites (1a, 1b) with special meaning for aesthetic landscape evaluation. And also, there were 69 spaces for those (2a, 2b, 2c) with meaning for aesthetic landscape evaluation. The design model of this research is largely divided into improvement goal and specific execution plan. First, the improvement goal is divided into 6 categories including conservation area, complementary area, and restoration area, and the specific execution plan is divided into 14 categories including special landscape management area, general landscape management area, conservation of hill areas with optically good condition. A comprehensive master plan was suggested by directly applying the set landscape planning model to the subject place of this research.

맞춤형 치유 지대주를 이용한 임플란트 수복 증례 (Clinical case of implant restoration using customized healing abutment)

  • 박정완;홍민호;이규복
    • 대한치과보철학회지
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    • 제53권3호
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    • pp.222-227
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    • 2015
  • 최근 임플란트 수복 영역에서 심미성이 강조되고 있다. 그러나 수술 후 초기 연조직 회복 과정에서 기성 치유 지대주를 사용하는 것은 연조직 형태 및 치경부 출현각을 형성하기 어려운 문제점들을 가지고 있다. 이러한 한계점을 극복하기 위하여 본 증례에서는 맞춤형 치유 지대주를 제작하여 사용하였으며, 맞춤형 치유 지대주의 형태는 원형이 아닌 최종 맞춤형 지대주 형태로 제작하여 임플란트 수복 시 심미성의 향상을 관찰 하였다. 본 증례는 임플란트 수술 후 맞춤형 치유 지대주를 이용하여 연조직의 치유를 도모함으로써 이후, 최종 맞춤형 지대주 장착 시 연조직의 변위를 줄여보다 심미적이고 기능적으로 좋은 결과를 얻었기에 보고하고자 한다.

경관훼손지의 생태적 복구방안에 관한 연구 (A Study on the Ecological Restoration Strategies for the Disturbed Landscapes)

  • 김남춘
    • 한국환경복원기술학회지
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    • 제1권1호
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    • pp.28-44
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    • 1998
  • This study was conducted to suggest the ecological restoration strategies for the disturbed landscapes by theoretical study. Especially, it is aimed to suggest three objectives for restoration by using native plants ; (1) prevention or reduction of wind and water erosion, (2) provision of food and cover for variety of animal species, (3) improvement of the visual or aesthetic quality of disturbed sites. The main results were summarized as follows. 1. Cooperation between restoration ecologists and restoration practitioners is needed to delineate a scientific approach to restoration ; (1) Being aware of published literature that describes similar work and/or establish general principles. (2) Preparedness to carry out proper experiments to test ideas. (3) Preparedness to monitor fundamental parameters in a restoration scheme. (4) Providing information about the behavior of species. (5) Publish results. 2. There are three models of succession in theories of plant succession. The tolerance and facilitation models were recommended to ecological restoration. The inhibition model applies in most secondary succession, but the actual species which are introduced first may inhibit the germination and growth of slower-growing species, or they may prevent the growth of other species whose propagules arrive later. 3. The objectives of erosion control, wildlife habitat provision, and visual quality improvement are not mutually exclusive. However, many revegetation practices in the past have emphasized one of these aspects at the expense of the others. 4. A native plant community can be the model of ecological restoration. By stylization/abstraction of native plant community, trying to learn the most essential characteristics of community types - environmental factors ; dominant, prevalent, and "visual essence" species composition - in order to use such information in restoration. 5. After developing mass/spaces plan, match plant communities to the mass/space plan. In utilizing community grouping, there needs aesthetic ability to understand design elements. 6. Several hydrophytes such as Pennisetum saccharifluous, Themeda triandra, Cirsium pendulum show relatively good germination rates. In case of mesophytes and xerophytes, Arundinella hina, Artemisia princeps, Oenothera odorata and legumes seem to have quick-germinating abilities at barren sites. Pinus thunbergii, Rhus chinensis, Evodia daniellii, Alnus firma and Albizzia julibrissin can be considered as "late succession" woody plants because they show low germinating rates and slow growing habitat. 7. The seeds used for restoration should be collected within a certain radius of where it will be planted. Consideration in genetic issues in the collection and use of germplasm can increase the odds for successful restoration efforts. 8. The useful model in the "drift" pattern occurs so abundantly in naturally evolving landscapes. As one species diminishes in density, a second or third species are increased. Thus, dynamic interactions between species are created. Careful using of "drift phenomenon" in planting was recommended. 9. Virtually no stand of vegetation today is immune from the introduction and/or spreading of exotic species. Therefore, the perpetuation of a restored sites requires conscious monitoring and management. Thus, management would be the most important process in ecological restoration. 10. In order to keep the sites "natural", alternative management strategies would be applied in management ; Atenative management strategies are decelerating successional process, accelerating successional processes or modifying species composition. As management tools, mechanical, chemical, biological or environmental factor manipulation, e.g., fire could be used.

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발뒤꿈치의 재건 시에 사용할 수 있는 다양한 피판술 (Various Modalities of Flap Surgery in Heel Pad Reconstruction)

  • 정연익;이동원;윤인식;나동균;이원재
    • Archives of Plastic Surgery
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    • 제38권4호
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    • pp.415-420
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    • 2011
  • Purpose: The reconstruction of a soft tissue defect of the heel pad can be challenging. One vital issue is the restoration of the ability of the heel to bear the load of the body weight. Many surgeons prefer to use local flaps or free tissue transfer rather than a skin graft. In this study, we evaluated the criteria for choosing a proper flap for heel pad reconstruction. Methods: In this study, 23 cases of heel pad reconstruction were performed by using the flap technique. The etiologies of the heel defects included pressure sores, trauma, or wide excision of a malignant tumor. During the operation, the location, size and depth of the heel pad defect determined which flap was chosen. When the defect size was relatively small and the defect depth was limited to the subcutaneous layer, a local flap was used. A free flap was selected when the defect was so large and deep that almost entire heel pad had to be replaced. Results: There was only one complication of poor graft acceptance, involving partial flap necrosis. This patient experienced complete recovery after debridement of the necrotic tissue and a split thickness skin graft. None of the other transferred tissues had complications. During the follow-up period, the patients were reported satisfactory with both aesthetic and functional results. Conclusion: The heel pad reconstructive method is determined by the size and soft-tissue requirements of the defect. The proper choice of the donor flap allows to achieve satisfactory surgical outcomes in aesthetic and functional viewpoints with fewer complications.

Single-tooth implant restoration with alveolar bone augmentation in the maxillary anterior tooth region: a case report

  • Lee, Seon-Ki
    • International Journal of Oral Biology
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    • 제46권4호
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    • pp.200-207
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    • 2021
  • In case of gingival recession and alveolar bone defects due to tooth loss for a long period of time in a single tooth in the maxillary anterior region, it is not easy to obtain aesthetic results with a single implant prosthesis. For aesthetic restoration, it is important to preserve hard and soft tissues through alveolar bone augmentation as well as restore harmony with adjacent teeth and soft tissues by placing the implant in an ideal location. In this case, an implant was placed using guided bone regeneration and a connective tissue graft simultaneously with immediate implantation after extraction from the maxillary anterior region where only residual root was left for a long period of time.

상악 전치부 단일 임플란트의 심미 보철 수복 증례 (Single implant restoration with esthetic prosthodontic treatment in maxillary anterior tooth: A case report)

  • 강현;서누리;박상원;임현필;윤귀덕;양홍서
    • 대한치과보철학회지
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    • 제56권4호
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    • pp.354-359
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    • 2018
  • 상악 전치부의 단일 임플란트 수복 치료 시, 치은 퇴축 및 골결손 문제를 가질 경우 임플란트 보철의 심미적인 결과를 얻는 것은 쉽지 않다. 장기적으로 심미적 안정성이 유지되기 위해서는 임플란트를 이상적인 위치에 식립하는 것이 중요하며 연조직의 회복 및 보철물과의 조화가 중요하다. 이러한 심미성이 더욱 요구되는 임플란트 보철물의 제작 시 이상적인 임플란트의 위치 뿐만 아니라, 주변 연조직과의 조화 역시 중요하다. 본 증례에서는 상악 전치부에서 골결손과 치은 퇴축이 진행된 47세 남자환자에서 골유도재생술 및 치은재형성술을 통해 심미 임플란트 치료를 진행하였다.