• Journal of Periodontal and Implant Science
• /
• v.43 no.2
• /
• pp.58-63
• /
• 2013

Purpose: The aim of this study was to measure the peri-implant bone length surrounding implants that penetrate the sinus membrane at the posterior maxilla and to evaluate the survival rate of these implants. Methods: Treatment records and orthopantomographs of 39 patients were reviewed and analyzed. The patients had partial edentulism at the posterior maxilla and limited vertical bone height below the maxillary sinus. Implants were inserted into the posterior maxilla, penetrating the sinus membrane. Four months after implant insertion, provisional resin restorations were temporarily cemented to the abutments and used for one month. Then, a final impression was taken at the abutment level, and final cement-retained restorations were delivered with mutually protected occlusion. The complications from the implant surgery were examined, the number of failed implants was counted, and the survival rate was calculated. The periimplant bone lengths were measured using radiographs. The changes in initial and final peri-implant bone lengths were statistically analyzed. Results: Nasal bleeding occurred after implant surgery in three patients. No other complications were found. There were no failures of the investigated implants, resulting in a survival rate of 100%. Significantly more bone gain around the implants (estimated difference=-0.6 mm, P=0.025) occurred when the initial residual bone height was less than 5 mm compared to the >5 mm groups. No significant change in peri-implant bone length was detected when the initial residual bone height was 5 mm or larger. Conclusions: This study suggests that implants penetrating the sinus membrane at the posterior maxilla in patients with limited vertical bone height may be safe and functional.

• Proceedings of the KACD Conference
• /
• 2001.05a
• /
• pp.258-258
• /
• 2001

Fiber-reinforced materials have highly favorable mechanical properties. and their strength-to-weight ratios are superior to those of most alloys. When compared to metals they offer many other advantages as well. including non-corrosiveness. translucency. good bonding properties. and ease ofrepair. Fiber-reinforced materials can be categorized to pre-impregnated. impregnation required. dental laboratory products. chairside products and prefabricated posts. so it is not suprising that fiber-reinforced composites have potential for use in many applications in dentistry. Fiber-reinforced materials can be utilized in frameworks for crowns. anterior or posterior fixed prostheses. chairs ide tooth replacements. periodontal splints. customized posts. prefabricated posts. orthodontic retention. denture reinforcements and in implants dentistry. To realize the full potential of using fiber-reinforced composite restorations. it is essential that the clinician and laboratory technician understand concepts of tooth preparation and framework design. Also practitioner may appreciate the background information and other details about the materials themselves so that identify the rationale for their use in various clinical situations. select well-suited materials. and carry out related procedures. Understanding the material properties and take many attentions. fiber-reinforced materials will give more esthetic. more easy. more strong and more reliable restorations.ations.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.31 no.4
• /
• pp.371-377
• /
• 2015

Oral lichen planus (OLP) is a common mucocutaneous disease, which presents as bilateral or multiple lesions. The several factors are implicated in etiology of OLP such as dental restorations, systemic disease, drugs and stress. Especially the influence of dental restorations and plaque control for OLP has been the interest in dentistry. This case is about OLP patient having poor contoured and ill-fitting metal ceramic restorations. The patient in this study has suffered from OLP for a long time, particularly after restoration of metal ceramic restorations on both posterior teeth of maxilla and mandible. This study reported that OLP lesion recovered effectively by improving the contour and fitness of restorations with plaque control.

• Restorative Dentistry and Endodontics
• /
• v.18 no.2
• /
• pp.357-367
• /
• 1993

The purpose of this study was to evaluate the fracture strength of class II restored premolars with amalgam, posterior composite, amalgam - Ketac silver, resin - Ketac silver restorations at marginal ridge. Fifty extacted maxillary and mandibular premolar teeth that were caries free, fracture free, and restoration free were selected and randomly divided into five groups : Group 1 : 10 intact teeth, Group 2 : 10 teeth with class II cavities and restored with, amalgam, Group 3: 10 teeth with class II cavities and restored with posterior resin, Group 4 : 10 teeth with class II cavities and restored with amalgam - ketac silver, Group 5 : 10 teeth with class II cavities and restored with resin - Ketac silver. All teeth were mounted in base of dental stone within metal rings of 2cm diameter, exposing only the crown portion. Class II mesio - occlusal or disto - occlusal cavities were prepared into specimens of Group 2 through 5 by using a No. 710 fissure bur. The occlusal portion was prepared to a faciolingual width of 1.5mm and a pulpal depth of 1.5mm. The proximal protion was prepared to a faciolingual width of 4mm, a occlusogingival height of 4mm, and a gingival floor of 1.5mm. The teeth in Group 2 and 3 were resotored with silver amalgam apd posterior resin respectively. In Group 4 and 5, proximal portions were first filled with Ketac silver 1.5mm gingivally and remaining cavities were restored with amalgam and posterior resin respectively. All specimens were stored in 100 % relative humidity at $37^{\circ}C$ for 48 hours before testing. All teeth were subjected to a compressive load in a Universal Instron Testing Machine at marginal ridges. The loads required to fracture the restorations were recorded in killograms and the data obtained were subjected to statisticall analysis. The results were all follows : 1. The fracture strength of Group 1 which were unprepared were $100{\pm}10.1\;kg$ and the higher values than Group 2, 3, 4, 5 which were prepared and resotred. 2. In restored groups, Group 2 had the higher fracture strength($81.8{\pm}12.4\;kg$) than other groups and Group 4 had the lowest fracture strength($66.8{\pm}9.2kg$). 3. There were significant differences between fracture strength of between Group 1 and Group 3, 4, 5(P<0.05), but not significant difference between fracture strength of Group 2, 3, 4, 5(P>0.05).

• Imaging Science in Dentistry
• /
• v.48 no.2
• /
• pp.87-96
• /
• 2018

Purpose: The present study aimed to evaluate which of the following imaging methods best assessed misfit at the tooth-restoration interface: (1) bitewing radiographs, both conventional and digital, performed using a photostimulable phosphor plate (PSP) and a charge-coupled device (CCD) system; (2) panoramic radiographs, both conventional and digital; and (3) cone-beam computed tomography (CBCT). Materials and Methods: Forty healthy human molars with class I cavities were selected and divided into 4 groups according to the restoration that was applied: composite resin, composite resin with liner material to simulate misfit, dental amalgam, and dental amalgam with liner material to simulate misfit. Radiography and tomography were performed using the various imaging methods, and the resulting images were analyzed by 2 calibrated radiologists. The true presence or absence of misfit corresponding to an area of radiolucency in regions subjacent to the esthetic and metal restorations was validated with microscopy. The data were analyzed using a receiver operating characteristic (ROC) curve, and the scores were compared using the Cohen kappa coefficient. Results: For bitewing images, the digital systems (CCD and PSP) showed a higher area under the ROC curve (AUROC) for the evaluation of resin restorations, while the conventional images exhibited a larger AUROC for the evaluation of amalgam restorations. Conventional and digital panoramic radiographs did not yield good results for the evaluation of resin and amalgam restorations (P<.05). CBCT images exhibited good results for resin restorations(P>.05), but showed no discriminatory ability for amalgam restorations(P<.05). Conclusion: Bitewing radiographs (conventional or digital) should be the method of choice when assessing dental restoration misfit.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.35 no.4
• /
• pp.248-252
• /
• 2009

Purpose: This retrospective study was performed to analyze the relationship between complications of the posterior mandibular single crowns and distance from the adjacent teeth to the implant. Subjects and Methods: Of the patients who presented Ewha Womans University Mokdong Hospital & Yonsei University Dental Hospital with missing of the posterior mandibular molar and restored with implant-supported 18 Single crowns between 1996 thru 2007, 115 patients had been followed after crown delivery. The subjects were divided into complication-followed group and a control without any problems. The distance from the most distal tooth to the implant were measured. The prosthetic & biologic complications were reviewed by the cantilever distance and analyzed by abutment type, age & gender statistically using SAS version 9.1 (SAS Inc., USA). Results and Conclusion The results were as follows; 1) The posterior mandibular single crown with cantilever showed higher incidence of follow-up complications upon logistic analysis (p<0.05). 2) The prosthetic and biologic complications are related with the cantilever distance with 2.1 odds ratio and 3.39 cut-off value of specificity & sensitivity by SPSS 12.0. 3) The complications are neither significant in abutment types nor age & gender.

• The Journal of Korean Academy of Prosthodontics
• /
• v.42 no.4
• /
• pp.425-442
• /
• 2004

Statement of problem: A difficulty in achieving a passive-fitting prosthesis can be overcome by individual crown restoation of multiple implants. But individualized crown has another difficulty in control of contact tightness and stress distribution. Purpose: This in vitro study is to evaluate the stress distribution and the magnitude in the supporting tissues around Endopore implants with different crown lengths, interproximal contact tightness, and the splinting effects. Material & methods: Three Endopore implants($4.1{\times}9mm$) were placed in the mandibular posterior edentulous area distal to the canine and photoelastic model was made with PL-2 resin(Measurements Group, Raleigh, USA). Restorations were fabricated in two crown lengths: 9, 13 mm. For non-splinted restorations, individual crowns were fabricated on three custom-milled titanium abutments. After the units were cemented, 4 levels of interproximal contact tightness were evaluated: open, ideal($8{\mu}m$ shim stock drags without tearing), medium($40{\mu}m$), and heavy($80{\mu}m$). For splinted restorations, 3-unit fixed partial dentures were fabricated. This study was examined under simulated non-loaded and loaded conditions(6.8 kg). Photoelastic stress analysis was carried out to measure the fringe order around the implant supporting structure. Results: 1. When restorations were not splinted, the more interproximal contact tightness was increased among the three implants, the more stress was shown in the cervical region of each implant. When crown length was increased, stresses tended to increase in the apex of implants but there were little differences in stress fringes. 2. When nonsplinted restorations were loaded on the first or third implant, stresses were increased in the apex and cervical region of loaded implant. Regardless of interproximal contact tightness level, stresses were not distributed among the three implants. But with tighter interproximal contact, stresses were increased in the cervical region of loaded first or third implant. 3. When the nonsplinted restorations were not loaded, there were little stresses on the supporting structure of implants, but low level stresses were shown in the splinted restorations even after sectioning and soldering. 4. With splinted restorations, there were little differences in stresses between different crown lengths. When splinted restorations were loaded, stresses were increased slightly on the loaded implant, but relatively even stress distribution occurred among the three implants. Conclusions: Splinting the crowns of adjacent implants is recommended for Endopore implants under the overloading situation.

• Restorative Dentistry and Endodontics
• /
• v.15 no.1
• /
• pp.44-56
• /
• 1990

This study was designed to assess the degree of the marginal leakage of posterior composite restorations with glass ionomer cement base and Scotchbond$^{(R)}$ by means of the dye penetration at the enamel and dentinal margins. 160 cavities of class V were prepared on the buccal and lingual surfaces of 80 extracted premolar and molar teeth, which were divided into two groups. The buccal cavities of one group were filled with GC lining cement$^{(R)}$, Scotchbond$^{(R)}$ and P 50$^{(R)}$ and the lingual cavities were filled with Scotchbond$^{(R)}$ and Heliomolar$^{(R)}$. The Buccal cavities of other group were filled with Logobond$^{(R)}$, Scotchbond$^{(R)}$ and Heliomolar$^{(R)}$ and lingual cavities were filled with Scotchbond$^{(R)}$ and P 50$^{(R)}$. After finishing, all specimens were subjected manually to 50 thermal cycles at $4^{\circ}C$ and $60^{\circ}C$. They were immersed in 0.5% methylene blue solution for 24 hours and buccolingually sectioned with diamond disc. The sectioned specimens were examined under light microscope. The following results were obtained. 1. The group filled with glass ionomer cement base showed less marginal leakage than the group filled without glass ionomer cement base. 2. The enamel margins showed less microleakage than the dentinal margins in both of the two groups. 3. No significant difference was showed in the microleakage, irrespective of two glass ionomer cement base and posterior composite resin.

• Proceedings of the KACD Conference
• /
• 2003.11a
• /
• pp.619-619
• /
• 2003

This study was intended to evaluate the influence of different base materials on the marginal integrity of posterior direct composite resin restorations. Large conventional butt-joint MOD cavity preparations, with margins in enamel and dentin, were prepared in vitro in 24 extracted human mandibular molars and randomly divided into four equal groups. One of three base materials(RMGI, compomer, flowable resin) was placed on the pulpal floors, of the teeth of the groups. One group of teeth, which served as the control group, was not given any base mterial.(중략)

• Journal of Technologic Dentistry
• /
• v.12 no.1
• /
• pp.5-14
• /
• 1990

The purpose of this study were to investigate the patterns of prosthetic restorations according to sex and age. We had surveyed the out-patents of dental clinics it Jeon-Ju, Iri and Gun roan area. The abtained result were as follow ; 1. The patterns of prosthetic restoration in female was higher than male and 20$\sim$30 age groups was higher than others. 2. The crown was higher in prosthetic restoration. 3. The procelain appliance area was high in male and female on 20$\sim$29 age. 4. The partial denture was higher than full denture in both sex. 5. The crown appliance area was not different in both sex. 6. The 3 unit bridge was higher than other bridge in both sex. 7. The porcelain appliance area was high in male and female on upper anterior. 8. The inlay appliance area of lower posterior was higher than upper posterior. 9. The upper posterior was high in male, and the lower posterior was high in female in partial denture. 10. The full dentur was high in old age group.