• Title/Summary/Keyword: 내마모

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Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear (치아 상실과 심한 마모를 보이는 골다공증 환자에서의 완전구강 회복 증례)

  • Kim, Hyun-Tack;Kim, Myung-Joo;Lim, Young-Jun;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.63-70
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    • 2022
  • Teeth wear with loss of posterior support often leads to symptoms such as irregular occlusal plane and excessive wear of anterior teeth. In such environment, establishing proper posterior support and harmonious anterior guidance and occlusal plane is recommended. In this case, the patient had excessively worn dentition with loss of posterior support, while denying surgical treatment due to her(his) history of osteoporosis, ibandronate injection, and risk of medication-related osteonecrosis of the jaw (MRONJ). To recover the vertical space needed for prosthetic restoration, full mouth rehabilitation with vertical dimension increase of remaining teeth was decided. Missing teeth in the posterior area were restored with mandibular removable partial denture. The treatment plan was determined through careful diagnosis, and every step of procedures including tooth preparation, provisional phase with the increased vertical dimension, and definitive prosthetic phase were carried out accordingly. Once the treatment was completed, the patient was satisfied functionally and esthetically. Periodic examination of oral hygiene, occlusal stability was conducted.

Rehabilitation with minimal increase in occlusal vertical dimension in a patient with excessive tooth wear and edge-to-edge bite (과도한 치아 마모와 절단교합을 보이는 환자에서 최소한의 수직 고경 증가를 통한 구강회복 증례)

  • Hee-Young Kim;Seong-A Kim;Yong-Sang Lee;Keun-Woo Lee;Joo-Hyuk Bang
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.143-152
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    • 2023
  • Although tooth wear is a normal process due to aging, severe tooth wear causes various complications such as increased tooth sensitivity, loss of tooth structure, and pulp complications. In the treatment of patients with excessive tooth wear, the evaluation of loss of vertical occlusal dimension should be prioritized. If it is necessary to increase the vertical dimension to secure the restoration space, it is important to establish a treatment plan with the comprehensive analysis and determine the minimum vertical dimension elevation. In this case, 66-year-old male patient with severe worn dentition wanted to restore masticatory function and improve esthetic restoration. In order to determine the appropriate vertical dimension of the patient, we evaluated oral examination, radiographic examination, and diagnostic cast examination, and performed rehabilitation with minimum vertical dimension elevation. As a result of observation for 8 months, the definitive prosthesis was completed with contact of all teeth in centric occlusion, and proper anterior/posterior guidance. Through the above process, satisfactory aesthetic and functional outcomes were obtained.

Tribological Characteristics and Synthesis of DLC Thin Film by using a RE PCVD (RF PCVD 에 의한 DLC 박막합성과 Tribology특성평가)

  • Kim, Seong-Yeong;Lee, Sang-Hyeon;Sin, Seung-Yong;Go, Myeong-Wan
    • Korean Journal of Materials Research
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    • v.7 no.12
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    • pp.1070-1076
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    • 1997
  • DLC(diamond-like carbon)박막을 RF PCVD법으로 증착하여 일반적인 증착특성과 마찰.마모특성사이의 관계를 알아보기 위해, 증착속도, 박막경도, 내무압축응력 및 박막내의 수소량 측정을 통해 일반적인 증착특성을 조사하였다. 그리고 증착된 박막의 C-H 결합구조와 물질특성 분성을 위해 각각 FTIR 및 Raman분광분석을 행하였다. 박막의 마찰계수와 내마모특성은 Pin-on-disk형 마찰시험기를 이용하여 상기의 증착조건과의 상관관계를 조사하였다. DC self-bais, 즉 충돌에너지가 커지면 박막의 증착속도와 경도는 대체로 증가하고, 박막내의 압축응력은 최대값을 가지다가 다시 감소됨을 알 수 있언ㅆ다. 또한 박막내의 수소량은 급격히 감소하다가 포화됨을 알 수 있었다. 얻어진 박막의 마찰계수는 최소 0.08로 분위기가 dry일 때 더 작으며 내마모성은 이온의 충돌에너지와 밀접한 관계를 가지며 모재인 Si-wafer보다 훨씬 큼을 알수 있었다.

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ABRASION AND CHEMICAL DEGRADATION OF LIGHT-CURED COMPOSITE RESIN FOR UPDATED RESIN DEVELOPMENT (차세대 레진개발을 위한 광중합형 복합레진의 마모와 화학적 분해)

  • Yang, Kyu-Ho;Choi, Nam-Ki;Yook, Geun-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.685-695
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    • 2004
  • The aim of this study was to evaluate the resistance to degradation and to compare the wear resistance characteristics of four composite resins in an alkaline solution. The resistance to degradation was evaluated on the basis of mass loss(%), degradation depth(${\mu}m$), Si loss(ppm) and wear depth. The brands studied were Heliomolar flow, Filtek supreme, Point4, Tetric flow. The results were as follows: 1. The sequence of the mass loss was in descending order by Heliomolar flow, Filtek supreme, Point4, Tetric flow. There was significant differences among the materials except Heliomolar flow and Filtek supreme. 2. The sequence of the degree of degradation layer depth was in descending order by Filtek supreme, Heliomolar flow, Tetric flow, Point4. There were significant differences among the materials except Heliomolar flow and Tetric flow. 3. The sequence of Si loss was in descending order by Filtek supreme, Heliomolar flow, Point4, Tetric flow. There were significant differences among the materials except Point 4 and Tetric flow. 4. The sequence of maximum wear depth was in descending order by Heliomolar flow, Point4, Fillet supreme, Tetric flow and there was increasing wear depth on soaking in 0.1N NaOH solution. 5. When observed with SEM, destruction of bonding between matrix and filler was observed and when observed with CLSM, the depth of degradation layer of specimen surface was observed. There results indicate that wear and hydrolytic degradation could be considered to be evaluation factors of composite resins.

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Al-Mg 합금 박막의 미세구조에 따른 기계적 특성

  • Seon, Geon-Ju;Na, Se-Na;Akash, Katoch;Kim, Sang-Seop
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.187.1-187.1
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    • 2014
  • 아연 가격의 상승과 경량합금개발의 중요성이 부각됨에 따라 아연을 대체할 새로운 강판용 내식소재의 개발이 중요하다. Al-Mg 합금 박막은 낮은 밀도를 가지면서 질량 대비 높은 강도, 좋은 내식성을 지녀 아연도금강판을 대체할 코팅소재로 그 가능성이 연구되고 있다. 이러한 Al-Mg 합금 박막의 실용화를 위해 국내외의 관련 연구그룹에서 연구를 진행하고 있으며, 그 결과 Al-Mg 합금 박막의 내식성 및 기계적 특성은 박막의 조성 및 미세구조와 상당한 관련성이 있음이 알려지고 있다. 본 연구에서는 sputtering법으로 냉연 강판에 Al-Mg 합금을 조성 및 열처리 여부 등을 조절하여 증착시킨 후 각 조건에 따른 박막의 미세구조와 기계적 특징을 조사하였다. 각 조건별 내마모도와 경도, 마찰계수, 밀착력을 분석하여 기계적 특성과 미세구조와의 상관관계를 도출하고자 하였다.

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증착조건 변화에 따른 화학증착 알루미나 휘스커의 성장 및 특성변화

  • Kim, Jun-Gyu;Kim, Hyo-Jun;Choe, Du-Jin
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.08a
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    • pp.66-66
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    • 2010
  • 알루미나는 높은 온도에서 열적으로 안정되고 경도가 높으며 내화학, 내마모 특성이 우수하며 또한 강도대비 비중이 낮아 무게를 줄일 수 있다는 장점을 가지고 있다. 이러한 특성으로 인하여 우주항공, 국방, 원자력등 극한의 온도를 견뎌야 하는 고도의 신뢰성이 요구되는 고온구 조물로서 응용이 되고 있다. 특히 알루미나를 휘스커 형태로 만들어 세라믹 복합체에 결합 할 경우 복합체의 기지 내에서 강화재의 역할을 함으로써 취성 파괴를 억제하고 열 전도율 저하등의 이점을 가져올 수 있다. 그리하여 본 연구에서는 알루미나 휘스커를 성장을 위하여 Al-triisoproxide계를 이용하여 화학기상증착법으로 가장 안정된 열적 특성을 가지고 온도의 변화에 따라 상 변화가 일어 나지 않는 알파 알루미나 상을 가지는 알루미나 휘스커를 성장시키기 위한 연구를 하였다. 또한 증착 온도, 압력, 입력기체비등 증착 조건을 변화시켜가면서 알파 알루미나 휘스커의 성장 거동을 살펴 보았다. 증착 조건 변화에 따라 알파 알루미나는 막이 증착되는 부분과 휘스커가 성장되는 부분이 있으며 휘스커의 밀집도와 길이방향, 직경방향 성장등 여러 가지 성장 특성을 달리하였다. 이러한 결과를 바탕으로 증착조건에 따른 알파 알루미나 휘스커 성장영역을 도식화하였다.

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Humidity Dependence of Tribological Behavior of DLC Films (DLC 필름의 마찰마모 특성의 습도 의존성에 대한 연구)

  • Park, Se-Jun;Lee, Kwang-Ryeol;Lee, Seung-Cheol;Ko, Dae-Hong
    • Journal of the Korean Vacuum Society
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    • v.15 no.3
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    • pp.287-293
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    • 2006
  • Diamond-like carbon (DLC) film was deposited using benzene $(C_6H_6)$ by r. f-plasma assisted chemical vapor deposition. The tribological properties of the DLC film were tested by rotating ball-on-disc type tribometer isolated by a chamber. The tribological test was performed in air environment of relative humidity ranging from 0 to 90% in order to observe the tribological behavior of the DLC film with the change of humidity. We used steel ball and DLC coated steel ball to investigate the effect of the counterface material. Using steel ball, the friction coefficient of DLC film increased from 0.025 to 0.2 as the humidity increased from 0% to 90%. In case of DLC coated steel ball which didn't form the Fe-rich debris, the friction coefficient showed much lower dependence of humidity as 0.08 in relative humidity 90%. We confirmed that the high humidity dependence of the friction coefficient using steel ball resulted from the increase of debris size with humidity and the formation of Fe-rich debris by the wear of steel ball. And the friction coefficient was immediately dropped when the relative humidity changed from 90% to 0% during test using steel ball. From this result, we confirmed that the effect of the Fe-rich debris on the friction coefficient was that Fe element in debris formed the highly sensitive graphitic transfer layer to humidity.

Full mouth rehabilitation of the patient with severely worn dentition using monolithic zirconia prosthesis: A clinical report (치아 마모 환자에서 단일 구조 지르코니아를 이용한 완전 구강 회복 증례)

  • Kim, Tae-Yeon;Han, Jung-Suk;Kim, Sung-Hun;Yeo, In-Sung;Lee, Jai-Bong
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.140-145
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    • 2016
  • Excessive occlusal wear causes loss of tooth structure, occlusal plane disharmony, impaired function and esthetic problems. Although the decrease of occlusal vertical dimension may be compensated by the growth of alveolar bone and tooth eruption, minimal increase of occlusal vertical dimension may be required for esthetics and retention of prosthesis. In this case, a 44-year-old male patient visited Seoul National University Dental Hospital with chief complaint of severe tooth wear and shade disharmony. Based on assessment of diagnostic wax-up, 3 mm increase of occlusal vertical dimension was determined. Removable occlusal splint and interim prosthesis was used to ascertain patient's comfort and adaptation. After the adaptation period, definitive prosthesis fabricated with full-contour monolithic zirconia were delivered and the patient was recommended to wear a nightguard device for prosthesis protection. This report presents a case of full mouth rehabilitation with the elevation of patient's occlusal vertical height, resulting in satisfactory esthetics and functions.

Thermal, Frictional and Wear Behavior of Carbon Nanofiber/Poly(methyl methacrylate) Composites (탄소나노섬유/폴리(메틸 메타크릴레이트) 복합재료의 열적 및 마찰 마모 거동 연구)

  • Park Soo-Jin;Im Se-Hyuk;Lee Jae-Rock;Rhee John-M.
    • Polymer(Korea)
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    • v.30 no.5
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    • pp.385-390
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    • 2006
  • In this work, the effect of carbon nanofiber (CNF) on thermal properties, and friction and wear behavior of CNF/PMMA composites were examined. While thermal properties of the composites were investigated with differential scanning calorimetry, thermograyimetric analyzer, and dynamic mechanical analyzer friction and wear behaviors were examined using a friction and wear tester. The glass transition temperature (Tg), integral procedural decomposition temperature (IPDT), storage modulus (E'), and tan ${\delta}$ appeared at higher temperatures with increasing CNF content, which were probably attributed to the presence of strong interactions between the carbonaceous fillers and the PMMA resins matrix. The wear loss in the composites decreased at 0.1 wt% CNF and then increased with 5-10 wt% CNF content. This was due to the existence of large aspect ratio CNF in PMMA which led to an alignment of PMMA chains and an increase of mechanical interlocking, resulting in the formation of crosslinked structures between CNF and PMMA in the composite.

Full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to worn dentition (전반적인 치아의 마모로 인한 수직고경 감소와 과피개교합을 갖는 환자의 전악 수복 증례)

  • Nam, Ki-Hun;Park, Pil-Kou;Kim, Hee-Kyung;Kang, Jeong-Kyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.1
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    • pp.65-71
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    • 2016
  • Gradual occlusal attrition is a normal process of aging. However, severe attrition causes pathogenic pulp, occlusal disharmony, functional disorder and esthetic problems. Alteration of vertical dimension should be considered for space regaining for tooth restoration, esthetic improvement or correction of occlusal relationship. Vertical dimension should be determined within the range of minimal invasive process satisfying patient's esthetic requirements and operator's functional goal. And patient's adaptation to newly determined vertical dimension should be assessed simultaneously. Deep overbite is not a simple problem of overbite, instead it is an usually complicated problem with anterior-posterior occlusal relationship. Considering these facts, appropriate restoration of edentulous part as well as improvement of anterior-posterior relationship should be performed to solve this fundamental problems. In this study, a 67 year-old male patient with many worn teeth and loss of posterior teeth was treated with removable partial denture at edentulous mandibular area to increase vertical dimension and fixed prostheses at dentulous maxillary and mandibular area. With these treatments, we attained a satisfactory result in functional and esthetic aspects as a report case.