Objectives. The objectives of this study were: 1) to compare the effect of varying timing of light curing on shear bond strength, and; 2) to compare the shear bond strength of three self-adhesive cements. Materials and methods. A total of 72 extracted non-carious teeth were divided into 24 for Unicem tests, 24 for Maxcem tests, and 24 for Biscem tests; they were assigned 3 * 2 subgroups of 12 teeth each. The specimens were prepared as follows: 1) The calculus and periodontal ligament were removed from the teeth; 2) The teeth were stored in normal saline; 3) The occlusal enamel of each tooth was removed using high-speed coarse diamond burs under water cooling, and; 4) Finally, the teeth were flattened by 600-grit silicone carbide paper disks. Resin blocks were adhered using either Unicem, Maxcem, or Biscem. Light curing timing was divided into two groups: U10, M10, and B10 were exposed to light after 10 seconds, and; U150, M150, and B150 on the other side were exposed to light after 150 seconds. Shear bond strength was measured by a Universal testing machine with cross head speed of 1mm/min. T-test and One way ANOVA were used for the statistical analysis of data. Results. The shear bond strength of U150 was not significantly higher than that of U10 (U150: 20.55.7Mpa, U10: 18.73.80Mpa). On the other hand, the shear bond strength of M150 was significantly higher than that of M10. The shear bond strength of B150 was also significantly higher than that of B10 (M150:14.45.7Mpa, M10: 9.94.2Mpa, B150: 24.38.3Mpa, B10: 17.27.3Mpa). When the light curing timing was 10sec after bonding, the shear bond strength of Unicem was highest; the shear bond strength of Biscem was highest when the light curing timing was 150sec after bonding (U10: 18.73.80Mpa, B150: 24.38.3Mpa). Significance. Since Unicem is less sensitive based on light curing timing, dentists seem to use it without considering the light curing timing. Maxcem showed the lowest bonding strength (especially M10). Thus, when using Maxcem, dentists need to delay the light curing after adhesion.
Porcelain is the first ceramic material to be introduced into dentistry. Porcelain jacket crown was introduced by Dr. Charles H Land in 1886, which was an excellent aesthetic dental restoration but has not been widely used due to high firing shrinkage and low tensile strength. Then metal-ceramic system, which combines the esthetic properties of ceramics and the mechanical properties of metals, was introduced and nowadays it is still used in dental clinical field. However, the metal-ceramic system has shown some problems, such as increased lightness by reflection of light at opaque layer, shadow beneath the gingival line due to the block-out of light by metal coping, exposure of metal in margin part, bond failure between metal and porcelain, oxidation of metal coping during firing the porcelain, etc. Recently, along with the advance of fabrication methods of dental ceramics, the all-ceramic restorations with high esthetic and mechanical properties has increased and gradually replaced metal-ceramic restorations. Especially, CAD/CAM technology has opened a new era in fabricating the dental ceramic restorations. This overview will take a look at the past, present and future possibility of the dental ceramic materials.
Jieun Song;Songyi Park;Chan Park;Kwidug Yun;Hyun-Pil Lim;Sangwon Park
Journal of Dental Rehabilitation and Applied Science
/
v.39
no.4
/
pp.267-275
/
2023
To obtain better esthetic results when immediately placing a dental implant, the soft tissue surrounding the implant must be conditioned during healing of the extraction socket. To this end, the emergence profile can be customized through immediate restoration of the provisional prosthesis, and good clinical results can be obtained at the time of definitive restoration in the future, resulting in high patient satisfaction. In this case, horizontal root fracture occurred after trauma to both maxillary central incisors. Immediate implant placement and loading was planned considering aesthetics and alveolar bone condition. By taking an impression using a digital intraoral scanner, a digital diagnostic wax-up was performed to make a more aesthetic prosthesis without applying external force to the traumatized teeth. Based on this, the ideal placement location was determined and immediate implant placement was performed using a 3D printed surgical guide. The provisional prosthesis was restored 5 days after placement, and the definitive zirconia crown was restored through soft tissue conditioning and customization using the shape of the provisional prosthesis for 3 months.
Castro-Govea, Yanko;Vela-Martinez, Amin;Trevino-Garcia, Luis Alberto
Archives of Plastic Surgery
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v.45
no.2
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pp.128-134
/
2018
Background Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propose lipoinjection enriched with adipose stem cells (ASCs) to treat the sequelae of craniosynostosis in the fronto-orbital and temporal complex in cranioplasty patients, with the goal of improving the appearance of the upper third of the face. Methods Twelve children (four boys and eight girls) between 4 and 8 years of age (mean age, 6 years) in the postoperative period after treatment for plagiocephaly, brachycephaly, and trigonocephaly were included, with a follow-up period of 1 to 18 months. Fat tissue was obtained from the lower abdomen, and ASCs were isolated using the Yoshimura technique. Lipoinjection was performed using several mini-approaches to ensure adequate distribution. Results Two different scales were used to evaluate the aesthetic outcomes. At 6 months, three plastic surgeons independent of the study classified the results using a Likert scale. The patients' parents categorized the results using a visual analog scale at 6, 9, and 18 months. R esults were favorable on both scales, as the patients' facial appearance improved and they reported increased happiness and self-esteem due to their remodeled facial appearance. Conclusions We suggest that lipoinjection enriched with ASCs is a good alternative for correcting asymmetry of the fronto-orbital and temporal contour in patients with sequelae of craniosynostosis. This treatment will help boost patients' self-esteem starting at an early age.
Implants placed immediately after tooth extraction have been shown to be a successfully predictable treatment modality. Several clinical papers suggest that placing implants immediately after tooth extraction may provide some advantages: reduction of the number of surgical procedures or patient visits, preservation of the dimensions of alveolar ridge, and shortening of the interval between the removal of the tooth and the insertion of the implant supported restoration. In this case report, three patients received single immediate implant placements to replace a maxillary anterior tooth at the time of extraction. As the three cases were somewhat different, treatment protocols had to be modified as follows: Case 1. Immediate implant placement with healing abutment connection. Case 2. Immediate implant placement with immediate provisionalization. Case 3. Immediate implant placement with Guided Bone Regeneration(GBR). Every implant of these cases was placed in proper position buccolingually, mesiodistally and apicocoronally, The procedures following implantation such as immediate provisionalization and GBR were free of problem. Healing of each case was uneventful. In all cases, treatment outcomes were mostly satisfactory and the results maintained during follow-up periods. However, one case (Case 3) showed some papilla loss due to failure in delicate soft tissue handling during surgery. This papilla loss was compromised by prosthetic means. In conclusion, immediate implant placement in the fresh extraction socket can be a valid and successful option of treatment in aesthetic area. Moreover, this treatment protocol seems to maintain the preexisting architecture of soft and hard tissues in most cases.
This study was accompanied to develop the management and application plans as resources for rural tourism through the analysis of distribution characteristics, inhabitants' practical use, need item for management and application, and aesthetic/recreation function of Palustrine wetland in rural area. The 2.3 Palustrine wetland per farm village were located, and 77.5% of total wetland was used by agricultural water, landscape, rural tourism The management and water quality were steadily getting better in used wetland than in unused wetland. Also, 91.8% of respondents answered that there is a practical use plan afterward, and much preferred the mode of ecotourism through restoration of ecological wetland. As the results from the appropriateness evaluation of management and application in used wetland for ecotourism, improvement item was required in observation deck, entrance lane, guidance facilities etc. And, insufficient result was deduced in appropriateness of operation program and special learning course, and in participation of inhabitants and experts. The result of evaluation of the aesthetic and recreation functions generally appeared high, but the need improvement item was required in artificial water wall and plantation base that deteriorate biological diversity. These results will be used to data for conservation, management and practical use of wetland, an important natural resource in farm village, which are confronted in crisis of land reclamation by use reduction of use and false management.
Journal of the Korean Institute of Landscape Architecture
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v.45
no.1
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pp.35-51
/
2017
Street gardens, a series of streetscape improvement projects led by Seoul City Government, are initiated for the purpose of providing aesthetic satisfaction and mental refreshment to pedestrians. In order to investigate whether street gardens indeed promote the psychological health of the users, questionnaire surveys were conducted on three selected street gardens - at Gangnam-daero, Digital-ro, and Teheranro - and their comparison sites located on the same streets, which have a similar physical environment but without a street garden. The survey questionnaires, based on Attention Restoration Theory, were composed of Perceived Restorativeness Scale-11 with the eleven individual questions grouped into four categories: 'Fascination', 'Being away', 'Coherence', and 'Scope'. The survey questionnaires also ask about physical components that promote psychological improvement in the aforementioned categories. The collected data was analyzed with factor analysis, reliability analysis, and independent t-test. The results suggested that street gardens had a relatively positive effect on the psychological restorativeness of the users. In particular, they gave fascination and interest to the users. However, they did not offer a feeling of being away to the users, which revealed the limitation in the psychological improvement effect of street gardens. The physical components of the street garden that have led the psychological restorativeness effect were wooden bench, tree, and flower. This result corresponds to an extant theory that natural factors have a positive effect on the psychological restorativeness within a hardscape. This research will shed light on the planning and design guidelines for the street garden project.
Severe dental attrition causes pathological changes of the tooth, collapsed occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension. Before increasing the vertical dimension with full-mouth rehabilitation, it is important to determine the amount of vertical dimension through accurate diagnosis. In this case, a 77 year old elderly male patient on anticoagulant medication with generalized attrition and fracture of teeth was treated with full-mouth rehabilitation in order to recover vertical dimension and aesthetics. Accurate clinical and radiographic examination, diagnostic, wax-up, and occlusal vertical dimension evaluation were step by step performed considering pre-medical history and old age. Patient adaptability was evaluated using an occlusal splint and interim restoration. After 3 months of stabilization with interim restoration, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes are observed after 6 months of follow up.
Journal of the Korean Society of Environmental Restoration Technology
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v.10
no.3
/
pp.14-24
/
2007
The purpose of this study was to investigate how the landscape characteristics and the physical factors of landscape would affect the preference for the Gapcheon in Daejeon Metropolitan City. The Gapcheon was divided in three sections of the outskirts, Expopark areas, and residential complexes. After selecting seven landscape points where the sections could be expressed best, photographs were taken both in the upstream and downstream direction. The questionnaire used to evaluate the river's landscape included 20 items of adverbs that described the form of the river and one item to rate the overall preference. By analyzing the 14 pictures taken, the occupancy rates of the landscape elements in terms of the sky, river, vegetation of the river, mountain, and artificial structures. Image factor analysis was conducted for each of the sections in order to analyze the landscape characteristics of the Gapcheon, and then regression analysis was conducted in order to analyze the relationships among the physical factors influencing the preference of the landscapes. The results were as follows : Factors that compose the visual characters of urban river were classified be the aesthetic factor, the emotional factor and the situation factor. These 3 factors showed a 65.8% total variance. The river landscape with the biggest preference was the one from the Daedeok Grand Bridge as the occupancy area of the mountain, sky, and river was large and distributed evenly and the vegetation of the river was in a good harmony with the surroundings. After carrying out regression analysis to examine the relationships between the visual preference of Gapcheon and the physical factors of landscape(the sky, river, vegetation of the river, mountain, and artificial structure), the following regressions model was made : PRE=5.906+0.017(river)-0.053(artificial structure)-0.060(vegetation of the river) (R-square=0.48).
In case of the treatment of maxillary anterior teeth, it should be taken into account the proper morphology, arrangement and color satisfying patient's esthetic demands. For this purpose, facial composition, dentofacial composition, dental composition and dentogingival composition should be considered making diagnosis and treatment plan in an esthetic point of view. In adjustable temporary crown state, careful evaluation and correction of the esthetic and functional aspect were performed, and the definite restoration was reproduced using double scan.
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