• 대한치과마취과학회지
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• 제12권3호
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• pp.183-191
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• 2012

In most persons with disabilities had poor oral hygiene because of less attention and ability to perform a dental care. So the increased prevalence and severity of dental disease were common oral state. Although most persons with disabilities need a adequate dental treatment, it is often very difficult to treat because of noncooperativity and involuntary muscle movements. Dental treatments under sedation and general anesthesia were make to provide a high-quality dental service because of decreased anxiety and fear associated dental treatment in persons with disabilities. The dental professionals must be able to select and apply the proper sedation methods in agreement with the characteristics of the disabilities, general conditions, sedation experience and capacity of dentist, type and time of dental treatment, equipments of dental clinic, consent of patient's protector. The proshodontic treatment procedures, such as abutment preparation, dental impression taking process, try-in process of prosthesis and adjustment of occlusion, are difficult even for patients without disabilities. Those procedures are more difficult to patients with disability because it's too hard to control breathing and muscle. In this report, we performed prosthetic dentistry procedures to three patients with disabilities under dental sedation and general anesthesia.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2002년도 추계학술대회
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• pp.719-719
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• 2002

Aesthetic and cosmetic dentistry is becoming a major source of the dentists practice and source of income. Patients are demanding dentists to improve and enhance their appearance and function by means of aesthetic contouring and orthodontics and are willing to pay for such services. This creates a challenge for the dental profession to gain more knowledge and skill in this important area of their practice. Ceramic and composite veneers provide a comprehensive solution to the dentition that are severely hypoplastic or deeply stained by the ingestion of tetracycline during tooth development. A large number of dental materials and new techniques are now available that will render extremely satisfactory and beautiful solutions to these previously unsightly dentitions. This presentation will present the most commonly used dental materials and techniques of fabrication of composite and porcelain veneers. Using clinical cases, the step by step cavity preparations.Impression taking, laboratory fabrication, clinical try-in and cementation materials and techniques and repairs of broken veneers as well as long term follow up will be presentedesented

• 대한치과기공학회지
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• 제44권1호
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• pp.24-30
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• 2022

This research introduces the manufacturing process of the metal-framework of one of the maxillary partial dentures, the "obturator", using milling wax-blocks, for patients with palate loss due to oral cancer. It explains the protocol of taking the patient's oral impression, preparation of a working cast, scanning, designing using a computer-aided design program, investing the milling wax-blocks, and completing the obturator. This method does not follow the traditional wax and agar process thereby reducing the errors arising during the manufacturing process and decreasing the time, material, and labor required. Moreover, the retention, stability, and compatibility of the metal framework were observed to be high in both the working cast and oral cavity.

• 한국치위생학회지
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• 제20권1호
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• pp.11-18
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• 2020

Objectives: We analyzed the correlation between physique and size of the dental arch of college students with normal occlusion. Methods: Ninety-nine college students filled out the prepared questionnaire. The length and width of the dental arch of the students was measured using a plaster model after taking an impression. The data were analyzed using the t-test and correlational analysis. Results: The maxilla arch length was 3.70 mm longer and the inter-molar width of the maxilla was 3.06 mm longer in men (both p<0.01) than in women. Additionally, the mandible was 3.66 mm longer in men as compared to those in the women (p<0.01). As height increased, there was increase in the body weight (α=0.683, p<0.01), maxilla arch length (α=0.373, p<0.01), molar width of the maxilla (α=0.214, p<0.05), and the mandible (α=0.280, p<0.01). The greater the weight increase, the greater the maxillary arch length increase (α=0.392, p<0.01), and the greater the molar width of the maxilla (α=0.336, p<0.01) and mandible (α=0.502, p<0.01) increase. Conclusions: As physical size (both height and weight) increased, the maxillary length and molar width also increased. Based on the results of this study, the cause of malocclusion, form and size of the dental arch, and stable occlusion can be used as basic data.

• 대한장애인치과학회지
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• 제13권2호
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• pp.95-98
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• 2017

본 증례는 다운 증후군이 있는 환자의 구강 재건 시 CAD/CAM 시스템 사용의 이점을 모색해보았다. 다운 증후군 환자들의 경우, 보철물 파절의 위험성이 크며 불가피하게 보철물을 재제작할 경우, CAD/CAM 시스템의 기존 데이터를 이용하여 최소한의 기공 과정만 진행하여 보철물을 빠른 시일 내에 재제작할 수 있다. 결과적으로 이는 심미적 및 기능적 개선을 통해 삶의 질을 높일 수 있는 보철물 제작 시 환자의 불편감과 치과의사의 노력을 최소화하는 방법이다.

• 대한치과보철학회지
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• 제53권2호
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• pp.105-110
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• 2015

목적: 새롭게 개발된 인상채득이 가능한 치유지대주를 이용한 인상채득과 기존의 임프레션 코핑을 이용한 인상채득을 3차원적으로 비교함으로써 개발된 시스템의 정확성을 평가하였다. 재료 및 방법: 10명의 환자에서 구치부에 임플란트(SuperLine; Dentium, Seoul, Korea)를 식립 후 치유지대주(MyHealing; Raphabio Co., Seoul, Korea)를 연결하였다. 식립 3개월 후 보철물 제작을 위한 인상채득시 인상채득이 가능한 치유지대주를 이용한 transfer 방식과 기존의 인상용 코핑을 이용한 pick-up 방식으로 두 번 인상채득 후 각각 주모형을 제작하였다. 맞춤형 보철 지대주(Myplant; Raphabio Co., Seoul, Korea)를 제작하고 각각의 주모형에 체결 후 치과용 스캐너(Scanner S600; Zirkonzahn, South Tyrol, Italy)로 가상의 모형을 형성하였다. 3차원 분석 프로그램(Geomagic Qualify 12; Geomagic, Morrisville, NC, USA)을 이용하여 두 개의 가상의 모형을 중첩하여 지대주의 위치와 기울기의 차이를 분석하였다. 측정값은 Kruskal Wallis과 Mann-Whitney U test 방법을 통해 분석하였고, 유의수준은 0.05 로 설정하였다. 결과: 두 가지 인상법에 따른 지대주의 위치는 근원심 방향에서 0.032 mm, 협설측 방향에서 0.029 mm, 상하 방향에서 0.023 mm의 차이를 보였다. 기울기는 근원심 방향에서 $0.755^{\circ}$, 협설측 방향에서 $1.275^{\circ}$, 상하 방향에서 $0.420^{\circ}$의 차이를 보였다. 결론: 인상채득이 가능한 치유지대주를 이용한 인상채득 방식은 기존의 전통적인 인상용 코핑을 이용한 방식과 비교 시 0.032 mm 이내의 차이를 보였고 기존 논문과의 비교 시 유사한 수치이다.

• 대한치과보철학회지
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• 제59권1호
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• pp.79-87
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• 2021

구강 스캐너를 이용한 디지털 인상과 CAD-CAM (Computer-aided design-computeraided manufacturing) 기술은 점차 발전하고 있다. 전통적인 인상 채득, 작업모형의 제작, 왁스 납형 제작 및 주조의 복잡한 과정이 단축되었으며 환자의 방문 횟수도 줄일 수 있게 되었다. 구강 스캐너 기술의 발전으로 디지털 인상의 정밀도와 정확성이 향상되었으며, 그 적응증은 보다 광범위한 부위의 고정성 치과보철물의 수복으로 점차 확대되어지고 있다. 본 증례 보고에서는 광범위한 부위의 고정성 임플란트 보철물의 수복을 위하여, 컴퓨터로 계획하고 가이드 수술용 템플레이트로 완전히 가이드된 수술을 하고, 즉시/조기 임플란트 보철물을 장착하였으며, 임시 보철물에서 최종 보철물로 전환하는 과정에서 구강스캐너의 지대주중첩 알고리즘을 활용하였다. 임플란트 수술 당일 획득한 구강스캔으로 맞춤형 지대주를 포함한 임시 보철물을 제작하여 활용하였으며, 최종 보철물은 임시 보철물에서의 맞춤형 지대주를 낀 채로 구강스캔하여 제작되었다. 이 과정에서 임시 보철물 장착 전에 미리 스캔해서 라이브러리화한 맞춤형 지대주 데이터를 구강스캐너 소프트웨어 '지대주 자동중첩 기능'으로 최종 디지털 인상에 자동적으로 매칭하였고, 치은연하마진인 부분도 지대주를 탈거하지 않고, 치은압배사 없이 정밀하게 획득할 수 있었다. 구강스캐너와 소프트웨어의 다양한 기술을 응용하여 임플란트 치료 과정을 디지털 워크플로우로 변화시킴으로써, 환자 불편감 및 치료 시간을 단축하였으며, 환자와 술자에게 모두 이롭고 예지성 있는 치료가 가능하였다.

• 대한치과보철학회지
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• 제40권2호
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• pp.140-155
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• 2002

Void-free impression taking is important for the fabrication of accurate dental restorations. One of the essential properties of an impression material used for indirect fabrication of precision castings is the reproduction of the fine detail. The objective in this study was to determine the influence of mixing methods on the number of voids and surface detail reproduction. The number of voids and surface detail reproduction were evaluated with the steteomicroscope $SZ-PT^{(R)}$ and photographed. The results were as follows ; 1. In comparison of the void formation according to mixing methods of all impression materials, mechanical mixing was better than hand mixing and there was significant difference(p<0.05) 2. In comparison of the void formation according to hand mixing of alginate impression materials($TOKUSO\;A-1{\alpha}^{(R)},\;CAVEX\;IMPRESSIONAL^{(R)},\;AROMA \;FINE\;DF\;III^{(R)}$), there was no significant difference among alginate groups. But the number of void was increased in the order of $Panasil^{(R)}\;contact,\;TOKUSO\;A-1{\alpha}^{(R)},\;Permlastic^{(R)}$ light bodied and there was significant difference (p<0.05). 3. In comparison of the void formation according to mechanical mixing of alginate impression materials($TOKUSO\;A-1{\alpha}^{(R)},\;CAVEX\;IMPRESSIONAL^{(R)},\;AROMA FINE\;DF\;III^{(R)}$), there was no significant different among alginate groups. But the number of void was decreased in order of $TOKUSO\;A-1{\alpha}^{(R)},\;Permlastic^{(R)}light\;bodied,\;Panasil^{(R)}$ contact and there was significant difference (p<0.05). 4. In comparison of the surface detail reproduction according to mixing methods of 3 types of impression materials($TOKUSO\;A-1{\alpha}^{(R)},\;Permlastic^{(R)}\;light\;bodied,\;Panasil^{(R)}\;contact$), there was no significant difference between hand mixing and mechanical mixing method 5. The surface detail reproduction was only influenced by impression materials, and produced better in order of $TOKUSO\;A-1{\alpha}^{(R)},\;Panasil^{(R)}\;contact,\;Permlastic^{(R)}$ light bodied. There was significat difference among 3 type of impression materials(p<0.05). From the above results, void formation is influenced by mixing methods and surface detail reproduction is influenced by impression materials than mixing methods. Therefore, to fabricate accurate restorations, proper impression material and mechanical mixing method are more effective and available clinically.

• 대한치과기공학회지
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• 제24권1호
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• pp.127-138
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• 2002

There are some cases that dental prosthesis does not operate as properly as expected in oral mouth. The reasons are such as a distortion of the mandibular, a fault of impression taking system or an extrusion of remaining teeth. One of dental prostheses to consider in the situations is the attachment which connects segment bridge. Active discussions are managed on theoretical side of this field but few on clinical side of it, which must be considered first. Accordingly I'd like to suggest a theoretical background for connect attachment of fixed segmented bridge. 1. As a bridge gets longer, burden on dental ligament is increased and the hardness of a bridge is lessened. 2. The flexibility of a bridge increases in ratio to 3 multiplication of the length and decreases in ratio to 3 multiplication of the width of occlusal surface and base of pontic. 3. Precision rest is needed to cope with the shake of teeth and the difference of axis direction among abutments. 4. Female part of the precision rest should be on middle abutment distal and male one on mesial of pontic. 5. Segmented attachment can be efficiently used to cope with long span bridgework and also in case that one piece casting can't be done because of slant of abutment.

• 치위생과학회지
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• 제20권1호
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• pp.34-43
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• 2020

Background: The number and curriculum of dental hygienists in Korea have dramatically increased. Controversies have since resulted from insufficient job descriptions of the work performed by a dental hygienist. A dentist's perception was examined to legally reflect the actual work of dental hygienists. Methods: Four hundred and nineteen dentists were surveyed about the duties of a dental hygienist. Their views on the career and availability of each job were examined. The duties of the dental hygienist include 13 items in dental treatment preparation, 14 items of radiography, 21 items of preventive dentistry, 6 items of periodontal treatment, 12 items of oral medicine, 12 items of conservative dentistry, 8 items of prosthetics, 10 items of orthodontics, 7 items of oral and maxillofacial surgery, 6 items of implantation, 6 items of impression taking and model fabrication, 5 items of anesthesia and injection, 11 items of management and administrative, and 3 items of self-development. Results: Most of the duties were doable by a dental hygienist. Many dentists reported that managing implants, oral hygiene of special patients, some duties in oral medicine, teeth brightening, making temporary crowns, making individual trays, selecting shades, ligaturing, and precision impressions need ≥3 years of experience. Duties perceived by dentists not to be performed by dental hygienists were reading radiographs (55.4%), suture and stitch out (48.0%), intramuscular injection (36.0%), root planning (27.2%), cementation and removal of prostheses (23.2%), and examining pulp vitality (22.0%). Conclusion: Current laws are to be revised to include, the care provided by dental hygienists and under a physician's supervision. Flexibility is also needed to cope with rapidly changing dental technology.