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A Study on the Attrition of Maxillary Canine in Korea (상악 견치의 교모에 관한 연구)

  • Lim, Byung-Chul
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.121-130
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    • 1997
  • This study was aimed to help the construction of naturally dental prosthesis by investigation of the factors affecting on the attrition position and attrition angle of maxillary canines. Therefore 163 complete cast of maxillary and mandibular extracted from the student of K. college were subjected for this study, and result through the study are as follows. 1. None attrite rate of the maxillary canine was 7%, of examined teeth. 2. Throughout mesiodistal attrition of 1) Throughout mesiodistal attrition area of the maxillary canines showed that mesial area and mid area of cusp was more frequence in attrition than distal area of it. 2) Sex, dental arch type, vertical overlap, horizontal overlap, did not affect significantly to throughtout mesiodistal attrition statistically 3. Througout labiolingual attrition area 1) Throughout labiolingual attrition area of the maxillary canines showed that attrition of the from lingual to labioncisal edge was more frequence than it of linguoincisal edge 2) It showed that attrition of the from lingual to labioincisal edge was more frequence when the length of horizontal overlap is shorter, by horizontal overlap 3) The attrition of the from lingual to labioincisal edge in maxillary left canines showed that male was more frequence in attrition than female. 4) Dental arch type, vertical overlap, did not affect signioficantly to labiolingual attrition, statistically. 4. Attrition angle 1) It showed that average attrition angle of the maxillary right canines were $19{\pm}11.02$ dagree, and it of left canines were $18{\pm}11.83$ degree. 2) It showed that famale have a bigger attrition angle than male, by sex. 3) It showed that attrition angle was bigger when the length of horizontal ovelap is bigger, by horizontal overlap.

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MORPHOMETRIC STUDY OF SCAPULAR LATERAL BORDER FOR INSTALLATION OF DENTAL IMPLANT. (치과용 임프란트 매식을 위한 견갑골외연의 형태학적 연구)

  • Lee, Jong-Ho;Jung, Soong-Ryong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.231-238
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    • 1995
  • The scapular flap, described by dos Santos in 1986, has been used successfully for the reconstruction of a variety of defects of oro-mandible. Some have defined the gross and vascular anatomy of the lateral border of the scapula, yet useful anatomical information and a complete description of area and contour of each cut surface of lateral border of scapula, which is very important for esthetic and functional reconstruction using dental implants, are missing. These prompted us to clarify the cross-sectional area of lateral border of scapula. Twenty three scapulas of 15 fixed adult Caucasian cadavers were sectioned in every 1cm interval along the lateral border of scapular, and the metric relations and the shape of cut surface were assessed. The lateral border of the scapula, consisting of cortico-cancellous bone measuring $7.86{\pm}0.97mm$ in width, $19.6{\pm}2.86mm$ in height and $12{\pm}1.78cm$ in length, could be harvested as an osteocutaneous scapular flap or as a single vascularized bone flap. The mean thickness of cortical bone of lateral, medial, dorsal and costal surface was $0.46{\pm}1.48mm$, $1.78{\pm}1.34mm$, $1.54{\pm}1.11mm\;and\;1.35{\pm}0.87mm$, respectively. So we have thought that all scapular transplants could be supported osseointegrated implants for fixation of dental prosthesis.

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Maxillary resection for cancer, zygomatic implants insertion, and palatal repair as single-stage procedure: report of three cases

  • Salvatori, Pietro;Mincione, Antonio;Rizzi, Lucio;Costantini, Fabrizio;Bianchi, Alessandro;Grecchi, Emma;Garagiola, Umberto;Grecchi, Francesco
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.13.1-13.8
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    • 2017
  • Background: Oronasal/antral communication, loss of teeth and/or tooth-supporting bone, and facial contour deformity may occur as a consequence of maxillectomy for cancer. As a result, speaking, chewing, swallowing, and appearance are variably affected. The restoration is focused on rebuilding the oronasal wall, using either flaps (local or free) for primary closure, either prosthetic obturator. Postoperative radiotherapy surely postpones every dental procedure aimed to set fixed devices, often makes it difficult and risky, even unfeasible. Regular prosthesis, tooth-bearing obturator, and endosseous implants (in native and/or transplanted bone) are used in order to complete dental rehabilitation. Zygomatic implantology (ZI) is a valid, usually delayed, multi-staged procedure, either after having primarily closed the oronasal/antral communication or after left it untreated or amended with obturator. The present paper is an early report of a relatively new, one-stage approach for rehabilitation of patients after tumour resection, with palatal repair with loco-regional flaps and zygomatic implant insertion: supposed advantages are concentration of surgical procedures, reduced time of rehabilitation, and lowered patient discomfort. Cases presentation: We report three patients who underwent alveolo-maxillary resection for cancer and had the resulting oroantral communication directly closed with loco-regional flaps. Simultaneous zygomatic implant insertion was added, in view of granting the optimal dental rehabilitation. Conclusions: All surgical procedures were successful in terms of oroantral separation and implant survival. One patient had the fixed dental restoration just after 3 months, and the others had to receive postoperative radiotherapy; thus, rehabilitation timing was longer, as expected. We think this approach could improve the outcome in selected patients.

Difference of Translucency according to Drying Time after Staining of Dental Zirconia (치과용 지르코니아 착색 후 건조시간에 따른 반투명도의 차이)

  • Lee, Joo-Hee;Park, Jin-Young;Kim, Dong-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.124-130
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    • 2021
  • Dental prosthesis translucency importantly contributes to aesthetic outcomes. The purpose of this study was to investigate the effect of drying time and zirconia coloring agent type on translucency. For the experiment, 90 circular specimens were fabricated for each zirconia block. Then, zirconia specimens were treated with a coloring agent for 180 seconds and dried for 0 seconds (undried), 30 seconds (intermediate dry), or 30 minutes (complete dry). Then, a specimen was placed on a black standard tile or a white standard tile, and using a standard D65 light source reflected was measured using the light removal method. A total of three repeated measurements were obtained per specimen. One-way ANOVA was used to compare and analyze the relationship between zirconia translucency and drying time. Zirconia and coloring liquid types were significantly associated with translucency (P < 0.001). Although no significant difference was observed with respect to drying time (P > 0.922), zirconia in the completely dried (30 minutes) state was more translucent.

A population-based study of breast implant illness

  • Magno-Padron, David A.;Luo, Jessica;Jessop, Terry C.;Garlick, Jared W.;Manum, Joanna S.;Carter, Gentry C.;Agarwal, Jayant P.;Kwok, Alvin C.
    • Archives of Plastic Surgery
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    • v.48 no.4
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    • pp.353-360
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    • 2021
  • Background Despite evidence supporting the safety of breast implants, some women associate their implants with adverse health effects and have called this syndrome "breast implant illness." We sought to characterize breast implant illness symptoms and to report how implant removal affects their symptoms. Methods An anonymous 20 question survey was administered to the Facebook group: "UTAH Breast Implant Illness" to characterize the symptoms these women attributed to their breast implants. Several questions allowed us to evaluate how implant removal affected women's symptoms. Results Of the 182 respondents, 97% report that implants negatively affect their health and 95% identify these symptoms with breast implant illness. Ninety-six percent of respondents had implants placed for cosmetic reasons and 51% had silicone implants. The most common symptoms associated with breast implant illness are brain fog (95%), fatigue (92%), joint pain (80%), and hair loss (74%). Sixty percent of respondents learned about breast implant illness from family/friends and/or social media platforms (56%), 40% of respondents had their implants removed, and 97% report relief of their symptoms post-removal (23% complete, 74% partial). Following explantation, there was a significant improvement in all but one reported symptom. An association was found between the number of symptoms reported prior to explantation and the number of symptoms resolving following explantation. Conclusions Breast implant illness is a syndrome characterized by fatigue, decreased focus, hair loss, and joint pain after the placement of breast implants. Nearly all patients report improvement of symptoms after implant removal. Significant efforts should be made to better understand breast implant illness and its etiology.

Implant placement with inferior alveolar nerve repositioning in the posterior mandible

  • Doogyum Kim;Taeil Lim;Hyun-Woo Lee;Baek-Soo Lee;Byung-Joon Choi;Joo Young Ohe;Junho Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.6
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    • pp.347-353
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    • 2023
  • This case report presents inferior alveolar nerve (IAN) repositioning as a viable approach for implant placement in the mandibular molar region, where challenges of severe alveolar bone width and height deficiencies can exist. Two patients requiring implant placement in the right mandibular molar region underwent nerve transposition and lateralization. In both cases, inadequate alveolar bone height above the IAN precluded the use of short implants. The first patient exhibited an overall low alveolar ridge from the anterior to posterior regions, with a complex relationship with adjacent implant bone level and the mental nerve, complicating vertical augmentation. In the second case, although vertical bone resorption was not severe, the high positioning of the IAN within the alveolar bone due to orthognathic surgery raised concerns regarding adequate height of the implant prosthesis. Therefore, instead of onlay bone grafting, nerve transposition and lateralization were employed for implant placement. In both cases, the follow-up results demonstrated successful osseointegration of all implants and complete recovery of postoperative numbness in the lower lip and mentum area. IAN repositioning is a valuable surgical technique that allows implant placement in severely compromised posterior mandibular regions, promoting patient comfort and successful implant placement without permanent IAN damage.

Using treatment denture and digital technology in patient with unstable mandibular movement: a case report (불안정한 하악위를 가진 무치악 환자에서 치료의치와 디지털 기술을 이용한 치료 증례)

  • Eunji Oh;Woohyung Jang;Chan Park;Kwidug Yun;Hyun-Pil Lim;Sangwon Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.168-175
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    • 2023
  • Long-term use of inappropriate prosthesis often results in habitual closure or irregular mandibular movements. In that case, guide to the stable centric position is difficult. Therefore, by using a treatment denture, the muscles and TMJ should be stabilized and the jaw relation should be acquired with the treatment position. Compared to the conventional method, digital technology in fabrication complete denture has the advantage of reproducing a stable tooth arrangement in cases of difficult tooth alignment, minimizing laboratory errors and reducing denture fabrication time. Therefore, in this case, the final denture was fabricated by digitally reproducing the stable treatment position, vertical dimension, and lip support with a treatment denture, and satisfactory results were obtained.

Development of dental zirconia (치과용 지르코니아의 발전)

  • Kim Sung-Hun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.4-7
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    • 2023
  • Since the end of the 1990s, zirconia, which has been applied to dental prostheses, has been used in the form of coping or framework. The prostheses made in this way have been successfully used in the anterior teeth because they have no metal components as a structure. But in the posterior teeth, its use was limited due to the fracture or chipping of the veneering porcelain during the function. Later, as a solution to this shortcoming, a monolithic zirconia restoration was proposed in which a strong coping material was used in the form of a complete prosthesis. But, this resulted in some unesthetic results due to the characteristics of zirconia, which has excellent resistance to strong forces but is very white and opaque. However, now, due to technological advances in increasing the translucency of zirconia, it is possible to produce strong and esthetic zirconia restorations not only in the posterior region but also in the anterior region. In this article, the structural characteristics of various types of zirconia materials that have been developed so far, were discussed, and where the zirconia products actually in use belong to was explained.

Strains of abutment and bones on implant overdentures (임플란트 피개의치에서 지대주와 골의 변형률에 관한 연구)

  • Kim, Myung-Seok;Heo, Seong-Joo;Koak, Jai-Young;Kim, Sung-Kyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.222-231
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    • 2009
  • Statements of the problem: Over the past decades, conventional complete dentures were used for various patients although they have incomplete function. Overdentures using dental implants could help the improvement of denture function. Purpose: The purpose of this study was to compare the strains of abutment and bone on implant overdenture between splinted and unsplinted type of prosthesis. Additionally, the strain values of parallel placed implant model and unparallel placed implant model were compared. Material and methods: Two acrylic resin model were prepared and two implants were placed at the canine positions in each model. In the first model, two implant were placed parallel. In the second model, two implants were placed with 10 degree labiolingual divergence. Two types of abutment were connected to the fixtures alternatively. One was splint type of Hader bar, the other was unsplint type of ball abutment. Overdentures were fabricated with corresponding attachment systems and seated on abutments. Strains of abutments and labial bone simulants were measured with electric resistance strain gauges when static load from 100 N to 200 N were applied to overdentures. Results: 1. Splinted type of overdentures using bar and clip showed higher absolute strain values. But the strain was compressive and the load was shared by two implants(P<.05). 2. Unsplinted type overdentures using ball and O-ring showed low absolute strain values(P<.05). 3. Labially inclined implant showed higher tensile strain values in unsplinted type of prosthesis than in splinted type of prosthesis. Lingually inclined implant showed rather low strain values under load(P<.05). 4. Non parallel implant model showed higher absolute strain values than parallel placed implant model comprehensively(P<.05).

A Study on Satisfaction of Practicing Dentists about Prosthesis in Pusan Part I : About Fixed Prosthetic appliances (부산지역(釜山地域) 개업치과(開業齒科)의 치과보철물(齒科補綴物)에 관(關)한 만족도(滿足度) 조사(調査)(I) - 일부정식 치과 보철물에 관하여 -)

  • Lee, Myung-Kon
    • Journal of Technologic Dentistry
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    • v.10 no.1
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    • pp.159-169
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    • 1988
  • Fixed prosthetic appliance is the restorations of damaged teeth with cast metal or porcelain, and of replacing missing teeth with fixed, or cemented prosthesis. Successfully treating a patient by means of fixed prosthodontics requires the thoughtful combination of dentist and dental laboratory technician. In order to know the satisfaction of dentisits about fixed prosthetic appliances-porcelain, precious and non precious metal-, this study was conducted for 69 practicing dentisis in Pusan during Fed. to Mar. 1988 using a questionnaire method and was analyzed by the use of percentage, $X^2$-test The results are obtained as follow: 1. General characteristics of the respondents, The rate of age distribution of practcing dentists responded was as follow : 31$\sim$35 age group is 29.0%, 51$\sim$55age group 18.8%, 41$\sim$45 age group and 46$\sim$50 group each 11.6%, 36$\sim$40 age group and 56$\sim$60 age group 8.7%, over 60 age group 7.3%, below 30 age group 4.3% respectively. The tate of term of practice experience distribution of dentists responded was as follow : 6$\sim$10 year group 26.1%, 25$\sim$25year group 18.8%, 11$\sim$15 years group and 16~20 years group each 13.0%, below 5 years group and over 30 years group each 10.2%, 26$\sim$30 years group 8.7% in order. The rate of respondents’ degree was follow : bachelor group 81.2%, doctor group 13.0%, master group 5.8% in order. The rate of respondents’completed medical specialist course was as follow : non-complete group 75.4%, complete group 24.6%. The rate of having own laboratory in respondents’clinic was as follow : no having own laboratory group 58.0%, having own labiratory group 42.0% The rate of being lab. technician in respondent;s clinic was as follow: non-being lab. technician group 91.3%, being lab. technician group 8.7%. The rate of transactional commercial dental lab. numbers was as follow : I dental lab. group 40.6%, 2 dental lab. group 30.4%, 3 dental lab. group 20.3%, production at own lab. group 8.7% 2. Cognitions about the respondent's job, About cognition of patient numvers, there were neither many nor few group 62.3%, few group 17.4%, many group 15.9%, too many group 4.4% in order.(P<.01) As compared with the ratio of dentists to patient prothetic treatment, there were moderate level group 46.4%, high level group 33.6%, low level group 18.8% in order.(P<.01) By job satisfaction of respondents, the highest percentage group was satisfied group 44.9%, neither astisfied nor disstified group 33.3%, dissatisfied group 14.5%, much satisfied group 7.3%(P<.01). As compared with the level of prosthetics price, the were moderate level group 71.0%, low level group 23.2%, high level group 5.8%(P<.01) 3. Satisfaction and assessment of dissatisfied factor of the fixed prosthetic appliance, As compared with the satisfaction of al prosthetic appliance, there were neither satisfied nor dissatisfied group 59.4%, satisfied group 20.3% dissatisfied group 18.8%, much satisfied group 1.5% in order.(P<.01). About precious and non precious metal crown and bridge, there were neither satisfied nor dissatisfied group 60.9%, satisfied group 24.6%, dissatisfied group 11.6%, much satisfied group 2.9% in order.(P<.01) The reat of respondent;s satisfaction about porcelain crown and bridge was as follow : neither satisfied nor dissatisfied group 43.5%, dissatisfied group 33.3%, satisfied group 21.7%, much satisfied group 1.5%(P<.01). The rate of respondent's dissatisfied factor item of precious and non precious metal crown and bridge was as follow : inadequate margin fit item 39.1% respondent, inadequate occlusion item 24.6%, inadequate adaptation item 23.2%, poor anat omic form item 15.9%, inadequate contact item 31.9%, improper polishing item 4.4%, the rest item 11.6% respectively. The rate of respondent's dissatisfied factor item of porcelain crown and bridge was as follow : inadequate margin fit item 52.2%, inadequate occlusion item 2.9%, inadequate adaptation item 10.1%, poor anatomic form item 11.6%, improper polishing item 1.5%, shade mismatching item 71%, the rest item 7.2% respectively. The rate of cognition of respondents’ about cause of dissatisfied factor on fixed prosthetic appliance by item was as follow : deficiency of sincerity item 55.1%, deficiency of knowledge about work item 47.8%, deficiency of experience item 15.9%, poor quality of using material item 5.8%, the rest item 2.9% respectively.

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