• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.2
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• pp.436-448
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• 1997

Topical fluoride application for children is a widely performed procedure in the field of Pediatric Dentistry for its dental caries prevention effects. However, it is recently recognized as having some unwanted effects on several esthetic restorative materials as it roughens the surfaces of the restorative materials. In order to evaluate the surface changes in esthetic restorative materials, the author immersed composite resin, glass ionomer cement, and resin-modified glass ionomer cement specimens in various topical fluoride agents and measured the weight loss and also, examined the specimens under the scanning electron microscope. The followings are the results : 1. All the specimens immersed in APF gel for 4 minutes showed statistically significant weight loss. (paired t-test, P<0.05). 2. There was no statistically significant weight loss for the resin-modified glass ionomer cement and composite resin groups immersed in sodium fluoride solution (paired t-test, P>0.05). 3. When the glass ionomer cement group was immersed in APF gel for 1 and 4 minutes, there was a statistically significant weight loss compare to other esthetic restorative materials (ANOVA, P<0.05). 4. In the resin-modified glass ionomer cement group and the composite resin group, weight loss in the APF gel 4 minutes immersion group was greater than the 1 minute immersion group, and it was statistically significant (ANOVA, P<0.05). 5. When the specimens were examined under scanning electron microscope, the surface changes were greatest in the order of glass ionomer cement, resin-modified glass ionomer cement, composite resin and also in the order of APF gel 4 minute immersion group, 1 minute immersion group, sodium fluoride immersion group, and control group.

• Journal of Korean society of Dental Hygiene
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• v.6 no.2
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• pp.165-174
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• 2006

In order to establish basic data before deciding on the ways to manage school dental hygiene project, this study polled 165 elementary school teachers. Collected data was used SPSS 12.0 statistics program and got the technical statistics and This research and analysis came to the following conclusion by using Fridmen rank test, Pearson's correlation. 1. To the question about how they acquire the knowledge of dental hygiene, 60.6 percent of elementary school teachers turned out to learn about it through mass media(TV, Internet, magazines). 2. Regarding the purpose to maintain dental hygiene, "the prevention of dental diseases" ranked highest, and next "the prevention of cavity" and "the cure of halitosis" appeared at the similar level, and "to become a good model of children" and "to serve the esthetic purpose" ranked lowest. 3. As to the ways to prevent cavity, regular visits to dental clinic and daily brushing turned out to be more effective preventation method. 4. As for the degree of recognition of fluoride, the correct answer about fluoride that is recovered slight caries is appeared 11.8%, that was lowest correct answer ratio.

• Health Policy and Management
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• v.20 no.3
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• pp.1-20
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• 2010

Objectives : This study is purposed to segment dental service markets with reflecting customer's preference and to suggest some marketing strategies applied to each segmented market. Methods : The customer's data collected from a series of online survey comprise such factors as expertise of dentist, courtesy, clinic size, equipment, price and distance, including some socio-demographics. A conjoint analysis and a clustering analysis with estimated coefficients were performed to find out some dental market segments for three dental service types such as dental caries, esthetic treatments and dental implants. Results : Three or four market segments for each dental service type are derived from the analysis, and subsequently market characteristics for each derived segment are explored. Furthermore, some dental marketing strategies for each segment are suggested for better management. Conclusion : A conventional way of developing dental marketing strategies can be improved, while specific customer's preference are responded.

• The korean journal of orthodontics
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• v.44 no.6
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• pp.294-303
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• 2014

Objective: The purpose of this study was to examine whether orthodontic treatment experience affects the individual's perception of smile esthetics and to evaluate differences among orthodontically treated laypersons, non-treated laypersons, and dentists by using computerized image alterations. Methods: A photograph of a woman's smile was digitally altered using a software image editing program. The alterations involved gingival margin height, crown width and length, incisal plane canting, and dental midline of the maxillary anterior teeth. Three groups of raters (orthodontically treated laypersons, non-treated laypersons, and dentists) evaluated the original and altered images using a visual analog scale. Results: The threshold for detecting changes in maxillary central incisor gingival margin height among laypersons was 1.5 mm; the threshold of dentists, who were more perceptive, was 1.0 mm. For maxillary lateral incisor crown width and height, the threshold of all three groups was 3.0 mm. Canting of the incisal plane was perceived when the canting was 3.0 mm among non-treated laypersons, 2.0 mm among treated laypersons, and 1.0 mm among dentists. Non-treated laypersons could not perceive dental midline shifts; however, treated laypersons and dentists perceived them when the shift was ${\geq}3.0mm$. Conclusions: Laypersons with and without orthodontic treatment experience and dentists have different perceptions of smile esthetics. Orthodontically treated laypersons were more critical than non-treated laypersons regarding incisal plane canting and dental midline shifts. Based on these findings, it is suggested that orthodontic treatment experience improved the esthetic perceptions of laypersons.

• The korean journal of orthodontics
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• v.46 no.1
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• pp.42-54
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• 2016

The aim of this clinical report is to describe the complex treatment of an adult Class III malocclusion patient who was disappointed with the outcome of a previous oral rehabilitation. Interdisciplinary treatment planning was performed with a primary indication for implant removal because of marginal bone loss and gingival recession, followed by orthodontic and surgical procedures to correct the esthetics and skeletal malocclusion. The comprehensive treatment approach included: (1) implant removal in the area of the central incisors; (2) combined orthodontic decompensation with mesial displacement and forced extrusion of the lateral incisors; (3) extraction of the lateral incisors and placement of new implants corresponding to the central incisors, which received provisional crowns; (4) orthognathic surgery for maxillary advancement to improve occlusal and facial relationships; and finally, (5) orthodontic refinement followed by definitive prosthetic rehabilitation of the maxillary central incisors and reshaping of the adjacent teeth. At the three-year follow-up, clinical and radiographic examinations showed successful replacement of the central incisors and improved skeletal and esthetic appearances. Moreover, a Class II molar relationship was obtained with an ideal overbite, overjet, and intercuspation. In conclusion, we report the successful esthetic anterior rehabilitation of a complex case in which interdisciplinary treatment planning improved facial harmony, provided gingival architecture with sufficient width and thickness, and improved smile esthetics, resulting in enhanced patient comfort and satisfaction. This clinical case report might be useful to improve facial esthetics and occlusion in patients with dentoalveolar and skeletal defects.

• Journal of Dental Rehabilitation and Applied Science
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• v.33 no.4
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• pp.314-320
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• 2017

In the treatment of esthetically important areas such as maxillary anterior teeth, they should be corresponded with surrounding tissues, and shape of the smile line, soft tissue, and hard tissue, also the anatomical shape and proportion of the teeth should be considered as well. Esthetic analysis includes facial analysis which evaluates the proper parallelism between the occlusal plane and the horizontal reference line, dentolabial analysis which assesses the position of the incisal edge and the coherence between the occlusal plane and the commissural line, tooth analysis which evaluates not only esthetics but also morphology and appearance for proper function, and gingival analysis which forms ideal outline of gingival margins. A maxillary anterior diastema can be esthetically restored through the systematic diagnostic approach and treatment planning, and orthodontic, prosthetic, and conservative treatment can be applied for the treatment.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.25 no.2
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• pp.88-97
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• 2016

Aesthetics can be affected by the interest and the trend of the time. There are the limits of the equipment and materials required for the times, aesthetic case is also considered necessary to overcome them and will introduce the following case in accordance with the patients demands and circumstances. I hope the further development of CAD/CAM by taking over the things have done in the analogue by utilizing the latest technology that is thought to challenge the current limit itself is important. Digital has the advantages in various perspectives. Especially, I am very interested in as related to "digital communication." In particular, when utilizing the data using intra oral scanner can easily direct converse about prosthesis between the dentist and the dental technician through a software program Now, as the digital communication affects the integrity of the prosthesis directly, I had a expectation of a new era for the prosthetic and aesthetics. In this case report, I would like to introduce direct and real digital communication through the following 2 parts.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.23 no.1
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• pp.16-26
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• 2014

Materials that can be use in CAD/CAM are composite, ceramic, hybrid and metal. Among the available materials, monolithic ceramic technique which is the manufacturing technique using one type of the materials is mainly used in a dental office. It is the technique where final tooth-shaped prostheses are made from the material block and used after polishing or applying heat and that does not require traditional ceramic build-up process. Although shot of esthetic quality, because manufactured within 1 hour the monolithic ceramic technique has advantages such as that treatment can be completed in one day and in one time visit, that stability of the material is high because there are low possibility of distort by not melting and phase transformation, and that it can be easily worked in the office with computer assisted devices. We classified the materials that can be used in this technique based on their generations from clinical stand point.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.28 no.2
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• pp.74-85
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• 2019

The aesthetic restoration of dental implants in the anterior maxilla is a challenge for clinicians because it requires proper harmony in three following conditions; reconstruction of hard tissue, soft tissue, and aesthetic prosthesis. A newer technique, VIP-CT (Vacularized Interpositional Periosteal Connective Tissue) graft has been introduced as an alternative to these technique which allows the clinicians perform large volume soft tissue augmentation in esthetic sites with a single procedure. The advantages of the VIP-CT graft technique are that it allows the reconstruction of large soft tissue deficiency, with little constriction postoperatively. Furthermore, it facilitates improved hard tissue augmentation due to the additional blood supply and improved bone healing by mesenchymal cells. Moreover, this technique reduces patient discomfort and treatment time. This clinical report describes the procedure of bone augmentation during immediate implantation in facial dehiscence defect, especially Vascularized Interpositional Periosteal Connective Tissue(VIP-CT) graft for aesthetic anterior soft tissue.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.17 no.1
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• pp.23-30
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• 2008

Application of CAD/CAM is changing the way partial or full veneer all ceramic restoration is made. CAD/CAM systems, which were used mainly in other industries, have been developed and introduced for the dental purposes recently. It produced a flood of information on the CAD/CAM systems. It also influenced the development of restorative materials and all ceramic is substituting the traditional restorative materials of gold, composite resin and metal. Price increase of gold and other raw materials made the all ceramic more appealing. The introduction of a CEREC 3D system was innovative in several ways. Image of the prepared tooth is captured by camera and impression taking is unnecessary. Restoration can be delivered to the patient on one appointment and it will satisfy the demand of busy patients. One-day treatment with direct CAD/CAM system saves time compared to indirect CAD/CAM system. More superior restoration can be produced if lab work such as the adaptability check and shade selection is cooperated with lab technician. Short working time and comparably superior shade compatibility of color block was close to ideal. In the future, restorations with better quality can be fabricated in less time to busy patients thanks to the development of CAD/CAM system and dental materials.