• Title/Summary/Keyword: 구강기능문제

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The develop of hydrogen coating agent used for discolor improvement of DTP (Color발색을 개선한 실사출력용 수성코팅제 개발)

  • Lee, Eun-Jeong;Gu, Gang;Yun, Jin-Yong;Jo, Yeon-Jeong
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2008.04a
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    • pp.138-140
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    • 2008
  • 현재 현수막의 코팅에서 기능을 부여하는 수요가 늘고 있다. 본 실험에서는 코팅제의 유기용제 사용으로 인한 환경오염 문제및 폐기물 처리비용 부담을 줄이기 위하여 수성코팅제를 개발하려한다. acryl binder, 탄산칼슘, silica, 유화제등을 혼합한 코팅제를 knife coating한 후 170$^{\circ}C$로 1분 30초간 열처리 하였다. 이때 acryl binder의 첨가비율은 35${\sim}$55%로 변화를 주었다. 처리한 폴리에스테르에 DTP printing을 한 후 CCM 측정, 내수성, 접착성을 알아본 결과 acryl binder의 첨가비율은 45%일때 가장 우수한 발색성 및 printing 특성을 나타내었다. 기존 수성코팅제에 대비 20${\sim}$30% 발색성이 개선되었다.

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Prosthetic rehabilitation of partially edentulous patient after maxillectomy: A case report (상악골 부분절제술 시행한 부분 무치악 환자에서 폐쇄 장치를 이용한 보철 수복 증례)

  • Heo, Kyung-Hoi;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.167-171
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    • 2016
  • Patients undergone partial maxillectomy experience post-operative masticatory, phonetic, and swallowing difficulties. They also encounter social and psychological challenges due to changes in their facial appearances. Thus, functional and esthetic recovery through maxillofacial prosthesis becomes significant for these patients. The objective of an appropriate obturator is to restore palate and improve phonetic and swallowing ability by separating the oral cavity, nasal cavity, maxillary sinus, and nasopharynx. In this case report, an obturator was fabricated for a patient who had partial resection from the maxillary posterior region to the pharynx due to squamous cell carcinoma. The purpose of this case study is to describe the results because the patient was successfully improved both functionally and esthetically.

Maxillary anterior fixed implant prosthesis using customized nonprecious metal casting abutment: a case report (비귀금속 주조 맞춤형 지대주를 이용한 상악 전치부 임플란트 보철수복 증례)

  • Lee, Jae-In
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.1
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    • pp.50-59
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    • 2015
  • It is hard to restore and manage anterior teeth esthetically and functionally; because of peri-implantitis, not only hard and soft tissue problem such as alveolar bone resorption and interdental papilla loss but also esthetic problem caused by metal abutment exposure can occur. This case presents patients using customized abutment made of Co-Cr alloy that can be made by conventional casting and compensate the shortcomings of prefabricated titanium abutments, and cement-retained prosthesis.

Full mouth rehabilitation using monolithic zirconia: a clinical report (Monolithic zirconia를 이용한 전악 보철 수복: a clinical report)

  • Oh, Won-Seok;Ryu, Jae-Jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.4
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    • pp.358-363
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    • 2015
  • Previously, the usage of monolithic zirconia in anterior restoration was limited because of problems such as the monotony of tones and shades which would compromise the outcome of esthetic purpose. Zirconia was merely used as a coping with additional porcelain veneering whereas porcelain chipping cannot be evaded. Recently, with the improvement of monolithic zirconia, the various translucency and tones made it possible to use zirconia for anterior restoration. In this case, a male patient of 63 years old received a full mouth rehabilitation with monolithic zirconia. After a period of time usage, the outcome showed a favorable result functionally and esthetically.

Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition (심한 치아 마모를 보이는 환자에서 수직 고경 증가를 동반한 전악 구강 회복 증례)

  • Kim, Sung-Yong;Kim, Na-Hong;Yeom, Kyeong-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.49-56
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    • 2019
  • Generalized severely worn dentition causes occlusal disharmony, esthetic problems, and temporomandibular joint disorders. In order to solve these problems, it is necessary to make a precise analysis of vertical dimension and treatment plans considering it. This case report demonstrates the complete mouth rehabilitation of a 58-year-old male patient with a lot of worn teeth by increasing vertical dimension. Provisional restorations were cemented and after 4 months of evaluation for patient's compliance, permanent prostheses were fabricated. With these treatments, functionally and esthetically satisfactory results were obtained.

Rehabilitation with orthognathic surgery and orthodontic treatment in patient with severe occlusal disharmony: A case report (심한 교합 부조화를 보이는 환자에서 악교정수술 및 교정치료를 동반한 구강회복: 증례 보고)

  • Jung-Jin Lee;Kwang-Yeob Song;Seung-Geun Ahn;Ju-Mi Park;Jae-Min Seo
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.204-214
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    • 2023
  • The occlusal treatment including prosthetic treatment should be considered when the pathologic symptom was observed with the excessive discrepancy between the centric relation occlusion (CRO) and the maximum intercuspal position (MIP). Through careful diagnosis, the malocclusion and interarch relationship can be analyzed, and occlusal adjustment, restorative treatment, orthodontic therapy, or orthognathic surgery can be performed depending on the degree of disharmony. The patient in this case report complained the unstable occlusion and loss of masticatory function that had been occurring for several years. At the time of the visit, the patient showed severe occlusal disharmony, with only the upper right second molar contacting the lower jaw at the maximum intercuspal position. Based on the analysis of the occlusion, it was difficult to solve the problem with just occlusal adjustment or restorative treatment. In addition, the patient had the skeletal class II malocclusion between the upper and lower jaws. Therefore, for resolving the severe skeletal class II malocclusion, pre- and post-orthodontic treatment, bilateral sagittal split ramus osteotomy (BSSRO) was performed. After that, the occlusal adjustment was performed for stable occlusion, and the missing teeth area was restored with dental implants. During the follow-up period, a periodic follow-up visits and additional occlusal adjustments were performed to achieve a stable centric occlusion and harmonious anterior and lateral guidance. As a result, the final prosthodontic treatment was completed, and the patient's masticatory function was restored.

Clinical Features of Oromandibular Dystonia (하악운동이상증의 임상양태)

  • Kang, Shin-Woong;Choi, Hee-Hoon;Kim, Ki-Suk;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.36 no.3
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    • pp.169-176
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    • 2011
  • Oromandibular dystonia (OMD) is a form of focal dystonia that affects the masticatory, facial and lingual muscles in any variety of combinations, which results in repetitive involuntary and possibly painful jaw opening, closing, deviation or a combination of these movements. This study aimed to investigate clinical features and treatment type of OMD patients. By retrospective chart review, the study was conducted to consecutive OMD patients who visited a department of Oral Medicine and Orofacial Pain Clinic in a university dental hospital during Aug 2007 to Apr 2010. 78 OMD patients were identified with female preponderance (M:F=1:3.6) and a mean age of 72 years. Their mean duration of OMD was about 10 months. The most common chief complaints at the first visit was jaw ache, followed by uncontrolled, repetitive movement of the jaw and/or oral tissues, pain in the oral region(p=0.000). The most common subtype of OMD was lateral jaw-deviation dystonia, followed by combination and jaw-closing dystonia(p=0.001). While no apparent cause was recognized in over 60% of the OMD patients, peripheral trauma including dental treatment such as prosthetic treatment and extraction was the most frequently reported as precipitating factor(p=0.000). Medication was the 1st line therapy for our patients and anxiolytics such as clonazepam was given to most of them. Based on the results of this study, OMD is the disease of the elderly, particularly of women and causes orofacial pain and compromises function of orofacial region. Some patients considered dental treatment a precipitating factor. Dentists, therefore, should have knowledge of symptoms and treatment of OMD.

A case of full mouth rehabilitation with vertical dimension gaining in patient with severely worn dentition and loss of vertical dimension due to loss of posterior support (구치부 지지의 상실로 인해 과도한 치아 마모와 수직 고경 상실을 보이는 환자에서 수직 고경 거상을 동반한 전악 수복 증례)

  • Jung, Ji-Ah;Bang, Joo-Hyuk;Lee, Yong-Sang;Kim, Sung-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.153-160
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    • 2020
  • Gradual tooth wear is a natural process of aging, but pathological wear over physiologic ranges leads to functional and esthetic problems. The loss of posterior support may cause pathological wear of anterior teeth, which results in reduction of vertical dimension and disharmony of occlusal plane. To solve this problem, determination of proper vertical dimension considering centric relation is necessary. This case report presented 71-year-old male, who had the severe wear of lower anterior teeth due to loss of posterior support. By meticulous evaluation, a full mouth rehabilitation with elevation of vertical dimension was planned. After 8 months of follow-up, stable occlusal scheme is maintained and patient was satisfied with clinical outcome functionally and esthetically.

ANTERIOR CROSSBITE CORRECTION IN PRIMARY DENTITION USING INTRAORAL APPLIANCE AND CLASS III ELASTIC (구강 내 장치와 III급 고무줄을 이용한 유치열기 전치부 반대 교합 치료)

  • Choi, A-Mi;Choi, Byung-Jai;Choi, Hyung-Jun;Song, Je-Seon;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.306-313
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    • 2012
  • Class III malocclusion or anterior crossbite is commonly seen in Asian. This problem is easily recognized by dentists and parents. During the primary dentition period, anterior crossbite with functional shift and deep overbite could develop to skeletal protrusive mandible. So, early and proper diagnosis of anterior crossbite which needs prompt treatment is important. These cases showed the early management of crossbite with functional shift in primary dentition using intraoral removable appliance resulting in improvement of intermaxillary relationship. And I analyzed the positional change and the dimensional change during treatment with lateral cephalometric x-ray analysis. Our patients showed vertical dimensional change of lower anterior facial height and clockwise rotation which results crossbite correction in 1 year of treatment period.

Full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion utilizing dental CAD-CAM system (구치부 지지 소실 및 무너진 교합관계를 보이는 환자에서 Dental CAD-CAM system을 활용한 완전 구강 회복 증례)

  • Jung, Jiwon;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.44-54
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    • 2022
  • Without proper treatment on the multiple tooth missing area, the lack of posterior support and the supra-eruption of the teeth cause many severe complications of occlusion, vertical dimension and masticatory function. This report is a case of full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion due to missing teeth area left untreated for a long time. The patient who is 68-year old male patient had some teeth fallen out while removing his old maxillary denture and was complaining about pain in the region of anterior teeth due to traumatic contact. The vertical dimension was corrected by 4 mm from the top cervical point of the canine through various evaluations and the edentulous area was treated with the implant fixed prostheses through computer guided implant surgery based on the diagnosis and treatment plan for definitive prostheses supported by computed tomography (CT) data analysis and CAD-CAM (Computer-aided design/computer-aided manufacturing) technique. After full mouth rehabilitation, the patient was very satisfied with remarkable improvements in mastication, function, and aesthetics.