• Title/Summary/Keyword: accurate prosthesis

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Oral rehabilitation of excessive tooth wear patient using zirconia fixed prosthesis with increased vertical dimension (과도한 치아 마모 환자의 수직 교합 고경 증가를 동반한 지르코니아 고정성 보철물 전악 수복 증례)

  • Jang, Ju-Ho;Choi, Yeon-Jo;Ryu, Jae-Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.121-129
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    • 2020
  • From the point of view of oral rehabilitation, the treatment of extensive tooth wear requires a prosthetic approach. Physiological tooth wear is considered as a normal process and generally does not require treatment, but excessive tooth wear causes problems like inadequate occlusion and esthetics. Changes of occlusal vertical dimension should be made through accurate diagnosis and analysis. Also, the patient's adaptation to the changed occlusal vertical dimension should be assessed over time. This case was a 60-year-old male patient who complained of a decrease in chewing function and esthetics due to severe tooth wear. Full-mouth rehabilitation was performed with a tooth supported fixed prosthesis. An occlusal stabilization splint and provisional restoration were used to evaluate the adaptation to increased occlusal vertical dimension and induce a stable centric relation position. After that, monolithic zirconia prosthesis was delivered. We report this as a satisfactory functional recovery and esthetics.

Effect of the Sprue Design on the Fitness of Implant Prosthesis (주입선의 설계가 임플란트 보철물의 적합도에 미치는 영향)

  • Hwang, Sung-Taek;Ahn, Jae-Seok;Shin, Sang-Wan
    • Journal of Technologic Dentistry
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    • v.30 no.2
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    • pp.57-63
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    • 2008
  • Statement of problem: Conventional techniques for implant framework fabrication produce significant error that is inconsistent with passive-fit requirement for osseointegrated implants. One of the etiologic factors which cause the errors is a sprue which may deform the framework during solidification and contraction. Purpose: This study was aimed to evaluate objectively effect of the sprue design on the accuracy of fit of implant prosthesis. Materials and method: Three different designs were considered relative to effect of casting accuracy. The first design had straight sprues and a button of excess alloy at the non-casting end of the sprues. The second was runner bar design(with the button). The last was straight sprues design(without the button). Gold cylinder and laboratory analogue had been used to diminish variables affecting to casting accuracy. Gold alloy and pressure-vacuum casting machine had been used. Marginal gap had been measured by SEM. One-way ANOVA and Duncan test had been used for statistical analysis. Results: The first design showed $79.87{\pm}13.95{\mu}m$ marginal gap. The second and third were $40.17{\pm}15.8{\mu}m$ and $35.17{\pm}9.95{\mu}m$ respectively. Conclusion: Straight sprues without button and runner bar designs were more accurate than straight sprues with button design(P<.05).

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The Use of Ovate Pontics in the Maxillary Anterior Esthetic Zone: A Clinical Report (Ovate Pontic을 이용한 상악 전치부 심미수복)

  • Choi, Mee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.1
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    • pp.23-29
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    • 2009
  • The ovate pontic was first described by Dewey and Zugsmith in 1933, but used clinically as a clinical alternative for esthetics in the late 1990s. The ovate pontic has been suggested as a more accurate duplication of emergence profile for natural teeth to provide an esthetic, cleanable prosthesis. If the resin temporary prosthesis with the ovate pontic is used during the healing period after the tooth extraction, it is possible to preserve the interdental papilla and eliminate or minimize the black triangle between the teeth. Ultimately it can become a esthetic final restoration without saliva leakage and phonetic discomfort. In this case we tried to treat the maxillary anterior area by the use of the ovate pontic and minimize the loss of the interdental papilla via duplicate the emergence profile of the natural tooth.

Effect of milling and sintering process on integrity of zirconia prosthesis: a literature review (밀링과 소결과정이 지르코니아 보철물의 완성도에 미치는 영향에 관한 문헌고찰)

  • Lee, Kiun;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.127-137
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    • 2022
  • Zirconia is fabricated through various processes. Each element in fabricating process can affect the physical properties of the definitive prosthesis. In particular, both the milling process and the sintering process can affect the final integrity of the zirconia prosthesis. Most of the milling machines adopt the ultra-precision 5-axis machining method, and the results vary depending on which milling method was used and how the milling equipment was managed. Milling blocks are selected according to cutting efficiency and aesthetic reproducibility. The sintering method can affect the grain growth and optical properties, and an accurate evaluation can be made only with additional research on the recent speed sintering procedure. Not only the sintering temperature but also the temperature holding time can affect the quality of definitive prosthesis.

Importance and requirements for dental prosthesis order platform services: a survey of dental professionals (치과 보철물 거래 플랫폼 서비스의 중요성과 요구사항: 치과 전문가 설문조사)

  • Gyu-Ri Kim;Keunbada Son;Du-Hyeong Lee;So-Yeun Kim;Myoung-Uk Jin;Kyu-Bok Lee
    • 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.

Registration of Dental Range Images from a Intraoral Scanner (Intraoral Scanner로 촬영된 치아 이미지의 정렬)

  • Ko, Min Soo;Park, Sang Chul
    • Korean Journal of Computational Design and Engineering
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    • v.21 no.3
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    • pp.296-305
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    • 2016
  • This paper proposes a framework to automatically align Dental range image captured by depth sensors like the Microsoft Kinect. Aligning dental images by intraoral scanning technology is a difficult problem for applications requiring accurate model of dental-scan datasets with efficiency in computation time. The most important thing in dental scanning system is accuracy of the dental prosthesis. Previous approaches in intraoral scanning uses a Z-buffer ICP algorithm for fast registration, but it is relatively not accurate and it may cause cumulative errors. This paper proposes additional Alignment using the rough result comes after intraoral scanning alignment. It requires that Each Depth Image of the total set shares some overlap with at least one other Depth image. This research implements the automatically additional alignment system that aligns all depth images into Completed model by computing a network of pairwise registrations. The order of the each individual transformation is derived from a global network and AABB box overlap detection methods.

A Study on the Usage of Dental Serveyor(I) (Dental Serveyor의 사용법에 관한 연구(I))

  • Kim, Won-Soo
    • Journal of Technologic Dentistry
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    • v.15 no.1
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    • pp.63-72
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    • 1993
  • The following results were come out after the careful study on the rational application of dental surveyor in the clinic 1. The adequate path of placement satisfying guiding plane, retention non-interference and esthetics. 2. The location of clasp arm and the accurate under cut position and amount of clasp tip can be judged. 3. In case that the model needs to be mounted to the surveyor, the exactly same location can be attained by the means of the tripoding. 4. The unnecessary undercut areas in the path of placement and removal car be corrected. 5. The surveyor is essential in manufacturing dental prosthesis and it can also carry out all sorts of prospective designs In terms of the diagnosis and treatment.

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EFFECT OF IMPRESSION TECHNIQUE ON THE ACCURACY OF MASTER CAST FOR IMPLANT PROSTHESIS (인상채득방법이 임플란트 주모형의 정확성에 미치는 영향)

  • Kim Young-Oh;Yang Hong-So
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.2
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    • pp.238-247
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    • 2004
  • Statement of problem: Major objective in making on implant-supported prosthesis is the production of superstructure that exhibits a passive fit when connected to multiple abutments. One requirement to ensure passive fit is to make an accurate impression. Purpose : The purpose of this study was to compare the accuracy of master cast fabricated by using different impression methods at the different impression levels. Material and method: The master model used in this study was resin block having low implant analogs. Impression method studied were 1) direct method on fxiture level (Group FIX-D), 2) indirect method on fixture level(Group FIX-I), 3) modified indirect method on fixture level(Group FIX-M), 4) direct method on abutment level(Group AB-D) and 5) indirect method on abutment level(Group AB-I). Each of the five groups took 10 impressions. Fifty impressions were made for master cast by using Impregum $F^{(R)}$ impression material loaded on individual tray. Three dimensional measuring microscope was used to measure the inter-implant distance. Error rate of each inter-implant distance were calculated and evaluated. Results : The results were as follows. 1. Group FIX exhibited higher accuracy than group AB. 2. In group FIX, modified indirect method showed the highest accuracy, while indirect method showed the lowest accuracy. In group Ab, indirect method showed the higher accuracy than direct method. 3. Group FIX showed larger horizontal error than group AB. But, group AB showed the larger vertical error than group FIX. 4. Group Fix-M showed smallest vertical and horizontal error. Conclusion: An impression method have more effect on accuracy of master model than an impression level. A modified indirect method showed smallest vertical and horizontal error.

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.

A Study on the Interface Micromotions of Cementless Artificial Hip Replacement by Three-Dimensional FEM (무시멘트형 인공고관절 대치술후 초기의 경계면 미세운동의 3차원 FEM 연구)

  • Kim, S.K.;Chae, S.W.;Choi, H.Y.
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.71-74
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    • 1994
  • In cementless total hip arthroplasty(THA), an initial stability of the femoral component is mandatory to achieve bony ingrowth and secondary long term fixation. Bone ingrowth depends strongly on relative micromotion and stress distributions at the interface. Primary stability of the femoral component can be obtained by minimizing the magnitude of relative micromotions at bone-prosthesis interface, Hence an accurate evaluation of interface behavior and stress/strain fields in the bone implant system may be relevant for better understanding of clinical situations and improving THA design. However, complete evaluation of load transfer in the bone remains difficult to assess experimentally, Hence, recently finite element method (FEM) was introduced in orthopaedic research field to fill the gap due to its unique capacity to evaluate stress in structure of complex shape, loading and material behavior. The authors developed the 3-dimensional numerical finite element model which is composed of totally 1179 elements off and 8 node blick. We also analyzed the micromotions at the bone-stem interface and mechanical behavior of existing bone prosthesis for a loading condition simulating the single leg stance. The result indicates that the values of relative motion for this well fit Multilock stem were $150{\mu}m$ in maximum, $82{\mu}m$ in minimum, and the largest relative motion developed in medial region of proximal femur with anterior-posterior direction. The proximal region of the bone was much larger in motion than the distal region and the stress pattern shows high stress concentration on the cortex near the tip of the stem. These findings indicates that the loading in the proximal femoral bone in the early postoperative situation can produce micromotions on the interface and clinically cementless TEA patient should not be allowed weight bearing strictly early in the postoperative period.

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