• Title/Summary/Keyword: Computer aided design and manufacturing

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Rehabilitation using twin-stage method for a Sjögren's syndrome patient with severe discoloration and attrition on upper and lower anterior teeth (상하악 전치부 심한 변색과 마모를 보이는 쉐그렌 증후군 환자에서 twin-stage법을 이용한 수복증례)

  • Lee, Seon-Ki;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.291-297
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    • 2016
  • Patients with $Sj{\ddot{o}}gren^{\prime}s$ syndrome usually suffer from teeth discoloration and attrition due to xerostomia. If the anterior teeth are badly worn, problems such as loss of anterior guidance, occlusal disharmony, and limited space for restoration may occur. However, ideal occlusion is obtained in both centric and eccentric relation by regaining the disocclusion of the posterior teeth through the anterior and lateral guidance using twin-stage method. In this case, rehabilitation was performed for a $Sj{\ddot{o}}gren^{\prime}s$ syndrome patient with maxillary and mandibular incisor's severe attrition and teeth discoloration by using twin-stage method.

Full mouth rehabilitation of a patient using monolithic zirconia and dental CAD/CAM system: a case report (단일구조 수복용 지르코니아와 Dental CAD/CAM System을 이용한 전악 임플란트 고정성 보철 수복 증례)

  • Lee, Sang-Hoon;Yoon, Hyung-In;Yeo, In-Sung;Han, Jung-Suk;Kim, Sung-Hun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.196-207
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    • 2018
  • An accurate implant placement with ideal location is significant for long-term success of the implant. An exact evaluation of nearby anatomic structures such as quality of residual bone, an inferior alveolar bone and a maxillary sinus is required. For a prosthetic-driven treatment, planned surgery, precise prosthesis and communication with the patient are significant requisites especially for full-mouth rehabilitation. In this case, the patient with severe alveolar bone resorption had a CT guided surgery supported by CT data and the data from scanning diagnostic wax-up. Afterward, edentulous area was restored by full mouth implant-supported prosthesis by using monolithic zirconia and CAD/CAM technique. This paper reports the outcome of the procedure which was remarkable both esthetically and functionally.

Esthetic Restoration of Complicated Crown-Root Fractures Utilizing Orthodontic Extrusion (복합 치관-치근 파절의 교정적 정출술을 이용한 심미적 수복)

  • Kim, Minji;Kim, Jinyoung;Kim, Suhyun;Lim, Sumin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.60-69
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    • 2016
  • Complicated crown-root fracture of permanent incisors cause esthetic, functional, and psychological problems to patients. Therefore, treatment is important and multidisciplinary treatment is required. This case report describes the clinical procedures involved in the treatment of trauma-induced complicated crown-root fractures in the maxillary incisor of two young patients. Conventional root canal treatment and apexification were performed in each patient. To expose the fracture margins to the supragingival level and to reestablish the biologic width, orthodontic extrusions with fixed appliances were performed followed by a retention period. During the retention period, fiber-optic posts and cores were built up and provisional crowns were placed. Finally, ceramic crowns manufactured using a computer-aided design/computer-aided manufacturing (CAD/CAM) system were placed. In both patients, the teeth presented satisfactory functional and esthetic outcomes without relapse. The periodontal tissues were healthy.

The effect of different cooling rates and coping thicknesses on the failure load of zirconia-ceramic crowns after fatigue loading

  • Tang, Yu Lung;Kim, Jee-Hwan;Shim, June-Sung;Kim, Sunjai
    • The Journal of Advanced Prosthodontics
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    • v.9 no.3
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    • pp.152-158
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    • 2017
  • PURPOSE. The purpose of this study was to evaluate the influence of different coping thicknesses and veneer ceramic cooling rates on the failure load of zirconia-ceramic crowns. MATERIALS AND METHODS. Zirconia copings of two different thicknesses (0.5 mm or 1.5 mm; n=20 each) were fabricated from scanning 40 identical abutment models using a dental computer-aided design and computer-aided manufacturing system. Zirconia-ceramic crowns were completed by veneering feldspathic ceramics under different cooling rates (conventional or slow, n=20 each), resulting in 4 different groups (CONV05, SLOW05, CONV15, SLOW15; n=10 per group). Each crown was cemented on the abutment. 300,000 cycles of a 50-N load and thermocycling were applied on the crown, and then, a monotonic load was applied on each crown until failure. The mean failure loads were evaluated with two-way analysis of variance (P=.05). RESULTS. No cohesive or adhesive failure was observed after fatigue loading with thermocycling. Among the 4 groups, SLOW15 group (slow cooling and 1.5 mm chipping thickness) resulted in a significantly greater mean failure load than the other groups (P<.001). Coping fractures were only observed in SLOW15 group. CONCLUSION. The failure load of zirconia-ceramic crowns was significantly influenced by cooling rate as well as coping thickness. Under conventional cooling conditions, the mean failure load was not influenced by the coping thickness; however, under slow cooling conditions, the mean failure load was significantly influenced by the coping thickness.

Full mouth rehabilitation of a worn dentition using digital guided tooth preparation: a case report (과도한 구치부 마모를 보이는 환자에서 digital guided tooth preparation을 이용한 완전 구강 회복 증례)

  • Kim, Yong-Kyu;Yeo, In-Sung Luke;Yoon, Hyung-In;Lee, Jae-Hyun;Han, Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.80-90
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    • 2022
  • With the development of digital dentistry, it is being applied in various ways of dental treatment. This case report presents the definitive prosthesis designed in advance with a re-established vertical dimension and the digital technology, which determined the amount of tooth preparation, in order to preserve as much tooth structure as possible in a patient with pathological wear of the posterior teeth and loss of vertical dimension. For accurate tooth preparation, the guides of the occlusal and axial surfaces were digitally and additively manufactured. Then, aesthetics and anterior guidance were established at the provisional stage. The information of the provisional restoration was delivered to the definitive stage by double scanning. The digital technology, including the virtual planning and the guided tooth removal, produced the definitive restorations satisfactory to both the patient and clinician.

Esthetic restoration in continuous maxillary anterior area using immediate implant placement: A case report (임플란트 즉시 식립에 의한 연속된 상악 전치부의 심미적 수복 증례)

  • Lee, Ye Chan;Shim, Jun Sung;Lee, Jae Hoon;Lee, Keun Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.403-409
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    • 2017
  • In the case of an extraction in the maxillary anterior region, immediate placement of implant-supported fixed prosthesis can be considered as a treatment option. Fewer surgical operations, reduced treatment time, and optimal availability of existing bone are obvious advantages of the method; however, when applied in the continuous maxillary anterior region, inter-implant distance must be carefully considered, as well as accurate diagnosis and treatment planning for predictable outcome. In this case report, immediate placement of two implants in the continuous maxillary anterior along with bone graft following the extraction of root rests, and the restoration of provisional and implant-supported fixed prosthesis on a 63-year-old patient had resulted in both esthetically and functionally satisfactory clinical outcomes.

Aesthetic restoration n patients with unaesthetic maxillary anterior teeth using double scan : A case report (비심미적인 상악 전치부 환자에서 이중 스캔을 이용한 심미보철 수복 증례)

  • Ko, Chang Woo;Kim, Min-Ji;Yang, Hong-So;Park, Sang-Won;Park, Chan;Yun, Kwi-Dug
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.2
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    • pp.166-172
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    • 2018
  • 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.

Digital approach for fabrication of zirconia restoration with optimal gingival adaptation after tooth extraction: A case report (발치 후 지르코니아 보철물 제작에서 최적의 연조직 적합 형성을 위한 디지털 치료 증례)

  • Mai, Hang Nga;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.217-220
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    • 2020
  • Conventionally, when a zirconia fixed dental restoration is planned, the interim restoration is made manually and the final restoration is fabricated by the silicone impression taking at the prosthodontic stage. This conventional workflow does not provide direct relation between interim and final restorations. Moreover, the predictability of the final restoration could be low. Nowadays, the CAD/CAM based restoration fabrication and related digital techniques are developed and being applied in dentistry in multiple ways. This case report introduces a digital workflow for fabricating an optimal gingival adaptation and predictability of monolithic zirconia restoration by using CAD/CAM interim restoration, intra oral scan, and image superimposition technique in a case that required tooth extraction.

A case report of single crown restoration using an intraoral scanner for occlusal evaluation (단일 치관 수복 시 구강스캐너를 이용한 교합평가 활용 증례보고)

  • Song, Jun-Beom;Lee, Jong-Hyuk;Ha, Seung-Ryong;Choi, Yu-Sung;Choi, Sun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.341-349
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    • 2021
  • The evaluation of occlusion using digital methods is easier and simpler in terms of recording, comparison, analysis, and objectivity compared to existing methods such as articulating paper and occlusion foil. The purpose of this case report was utilizing the digital method for evaluating occlusion. The occlusion of patient requiring full veneer crown restoration was evaluated using an intraoral scanner (i500, Medit, Seoul, Korea) at every visit. The occlusion was also assessed using conventional articulating paper and a digital occlusal analysis system (Dental prescale II, GC corp., Tokyo, Japan) for comparison. Throughout the treatment process, the intraoral scanner and the conventional articulating paper method showed similar outcomes. The results suggest that the use of digital evaluation system is highly probable in the near future.

3D scanning based mold correction for planar and cylindrical parts in aluminum die casting

  • Seno, Takashi;Ohtake, Yutaka;Kikuchi, Yuji;Saito, Noriaki;Suzuki, Hiromasa;Nagai, Yukie
    • Journal of Computational Design and Engineering
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    • v.2 no.2
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    • pp.96-104
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    • 2015
  • Aluminum die casting is an important manufacturing process for mechanical components. Die casting is known to be more accurate than other types of casting; however, post-machining is usually necessary to achieve the required accuracy. The goal of this investigation is to develop machining- free aluminum die casting. Improvement of the accuracy of planar and cylindrical parts is expected by correcting metal molds. In the proposed method, the shape of cast aluminum made with the initial metal molds is measured by 3D scanning. The 3D scan data includes information about deformations that occur during casting. Therefore, it is possible to estimate the deformation and correction amounts by comparing 3D scan data with product computer-aided design (CAD) data. We corrected planar and cylindrical parts of the CAD data for the mold. In addition, we corrected the planar part of the metal mold using the corrected mold data. The effectiveness of the proposed method is demonstrated by evaluating the accuracy improvement of the cast aluminum made with the corrected mold.