• 대한치과보철학회지
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• 제62권1호
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• pp.82-94
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• 2024

본 증례는 치아의 전반적 마모를 보이며 구치부 지지가 소실된 환자를 대상으로 전악 수복을 진행한 증례이다. 측두 하악 관절의 상태를 분석 후, 붕괴된 교합을 회복하기 위해 다수의 임플란트가 식립되었다. 고정체/지대주 수준의 인상 채득에서, 교차 마운팅을 위한 여러 번의 복잡한 교합 기록을 동반하는 전통적 인상 채득 방법 대신 구강 스캐너를 이용한 방식을 채득하였다. 하악의 불안정한 움직임을 반영하기 위해, '하악 운동 추적(jaw motion tracking)'장치와 '디지털 안궁 이전(digital face-bow transfer)'을 이용하였고, 이차 임시 수복물을 기반으로 하여 최종 수복물로 복제하는 '이중 스캔 기법(double scan technique)'으로 최종 수복물을 제작하였다. 위와 같은 디지털 기술을 이용하여 불안정한 교합을 갖는 환자에게 보다 짧은 체어 타임으로 완전 구강 회복을 진행할 수 있다.

• 대한치과기공학회지
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• 제33권3호
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• pp.211-218
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• 2011

Purpose: The purpose of the study was a quantitative evaluation of common errors in digital impression procedure using CEREC$^{(R)}$ AC system. Methods: Two-hundreds digital impression data comprising 174 inlays, 26 onlays by CEREC$^{(R)}$ AC in-office CAD/CAM system were obtained from a dental clinic. One evaluator assessed errors of the digital impression data and divided into five categories of errors: inappropriate scanner positioning (ISP), improper handling with a scanner (IHS), irregular powder arrangement (IPA), improper cavity preparation (ICP), and insufficient scanned data (ISD). Results: The most common errors were IPA(21%), and ISP and ISD were followed by 17% respectively. IHS was found in 14.5% of all digital impression data. ICP comprising only 6.5% was the rarest. Conclusion: Most errors were due to inaccurate manipulation with an intraoral scanner or improper cavity preparation for scanning. A deliberate manipulation to prevent common errors mentioned may deliver an optimal result in the digital impression procedure.

• Journal of Korean Dental Science
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• 제15권2호
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• pp.132-140
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• 2022

Purpose: Dental diagnostic records derived from study models are a popular method of obtaining reliable and vital information. Conventional plaster models are the most common method, however, they are being gradually replaced by digital impressions as technology advances. Moreover, three-dimensional dental models are becoming increasingly common in dental offices, and various methods are available for obtaining them. This study aimed to evaluate the accuracy of the measurement of dental digital models by comparing them with conventional plaster and to determine their clinical validity. Materials and Methods: The study was conducted on 16 patients' maxillary and mandibular dental models. Tooth size (TS), intercanine width (ICW), intermolar width (IMW), and Bolton analysis were taken by using a digital caliper on a plaster model obtained from each patient, while intraoral scans were manually measured using two digital analysis software. A one-way analysis of variance test was used to compare the dental measurements of the three methods. Result: No significant differences were reported between the TS, the ICW and IMW, and the Bolton analysis through the conventional and two digital groups. Conclusion: Measurements of TS, arch width, and Bolton analysis produced from digital models have shown acceptable clinical validity. No significant differences were observed between the three dental measurement techniques.

• 대한소아치과학회지
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• 제51권1호
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• pp.55-65
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• 2024

This study aimed to assess the accuracy of tooth widths, intermolar widths, and arch lengths acquired through two intraoral scanners, including iTero Element Plus Series (Align Technology, Santa Clara, CA, USA) and Trios 4 (3Shape, Copenhagen, Denmark), specifically on mixed dentition. A total of 30 subjects were divided into 2 groups, each undergoing both alginate impressions and intraoral scanning using either the iTero or Trios scanner. The plaster models were measured with a caliper, while the digital models were measured virtually. In the iTero group, all tooth width measurements exhibited differences compared to the plaster values, except for maxillary left lateral incisors (p = 0.179), mandibular right (p = 0.285), and left (p = 0.073) central incisors. The Trios group did not display significant differences in any of the tooth width measurements. Intermolar width comparisons for both groups indicated differences, except for mandibular primary canine to primary canine values (p = 0.426) in the iTero group. Regarding arch length, the mandibular anterior, maxillary right, and left arch lengths in the iTero group demonstrated larger caliper values than those of iTero. Conversely, in the Trios group, all parameters showed smaller caliper values, especially in upper anterior, maxillary right, mandibular right, and mandibular left arch lengths with significance (p = 0.027, 0.007, 0.003, and 0.047, respectively). Despite the differences between the two groups, digital models might be clinically suitable alternatives for plaster models. Pediatric dentists should carefully assess these differences, as a comprehensive evaluation would result in precise orthodontic treatment planning and favorable outcomes for young patients with mixed dentition.

• 구강회복응용과학지
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• 제34권2호
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• pp.104-115
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• 2018

목적: 본 연구는 현재 시판되고 있는 구강스캐너를 사용하여 구강스캐너 정확도 평가를 위해 국제표준이 제안하고 있는 모형의 스캔이미지 획득이 가능한 지 분석하고, 이를 통해 표준모델이 가지고 있는 문제점을 파악하는 데 있다. 연구 재료 및 방법: ISO12836과 ANSI/ADA no.132에서 규정하는 국제표준을 참고하여 3D 프린터기를 이용하여 모델을 제작하였으며, 모델스캐너와 두 가지 구강스캐너를 이용하여 스캔을 하였다. 스캔이미지 획득 정도를 3등급으로 분류하여 스캐너의 성능을 비교하였으며, 모델 표면의 상태에 따른 이미지 획득 능력도 비교하였다. 결과: 모델 스캐너가 모든 모델에서 가장 우수한 이미지를 얻을 수 있었으며 TRIOS3는 둥근 형태의 구조물, CS3500은 각진 형태의 구조물에 대한 이미지 재현이 좋은 결과를 보였다. 표준 모델의 표면상태에 따른 스캔이미지 재현에서는 초경석고 모델이 스캐너 종류와 관계없이 가장 우수하였다. 3D 프린팅 모델의 경우, 표면에 파우더 처리를 한 모델에서 가장 우수한 스캔이미지를 얻을 수 있었다. 결론: ISO12836과 ANSI/ADA 132의 표준모델의 경우, 구강스캐너의 field of view (FOV)를 벗어나는 구조물을 스캔할 때 서로 다른 면인 것을 구분하는 기준점이 존재하지 않게 되면 연속적인 스캔 및 정합과정에서 정확한 이미지를 나타내지 못한다는 것을 알 수 있었다. 그러므로 단순한 패턴의 반복과 대칭구조를 가지지 않는 새로운 표준모델이 필요하다고 여겨진다.

• 대한치과보철학회지
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• 제53권3호
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• pp.234-243
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• 2015

디지털 기술의 발달로 무치악 부위의 임플란트 수복 시 그 진단과 치료 과정 전반에 걸쳐 구강 내 3차원 정보를 데이터화하여 보철물을 제작하는 것이 가능해졌다. 전통적인 인상채득 방식을 이용하여 모델을 만들고 이것을 스캔하여 보철물을 제작하던 CAD/CAM 이용 방식에서 벗어나 디지털 인상 코핑(scanbody)을 사용함으로써 모델 없이 디지털 인상을 채득하고 임플란트 임시 보철물 및 해부학적 지대주를 제작하는 술식으로 변화하고 있다. 그러나 아직 이러한 술식은 활발히 이루어지고 있지 않으며 특히 심미성이 요구되어 연조직 외형의 인기가 중요한 상악 전치부 임플란트 즉시 부하에서의 사용은 그 사례가 많지 않다. 이에 따라 본 증례 보고에서는 3명의 상악 전치부 단일 임플란트 수복 환자에서 디지털 인상 코핑(scanbody)을 체결한 후 구강 내 스캐너인 CEREC Omnicam (Sirona, Bensheim, Germany) 또는 Trios (3shape, Copenhagen, Denmark)로 디지털 인상채득을 통해 임플란트 지대주 및 임시 보철물을 제작하였다. 그 결과 디지털 인상채득을 통한 편리성, 정확성 그리고 최종 보철물의 양호한 심미성을 얻어 보고하고자 한다.

• 대한치과의사협회지
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• 제56권6호
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• pp.339-347
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• 2018

Conventional mouthguard fabrication process which consists of elastomeric impression taking and followed gypsum model making is changing into intraoral scanning and dental model printing with 3D printer. In addition, new 3D printing materials for mouthgurad, 3D Computer-Aided Design(CAD) software for dental appliance, evaluation of a virtual dentoalveolar model for testing virtually 3D designed mouthguard, and lightweight sensor technology will lead dental professionals to the new era of Sports Dentistry, including information technology integrated custom mouthguard fabrication and creating value with analytic data acquired from sensors in mouthguard.

• 대한심미치과학회지
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• 제25권2호
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• pp.79-87
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• 2016

당일수복 보철물 제작을 위해 디지털 프로세스 사용은 필수적이다. 이러한 디지털 프로세스는 구강스캔, 컴퓨터를 이용한 보철물을 디자인 과정(CAD)과 보철물을 가공하는 과정(CAM)을 포함한다. 지르코니아의 굴곡강도는 900Mpa로 리튬디실리케이트의 400MPa보다 더 단단하지만, 리튬디실리케이트를 이용한 보철물 기공시간이 지르코니아와 비교하여 더 짧기에 당일수복 보철물 제작시 리튬디실리케이트 사용이 선호되었다. 하지만, TZI C 와 LUXEN Enamel 와 같은 새로운 소재의 지르코니아가 출시되고, 새로운 소결방식이 개발되어 지르코니아 기공시간을 단축시킬수 있게 되었고, 높은 투명도의 풀지르코니아 크라운을 짧은 시간 안에 제작할 수 있게 되었다. 이러한 발전은 당일 풀지르코니아 보철수복을 현실로 이끌고 있다.

• 대한치과교정학회지
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• 제51권4호
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• pp.270-281
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• 2021

Objective: The aim of this in vitro study was to evaluate the changes in friction between orthodontic brackets and archwires coated with aluminum oxide (Al₂O₃), titanium nitride (TiN), or chromium nitride (CrN). In addition, the resistance of the coatings to intraoral conditions was evaluated. Methods: Stainless steel canine brackets, 0.016-inch round nickel-titanium archwires, and 0.019 × 0.025-inch stainless steel archwires were coated with Al₂O₃, TiN, and CrN using radio frequency magnetron sputtering. The coated materials were examined using scanning electron microscopy, an X-ray diffractometer, atomic force microscopy, and surface profilometry. In addition, the samples were subjected to thermal cycling and in vitro brushing tests, and the effects of the simulated intraoral conditions on the coating structure were evaluated. Results: Coating of the metal bracket as well as nickel-titanium archwire with Al₂O₃ reduced the coefficients of friction (CoFs) for the bracket-archwire combination (p < 0.01). When the bracket and stainless steel archwire were coated with Al₂O₃ and TiN, the CoFs were significantly lower (0.207 and 0.372, respectively) than that recorded when this bracket-archwire combination was left uncoated (0.552; p < 0.01). The friction, thermal, and brushing tests did not deteriorate the overall quality of the Al₂O₃ coatings; however, some small areas of peeling were evident for the TiN coatings, whereas comparatively larger areas of peeling were observed for the CrN coatings. Conclusions: Our findings suggest that the CoFs for metal bracket-archwire combinations used in orthodontic treatment can be decreased by coating with Al₂O₃ and TiN thin films.

• Journal of Periodontal and Implant Science
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• 제51권2호
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• pp.88-99
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• 2021

Purpose: Direct intraoral scanning and superimposing methods have recently been applied to measure the dimensions of periodontal tissues. The aim of this study was to analyze various correlations between labial gingival thickness and underlying alveolar bone thickness, as well as clinical parameters among 3 tooth types (central incisors, lateral incisors, and canines) using a digital method. Methods: In 20 periodontally healthy subjects, cone-beam computed tomography images and intraoral scanned files were obtained. Measurements of labial alveolar bone and gingival thickness at the central incisors, lateral incisors, and canines were performed at points 0-5 mm from the alveolar crest on the superimposed images. Clinical parameters including the crown width/crown length ratio, keratinized gingival width, gingival scallop, and transparency of the periodontal probe through the gingival sulcus were examined. Results: Gingival thickness at the alveolar crest level was positively correlated with the thickness of the alveolar bone plate (P<0.05). The central incisors revealed a strong correlation between labial alveolar bone thickness at 1 and 2 mm, respectively, inferior to the alveolar crest and the thickness of the gingiva at the alveolar crest line (G0), whereas G0 and labial bone thickness at every level were positively correlated in the lateral incisors and canines. No significant correlations were found between clinical parameters and hard or soft tissue thickness. Conclusions: Gingival thickness at the alveolar crest level revealed a positive correlation with labial alveolar bone thickness, although this correlation at identical depth levels was not significant. Gingival thickness, at or under the alveolar crest level, was not associated with the clinical parameters of the gingival features, such as the crown form, gingival scallop, or keratinized gingival width.