• Title/Summary/Keyword: esthetic treatment

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Esthetic Restoration of Complicated Crown-Root Fractures Utilizing Orthodontic Extrusion (복합 치관-치근 파절의 교정적 정출술을 이용한 심미적 수복)

  • Kim, Minji;Kim, Jinyoung;Kim, Suhyun;Lim, Sumin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.60-69
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    • 2016
  • Complicated crown-root fracture of permanent incisors cause esthetic, functional, and psychological problems to patients. Therefore, treatment is important and multidisciplinary treatment is required. This case report describes the clinical procedures involved in the treatment of trauma-induced complicated crown-root fractures in the maxillary incisor of two young patients. Conventional root canal treatment and apexification were performed in each patient. To expose the fracture margins to the supragingival level and to reestablish the biologic width, orthodontic extrusions with fixed appliances were performed followed by a retention period. During the retention period, fiber-optic posts and cores were built up and provisional crowns were placed. Finally, ceramic crowns manufactured using a computer-aided design/computer-aided manufacturing (CAD/CAM) system were placed. In both patients, the teeth presented satisfactory functional and esthetic outcomes without relapse. The periodontal tissues were healthy.

Story of the anterior veneers which surely have to listen with a dentist (치과의사와 함께 꼭 들어야 할 6전치 라미네이트 이야기)

  • Park, Hyung Rang
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.1
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    • pp.41-54
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    • 2014
  • In spite of the word esthetics having been familiar to us during the last twenty odd years, difficulties are still faced nowadays as if new challenges constantly emerge. This is perhaps best interpreted as a tendency to avoid dealing with it owing to the fact we are not quite used to it. It is probably a lack of a basic roadmap for esthetics, not of evolution. Every prosthesis has its own strengths and weaknesses. Expected results would be obtained if and when the patient's adaptation to prosthesis is correctly anticipated, appropriate diagnoses made and optimal pre-operative measures taken. At this stage, communication and patient information sharing between the dentist and dental technician are very important factors in the treatment process, as well as each party's unique specialized role. It would not be an exaggeration to state that the success of a lab made prosthesis would depend on how well these factors have been systemized. Based upon the above treatment procedures, it is now intended to examine esthetic prostheses involving porcelain laminate veneers that enable the most conservative treatment with the most significant favorable characteristics.

Mandibular Angle Management for Improving the Esthetic Result of Orthognathic Surgery (임상가를 위한 특집 3 - 악교정 수술과 함께하는 mandibular angle management)

  • Han, Se-Jin
    • The Journal of the Korean dental association
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    • v.50 no.11
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    • pp.677-681
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    • 2012
  • Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don't only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan. Patients with prominent mandibular angle want to have the narrower face of so called 'V-line' shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time. We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.

CAD/CAM Zirconia All Ceramic Restoration and Red-White Esthetics

  • Jo, Jong-Man
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.13 no.1
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    • pp.31-39
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    • 2004
  • For the prosthodontic results which are compatible with esthetics to be fulfilled, the first prerequisite would be periodontal intervention and stability, the second one may be functional competency and the ultimate goal should be ascribed to esthetic considerations. Other words, esthetic dentistry is a whole entity which encompasses the biological stability of the periodontium, physical accuracy of the prosthodontic structure and finally, the beauty which can be found in natural dentition. It also implies the harmonized lip line which reveals the well-balanced tooth morphology and health gum profiles (Red-White Esthetics). Largely, there lie some differences in the input system of the 3-dimentional data from the prepared abutments between respective computer-assisted systems available now. But the manufacturing systems (CAM) are very similar between them, to say, comprise numeric control systems with whole 3-dimensional milling units according to the restorations to be made. Now the author is going to present CAD/CAM Zirconia All Ceramic Restoration on the topics for the Red-White Esthetics, periodontal control and maintenance, treatment for the discolored teeth, post & core build-up works for the devitalized teeth, characteristics of the Zirconium oxide All Ceramics, fabrication procedures, clinical considerations and its application to diverse clinical situations.

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Esthetic restoration of anterior dentition using Empress 2 system: A clinical report

  • Kim, Min-Ho;Yang, Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.6
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    • pp.821-828
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    • 2000
  • Metal - ceramic restorations have been the standard of fixed oral rehabilitation for over 30 years, and while many advances have been made in materials and research, the esthetic challenges of the light reflective metal substructure will always put clinician in an esthetic dilemma, for only a very talented ceramist / dentist team can create esthetics that rival nature on a repeatable basis. All ceramic restorations have also been a choice in our restorative armamentarium, but in the past, the materials have also had their own limitation, number on being question-able strength to withstand occlusal forces generated during mastication. IPS Empress 2 offers dentistry a metal free alternative to traditional restorative techniques. This clinical report describes the treatment of patients with esthetic problem of anterior dentition using Empress 2 system.

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Lateral facial cleft : Cases Report (횡안열 환자의 치험례)

  • Choi Ju-Suck;Cho Sang-Ki;Beak Jin-A;Ko Seung-O;Shin Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.1
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    • pp.53-58
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    • 2003
  • Lateral facial cleft is a rare congenital craniofacial anomaly. Their incidence is about 1 in 60,000 births and early treatment with closure in layers is important. Surgical treatment must reconstruct an anatomic and functional situation which give a good esthetic result. This study reports two cases of male at 31 months and 9 months suffered from esthetic problems due to lateral displacement of the oral commisure on the right side. Surgical treatment; the mucosa is closed in with a Z-plasty to avoid intraoral band contracture, the orbicularis oris muscle is closed after interfiber reorientation, and the skin is closed with multiple Z-plasty. So we report two cases of unilateral lateral facial cleft and review of etiopathogenesis in children with lateral facial cleft.

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Case report of esthetic maxillary anterior crown lengthening (상악 전치부에서 심미적 치관 연장술의 치유 양상 보고)

  • Kim, Sun-Ha;Park, Jin-Woo;Suh, Jo-Young;Lee, Jae-Mok
    • Journal of Periodontal and Implant Science
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    • v.39 no.2
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    • pp.199-204
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    • 2009
  • Purpose: Excessive gingival display and short clinical crowns due to altered passive eruptions are major concerns for a considerable number of patients visiting dental clinics. Altered passive eruptions could be corrected through various types of periodontal surgery conformable to a classification. 3 cases are reported here on the esthetic correction of altered passive eruption to evaluate results of crown lengthening procedure. Methods: Three patients whose major complaints were excessive gingival display and short teeth were picked out for this case study. Before treatment, clinical and radiological exam was performed to choose type of surgery. Thickness and width of keratinized gingiva was measured in all three patients then they were treated by surgical methods including flap operation and depigmentation under subsequent diagnosis. Results: Uneventful healing and stable gingival margin were observed in all three patients except recurrence of gingival pigmentation of one patient. Conclusions: The treatment of altered passive eruption requires precise diagnostic procedure and could achieve better esthetic outcomes when it is accompanied by other orthodontic and orthognathic treatment.

Simultaneous Hard Tissue and Soft Tissue Graft with Dental Implant Placement and Provisionalization: A Case Report

  • Hyunjae Kim;Young-Dan Cho;Sungtae Kim
    • Journal of Korean Dental Science
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    • v.17 no.2
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    • pp.84-91
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    • 2024
  • Achieving both esthetic and functional implant rehabilitation is crucial for the successful treatment of the anterior maxilla. Adequate peri-implant alveolar bone and soft tissue are essential for optimal rehabilitation of the esthetic area, and there is a direct association between the implant position and prosthetic outcomes. Immediate provisionalization may also be advantageous when combined with augmentation. This case report described the implant placement in a 25-year-old female patient who had lost her right maxillary lateral incisor (#12) due to trauma-induced avulsion. The treatment involved simultaneous grafting and collagenated, deproteinized bovine bone mineral, along with subepithelial connective tissue taken from the right maxillary tuberosity. A polyetheretherketone abutment and non-functional immediate provisionalization were performed by removing both the proximal and occlusal contacts on the composite resin crown. Clinical and radiographic evaluations revealed maintenance of stable ridge contour aspects for six months following surgical treatment. In summary, implant rehabilitation in the esthetic zone can be successful using simultaneous soft and hard tissue grafts. Moreover, soft tissue stabilization post-subepithelial connective tissue grafting can be achieved through early or immediate visualization, along with immediate implant placement.

The treatment of skeletal Class III growing patient using MTA(Modified Tandem Appliance) (성장기 III급 환자에서 MTA(modified Tandem Appliance)를 이용한 교정치료)

  • Moon, Cheol-Hyun;Nam, Ji-Seon
    • The Journal of the Korean dental association
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    • v.46 no.2 s.465
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    • pp.88-99
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    • 2008
  • In growing patients with Class III malocclusion and midfacial deficiency, the treatment protocol calls for orthopedic maxillary protraction and clinicians choose the facemask therapy generally. But facemask is not esthetic or comfortable to patients because it should be worn extraorally. Consequently it is difficult to obtain patients cooperation, and this often influences the treatment effects negatively. MTA (modified tandem appliance), that is a small intraoral appliance, is carried conveniently and esthetic relatively. So it seemed more patient-friendly than a facemask. While the treatment effect of this is similar to that of a facemask. This report presents skeletal Class III malocclusion two cases treated by MTA with good results.

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Minimally invasive treatment for esthetic enhancement of white spot lesion in adjacent tooth

  • Lee, Ji-Hye;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.359-363
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    • 2013
  • This article describes the treatment provided to a patient with the maxillary anterior teeth exhibiting severe secondary caries beneath the previous restoration and a white spot lesion on the adjacent incisor. Two implants were placed after extraction of hopeless teeth with the guided bone regeneration technique. A white spot lesion of the adjacent incisor was treated with minimally invasive treatment. This clinical report describes the multidisciplinary treatment for the white spot lesion and esthetic restoration of missing anterior teeth.