• Restorative Dentistry and Endodontics
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• 제6권1호
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• pp.141-147
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• 1980

The sealing effect of a few cavity liners upon the dentinal tubule were studied in vitro. The materials employed in this study were Silcot (SP$\'{E}$CIALIT$\'{E}$S SEPTODONT, M.-T. GENDRAULT, Pharmacien), Hypo-Cal(Ellman Dental Mfg.Co.Inc.), Cavity Lining(De Trey), and Copaute(Harry J. Bosworth Co.). Freshly extracted human teeth were devided into 5 groups by age-under twenty, twenties, thirties, forties, and over fifty. Class V cavities were prepared routinely. The cavity walls of eight teeth of each group were lined by Silcot, Copalite, Cavity Lining, and Hypo-Cal. Remaining eight were not lined as a control. These specimens were immersed in dye solution (2 gm eosin Y to 800 cc distilled water) for 48 hours to allow maximum dye penetration into dentinal tubules. Each specimen was sectioned longitudinally including Class V cavity floor under water spray. Dye penetration into dentinal tubules were examined and following results were obtained. 1. Liners used on this study showed more or less dye penetration into dentinal tubules. But compared with the teeth without lining, the dye penetration of lined specimens were decreased. 2. Of these liners tested, Silcot was the most effective sealer upon the dentinal tubules. Copalite was the moderate sealer and Cavity Lining showed a tendency similar to Copalite. Hypo-Cal revealed the greatest dye penetration. 3. As the age was increased, the more the dye penetration into the dentinal tubules was decreased.

• 대한치과보철학회지
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• 제59권4호
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• pp.415-421
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• 2021

소수 잔존치가 남아있거나 치주적으로 불리한 경우 전통적인 가철성 국소의치의 생역학적 예후가 불분명하다. 이러한 경우, 하이브리드 텔레스코픽 이중관 국소의치(hybrid telescopic double crown RPD)는 성공적인 치료의 대안이 될 수 있다. 이 치료방법의 경우 지대치 간의 이차고정 효과가 있으며 응력의 방향이 수직적이고, 지대치 발치 시에 의치의 수리가 용이하다는 점에서 전통적인 가철성 국소의치에 비해 장점을 보인다. 본 증례에서는 전치부의 과개교합을 가진 상하악의 부분 무치악 환자에 있어 상악에는 이중관 의치, 하악에는 임플란트 및 고정성 보철치료가 시행되었다. 장기간 동안 경과관찰 및 유지관리 치료를 시행한 결과, 기능 및 심미적인 면에서 만족할 만한 성과를 얻었기에 이를 보고하고자 한다.

• 대한치과보철학회지
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• 제57권3호
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• pp.254-262
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• 2019

임플란트에 대한 급여의 확대로 임플란트의 지지를 받는 서베이드 고정성 보철물 제작 후 국소의치로 수복하는 증례에 대한 관심이 증가하고 있다. 이러한 증례의 예지성 있는 결과를 위해서 국소의치의 기본적인 설계 원칙과 잔존 치조골을 동시에 고려한 임플란트 계획수립이 필요하다. 본 증례는 편측 소수 잔존치를 가진 67세 남자 환자로 국민건강보험의 적용을 받을 수 있는 치료를 희망했다. CAD 소프트웨어를 활용하여 임시의치의 교합면, 국소의치의 기본적인 설계 원칙 및 흡수된 치조제를 모두 고려한 임플란트의 식립 위치를 결정하였다. 치료 결과 상악 및 하악 의치의 안정성 및 유지력이 적절하게 확보되었다. 본 증례는 임플란트 고정성 보철물 제작 시 국소의치의 기본적인 원칙과 흡수된 치조제를 모두 고려하기 위해 디지털 기술을 진단 및 치료에 활용하였고, 안정적인 결과를 얻었기에 이를 보고하고자 한다.

• Journal of Korean Dental Science
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• 제9권2호
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• pp.63-68
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• 2016

Pressure root resorption can be observed during the eruption of permanent dentition, especially of the maxillary canines (affecting lateral incisors) and mandibular third molars (affecting mandibular second molars). Since the cause of root resorption of the adjacent affected teeth is evident, treatment simply involves extraction of the impacted tooth. However, there have been few reports on the prognosis of the remaining resorbed tooth, as dentists often choose to extract them when damage due to root resorption is observed. We report a case involving a tooth that was severely resorbed due to pressure from an adjacent impacted tooth. After extraction of the impacted tooth, the remaining tooth retained vital pulp and survived as a functional tooth.

• 대한치과보철학회지
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• 제62권2호
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• pp.174-182
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• 2024

다수의 구치를 상실한 환자에서는 전방부 치아들의 마모나 변위, 교합평면의 붕괴와 교합수직고경의 감소가 일어날 수 있다. 특히 편측으로 소수의 치아만 가진 경우 국소의치는 생역학적으로 불리하므로, 소수의 임플란트 서베이드 크라운을 추가한 임플란트 보조 국소의치가 대안이 될 수 있다. 본 증례의 환자는 하악 우측 구치부 상실로 인해 전방부 치아들이 심하게 마모되고, 교합평면이 붕괴되어 있었다. 최소한의 교합 수직고경 거상과 함께 상악 고정성 보철 및 하악 임플란트 보조 국소의치로 수복을 진행하였고, 기능적 및 심미적으로 양호한 임상 결과를 얻을 수 있었다.

• 대한치과보철학회지
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• 제40권1호
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• pp.88-97
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• 2002

The purpose of this study was to evaluate a cases which was treated with magnetic attachments on the patients in edentulous mandible and maxilla. Author made magnetic overdenture for two patients and then clinical examination were used for evaluation of the function and change in retention during 30months. Patients showed difficulty in oral hygiene care at the beginning but they go used to it soon. It was effective in promotion of denture retention and stability and also gave patient emotionally uplifting psychologic state. This study suggest that magnetic attachment was effective for the treatment of patients presenting a few remaining teeth or teeth under severe caries or mobility.

• 대한치과기공학회지
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• 제24권1호
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• pp.127-138
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• 2002

There are some cases that dental prosthesis does not operate as properly as expected in oral mouth. The reasons are such as a distortion of the mandibular, a fault of impression taking system or an extrusion of remaining teeth. One of dental prostheses to consider in the situations is the attachment which connects segment bridge. Active discussions are managed on theoretical side of this field but few on clinical side of it, which must be considered first. Accordingly I'd like to suggest a theoretical background for connect attachment of fixed segmented bridge. 1. As a bridge gets longer, burden on dental ligament is increased and the hardness of a bridge is lessened. 2. The flexibility of a bridge increases in ratio to 3 multiplication of the length and decreases in ratio to 3 multiplication of the width of occlusal surface and base of pontic. 3. Precision rest is needed to cope with the shake of teeth and the difference of axis direction among abutments. 4. Female part of the precision rest should be on middle abutment distal and male one on mesial of pontic. 5. Segmented attachment can be efficiently used to cope with long span bridgework and also in case that one piece casting can't be done because of slant of abutment.

• 대한소아치과학회지
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• 제43권2호
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• pp.192-199
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• 2016

유치열에서 드물게 관찰되는 삼중치는 세 치아의 비정상적인 융합으로 나타난다. 몇몇 문헌들에서 이중치에 대해 보고하고 있지만, 삼중치에 대한 보고는 매우 드물다. 이러한 다중치는 유치열에서 더 흔하게 관찰되며, 몇 가지 임상적 문제점을 나타낸다. 심미적인 문제 뿐만 아니라 치아 우식증 및 파절에 취약함, 영구 치배의 결손, 교정적, 치주적 문제를 야기할 수 있으며, 복잡한 치아 구조로 인해 치수 치료를 어렵게 한다. 첫 번째 증례는 만 1세 7개월 남아의 상악 유전치부에 나타난 삼중치로, 깊은 우식으로 치수 치료가 필요할 것으로 예상되었고, Mineral Trioxide Aggregate (MTA)를 이용하여 부분 치수 절단술을 시행하였다. 두 번째 증례는 만 1세 9개월 남아의 하악 유전치부에 나타난 삼중치로 파절을 주소로 내원하였다. 파절편 조각을 제거한 뒤, 잔존 치아에서 치수 절제술을 시행하였다. 각각 24개월, 6개월간의 정기 검진시까지 특별한 합병증은 나타나지 않았으며, 수복물 또한 비교적 양호하게 유지되었다.

• 대한치과의사협회지
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• 제55권8호
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• pp.528-536
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• 2017

Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with $Parkinson^{\circ}$Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

• 대한치과보철학회지
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• 제41권6호
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• pp.714-719
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• 2003

Conical crown-retained denture (CCRD) has been used as a very effective treatment method in cases with few remaining teeth with heterogeneous prognosis. However, in spite of many advantages of CCRD, high technical failure rate was a problem to be considered. Incorrect path of insertion and excessive retention were thought to be the main cause of technical failure and to result from laboratory procedure with a coping misfit and/or a coping transfer error. In order to prevent this error, secure anchoring of inner coping and re-examination and milling of convergence angle were recommended on the master model from pick-up impression.