• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.1
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• pp.75-87
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• 2006

The purpose of this study was to investigate the effects of prostheses misfit, cantilever on the stress distribution in the implant components and surrounding bone using three dimensional finite element analysis. Two standard 3-dimensional finite element models were constructed: (1) 3 ITI implant supported, 3-unit fixed partial denture and (2) 3 ITI implant supported, 3-unit fixed partial denture with a distal cantilever. variations of the standard finite element models were made by placing a $100{\mu}m$ or $200{\mu}m$ gap between the fixture, the abutment and the crown on the second premolar and first molar. Total 14 models were constructed. In each model, 244 N of vertical load and 244 N of $30^{\circ}$ oblique load were placed on the distal marginal ridge of the distal molar. von Mises stresses were recorded and compared in the crowns, abutments, crestal compact bones, and trabecular bones. The results were obtained as follows: 1. In the ITI implant system, cement-retained prostheses showed comparatively low stress distributions on all the implant components and fixtures regardless of the misfit sizes under vertical loading. The stresses were increased twice under oblique loading especially in the prostheses with cantilever, but neither showed the effects of misfit size. 2. Under the oblique loading and posterior cantilever, the stresses were highly increased in the crestal bones around ITI implants, but effects of misfit were not shown. Although higher stresses were shown on the apical portion of trabecular bones, the effects by misfit were little and the stresses were increased by the posterior cantilever. 3. When the cement loss happened in the ITI implant supported FPD with misfit, the stresses were increased in the implant componets and supporting structures.

• Journal of Dental Rehabilitation and Applied Science
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• v.35 no.1
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• pp.37-45
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• 2019

In the case of edentulous patients, the total amount of occlusal force is dispersed by the keratinized gingiva during mastication, in result, causing lower masticatory and chewing efficiency. In particular, the mandibular area has more side effects such as pain than the maxilla has. It gets worse when the patient has more absorption of alveolar bone, but the implant treatment is often interrupted due to the existence of the inferior alveolar nerve. In this case, a patient treated with the all-on-4 method by placing the implant in the anterior part of mandible and with the conventional complete denture for the maxilla has maintained without complications and was satisfied with the restoration both functionally and esthetically.

• The Journal of Advanced Prosthodontics
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• v.9 no.5
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• pp.381-386
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• 2017

PURPOSE. To integrate extra-oral facial scanning information with CAD/CAM complete dentures to immediately rehabilitate terminal dentition. MATERIALS AND METHODS. Ten patients with terminal dentition scheduled for total extraction and immediate denture placement were recruited for this study. The patients were submitted to a facial scanning procedure using the in-office PritiMirror scanner with bite registration records in-situ. Definitive stone cast models and bite records were subsequently submitted to a lab scanning procedure using the lab scanner (iSeries DWOS; Dental Wings). The scanned models were used to create a virtual teeth setup of a complete denture. Using the intra-oral bite records as a reference, the virtual setup was incorporated in the facial scan thereby facilitating a virtual clinical evaluation (teeth try-in) phase. After applying necessary adjustments, the virtual setup was submitted to a CAM procedure where a 5-axis industrial milling machine (M7 CNC; Darton AG General) was used to fabricate a full-milled PMMA immediate provisional prosthesis. RESULTS. Total extractions were performed, the dentures were immediately inserted, and subjective clinical fit was evaluated. The immediate provisional prostheses were inserted and clinical fit, occlusion/articulation, and esthetics were subjectively assessed; the results were deemed satisfactory. All provisional prostheses remained three months in function with no notable technical complications. CONCLUSION. Ten patients with terminal dentition were treated using a complete digital approach to fabricate complete dentures using CAD/CAM technology. The proposed technique has the potential to accelerate the rehabilitation procedure starting from immediate denture to final implant-supported prosthesis leading to more predictable functional and aesthetics outcomes.

• Journal of Dental Rehabilitation and Applied Science
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• v.30 no.4
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• pp.289-298
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• 2014

Purpose: This study was designed to investigate the present conditions of illumination techniques in dental laboratories in order to distinguish colors for esthetic dentistry. Materials and Methods: A total of forty-eight local dental laboratories were selected for sampling a) luminous intensity and b) color temperature. We measured the luminous intensity and the color temperature on a center point of porcelain table with lux meter and color meter respectively. The measurements were performed twice, once on a clear day and on a cloudy day between 12 pm and 2 pm (day light and artificial illumination) and between 7 pm and 10 pm (artificial illumination only). Results: The results obtained were as follows. 1. The average luminous intensity in dental laboratories lighting was 1871 lx, and 67% of dental laboratories had luminous intensity greater than 1600 lx, which was appropriate for operations related to colors, while 33% of dental laboratories had in sufficient lighting for appropriate luminous intensity. 2. The average color temperature in dental laboratories lighting was 6506 K, which was inappropriate for operations related to color. None of the dental laboratories had a color temperature range of 5000 - 5500 K, which is appropriate for operations related to colors. 3. Between daytime and nighttime, also between clear day and cloudy day, the average luminous intensity and color temperature in dental laboratories were not significantly different. Conclusion: Illumination in most dental laboratories selected in this study was inappropriate for operations related to color.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.27 no.2
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• pp.131-139
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• 2005

The therapeutic goal of implant dentistry is not merely tooth replacement but total oral rehabilitation. Considering dental implants as a treatment option can be provided patients with positive, long-term results. Implant dentistry has gone through many phases over the years. Modern technology and design allows us to predictably place our dental implants often load the implants at the time of placement. The purpose of this study is to evaluate the implant stability after immediate loading in dogs. The control group was performed delay loading and experimental group was immediate loading. Each group was measured periotest value(PTV) to evaluate clinical mobility and performed radiographic examination to evaluate marginal bone loss. Statistically significant difference was not founded in control group between experimental group in PTV(P>0.05) and marginal bone loss(P>0.05). Finally, implant stability after immediate loading was similar to delay loading implant.

• Journal of Korean society of Dental Hygiene
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• v.12 no.2
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• pp.261-273
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• 2012

Objectives : This study aims to prepare the basic data of the teeth color by measuring tooth mode using the color of the maxillary central incisor of the college students in their twenties as the dental colorimeter, and oral health and eating habit characteristics were examined. Methods : The maxillary central incisor(1 teeth) of the subjects of study as 467 students(male 89, female 378) was measured during the period from November 14, December 2 2011, so the color of total 467 teeth were examined, and oral health and eating habit characteristics were researched. Results : 1. As the results of measurement of the shade, value, hue of maxillary central incisor by the general characteristics of the subject, the major(shipbuilding information, special rehabilitation for young children) was higher at 3.3 of the shade, and the grade(1), age($$\geq_-20$$), major(beauty culture & cosmetic, occupational therapy) showed higher at +2 of the value, and the grade(1) and all major showed higher at R3 of the hue. 2. As the results of measurement of the shade, value, hue of maxillary central incisor by the oral health characteristics, the subjective teeth color(yellow) and the education of oral health(no) showed higher at 2.5 of the shade. 3. As the results of measurement of the shade, value, hue of maxillary central incisor by the eating habit characteristics of the subjects, the chocolate showed higher at 3.0 and 2.0 of the shade, and the red pepper paste showed higher at +2 and STD of the value, and the green tea showed higher at $R_3$ of the hue. Conclusions : This study demonstrates that the color of the maxillary central incisor showed differences various tendency according to the oral health and eating habit characteristics.

• Journal of Periodontal and Implant Science
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• v.44 no.3
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• pp.102-108
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• 2014

Purpose: Rehabilitation of the incomplete dentition by means of osseointegrated dental implants represents a highly predictable and widespread therapy; however, little is known about potential risk factors that may impair long-term implant success. Methods: From 2004 to 2012, a total of 13,147 implants were placed in 4,316 patients at the Academy for Oral Implantology in Vienna. The survival rates after 8 years of follow-up were computed using the Kaplan-Meier method, and the impact of patient- and implant-related risk factors was assessed. Results: Overall implant survival was 97% and was not associated with implant length (P=0.930), implant diameter (P=0.704), jaw location (P=0.545), implant position (P=0.450), local bone quality (P=0.398), previous bone augmentation surgery (P=0.617), or patient-related factors including osteoporosis (P=0.661), age (P=0.575), or diabetes mellitus (P=0.928). However, smoking increased the risk of implant failure by 3 folds (P<0.001) and a positive history of periodontal disease doubled the failure risk (P=0.001). Conclusions: Summing up the long-term results of well over 10,000 implants at the Academy for Oral Implantology in Vienna it can be concluded that there is only a limited number of patients that do not qualify for implant therapy and may thus not benefit from improved quality of life associated with fixed implant-retained prostheses.

• Journal of Dental Rehabilitation and Applied Science
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• v.39 no.3
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• pp.105-118
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• 2023

Purpose: This study aimed to gain better understanding of the importance of dental prosthesis order platform services and to identify the essential elements for their enhancement and wider adoption among dental professionals. Materials and Methods: A survey was conducted to assess the perspectives of dentists, dental technicians, dental hygienists, and dental industry professionals toward dental prosthesis ordering and associated platform services (a total of 53 respondents). The questionnaire was devised after an expert review and assessed for reliability using Cronbach's alpha coefficient. Factor analysis revealed that 57 factors across five categories accounted for 88.417% of the total variance. The survey was administered through an online questionnaire platform, and data analysis was conducted using a statistical software, employing one-way analysis of variance and Tukey's honestly significant difference test (α = 0.05). Results: The essential elements identified were accurate information input, effective communication, delivery of distortion-free impressions, convenience in data transmission and storage, development of stable and affordable platform services (P < 0.05). Furthermore, significant differences were observed in the importance of these items based on age, dental profession, and career experience (P < 0.05). Conclusion: The dental prosthesis ordering platform services, the requirements of dental personnel were stability, economic efficiency, and ease of transmitting and storing prosthesis data. The findings can serve as important indicators for the development and improvement of dental prosthesis order platform services.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.1
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• pp.26-32
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• 2015

Purpose: The main purpose of this study is to suggest application plan of dipping method by comparing & analysing the difference between addition method and dipping method in the manufacture of metal-ceramic substructure of maxillary central incisor (#1), followed by assessing the work efficiency. Materials and Methods: Master die and hard plaster-copied one were produced and then a total of 20 copies, 10 copies for each through addition method and dipping method, were manufactured and experimented. Copings were fixed on the abutment model and invested in epoxy mounting cup. Samples were cut in labial and lingual direction, using cutter and then rubbed on sandpaper, whose 4 points were measured by using digital microscope. Results: The comparison of mean values by using t-test, parametric statistical method, shows overall significant difference (P < 0.05). Conclusion: The result of this study can be suggested as an application plan, since there is no significant difference between addition method and dipping method in the manufacture of metal-ceramic substructure.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.2
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• pp.96-103
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• 2015

Purpose: The purpose of this study was to spectrophotometrically evaluate the influence of porcelain layer thickness and substructure. Materials and Methods: Four groups of porcelain specimens (metal and ceramic substructure) was prepared for analysis. Color parameters were measured with spectrophotometer and color difference (${\Delta}E*$) were calculated. T-test and one-way ANOVA test were used to find out significant difference and Tukey test was used to identify where the difference ware. Results: Increasing the thickness of porcelain decreased values (P < 0.05). Increasing the thickness of porcelain on ceramic substructure decreased the $a^*$ (P < 0.05) but, the $b^*$ were not statistically different. Total color difference (${\Delta}E*$) were below 1 when the difference of porcelain thickness were 0.5 mm. Conclusion: The thickness of porcelain are the factor effecting on color. This study will help the color are controlled by changing the thickness of porcelain clinically.