• Title/Summary/Keyword: Full arch

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Reliability and Accuracy of Digital Impression Obtained from CS-3500 Intraoral Scanner (CS-3500 구강 내 스캐너로 채득된 디지털 인상의 신뢰도 및 정확도 평가)

  • Kim, Sa-Hak;Kim, Jae-Hong;Kim, Chong-Kyen
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.673-678
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    • 2015
  • The purpose of this study was to evaluate the reliability and accuracy of linear measurements in digital models compared to master model. A master model (ANKA-4; Frasaco GmbH, Tettnang, Germany) with the prepared upper full arch tooth was used. Four linear measurements were recorded between landmarks, directly on the master model and the digital models by a single examiner. Measurements were made with a digital caliper from manual model and with the software from the virtual models. The t-test for paired samples and intraclass correlation coefficient (ICC) were used for statistical analysis. The measurement of two methods showed good reliability. The mean differences between master and digital model were 0.06~0.12 mm. These in vitro studies show that accuracy and reliability of the digital impression is similar to that of the gold standard. Therefore digital impression was also considered to be a acceptable for placement clinically.

Does matching relation exist between the length and the tilting angle of terminal implants in the all-on-four protocol? stress distributions by 3D finite element analysis

  • Li, Xiaomei;Cao, Zhizhong;Qiu, Xiaoqian;Tang, Zhen;Gong, Lulu;Wang, Dalin
    • The Journal of Advanced Prosthodontics
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    • v.7 no.3
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    • pp.240-248
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    • 2015
  • PURPOSE. To explore whether there is matching relation between the length and the tilting angle of terminal implants in the All-on-Four protocol by studying the effects of different implant configurations on stress distributions of implant, bone, and framework. MATERIALS AND METHODS. Four implants were employed to support a full-arch fixed prosthesis and five three-dimensional finite element models were established with CT images, based on the length (S and L) and distal tilt angle ($0^{\circ}$, $30^{\circ}$ and $45^{\circ}$) of terminal implants for an edentulous mandible, which named: Tilt0-S, Tilt30-S, Tilt30-L, Tilt45-S and Tilt45-L. An oblique 240 N was loaded at second molar. The von Mises Stresses were analyzed. The implants were consecutively named #1 to #4 from the loading point. RESULTS. 1) Tilt0-S had the greatest stress on the implants, with the other groups exhibiting variable reductions; the four implants of Tilt45-L demonstrated the greatest reduction in stress. 2) Tilt0-S had the greatest stress at bone around #1 implant neck, and Tilt45-L exhibited the least stress, which was a 36.3% reduction compared to Tilt0-S. 3) The greatest stress in the framework was found on the cantilevers distal to #1 implant. Tilt45-S exhibited the least stress. CONCLUSION. Matching different length and tilting angle of the terminal implants led to variable stress reductions on implants, bone and the superstructure. By optimizing implant configuration, the reduction of stress on implants and surrounding bone could be maximized. Under the present condition, Tilt45-L was the preferred configuration. Further clinical testings are required.

Maxillary full-arch fixed dental prosthesis of the elderly patient with worn dentition (마모된 치열을 지닌 고령 환자의 상악 전악 고정성 수복 증례)

  • Lee, Jae hyun;Choi, Yeon jo;Ryu, Jae jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.154-162
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    • 2017
  • Tooth wear, one of the physiological changes in the elderly patient's mouth, generally does not require treatment, but requires prosthodontic restoration when occlusal disharmony, poor masticatory function, pulp exposure occurs. One of the primary considerations in prosthodontic restoration for tooth wear is vertical dimension. It is necessary to make an accurate diagnosis and analysis, correct judgement of the interdental relationship for predictive treatment plan. A step-by-step approach considering dental care for aged is also required. In this case, a 93-year-old male patient presented with worn dentition and mobility of existing fixed dental prosthesis. After diagnosis and evaluation, maxillary rehabilitation without any change in the occlusal vertical dimension was performed and this shows satisfactory results both functionally and morphologically.

Comparison of Topographic, Vegetation, Scenic Resource Distribution between Natural Preservation Zone and Natural Environment Zone in Mt. Teogyu National Park (덕유산(德裕山) 국립공원(國立公園)의 자연보존지구(自然保存地區)와 자연환경지구(自然環境地區)의 지형(地形), 식생(植生), 경관자원(景觀字源)의 분포(分布) 비교(比較))

  • Lee, Chahng-Hah;Ahn, Seung-Mahn;Lee, Kyoo-Seock
    • Journal of Environmental Impact Assessment
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    • v.7 no.1
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    • pp.49-61
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    • 1998
  • Zoning areas within national parks in Korea are classified into Natural Preservation Zone(NPZ). Natural Environment Zone(NEZ), Settlement Zone(SZ) and Mass Facility Zone(MFZ) based on the Natural Park Act Large-scale development which might cause permanent destruction of natural resources are being done in NEZ which covers 90% of the total natural park area. Thus it is necessary to examine National Park Act which refers the authorized criteria and development activities of NEZ. However, the current environmental impact statement(EIS) does not cover the full impact of the development inside the national park area. Based on these concepts, the study examines the appropriate resources to distinguish the NPZ and NEZ in Mt. Teogyu National Park, then compare the distribution of resource characteristics between two area by using GIS. Through this study, the conclusions are as follows; (1) In terms of scenic resource analysis, the current NPZ does not meet the criteria on the National Park Act Rather, most of the resources which should be located within the NPZ are located within the NEZ. (2) In terms of elevation analysis, Mt. Teogyu National Park, most of NPZ are located on high altitude which is more than l,200m above the mean sea level. Therefore, it shows the elevation is the only criteria for distinguishing NPZ and NEZ. (3) In terms of Degree of Green Naturality(DGN), the second forest areas, the eighth grade of DGN in Mt. Teogyu National Park are distributed much more in the NEZ than NPZ. (4) After examining five factors - scenic resources, elevation, slope and DGN, vegetation- it was found out that zoning of Mt. Teogyu National Park is not adequatly designated. Zoning of national parks should be accomplished based on the precise inventory of the current resources.

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Soil arching analysis in embankments on soft clays reinforced by stone columns

  • Fattah, Mohammed Y.;Zabar, Bushra S.;Hassan, Hanan A.
    • Structural Engineering and Mechanics
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    • v.56 no.4
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    • pp.507-534
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    • 2015
  • The present work investigates the behavior of the embankment models resting on soft soil reinforced with ordinary and stone columns encased with geogrid. Model tests were performed with different spacing distances between stone columns and two lengths to diameter ratios (L/d) of the stone columns, in addition to different embankment heights. A total number of 42 model tests were carried out on a soil with undrianed shear strength $${\sim_\sim}10kPa$$. The models consist of stone columns embankment at s/d equal to 2.5, 3 and 4 with L/d ratio equal 5 and 8. Three embankment heights; 200 mm, 250 mm and 300 mm were tested for both tests of ordinary (OSC) and geogrid encased stone columns (ESC). Three earth pressure cells were used to measure directly the vertical effective stress on column at the top of the middle stone column under the center line of embankment and on the edge stone column for all models while the third cell was placed at the base of embankment between two columns to measure the vertical effective stress in soft soil directly. The performance of stone columns embankments relies upon the ability of the granular embankment material to arch over the 'gaps' between the stone columns spacing. The results showed that the ratio of the embankment height to the clear spacing between columns (h/s-d) is a key parameter. It is found that (h/s-d)<1.2 and 1.4 for OSC and ESC, respectively; (h is the embankment height, s is the spacing between columns and d is the diameter of stone columns), no effect of arching is pronounced, the settlement at the surface of the embankment is very large, and the stress acting on the subsoil is virtually unmodified from the nominal overburden stress. When $(h/s-d){\geq}2.2$ for OSC and ESC respectively, full arching will occur and minimum stress on subsoil between stone columns will act, so the range of critical embankment height will be 1.2 (h/sd) to 2.2 (h/s-d) for both OSC and ESC models.

Computerized analysis of occlusal contacts in bruxism patients treated with occlusal splint therapy

  • Gumus, Hasan Onder;Kilinc, Halil Ibrahim;Tuna, Suleyman Hakan;Ozcan, Nihal
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.256-261
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    • 2013
  • PURPOSE. Occlusal splints are commonly used to prevent tooth wear caused by bruxism. However, the effects of splints on occlusion are still unclear. Although it is rarely alluded in literature, splints can provoke severe occlusal alterations and other complications. This study was aimed to identify differences in the responses of individuals with bruxism and healthy individuals to a full-arch maxillary stabilization splint in terms of occlusal changes. MATERIALS AND METHODS. Occlusal contacts in 20 (5 male, 15 female) bruxism patients and 20 (5 male, 15 female) controls with normal occlusion were evaluated before and after occlusal splint therapy. T-Scan III, a computerized occlusal analysis system, was used to simultaneously measure occlusion and disclusion times as well as left-right and anterior-posterior contact distributions before splint therapy and 3 months after therapy. Wilcoxon and Mann-Whitney U tests were used for statistical analyses (${\alpha}$=.05). RESULTS. No differences were found in the posterior contact of bruxism patients before and after stabilization splint treatment. However, differences in posterior contact were observed between bruxists and normal individuals prior to treatment, and this difference disappeared following treatment. CONCLUSION. The results of this study showed the use of a stabilization splint may not have an effect on occlusion. However, the area of posterior occlusal contact among bruxists was found to be greater than that of normal individuals. According to this study, the clinical use of splints may be harmless.

TREATMENT OF THE IMPACTED LOWER SECOND MOLARS (매복된 하악 제2대구치 맹출유도의 치험례)

  • Hahn, Soo-Kyoung;Kim, Jung-Wook;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.41-45
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    • 2004
  • In the normal growth and development of the mandible, the molar tooth buds distal to the first permanent molar have a mesial inclination. This inclination is usually self-correcting, but, unfortunately, this self-correction does not always occur. The first case is about, 14-year-old female patient with familial history of lower second molar impaction. Her lower second molars were both impacted, and she was treated with sectional wires and open-coil springs. The second case, 14-year-old male, we treated his impacted #47 with Halterman appliance. The third case, 11-year-old male, his both mandibular second molars were impacted during full-fixed orthodontic treatment. They were treated with brass wire, sectional wire and open-coil spring.

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Shear behavior and shear capacity prediction of precast concrete-encased steel beams

  • Yu, Yunlong;Yang, Yong;Xue, Yicong;Liu, Yaping
    • Steel and Composite Structures
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    • v.36 no.3
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    • pp.261-272
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    • 2020
  • A novel precast concrete-encased steel composite beam, which can be abbreviated as PCES beam, is introduced in this paper. In order to investigate the shear behavior of this PCES beam, a test of eight full-scale PCES beam specimens was carried out, in which the specimens were subjected to positive bending moment or negative bending moment, respectively. The factors which affected the shear behavior, such as the shear span-to-depth aspect ratio and the existence of concrete flange, were taken into account. During the test, the load-deflection curves of the test specimens were recorded, while the crack propagation patterns together with the failure patterns were observed as well. From the test results, it could be concluded that the tested PCES beams could all exhibit ductile shear behavior, and the innovative shear connectors between the precast concrete and cast-in-place concrete, namely the precast concrete transverse diaphragms, were verified to be effective. Then, based on the shear deformation compatibility, a theoretical model for predicting the shear capacity of the proposed PCES beams was put forward and verified to be valid with the good agreement of the shear capacities calculated using the proposed method and those from the experiments. Finally, in order to facilitate the preliminary design in practical applications, a simplified calculation method for predicting the shear capacity of the proposed PCES beams was also put forward and validated using available test results.

Implant supported fixed prosthesis for complete edentulous maxilla with severe alveolar ridge resorption: A case report (치조골 흡수가 심한 상악 완전 무치악 환자에서 임플란트 고정성 보철물을 이용한 수복 증례)

  • Choi, Yoon-Ji;Lee, Ji-Hyoun;Jhin, Min-Ju
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.152-159
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    • 2016
  • Implant fixed prosthesis for the complete edentulous maxilla provides significant benefits in the aspects of functions and esthetics compared with the conventional denture. Implant supported fixed prosthesis are totally supported by implant, and thus stabilizes the prosthesis to the maximum degree as possible. Also, the improved retention and stability of fixed prosthesis enhance patients' psychological and psychosocial health. This clinical presentation describes a maxillary full arch implant-supported fixed prosthesis in complete maxillary edentulous patient who showed vertical and horizontal alveolar bone resorption in the anterior ridge. To rehabilitate the esthetics and proper lip support, the zirconia framework was fabricated and the pink porcelain was veneered to reproduce the natural gingival tissue. After 9 months of follow up, the restorations were maintained without complications and the patient was satisfied with the restoration both functionally and esthetically.

Full-mouth rehabilitation of skeletal anterior open bite with severely decayed dentition: A case report (심한 우식을 동반한 골격성 전치부 개방 교합 환자의 전악 수복 증례)

  • Kim, Seong-A;Noh, Kwantae;Pae, Ahran;Woo, Yi-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.79-87
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    • 2017
  • The open bite malocclusion is a common clinical entity and has multifactorial causes. Development of effective treatment plan and management is dependent on proper diagnosis. The skeletal open bite patient requires a coordinated orthodontic and orthognathic surgical approach to achieve stable occlusion, acceptable esthetics, and improved function. But in case of open bite with severely decayed dentition, restoration in the entire dentition is necessary. Using the facial analysis and diagnostic wax-up, the most effective treatment was prosthetic rehabilitation. The provisional restorations were fabricated to satisfy esthetic and functional requirements, which result in the uniformly distributed occlusal force, anterior and canine guidance. The inter-arch relationship, labio-dental harmony, and the soft tissue aspect, which is important to estimate the longevity were evaluated. Definitive restorations of monolithic zirconia were made by replicating provisional restorations by using the latest CAD/CAM technology. They were delivered to the patient and clinical follow-up observation was satisfactory.