• Title/Summary/Keyword: Esthetic restoration

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Preparation and problem solving in indirect esthetic restorations

  • Choi, Kyoung-Kyu
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.594-594
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    • 2001
  • Increased demand for esthetic restorations has promoted a growing interest in tooth-colored restorations even in the posterior regions. Preparation for specific types of indirect inlay and onlays may vary because of differences in fabrication steps for each commercial system and variations in the physical properties of the restorative materials. Preparations for indirect inlay/onlay basically are meant to provide adequate thickness for restorative material and at the same time a passive insertion pattern with rounded internal angles and well defined margins after deciding what type of restoration is indicated.(omitted)

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Alveolar ridge preservation using granulation tissue for esthetic implant restoration on maxillary anterior tooth (상악 전치부의 심미적 임플란트 수복을 위한 육아 조직(Granulation tissue)을 이용한 치조제 보존술)

  • Lee Chang Kyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.16-22
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    • 2023
  • Esthetic factors are very important in the success of maxillary anterior implant restoration. However, achieving esthetic results is difficult, especially in cases where periodontitis has resulted in severe alveolar bone loss. In the case of maxillary anterior teeth, the alveolar ridge resorption that begins immediately after tooth extraction interferes with the esthetic implant restoration. Therefore immediate implant placement can be performed to minimize the alveolar ridge resorption. However, in severe bone loss cases, immediate implant placement could result in esthetic failure, and this result might cause irreparable problems. We can also perform alveolar ridge preservation and then place implants later. On JCP published in 2019, there is the consensus of European academy of periodontology on the extraction socket management and the timing of implant placement. This consensus states that alveolar ridge preservation should be considered when there is severe labial bone loss in an esthetically important area such as maxillary anterior region. On performing the alveolar ridge preservation, we cannot obtain the primary wound closure, so secondary wound healing is induced with open membrane technique or soft tissue grafting should be performed for primary wound closure. However, the secondary wound healing can have a negative impact on bone regeneration, and soft tissue grafting such as FGG or CT graft can be burdensome for both patients and dentists. On the other hand, by using the granulation tissue in the extraction socket, primary closure can be achieved without soft tissue grafting. Also some studies have shown that granulation tissue in periodontal defects contains stem cells that may help in tissue regeneration. Based on this, implant restorations were performed on maxillary anterior teeth with severe alveolar bone loss by alveolar ridge preservation using granulation tissue. In spite of the severe bone defect of the extraction socket, relatively esthetic results could be obtained in implant restorations.

ANTERIOR ESTHETIC RESIN RESTORATION OF INTELLECTUALLY DISABLED CHILD WITH OLIGODONTIA : A CASE REPORT (부분 무치증을 동반한 지적장애 환자의 전치부 심미수복 : 증례보고)

  • Bae, Youngeun;Kim, Jiyeon;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.2
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    • pp.66-71
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    • 2016
  • Intellectual disability is accompanied by a high incidence of congenitally absent teeth and supernumerary teeth, and is observed more frequently than are disorders of location and order during delayed eruption, when accompanied by other symptoms. Furthermore, it is associated with a higher occurrence of dental anomalies such as conical teeth, microdontia, and amelogenesis imperfecta. As it is difficult to obtain adequate cooperation from patients with intellectual disabilities, physical restraint and conscious sedation using medication and general anesthesia can be considered. Reshaping of conical teeth with resin composite may be helpful to rehabilitate patients with oligodontia and a conical tooth shape. Diagnostic wax-up and a silicone matrix formed the basis for the successful reconstruction of the anterior teeth. This case describes the treatment of a patient with intellectual disability who had oligodontia and conical-shaped incisors. Under general anesthesia, the patient was treated using direct composite resin restoration.

CEREC 3D System을 이용한 당일수복 (one-day treatment) 임상증례

  • Jeong, Hyo-Gyeong
    • 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.

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Immediate implantation for single mandibular first molar restoration: clinical case report (하악 제1대구치 단일 수복을 위한 발치 즉시 임플란트의 임상증례)

  • Park, Cheol-Woo
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.4-12
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    • 2021
  • Immediate implantation is widely applied as it is recognized as a useful implant treatment in dental clinic due to its various advantages as well as being able to shorten the treatment period. Immediate implant treatment was performed on 5 patients who needed extraction of the mandibular first molar for various reasons, shortening the overall treatment period, and obtaining satisfactory results. Immediate implantation after extraction is a high-level treatment that requires proper initial fixation at the exact location of the extraction socket and the surrounding soft tissues, but is considered to be a clinically very useful prosthetic restoration method

Use of temporary filling material for index fabrication in Class IV resin composite restoration

  • Kim, Kun-Young;Kim, Sun-Young;Kim, Duck-Su;Choi, Kyoung-Kyu
    • Restorative Dentistry and Endodontics
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    • v.38 no.2
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    • pp.85-89
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    • 2013
  • When a patient with a fractured anterior tooth visits the clinic, clinician has to restore the tooth esthetically and quickly. For esthetic resin restoration, clinician can use 'Natural Layering technique' and an index for palatal wall may be needed. In this case report, we introduce pre-restoration index technique on a Class IV defect, in which a temporary filling material is used for easy restoration. Chair-side index fabrication for Class IV restoration is convenient and makes a single-visit treatment possible.

Full mouth rehabilitation of the patient with severe tooth erosion using collarless porcelain fused to gold restorations: a case report (Collarless 금속 도재 보철물을 이용한 심한 erosion 환자의 전악수복 증례)

  • Song, Hee-Jin;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.324-329
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    • 2012
  • Excessive tooth wear causes loss of tooth structure, disharmony of occlusal plane, functional and esthetic problems. Although the decrease of occlusal vertical dimension may be compensated by growth of alveolar bone, if the length of tooth is not enough for the retention of restoration, minimum increase of occlusal vertical dimension is required without discomfort of the patient. In this case, 33-year-old woman drinks more than 1 liter of soft drinks a day and has bruxism in night time, visited in Seoul National University Dental Hospital with chief complaint of generalized tooth wear and related esthetic and functional problems. It was considered as a loss of occlusal vertical dimension based on the accelerated tooth wear caused by erosion and bruxism and facial appearance, phonetic, esthetic, functional evaluations. It was planned to raise occlusal vertical dimension by provisional restoration two times for patient's adaptation, 3 mm and 2 mm each, total 5 mm. Confirming no discomfort and clinical symptom during total 16 weeks after restoration with provisional fixed restoration, it was restored with porcelain fused to gold crown and bridge. Because the patient was young woman, anterior teeth were restored with collarless porcelain fused to gold crown. This case presents that satisfactory esthetic and functional result by full mouth rehabilitation with increase of occlusal vertical dimension.