• Title/Summary/Keyword: long tooth

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Traditional approach with ceramic (임상가를 위한 특집 2 - 심미 수복 - 같은 결과, 다른 접근 세라믹을 이용한 전통적인 접근법)

  • Lee, Seung-Kyu
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.595-603
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    • 2013
  • The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

Marginal dicrepancy and topography of the artificial crown on the extracted abutment (발치된 치아에 부착된 수복물의 변연 적합 및 형태)

  • Lee, Jeong-Hoon;Choi, Min-Ho;Kim, Min-Ho;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.18 no.4
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    • pp.313-320
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    • 2002
  • The purpose of the present study was to evaluate the marginal discrepancy and topography of artificial crown on teeth extracted due to severe periodontal disease. Twenty specimens were invested into metamethylacrylate resin and cutted into vertical slices along with the long axis of tooth. The selected marginal discrepancy between the outer edge of the crown and the finishing line of abutment was examined by stereo- microscope(Olympus, PM-VSP-3, Japan) at magnification of up to 10, and the topography of finishing margin on crown was observed by stereomicroscopeat magnification of up to $70{\times}$. The results were as follows. (1) The mean marginal discrepancy between extracted tooth and artificial crown were $50.82{\mu}m$. (2) There was a considerable difference in the microstructure of finishing margins among specimens. Microscopic Structure on finishing margin showed indefinite line, poor fit (open, underextended and overextended), distorted margin, and surface roughness. This study suggested that there could be necessary to consider the response of periodontium to the emergence profile of natural tooth and precision of marginal geometry while establishing treatment planning for the reconsruction of the artificial crown.

Bioblock technique to treat severe internal resorption with subsequent periapical pathology: a case report

  • Mark Frater;Tekla Sary;Sufyan Garoushi
    • Restorative Dentistry and Endodontics
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    • v.45 no.4
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    • pp.43.1-43.9
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    • 2020
  • A variety of therapeutic modalities can be used for the endodontic treatment of a traumatized tooth with internal root resorption (IRR). The authors present a case report of the successful restoration of a traumatized upper central incisor that was weakened due to severe IRR and subsequent periapical lesion formation. A 20-year-old female patient was referred to our clinic with severe internal resorption and subsequent periapical pathosis destroying the buccal bone wall. Root canal treatment had been initiated previously at another dental practice, but at that time, the patient's condition could not be managed even with several treatments. After cone-beam computed tomography imaging and proper chemomechanical cleaning, the tooth was managed with a mineral trioxide aggregate plug followed by root canal filling using short fiber-reinforced composite, known as the Bioblock technique. This report is the first documentation of the use of the Bioblock technique in the restoration of a traumatized tooth. The Bioblock technique appears to be ideal for restoring wide irregular root canals, as in cases of severe internal resorption, because it can uniquely fill out the hollow irregularities of the canal. However, further long-term clinical investigations are required to provide additional information about this new technique.

Nicotinamide as a therapeutic agent for bone diseases

  • Heein Yoon;Woo-Jin Kim;Young-Dan Cho;Hyun-Mo Ryoo
    • International Journal of Oral Biology
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    • v.49 no.3
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    • pp.53-60
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    • 2024
  • Nicotinamide (NAM), a water-soluble derivative of vitamin B3, has emerged as a potential therapeutic agent for bone-related disorders. In particular, it promotes bone metabolism and alleviates delayed tooth eruptions associated with cleidocranial dysplasia (CCD). NAM serves as a precursor for nicotinamide adenine dinucleotide, a key coenzyme involved in cellular metabolism that plays an essential role in oxidative phosphorylation and mitochondrial function. Recent research has highlighted the capacity of NAM to enhance osteogenic differentiation and regulate the interaction between osteoblasts and osteoclasts, which is critical for maintaining bone homeostasis. Moreover, the effect of NAM in preventing delayed tooth eruptions in CCD models underscores its potential as a noninvasive therapeutic option. Considering its safety profile and therapeutic potential, NAM is a promising candidate for long-term treatment of bone diseases and prevention of age-related bone disorders.

Bonding to zirconia with resin cements (지르코니아와 레진 시멘트의 결합)

  • Lim, Bum-Soon;Her, Soo-Bok
    • The Journal of the Korean dental association
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    • v.49 no.5
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    • pp.265-278
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    • 2011
  • The introduction of zirconia-based materials to the dental field broadened the design and application limits of, all-ceramic restorations. Most ceramic restorations are adhesively luted to the prepared tooth, however, resin bonding to zirconia components is less reliable than those to other dental ceramic systems. It is important for high retention, prevention of microleakage, and increased fracture resistance, that bonding techniques be improved for zirconia systems. Strong resin bonding relies on micromechanical interlocking and adhesive chemical bonding to the ceramic surface, requiring surface roughening for mechanical bonding and surface activation for chemical adhesion. In many cases, high strength ceramic restorations do not require adhesive bonding to tooth structure and can be placed using conventional cements which rely only on micromechanical retention. However, resin bonding is desirable in some clinical situations. In addition, it is likely that strong chemical adhesion would lead to enhanced long-term fracture and fatigue resistance in the oral environment.

Pulp revascularization of immature permanent tooth (미성숙 영구치의 치수재혈관화)

  • Kwak, Sang Won
    • The Journal of the Korean dental association
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    • v.54 no.8
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    • pp.658-665
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    • 2016
  • Treatment of immature permanent teeth with irreversibly damaged pulp has been challenging in dental practice because of the lack of apical constriction, thin dentinal walls, and short roots. This may lead to the extrusion of filling materials, and fracture of the root due to its more fragile feature during shaping of the root canal. Apexification with calcium hydroxide or MTA is one of the treatment options for these cases. Although favorable results of apexification have been reported, these treatment procedures do not guarantee the increase of root length and/or width even after a long term period. Thus, treated teeth are still prone to fractures. Recently, pulp revascularization has been proposed as an alternative treatment for immature teeth with necrotic pulp and periapical pathosis. Pulp revascularization allows the stimulation of the apical development and the root maturation. There have been many treatment protocols using various materials such as antibiotics and calcium hydroxide medicament. In this case report, literature review about pulp revascularization and two related cases are presented.

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Principles and considerations of orthodontics for Prosthodontic treatment (심미보철치료를 위한 교정치료의 원칙과 고려사항)

  • Chang, Won-Gun
    • The Journal of the Korean dental association
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    • v.56 no.9
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    • pp.503-511
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    • 2018
  • Outcome of esthetic ceramic restorations are affected by tooth size, gingival contour, occlusal relationship, etc. For this reason, demand of orthodontic treatment before esthetic ceramic restoration is increasing. If a Bolton ratio discrepancy, a problem of the maxillary incisor's vertical position, a problem of inclination of anterior teeth, a pathogenic occlusion is existed, a pre-prosthodontic orthodontics should be accomplished. These problems can be satisfactory only after the prosthetic treatment is performed after orthodontic treatment. When orthodontic treatment is given, it should be treated with the following principle. 1. Treat it in the direction of functioning occlusion. 2. Keep the patient's stable occlusal scheme. 3. Treat the teeth by considering the average tooth size and Bolton ratio. Ortho-Prostho combined treatment with optimal treatment plan can lead a patient's function, esthetics, and long-term stability.

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Anterior teeth alignment for aesthetic dentistry (심미치료를 위한 전치부 부분교정)

  • Park, Chul-Wan
    • The Journal of the Korean dental association
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    • v.56 no.9
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    • pp.512-520
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    • 2018
  • As the demand for natural and beautiful smiles increases, the demand for anterior aesthetic treatment is increasing. Orthodontic treatment is often necessary for esthetic, healthy and natural treatment outcome. Particularly, in the case of middle-aged patients, minor tooth movement limited to anterior teeth is more effective than comprehensive orthodontic treatment which requires a long-term treatment period. Clinician who is in charge of aesthetic dentistry should have the ability to select a case that can be treated with partial orthodontic treatment and to determine the most effective treatment method. This article provides decision flowchart for case selection and choosing the best treatment modality for anterior teeth alignment.

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Autogenous Transplantation of Impacted teeth : Indication and Case Report (매복치 자가이식술의 적응증과 치험례)

  • Yu, Hyung-Seog;Kim, Tae-Gyun
    • The Journal of the Korean dental association
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    • v.38 no.1 s.368
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    • pp.22-29
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    • 2000
  • The purpose of this paper is to discuss the indication. treatment procedure. prognosos and complication of autogenous transplantation in treating impacted teeth of orthodontic patient. Autogenous transplantation is indicated, in cases of rejecting orthodontic treatment due to the visible orthodontic appliance, the relatively long treatment time, unfavorable tooth position for orthodontic repositioning, unrestorable advanced detal caries. advanced periodontitis and ankylosed tooth. Most process related to the decision of the prognosis is dependent on the careful surgical technique. In comparison to other orthodontic and surgical procedure, the application of the autotransplantation is limited, although its success rate is markedly increased today. Therefore we must we must pay attention to the treatment planning and cooperation with other specialties is needed.

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A CASE REPORT OF OSTEOPETROSIS (Albers-Schonberg disease의 일례보고)

  • Lee Sang Rae;Park Sang Jin;Ko Kang
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.7 no.1
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    • pp.43-48
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    • 1977
  • The authors had observed a rare case of osteopetrosis from 8 years old male who had complained nasal obstruction at, Department of Dental Radiology, Kyung Hee University. In the serial roentgenograms the following results were revealed. 1. This osteopetrosis was considered to be malignant rather than benign. 2. In the skull, the greatest degree of radiopacity was found in the base. The pituitary fossa appeared to be small and posterior clinoid process revealed clubbing and thickening. 3. In the frontal and nasal bones were slightly enlarged with marked radiopacity and paranasal sinuses were obscured. 4. The maxilla was markedly affected and bony trabeculae were seen to be coarse and thickened but mandibular posterior segment slightly. 5. There were long retardation of the tooth eruption and physiologic resorption of the deciduous teeth, and tooth root revealed stunted and dwarfed appearance in the both jaws. 6. In this case, the thickened alveolar lamina dura was indistinguishable.

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