• Title/Summary/Keyword: Dental Restoration

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Restoration using dental CAD/CAM system in severe tooth wear patient: A case report

  • Kee, Wonjin;Kim, Hyeran;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Chan
    • Oral Biology Research
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    • v.42 no.4
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    • pp.262-268
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    • 2018
  • In a situation where a vertical dimension has to be increased, the normal occlusion, function and aesthetics should be restored after taking into consideration the neuromuscular system and temporomandibular join. In order to do this, the provisional prosthesis should be made according to the patient's information. Moreover, the period of adjustment should be made through the provisional prosthesis modification, if necessary. The patient is then transferred to the final prosthesis to obtain results that are satisfactory. In the modern-day world, provisional prosthesis are replicated using three dimensional scanning and computer aided design/computer aided manufacturing (CAD/CAM) then made into final prosthesis. The adaptability of stomatognathic system can be judged by the PMMA provisional restoration. Functional and aesthetical aspect can be obtained. The adjustment period can be shortened by an intraoral correction and proper wear between provisional restorations. By using the CAD/CAM technology that transfers the information right into the final prosthesis.

Properties of Polymer Nanocomposites Useful for Dental Restoration (치아수복용 고분자 나노복합체의 물성)

  • Kim, Ohyoung;Han, Sanghyuk;Seo, Kitaek;Gong, Myoung-Seon;Kim, Chang-Keun;Lim, Bum-Soon;Cho, Byeong-Hoon
    • Applied Chemistry for Engineering
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    • v.16 no.3
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    • pp.422-426
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    • 2005
  • Visible-light activated polymer nanocomposites (PNC) were designed to be used for dental restoration. Hybrid-filler composed of barium silicate and nano-sized silica was adopted as a filler system. To improve the interfacial be havior of the resin matrix of bisphenol A glycerolate methacrylate/triethyleneglycol dimethacrylate, the surface of filler was hydrophobically treated with a silane coupling agent. Mechanical properties of PNC were investigated by measuring the abrasion resistance, and it was discovered that PNC showed excellent properties with an increase of nanofiller content. However, the polymerization shrinkage was consistently maintained under 3 vol% and the shrinkage continued even after photo-polymerization. In addition, a slight color difference between PNC specimens was observed with increase of nanofiller content.

SB-locking method for keeping implant restorations mechanically in place using fiber post: A case report (Fiber post를 이용하여 임플란트 지대주에 보철물을 결합하는 SB-locking method: A case report)

  • Chung, Min Ah;Leesungbok, Richard;Lee, Suk Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.356-362
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    • 2020
  • All the faculties at the prosthodontic department in Kyung Hee University Dental Hospital at Gangdong, have been implementing the Top-Down concept of treatment approach since 2006 in which the outcomes of the last prosthetic treatment are predicted in advance during the treatment planning stage of patients with dental tissue defects. Based on the Top-Down concept, this report is also an example of how the final prosthetic treatment was performed in advance before going into implant surgery for the missing teeth. Among the various methods of connecting implant fixture and restoration, the cement-retained method is relatively simple to manufacture restoration without being constrained by the angle of the implants placed, but difficult to remove remaining subgingival excess cement completely, and to detach it being when necessary. In the report, SB-locking method will be introduced which enables an aesthetic implant restoration without either a screw hole or residual excess cement.

NDE of the Internal Hole Defect of Dental Composite Restoration Using Infrared Lock-In Thermography (위상잠금 열화상기법을 이용한 치과용 복합레진 수복재의 내부 홀 결함에 대한 비파괴평가)

  • Gu, Ja-Uk;Choi, Nak-Sam
    • Journal of the Korean Society for Nondestructive Testing
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    • v.33 no.1
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    • pp.40-45
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    • 2013
  • The purpose of this study was to detect the pin hole defect of dental composite restoration using lock-in thermography method. Amplitude and phase images of the composite resin specimens were analyzed according to the lock-in frequency and the diameter of defect area. Through the amplitude image analysis, at lock-in frequency of 0.05 Hz, defect diameters 2-5 mm exhibited the highest amplitude contrast value between defective area and sound area. The lock-in frequency range of 0.3-0.5 Hz provided good phase angle contrast for the defect area. At lock-in frequency range of 0.5 Hz, defect diameter of 5 mm exhibited the highest phase contrast value. It is concluded that the infrared lock-in thermography method verified the effectiveness for detecting the pin hole defect of dental composite restoration.

Restoration of anterior teeth with dental implant using multilayer zirconia (다층 지르코니아를 이용한 임플란트 전치부 수복 증례)

  • Lee, Sunghee;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kwon, Kung-Rock;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.469-477
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    • 2021
  • For successful restoration of maxillary anterior implants, both pink esthetics and white esthetics must be satisfied. For pink esthetic part, the role of appropriate provisional prosthesis restoration is important, and for white esthetic part, the color and shape of the definitive prosthesis is important. Multilayer zirconia can be used for natural tooth appearance due to the higher transparency of the incisal area compared to the conventional monolithic zirconia. Therefore, in this case, white esthetic part was achieved through multilayer zirconia after recovering function and esthetics through appropriate provisional prosthesis in a patient who lost the maxillary anterior teeth.

Evaluation of adjacent tooth displacement in the posterior implant restoration with proximal contact loss by superimposition of digital models

  • Jo, Deuk-Won;Kwon, Min-Jung;Kim, Jong-Hee;Kim, Young-Kyun;Yi, Yang-Jin
    • The Journal of Advanced Prosthodontics
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    • v.11 no.2
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    • pp.88-94
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    • 2019
  • PURPOSE. This study was conducted to investigate patterns of adjacent tooth displacement in the posterior implant with interproximal contact loss (ICL) by 3-D digital superimposition method. MATERIALS AND METHODS. Posterior partially edentulous patients, restored with implant fixed partial prostheses before 2011 and suffered from food impaction of ICL between 2009 and 2011, were included. Two dental casts, at the time of delivery and at the time of food impaction in a same patient, was converted into 3-D digital models through scanning and superimposition was performed to assess chronologic changes of the dentition. Directions of tooth displacement were evaluated and the amount of ICL was calculated. Correlations between the amount of ICL and elapsed time, or between the amount of ICL and age after function, were assessed at a significance level of P<.05. RESULTS. A total number of 13 patients (8 males, 5 females) with a mean age of $65.76{\pm}9.94years$ and 17 areas (4 maxillae, 13 mandibles) were included in this retrospective study. Teeth adjacent to the implant restoration showed complex displacements but characteristic tendency according to the location of the arch. The mean amount of ICL was $0.33{\pm}0.14mm$. Elapsed time from function to ICL was $61.47{\pm}31.27months$. There were no significant differences between the amount of ICL and elapsed time, or age (P>.05). CONCLUSION. Natural teeth showed various directional movements to result in occlusal change in the arch. The 3-D superimposition of chronologic digital models was a helpful method to analyze the changes of dentition and individual tooth displacement adjacent to implant restoration.

A retrospective comparison of clinical outcomes of implant restorations for posterior edentulous area: 3-unit bridge supported by 2 implants vs 3 splinted implant-supported crowns

  • Yi, Yuseung;Heo, Seong-Joo;Koak, Jai-Young;Kim, Seong-Kyun
    • The Journal of Advanced Prosthodontics
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    • v.14 no.4
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    • pp.223-235
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    • 2022
  • PURPOSE. To compare the clinical outcomes of two types of implant restoration for posterior edentulous area, 3-unit bridge supported by 2 implants and 3 implant-supported splinted crowns. MATERIALS AND METHODS. The data included 127 implant-supported fixed restorations in 85 patients: 37 restorations of 3-unit bridge supported by 2 implants (2-IB), 37 restorations of 3 implant-supported splinted crowns (3-IC), and 53 single restorations (S) as controls. Peri-implantitis and mechanical complications that occurred for 14 years were analyzed by multivariable Cox regression model. Kaplan-Meier curves and the multivariable Cox regression model were used to analyze the success and survival of implants. RESULTS. Peri-implantitis occurred in 28.4% of 2-IB group, 37.8% of 3-IC group, and 28.3% of S control group with no significant difference. According to the implant position, middle implants (P2) of the 3-IC group had the highest risk of peri-implantitis. The 3-IC group showed a lower mechanical complication rate (7.2%) than the 2-IB (16.2%) and S control group (20.8%). The cumulative success rate was 52.8% in S (control) group, 62.2% in 2-IB group, and 60.4% in 3-IC group. The cumulative survival rate was 98.1% in S (control) group, 98.6% in 2-IB group, and 95.5% in 3-IC group. There was no significant difference in the success and survival rate according to the restoration type. CONCLUSION. The restoration type was not associated with the success and survival of implants. The risk of mechanical complications was reduced in 3 implant-supported splinted crowns. However, the middle implants of the 3 implant-supported splinted crowns had a higher risk of peri-implantitis.

The usefulness of intermolar traction wiring for restoration of maxillary & mandibular dental arch in facial bone fracture (안면골 골절에서 상하악 치열궁 복원을 위한 양측 대구치간 철사견인술의 유용성)

  • Jeong, Jae Ho;Shin, Seung Kyu;Lee, Jun Ho;Kim, Yong Ha
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.56-60
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    • 2009
  • Purpose: Palatal fracture and mandible fracture result in instability of dental arch. Because they divide the maxillary and mandibular alveolus sagittally and / or transversely and comminute the dentition, they permit rotation of dental alveolar segments and significantly increase the potential for fracture malalignment, complicating fracture treatment. Previous treatment of palatal fracture consisted of palatal splint application and rigid palatal vault stabilization. This procedure result in patient's oral discomfort and removal of palate and screw. Mandible fracture often results in malocclusion due to widening of posterior aspect of dental arch. So we introduce more simple method using intermolar traction wiring, which can protect the widening of dental arch and rotation of dental alveolar segment. Methods: Arch bar and intermolar traction wiring with wire 1 - 0, or 2 - 0 was applied. After exposure of fracture line, neutrooclusion was maintained with intermaxillary fixation. And then open reduction & internal fixation on maxillary fracture line, commonly maxillary buttress, alveolar ridge, pyriform aperture except palatal vault or mandibular fracture line. After 1 week, intermolar traction wiring was removed. We checked occlusion and postoperative radiologic finding. Results: From June of 2007 to October of 2007, 10 patient, who have maxillary fracture with palatal fracture and mandible fracture, underwent open reduction & internal fixation with intermolar traction wiring. All have satisfactory occlusion and there were no complication, like gingiva disease, mouth opening impairment and nonunion. Conclusion: The intermolar traction wiring accompany open reduction and internal fixation can be alternative method for restoration of dental arch in facial bone fracture.

A study on the improvement of the adaptability of castoration (from forming of the wax patten to investing) (금속주조 수복물의 적합성 향상에 관한 연구 (Wax patten 형성에서 매몰까지))

  • Lee, Tea-Jung
    • Journal of Technologic Dentistry
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    • v.10 no.1
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    • pp.171-175
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    • 1988
  • A good material selection and high dental techniques shall be required in all procedure from waxing up to investing of wax patten in order to get a cast restoration with good adaptability. Generally, wax and investing material should not have any deformation property but they art not so perfact in practice. Therefore, as the one of methods to produce more perfact, less deformation property and excellent product, it is necessary to eliminate the problems which can cause a deformation in each procedure.

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Metal posterior teeth for chronic bruxing patient (만성 이갈음 환자를 위한 metal posterior teeth)

  • Jo, Maeng-Gyu
    • Journal of Technologic Dentistry
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    • v.2 no.1
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    • pp.35-38
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    • 1980
  • 이 기술은 레진(acrylic resin) 또는 의과용 도재(dental porcelain)에 의한 치아 색깔의 전장부위를 갖고 있는 금속구치 block(metal posterior tooth block)의 개조에 대한 기술의 일면이다. 이 기술은 모든 가철식 보철물(removable dental restoration)에 적용할 수 있으며 특히 자연치열(natural dentition) 대합치에 가철식 국부의치(removable partial denture)를 갖고 있는 만성 이갈음 환자(chronic bruxing patient)에 적용할 수 있다.

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