• Proceedings of the KACD Conference
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• 2003.05a
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• pp.288-288
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• 2003

1960년대 중반부터 도입된 구치부 복합레진 수복은 복합레진과 접착시스템의 향상된 물성 때문에 구치부 사용에 대한 주목할 만한 결과를 보고하고 있다. 현재는 다수의 1급, 2급 수복물에 복합레진이 적응증으로 기술되며, 사실상 미국치과의사 협회(ADA)도 초기와 중등과 크기의 병소를 보존적 I, II급 와동으로 형성된 뒤 복합레진으로 수복하는 시술의 적절성을 인정하고 있다. ADA는 "복합레진을 유치나 영구치의 I급, II급, V급 수복에 올바르게 적용하면 아발감의 수명에 뒤지지 않는다."라고 기술하고 있다. 이에 본 강연에서는 I급과 II급 복진레진 수복을 위한 관련된 재료들의 특성과 단점들을 극복하기 위한 노력들을 설명하고자 한다. 특히 중합수축과 관련된 문제점들을 해결하기 위해 제시되고 있는 방법들의 임상적 적용 가능성의 한계와 술후 과민증을 줄이기 위한 방법, 그리고 구치부에 적용된 레진들의 마모를 줄일 수 있는 방법들을 모색하고 한다. 더불어 구치부 복합레진 수복을 위한 임상 시술 시 가장 흔하게 발생되는 단조로운 인접면 외형 형성 및 접촉점 개방의 문제점을 인식하고 이를 막기 위한 노력 및 기구들의 사용 조작에 대해 토의해 보고자 한다.

• Restorative Dentistry and Endodontics
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• v.25 no.2
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• pp.254-261
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• 2000

본 연구에서는 35개의 구치부 2급 와동에 고밀도 구치부 복합레진(Surefil, Caulk, U.S.A.)을 수복하였다. 단일 충전군은 18개 치아의 인접면 와동을 한꺼번에 충전한 후 광중합하였고 분할 충전군은 17개 치아의 인접면 와동을 두 층으로 나누어 충전 및 광중합하였다. 6개월 후의 임상검사 결과 다음과 같은 결론을 얻었다. 1. 기초검사에서 단일 충전군과 분할 충전군 모두 색상조화도(Color match)를 제외한 다른 검사 항목들에서 Alfa로 나타났다. 2. 단일 충전군은 6개월 후 모든 검사(색상 조화도 제외)에서 인접면 접촉도(Proximal contact), 변연부 변색(Marginal discoloration), 술후 과민증(Postoperative sensitivity) 검사에서 소수의 치아가 Bravo, Charlie로 나타났으나 기초 검사와 3개월 후 검사 사이에 통계적으로 유의한 차이는 보이지 않았다. 3. 분할 충전군은 6개월 후 시행된 모든 검사(색상 조화도 제외)에서 인접면 접촉도(Proximal contact), 술후 과민증(Postoperative sensitivity) 검사에서 소수의 치아가 Bravo, Charlie로 나타났으나 기초 검사와 6개월후 검시 사이에 통계적으로 유의한 차이는 보이지 않았다. 4. 모든 검사항목에서 단일 충전군과 분할 충전군을 비교한 결과 통계적으로 유의한 차이는 보이지 않았다. 따라서 고밀도 구치부 복합레진(Surefil, Caulk, U.S.A)은 색상 재현의 어려움을 제외하고는 여러 평가에서 우수하게 나타났으므로 본 연구 결과를 기준으로 보면 이전 복합레진의 단점이 보완되어 구치부 2급 와동에 적절하게 사용될 수 있다고 사료되며 단일 충전군과 분할 충전군 사이에 통계적으로 유의한 차이를 보이지 않으므로 시술 시간을 좀 더 단축시킬 수 있을 것으로 사료된다.

• Journal of dental hygiene science
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• v.2 no.2
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• pp.53-62
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• 2002

The purpose of this study is to investigate the retention and caries prevention practical effectiveness of fissure sealant and regular checkup with cost-benefit analysis. The data of this study is based on "2000 The Survey of Korean Oral Health" by Ministry of Health & Welfare. This study is to investigate cost-benefit analysis on proper treatment for the decayed, in case of operating fissure sealant on molars at 1 year after eruption of permanent teeth. The obtained results were as follows: (1) Cost-benefit analysis on fissure sealant in 6-75 year old 43,736 thousand Korean people reveals that cost of fissure sealant is 1,610,994 million won and benefit is 69,460,691 million won. (2) Benefit of fissure sealant is 39.51 times as much as cost of fissure sealant. (3) Cost of twice in a year regular checkup is 2,678,544 million won. Indirect cost of regular checkup is 2.6 times as much as direct cost. (4) Cost of fissure sealant and twice in a year regular checkup is 4,289,538 million won, and benefit is 69,460,691 million won. Benefit of fissure sealant and twice in a year regular checkup is 16.2 times as much as cost.

• The korean journal of orthodontics
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• v.25 no.5 s.52
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• pp.641-654
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• 1995

The purpose of this report is to present the cause and treatment of posterior open bite. Posterior open bite is the open bite limited to posterior teeth. These problem usually are attributed to a mechanical interference with the eruption process, either ankylosis or some soft tissue interference. But, in some patient, lateral open bite is due to a disturbance of the eruptive mechanism itself and other disease or side effect following other treatment. Distinguising cause of posterior open bite, lack of eruption due to some external interference with eruption or primary failure of eruption mechanism, is important clinically because this determines the prognosis for orthodontic treatments. The characteristics, differential diagnosis with posterior open bite due to other etiologies and the treatment of these problems are presented and discussed,.

• The Journal of Korean Academy of Prosthodontics
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• v.61 no.4
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• pp.284-292
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• 2023

Stable posterior occlusal support is crucial for adequate masticatory function and facial aesthetics. In elderly patients over the age of 65, masticatory ability has a significant impact on nutritional intake and overall health. This case report presents a prosthetic treatment of an elderly patient with edentulous maxilla and bilateral posterior edentulous mandible. The upper jaw was restored with a complete denture to establish an ideal occlusal plane, and the three-dimensional positions of the mandibular implants were determined accordingly. The implants were placed through computer-guided implant surgery and were immediately loaded with fixed provisional restorations. The implant-fixed zirconia final restorations were inserted in the lower posterior region, and the occlusal surface of posterior artificial teeth in the upper denture was substituted with cobalt-chrome alloy to resist occlusal wear. The patient's posterior occlusal support and masticatory function were promptly restored through this treatment process, and long-term stability against wear was also obtained.

• The Journal of Korean Academy of Prosthodontics
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• v.58 no.1
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• pp.50-57
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• 2020

The loss of posterior support and the abnormal jaw relation can cause pathologic findings. If deep bite patients with multiple missing teeth, can not have the stable posterior contact, the mandible moves posteriorly, and consequently the overjet and overbite get worse. And when the mandibular irregular occlusal plane is corrected, it is easier to have the bilateral balanced occlusion with the maxilla. So the treatment goal is to give proper posetrior support and establish appropriate anterior guidance, and ultimately provide improved mastication and esthetics recovery. In this case, a 68 year old man, having deep bite without posterior support was evaluated by the vertical dimesion decision flow-chart. An available prosthetic height, anterior occlusal relation such as overjet, overbite and the esthetic part such as facial height and the cephalometric analysis are the factors to be considered.

• Journal of Dental Rehabilitation and Applied Science
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• v.38 no.1
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• pp.60-68
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• 2022

A patient with severe periodontitis has causative factors that cause pathological tooth movement, the occlusion is disintegrated, and the vicious cycle of worsening periodontitis is repeated. In particular, when pathological tooth movement occurs in the maxillary anterior region, the patient has an aesthetic sense of atrophy, and the quality of life was reduced. Therefore, when orthodontic treatment was added to patients with severe periodontitis, it promotes the formation of new bone, reduces periodontal cysts, and obtains clinical attachment, which leads to favorable results in prosthetic restoration, thereby enabling ideal occlusion, function and aesthetics. Periodontal treatment, orthodontic treatment, natural tooth restoration, and implant prosthesis were planned for patients with pathological tooth movement in the anterior region due to loss of occlusal support in the posterior region. As a result, an ideal restoration space was secured, a stable restoration of occlusal contact was formed, and the maxillary anterior teeth were aesthetically improved.

• Journal of Dental Rehabilitation and Applied Science
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• v.30 no.3
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• pp.253-258
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• 2014

This case report shows an early loading at the maxillary posterior area with the wide diameter implant which has a deepened threads after removal of failed implant. Implant Stability Quotient (ISQ) value has represented favorable result for one year. This clinical report describes the potential of early loading on a maxillary posterior single implant with deepened threads.

• The Journal of the Korean dental association
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• v.34 no.12 s.331
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• pp.861-865
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• 1996

복합레진의 성질과 삽입기술에 대한 많은 개선들이 1970년대부터 이루어져 왔으며 많은 실험적 연구와 임상적 연구를 통해 제 1급 및 제 2급 와동에 적용가능한 다양한 복합레진이 개발되었다. 1980년대 초반부터 많은 제품들이 아말감이나 금수복물의 대용물로써 소개되고 있으며, 장기적인 임상연구에서 색깔의 안정성, 적은 미세파절, 감소된 마모도와 재발성 우식증의 감소등 좋은 개선점들이 알려졌으며, 교합접촉을 하지 않거나 거의 하지 않는 구치부 복합레진 수복에서 표면 상실이 거의 나타나지 않음이 관찰되었다. 그러나 많은 힘이 가해질 때 외형을 상실한다는 점이 아직도 가장 큰 문제점으로 남아있다.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.28 no.1
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• pp.27-41
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• 2019

For predictable posterior implants, appropriate soft tissue thickness, called the biologic width, is required around the implant for crestal bone stability. In order to do so, it seems that there are many cases where the implant should be positioned deeper than the depth that we previously thought was appropriate or inevitable limit. I would like to share my clinical experience about the vertical position of the posterior implant with the case reports and the related surgical technique.