Tooth is the most important element in esthetic consideration on facial area. Tooth alignment which is in harmony with gingiva, lips, and face is also key element. The purpose of this study was to give a clinical discipline for restoration of gingival contour, which contains a ratio of maxillary 6 anterior teeth, research for gingival contour etc., in case of rehabilitation of maxillary anterior teeth. 300 Dankook university dental school students ,who is their twenties and free from periodontitis, participate in this study. The result was from each 70 males and females who had normal occlusion and tooth alignment. Length, width and length/width ratio of maxillary 6 anterior teeth were 0.74-0.81 in male, 0.81-0.84 in female. There was significant difference between male and female. The most deepest position of gingiva in maxillary central incisor and canine was located in distal part of teeth and maxillary lateral incisor was middle portion. In maxillary central incisors, gingival line of the most deepest point appeared significant difference between male and female (p<0.01) whereas there was no difference in lateral incisors and canines. Distance between interdental papilla apex and the most deepest portion appeared significant difference between male and female. Distance of the deepest position of gingiva is statistically significant except maxillary central incisors and lateral incisors. Standard deviation and mean of the width of labio-lingual were measured in cervical area and there was a significant difference both male and female.(p<0.01) From this result, we could get the mean of maxillary anterior gingival line and these results have great value in clinical guidance in studying maxillary anterior teeth.
One of the central components of periodontal therapy is the improvement of esthetics. The presence and appearance of interdental papillae plays an important role of periodontal esthetics. The aim of the present study was to investigate how immediate provisional restoration preserve the shape of interdental papilla around the extraction socket and the width of bucco-lingual of gingiva. Another aim was to investigate the change in the interdental papilla and the amount of vertical bone fill of a extraction socket in relation to the interdental alveolar bone levels adjacent the alveolar socket. A total of 19 patients (11 male, 8 female, mean age of 50.57${\pm}$8.16), who visited the Department of Periodontology, Pusan National University and had more than one anterior tooth scheduled to be extracted due to an advanced periodontal disease were included in the present study. After initial periodontal therapy, the extracted teeth were reshaped of the root and placed into the socket followed by splinting with adjacent teeth with self-curing resin. The width of hucco-lingual of gingiva and interdental papilla height were measured at baseline, 1, 3, 6, 9 and 12 month and the periapical radiographic examination were taken at baseline, 6 and 12month following the extraction. The amount of vertical bone fill in the extraction socket were calculated. At 12 months following the extraction, the changes in mesial and distal interdental papilla and the width of bucco-lingual showed -1.06${\pm}$0.48mm, -0.844${\pm}$0.50mm, -1.50${\pm}$0.96m, relatively. The positional change in the interproximal papillae was significantly associated with the interdental bone level adjacent to the extraction socket(p=0.028). The higher the interproximal bone level adjacent the extraction socket, the greater the amount of bone fill in the extraction socket(p<0.001). In conclusion, it was thought that immediate provisional restoration could minimize the loss of the width of bucco-lingual and interproximal papillae around the extraction socket. In addition, the higher the interproximal bone level adjacent the extraction socket, the greater the amount of bone fill and the smaller the reduction of papillary height around the extraction socket.
Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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v.22
no.1
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pp.21-27
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2004
It will be a real good news fer the people who were lost their hometown by the construction of a large dam to be restored to the farmer state. Focused on Cheung-pyung around where most part were submerged by the Chungju large Dam founded in eurly 1980s, It used remote sensing image restoration Technique in this study in order to restore topographical features before the flood with stereo effects. We gathered comparatively good satellite photos and remotely sensed digital images, then its made a new fusion image from these various satellite images and the topographical map which had been made before the water filled by the DAM. This task was putting together two kinds of different timed images. And then, we generated DEM including the outskirts of that area as matching current contour lines with the map. That could be a perfect 3D image of test areas around before when it had been water filled by making perspective images from all directions included north, south, east and west, fer showing there in 3 dimensions. Also, for close range visiting made of flying simulation can bring to experience their real space at that time. As a result of this experimental task, it made of new fusion images and 3-D perspective images and simulation live images by remotely sensed photos and images, old paper maps about vanished submerged Dam areas and gained of possibility 3-D terrain image restoration about submerged area by large Dam construction.
When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.
It is important to produce a provisional restoration reflecting the patient's jaw relation, occlusal plane, lip support, shape of teeth, and occlusion type for fully edentulous patients before making a definite prosthesis. The patient introduced in this study showed bad prognosis of remained tooth after severe periodontal diseases. Therefore, remaining teeth were extracted and replaced with dental implants. Provisional restorations were fabricated and the the patient's vertical and horizontal jaw relationship, occlusal plane, amount of overjet and overbite, size of teeth, and length of anterior tooth were recorded. Provisional restorations were scanned and CAD/CAM techniques were used to fabricate a monolithic zirconia bridge, which contour is identical with the provisional restorations. The patient was satisfied with the treatment results on functional, esthetic aspects and the prosthesis retained stable during the four-month clinical observation period.
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.
Journal of the Korean Association of Geographic Information Studies
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v.7
no.1
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pp.1-8
/
2004
It's a very meaningful experimental study to image restoration of ancient villages vanished at the real life spatial world. Focused on Cheung-Pyung Lake around where most part were flooded by the Chung-Ju large dam founded in early 1980s, we used remote sensing technique in this study in order to restore topographical features before the flood with 3 dimensional effects. It was gathered comparatively good satellite photos and remotely sensed digital images, then its made a new color image from these and the topographical map which had been made before filled water. This task was putting together two kinds of different timed images. And then, we generated DEM(digital elevation model) including the outskirts of that area as harmonizing current contour lines with the map. That could be a perfect 3D image of Cheung-Pyung around before when it had been flood by making perspective images from all directions, north, south, east and west, for showing there in three dimensions. Also, flying simulation we made for close visiting can bring us to experience their real space at that time.
Kim, Yoon-Young;Park, Won-Hee;Yoo, Dong-Yeob;Lee, Young-Soo
The Journal of Korean Academy of Prosthodontics
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v.48
no.4
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pp.273-279
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2010
Purpose: The purpose of this in vitro study was to compare the marginal adaptation of a ceramic-pressed-to-metal restoration with traditional metal-ceramic restoration. Materials and methods: Duplicating the prepared resin tooth, 20 metal dies were fabricated. Twenty metal copings of 2 groups which were metal ceramic restoration and pressed to metal restoration were fabricated. The marginal opening of each coping was measured with Microscope (BX 60M-36E $41D^{(R)}$: Olympus, Japan). After porcelain build-up, the marginal opening of metal ceramic restoration and pressed to metal restoration ($PoM^{(R)}$: Ivoclar vivadent., Liechtenstein) were also evaluated in the same method. The measurements were analyzed using Wilcoxon Signed Ranks test and Mann-Whitney U test. Results: Within the limits of this study, the results were as follows. 1. Metal-ceramic restorations in coping state ($64.93{\pm}12.48\;{\mu}m$) in compared with Metal ceramic restorations after porcelain build-up ($63.43{\pm}12.86\;{\mu}m$) had no significant difference in marginal adaptation. 2. Pressed-metal-ceramic restorations in coping state ($50.00{\pm}12.28\;{\mu}m$) in compared with Pressed metal ceramic restorations after porcelain build-up ($56.72{\pm}13.80\;{\mu}m$) had no significant difference in marginal adaptation. 3. Metal-ceramic restorations in compared Pressed-metal-ceramic restorations had no significant difference in marginal adaptation. Conclusion: Pressed-metal-ceramic restorations have the advantage of being technically less change through using of the lost-wax technique and this allows for the convenience of a full-contour ceramic wax-up as opposed to the more technique-sensitive layering method. Pressed-metal-ceramic restorations may be considered in clinic on the basis of the result of this study and the advantage of this system.
The completely edentulous patient has few treatment options in conventional dentistry. When implants are considered, treatment plans range from a 2-implant overdenture to a completely implant-supported prosthesis. Fixed prosthesis is often the preferred selection of the edentulous patient. fixed full-arch cert amo-metal restorations can be a predictable implant treatment modality for the edentulous patient. Implant-supported fixed prosthesis has several advantages: predictability, fixedness, retrievability, improved function, lower maintenance of prosthesis, long-term published success. Edentulous patients with a severely resorbed mandible often experience problems with their dentures. Treatment concepts involving two to four implants for the support of an overdenture have been proposed. There seems to be no need to insert more than two endosteal implants to support an overdenture, however, long-term prospective studies are needed to support this notion. Using short endosseous implants and an overdenture in the extremely resorbed mandible is a justified treatment option because of the relative simplicity and low morbidity of this treatment strategy. Implant-supported overdenture has several advantages: Cost, retrievability, hygiene access, profile and contour control, increased retention and stability, implant installed in a predicted region(ant. mandible).
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.26
no.6
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pp.666-671
/
2000
Objectives: This study evaluated the availability of mandibular symphysis corticocancellous block grafts in patients treated for reconstruction of intraoral jaw defects. Materials & Methods: 8 patients with mandibular and maxillary bony defects were treated with corticocancellous block of symphysis. The types of defects included 4 pathologic jaw defects and 4 vertical and/or horizontal alveolar deficiencies. The age ranged from 13 to 45 years. Additional treatments such as plate fixation, alloplastic bony substitutes, and/or barrier membrane application were perfomred. They were evaluated for complications and healing of defects. Follow-up period ranged from 6 to 15 months. Results: 2 patients experienced complications such as wound dehiscence and mild resorption of exposed bone. None of the patients needed secondary operation. Paresthesia of lip, chin, and teeth were recovered completely by 6 months postoperatively. Reconstructed wound showed favorable healing and bony consolidation. Conclusion: Corticocancellous block of mandibular symphysis can be used for the reconstruction of a variety of intraoral local jaw defects selectively. Advantages were easy fixation of graft, possibility of restoration of original alveolar contour, and decreased donor site morbidity.
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