• Journal of Dental Rehabilitation and Applied Science
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• v.18 no.2
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• pp.119-126
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• 2002

The purpose of this study was to restorate a patient who has a few remaining teeth with #15,23,24 supported Konus telescope denture in Maxillar and #44,43,33,34 supported Dolder bar retained overdenture in Mandible. Konus telescope and bar retained overdenture was taken better results in retention, support, stability compair with regular Removable partial denture. In Removable partial denture, the change of remaining teeth and edentulous ridge is natural. But Konus telescope and bar retained overdenture is a little effected in this change, so it is possiblble in long-term use. In cosider of patient's medical history and the possibility of additional tooth loss, Konus telescope denture can be easily repaired. Compaired with Konus telescope and bar retained overdenture showed high stability and easy cleansing because of rigid support, cross - arch splinting, and simple design. In delivery, patient had a difficulty with removal of denture and plaque control, but showed better condition, good oral hygienic care. Patient satisfied with denture functionally and esthetically. This study showed Konus telescope and bar retained overdenture was effective for treatment of patient remaing a few teeth in function, esthetic and psycologic satisfaction.

• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.3
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• pp.232-238
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• 2018

Flabby ridges adversely affect the stability of complete dentures. For the management it is suggested that soft tissues reconditioned before making definitive dentures, and modified impression techniques used for the flabby ridges. Also, correct record of centric relation is important in complete dentures. This case of 67-year-old edentulous female patient had atrophied ridges on the mandible and the flabby ridge on the maxilla. Treatment dentures were fabricated using gothic arch tracing method and tissue conditioner. Definitive dentures were made using window opening impression technique, the gothic arch tracing method, and lingualized occlusion. The patient was satisfied with the function and esthetic quality of the new prostheses.

• Journal of Dental Rehabilitation and Applied Science
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• v.17 no.2
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• pp.113-123
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• 2001

The success of complete denture prosthesis is to satisfy three basic requirements for the edentulous patient : maximum comfort, efficiency, and esthetic appearance. This can be achieved only if the dentures are both stable and retentive. When the residual alveolar ridge has resorbed significantly, stability and retention are more dependent on the correct position of the teeth and external surfaces of the denture. The stability and retention of the denture can be improved by locating the denture in the neutral zone and reproducing exact mandibular border movement for balanced occlusion. The neutral zone philosophy is based upon the concept that there exists a specific area where the musculature function will not unseat the denture in the mouth. In here, forces generated by the tongue are neutralized by the forces generated by the lips and cheeks. One of the simplest methods for recording border movements in three dimensions is to make stereographic record of condylar movement. Stereographs are made in the mouth during mandibular movement with intraoral clutches and central bearing point, and used in dictating the condylar movement on the articulator later by generating the condylar paths in doughy acrylic resin. Its procedure is simpler and more convenient than that of Pantograph. In this clinical report, we introduce the concept of neutral zone and stereograph in complete denture fabrication.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.3
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• pp.306-313
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• 2016

Tooth wear is known as a normal physiological process which gradually progresses. It is reported that vertical dimension can be kept stable because amount of physiologically worn loss could be compensated by growth of alveolar bone and tooth eruption. However, excessive tooth wear as pathologic wear can cause pathologic pulp, disharmony with occlusal plane, functional disorders and esthetic problems so that full mouth rehabilitation could be needed in these cases. Recovery of function and esthetic improvement should be considered for alteration of the vertical dimension. Determination of the vertical dimension of occlusion is needed to be in harmony with the neuromuscular system. This clinical report describes 36 year-old female patient who had chief complaint of severely worn dentition and esthetic discomfort. An increase of 2.0 mm at maxillary incisal edge was done to restore vertical dimension. It was based on the degree of tooth wear and esthetics.

• Journal of Dental Rehabilitation and Applied Science
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• v.33 no.4
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• pp.291-298
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• 2017

It is challenging to produce esthetic implant restoration in the narrow anterior maxilla region where insufficient volume of alveolar bone could limit the angle and position of implant fixture, if preceding bone augmentation is not considered. Ideal angle and position of implant fixture placement should be established to reproduce harmonious emergence profile with marginal gingiva of implant prosthesis, bone augmentation considered to be preceded before implant placement occasionally. In this case, preceding bone augmentation has been operated before esthetic implant prosthesis in narrow anterior maxilla region. Preceded excessive bone augmentation in buccal area allowed proper angulation of implantation, which compensates unfavorable implant position. Provisional restorations were corrected during sufficient period to make harmonious level of marginal gingiva and interdental papilla. The definite restoration was fabricated using zirconia core based glass ceramic. Functionally and esthetically satisfactory results were obtained.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.1
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• pp.39-46
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• 2013

The loss of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). The collapse of the posterior support will eventually cause the pathologic change of the TMJ and masticatory muscles, unesthetic facial appearance and decreased masticatory function. Patients with destroyed dentition need extensive prosthetic treatments. Proper diagnosis and treatment planning are necessary for the stability of the neuromuscular system and the TMJ, and esthetic and functional definitive restorations. In this case, 63 year-old male presented with decreased masticatory force and esthetic problems due to pathologic destruction of teeth structure on entire dentition. Based on assessment of OVD including intraoral findings, radiographic examination and diagnostic cast, full-mouth rehabilitation with increase of OVD was planned using fixed partial denture and removable partial denture. Diagnostic wax-up was done after 4 mm increase of OVD determined by assessment of OVD. The OVD was maintained with the overlay type removable interim prostheses for 12 weeks to ascertain his comfort and adaptation to the new OVD. After the adaptation period, second interim prostheses with tooth preparation maintaining the established OVD was delivered. After 4 weeks, final prostheses were fabricated and delivered. After 7 month follow-up period, occlusal stability is maintained. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

• Restorative Dentistry and Endodontics
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• v.24 no.4
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• pp.585-603
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• 1999

Esthetic availabilities used as an esthetic restorative maternals can be determined by the optical coincidence among materials, enamel and dentin. Enamel is highly translucent. That's why esthetic materials need to correspond the close translucency of enamel. But the translucent materials are affected by the background color. So it should be predicted that the color of estorative materials depend on the any thickness and the spectral reflectance of the background on which they are placed. The object of this investigation, under above hypothesis, was to determine and analyze how they affect the final color according to the thickness, translucency and background color (white, black and dentin) fill three commercial light cured composite resins(Charisma, Spectrum TPH and Z100). And correlation was analyzed to find out the possibility of the prediction when using the certain background color and thickness of materials. Followings are the result 1. The I shade of CHA showed the lowest contrast ratio($Co_7$) while the B3 shade of Z100 showed the highest contrast ratio(p<0.05). 2. The value of $L^*$ and $b^*$ on the white and dentin background is increased with decreasing thickness. And there are significant relationships between increasing thickness and each value(R>0.085). But there is a little change of $L^*$ and $b^*$ value on the black background regardless of the thickness(p>0.05). 3. For the $a^*$ value, there was little difference in values as a function of thickness and changed irregularly regardless of thickness in all background. 4. The pattern of increasing value of $L^*$ and $b^*$ with decreasing thickness was similar to the group of white and dentin background. In both dentin one showed lesser change of value. 5. The values of $L^*a^*b^*$ measured on the different background with same thickness showed the recognizable color difference(${\Delta}E^*$>2) when the thickness was below 2.6mm. 6. Contrast ratio was increased with increasing thickness with significant relationship (R>0.9). 7. Spectral reflectance of composite resins that calculated from Kubelka-Munk equation was showed little difference compared with observed value w1th decreasing thickness.

• Journal of Dental Rehabilitation and Applied Science
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• v.38 no.4
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• pp.249-256
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• 2022

The implant prosthesis of anterior maxilla requires careful consideration in planning. In order to satisfy both esthetic and functional needs of a patient, fusion of intra-oral scan in Cone-beam computed tomography (CBCT) and facial scan can be considered. Bony structures and soft tissues captured in CBCT and occlusal surfaces of intra oral scan were incorporated into personal characteristics from facial scan. The patient had insufficient buccal bone on maxillary anterior area. The maxillary implants could not be placed on the most ideal position. However, the "top down" approach completed by computer-generated arranging of teeth in implant planning and surgery with surgical guide resulted in esthetically and functionally satisfying result regardless of the limitation. Careful diagnosis with digital technique and the usage of surgical guide resulted in successful surgery and esthetic restoration. The temporary fixed prostheses were designed, restored and evaluated. The patient was not satisfied with the first design of temporary prosthesis, which showed uneven space distribution between teeth due to the position of maxillary implant. The design was modified by changing proximal emergence contours and line angle to alter the perceived since of incisors. The patient was satisfied with the new design of provisional restoration. A digital occlusion analyzer (Arcus Digma II, KaVo, Leutkirch, Germany) was used to measure inherent condylar guidance and anterior guidance of a patient to provide a definitive prosthesis.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.12 no.3
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• pp.81-86
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• 1990

Benign neural sheath neoplasms are not common in the maxillofacial region. These lesions can occur as solitary tumors, or they can affect many sites in the form of multiple neurofibromatosis. A solitary neurofibroma is seldom undergo sarcomatous transformation, since solitary neurofibroma is relatively radioresistant and its recurrence rate seems to be low, the treatment of choice is surgical excision. This case showed a solitary neurofibroma in the left side of the floor of mouth which occurred in a 33 - year -old female. The tumor was excised. And there is no evidence of disease. She is satisfied in function and esthetic aspect.

• The korean journal of orthodontics
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• v.22 no.4 s.39
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• pp.815-822
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• 1992

Orthodontists want why the patients want orthodontic treatment. Demand and need for orthodontics is very important factors of cooperation and management. Chief complaint would be different according to the race and culture. Our results show that in the control group, Korean female adolescents[chief complaint is cowding$(30.6\%)$, spacing$(26.5\%)$, upper anterior protrusion$(18.4\%)$, anterior cross bite$(8.2\%)$ in order. Korean female adolescents considered anterior cross bite is more nonacceptable than spaeing and anterior protrusion. The purpose of orthodontics seemed to enhance esthetic, dental health, and to improve oral function.