• Title/Summary/Keyword: 내마모

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Clinical remarks about esthetics in the case of full zirconia restoration utilizing Zirkonzahn Prettau® block (지르코잔 프레타우 블럭을 이용한 Full Zirconia 수복 시 심미에 관한 임상적 소견)

  • Park, Jong-Chan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.22 no.1
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    • pp.30-46
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    • 2013
  • Porcelain fused to metal crown has been used mostly over the last 50 years for restorations in dentistry. However, the patients' awareness of aesthetic aspect, biocompatibility and the problems such as an allergy to metals led to the growing interest in the 'metal free restoration'. In particular, the price of the precious metals that have been mainly used to date has risen drastically, which made them impossible to play their role as oral restorative materials anymore, and in addition, the PFM restoration has intrinsic problems of chipping and fracture. Therefore, the CAD/CAM has been drawing more attention than ever due to the popular needs for the material that is more aesthetic and stronger for restoration of the molar implant. Considerations in carrying out the full zirconia restoration are as follows: 1) strength, 2) combination work, 3) light penetrability, 4) treatment of cracks, 5) the color reproducibility of the block, 6) the abrasivity of antagonistic tooth, 7) low temperature degradation. In this presentation, the color reproducibility of the block will be discussed. One of the biggest reasons for avoiding the full zirconia restoration is that it is difficult to reproduce the natural color compared to the conventional PFM restoration. Thus, many clinicians show reluctance due to the exposure of the ugly block when the coloring on the surface is removed after occlusal adjustment. From the experience of using blocks by Zirkonzahn for more than 4 years, it is considered that these problems can be addressed to some degrees. Accordingly, how to make restorations that are well in harmony with surrounding prosthesis or natural teeth will be discussed.

Esthetically improved complete denture by gingival shade alteration: a case report (무치악 환자에서 치은의 색조 개선을 통해 심미성을 향상 시킨 총의치 수복 증례)

  • Yim, Soo-Hyun;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.239-245
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    • 2014
  • Complete denture prosthodontics includes replacement of natural teeth and associated maxillary and mandibular structures for full edentulous patients. The final objectives of prosthodontic treatment include esthetic and functional rehabilitation. Because the esthetic demand of senior patients has increased esthetic requirement should not be overlooked in denture treatment. In complete denture treatment, attempts have been made to reproduce tooth wear, arrangement, recession of cervical gingiva, staining, improved gingival shade and so on. This 61 year old female patient came to the Department of Prosthodontics with the chief complaint that dentures made 5 years ago in a local clinic were broken and did not fit well. The patient put more emphasis on fabrication of natural and esthetic dentures than recovery of masticatory function. Remake of maxillary complete denture and mandibular implant retained overdenture was planned. In order to create esthetic and natural contour, Aesthetic Color Set Easy system$^{(R)}$ (Candulor dental GmbH, Wangen, Germany) was used to make complete dentures reproducing various gingival shades. Patient's esthetic satisfaction was high. When complete denture prosthodontics treatment involves appropriate expression of individual characteristics in addition to proper selection of esthetic materials, treatment will give satisfaction to both dentist and patient.

A STUDY ON CHANGE OF COMPRESSIVE STRENGTH AND FLEXURAL STRENGTH OF DENTAL COMPOSITE RESIN AFTER WATER STORAGE (치과용 콤포짓트 레진의 수분 흡수에 따른 압축강도와 굴곡강도의 변화에 관한 연구)

  • Jeong, Nae-Jeong;Kim, Jung-Wook;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.146-153
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    • 2001
  • The difference of composition of composite resin may affect the mechanical properties of composite resin and the environment is important for the properties of materials. The composite resin restoration is always exposed to fluid in oral cavity and the composite resin matrix is able to absorb water, which is accompanied by some swelling of the composite The uptake of water by composites has been correlated with decreases in surface hardness and wear resistance. The purpose of this study was to investigate the effects of water storage in $37^{\circ}C$ distilled water after 7days, 30days, 60days, 120days on compressive strength and flexural strength of dental composite resin, Z-100(group 1) Spectrum(group 2), Clearfil AP-X(group 3), Pyramid(group 4), Heliomolar(group 5). The compressive and flexural strength were measured by instron machine. The following results were obtained: 1. There were significant reduction of compressive strength as water storage time increased, 7days, 30days, 60 days, 120days(p<0.05). 2. There were significant reduction of flexural strength as water storage time increased, 7days, 30days, 60days, 120days(p<0.05). 3. Group 1, 2, 3 -hybrid type showed higher compressive and flexural strength than group 5-microfine type which had lower filler contents.

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PERIODONTAL DISEASE CAUSED BY TRAUMA FROM OCCLUSION IN A CHILD (외상성 교합으로 인한 어린이의 치주질환)

  • Choi, Byung-Jai;Ko, Dong-Hyun;Kim, Seong-Oh;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.448-452
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    • 2004
  • Trauma from occlusion(TFO) is injury to the periodontal tissue as a result of occlusal forces. Mobility is a common clinical sign of occlusal trauma. In acute occlusal trauma, this may be accomanied by pain, tenderness to percussion, thermal sensitivity, and pathologic tooth migration. Chronic occlusal trauma may be marked by excessive wear and gingival recession. Radiographic finding include a widened periodontal ligament space, radiolucence and condensation of the alveolar bone and root resorption. TFO is related to the pathogenesis of periodontal disease. It can cause increased tooth mobility TFO itself does not initate or aggravate marginal gingivitis or initiate periodontal pockets. Active trauma can accelerate bone loss, pocket formation and gingival recession depending on the presence of local irritants and inflammation. Gingival recession associated with occlusal forces includes traumatic crescent, McCall's festoon and Stillman's cleft. TFO plays a minor role in the pathogenesis of early to moderate periodontitis. A 5-year-old male visited Yonsei University Pedodontics clinic with a chief complaint about gingival recession. Mobility, excessive wear, gingival recession were detected by clinical exam on the both mandibular deciduous ca nine. On the radiographic view, vertical alveolar bone loss was observed on both mandibular deciduous canine.

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5 YEARS EVALUATION OF COMPOSITE RESIN RESTORATION ON PERMANENT FIRST MOLAR IN CHILDREN (어린이 제 1 대구치 복합 레진 수복물의 5년 후 임상평가)

  • Kim, In-Young;Kim, Jae-Moon;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.110-117
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    • 2008
  • Clinical performance of resin-based composite material depends on case selection and on the proficiency of the operator. Especially, composite resin restoration on permanent first molar in children have more limitations clinically than adult patients according to stage of tooth eruption and patient's compliance. This study was designed to evaluate the clinical performance of posterior composite resin restoration in children after 5 years. 35 teeth of 16 patients who were received composite resin restoration on permanent first molar in Department of Pediatric dentistry, Pusan National University Hospital between January 2001 and December 2001 were evaluated based on Modified USPHS criteria. From the finding in this study, following conclusions can be made. 1. 6 teeth(17%) of 35 teeth was replaced, so 5-years survival rate of posterior composite resin restoration is 82.9%. 2. As results of each evaluation criteria, on color match, anatomic form, surface roughness, sensitivity/ discomfort, ideal A grade score was 86.2%, 93.1%, 86.2%, 86.2%, clinically accepted B grade score was 13.8%, 0%, 13.8%, 10.3%. On marginal adaptation and marginal discoloration, A grade score was 13.8%, 44.8% and B grade score was 79.3%, 34.5% and secondary caries rate was 20.7%. 3. 69.1% of teeth (20 teeth) was clinically accepted on all evaluation criteria.

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Analysis of cause of engine failure during power generation using biogas in sewage treatment plant (하수처리장 바이오가스를 이용한 발전시 가스엔진의 고장원인 분석)

  • Kim, Gill Jung;Kim, Lae Hyun
    • Journal of Energy Engineering
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    • v.25 no.4
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    • pp.13-29
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    • 2016
  • In this study, we analyzed the causes of major faults in the biogas plant through the case of gas engine failure when cogenerating electricity and heat using biogas as a fuel in the actual sewage treatment plant and suggested countermeasures. Hydrogen sulfide in the biogas entering the biogas engine and water caused by intermittent malfunction of the water removal system caused intercooler corrosion in the biogas engine. In addition, the siloxane in the biogas forms a silicate compound with silicon dioxide, which causes scratches and wear of the piston surface and the inner wall of the cylinder liner. The substances attached to the combustion chamber and the exhaust system were analyzed to be combined with hydrogen sulfide and other impurities. It is believed that hydrogen sulfide was supplied to the desulfurization plant for a long period of time because of the high content of hydrogen sulfide (more than 50ppm) in the biogas and the hydrogen sulfide was introduced into the engine due to the decrease of the removal efficiency due to the breakthrough point of the activated carbon in the desulfurization plant. In addition, the hydrogen sulfide degrades the function of the activated carbon for siloxane removal of the adsorption column, which is considered to be caused by the introduction of unremoved siloxane waste into the engine, resulting in various types of engine failure. Therefore, hydrogen sulfide, siloxane, and water can be regarded as the main causes of the failure of the biogas engine. Among them, hydrogen sulfide reacts with other materials causing failure and can be regarded as a substance having a great influence on the pretreatment process. As a result, optimization of $H_2S$ removal method seems to be an essential measure for stable operation of the biogas engine.

Dental application of glass-ceramic materials for aesthetic restoration (심미수복을 위한 글라스-세라믹 재료의 치과 응용)

  • Bae, Tae Sung
    • The Journal of the Korean dental association
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    • v.58 no.7
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    • pp.435-442
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    • 2020
  • Porcelain is the first ceramic material to be introduced into dentistry. Porcelain jacket crown was introduced by Dr. Charles H Land in 1886, which was an excellent aesthetic dental restoration but has not been widely used due to high firing shrinkage and low tensile strength. Then metal-ceramic system, which combines the esthetic properties of ceramics and the mechanical properties of metals, was introduced and nowadays it is still used in dental clinical field. However, the metal-ceramic system has shown some problems, such as increased lightness by reflection of light at opaque layer, shadow beneath the gingival line due to the block-out of light by metal coping, exposure of metal in margin part, bond failure between metal and porcelain, oxidation of metal coping during firing the porcelain, etc. Recently, along with the advance of fabrication methods of dental ceramics, the all-ceramic restorations with high esthetic and mechanical properties has increased and gradually replaced metal-ceramic restorations. Especially, CAD/CAM technology has opened a new era in fabricating the dental ceramic restorations. This overview will take a look at the past, present and future possibility of the dental ceramic materials.

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HYDROLYTIC DEGRADATION OF DENIAL COMPOSITE RESINS (수종 치과용 복합레진의 가수분해)

  • Yang, Kyu-Ho;Kim, Jung-Ran
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.370-378
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    • 2000
  • The composite restorative resins have their insufficient resistance to wear. The subsurface degradation within the restoration is considered to be associated with wear. The aim of this study was to evaluate the resistance to degradation of six commercial composite resins in an alkaline solution. The brands studied were Clearfil APX(Kuraray), Heliomolar(Vivadent), Surefil(Dentsply), TPH(Dentsply), Tetric Ceram(Vivadent), and Z100(3M). Preweighed discs of each brand were exposed 0.1N NaOH solution at $60^{\circ}C$. After 14 days they were removed, neutralized with HCL, washed with water and dried to constant mass at $60^{\circ}C$. Resistance to degradation was evaluated on the basis of the following parameters: (a) mass loss(%) - determined from pre-and post-exposure specimen weights; (b) Si loss (ppm)-obtained from ICP-AE analysis of solution exposed to specimens; and (c) degradation depth$({\mu}m)$ - measured microscopically (SEM) from polished circular sections of exposed specimens. The results were as follows: 1. The mass loss was in descending order by Z100, TC H, S, CL, TPH and in the range of $0.45\sim3.64%$ 2. The degradation layer depth was in descending order by H, Z100, S, TC, TPH, CL and in the range of $10.85\sim73.38{\mu}m$ 3. For the Si concentration, Z100 was the highest of all 4. The highly significant correlation(r=0.81, p<0.05) was observed between mass loss and degradation depth. 5. Under scanning electronmicroscopy, the degradation of connection between resin matrix and fillers was observed 2 weeks after soaking in NaOH solution.

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TRANSITIONAL TREATMENT OF AMLEOGENESIS IMPERFECTA IN MIXED DENTITION: A CASE REPORT (혼합치열기에 있는 법랑질형성부전증 환아의 이행적 치료)

  • Hwang, Ji-Young;Choi, Yeong-Chul;Kim, Kwang-Chul;Park, Jae-Hong;Choi, Sung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.601-606
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    • 2009
  • Amelogenesis Imperfecta (AI) is a genetic disorder which retards the development of enamel and it can be classified into three types: hypoplastic, hypomaturation, hypocalcified type. This can occur both in deciduous and permanent dentition. A 8 year 8 month old patient with a chief complaints of delayed eruption on upper anteriors, calculus deposit on lower anteriors and anterior openbite visited the clinic. Anteriors had thin layer of enamel and were very narrow. Especially lower anteriors had rough surface and were in bad shape. Teeth were very hypersensitive to thermal changes. Upper and lower first molars showed severe attrition on the occlusal surface. Radiographs also verified hypoplastic enamel in the whole dentition including the teeth in the tooth bud. The patient was diagnosed as hypoplastic AI, and is being treated at the pediathc and prosthodontic department of the Kyunghee dental university hospital. To improve the function, esthetics, hypersensitivity of the AI patients, restorations on the posteriors and the anteriors with oral hygiene instruction are necessary, Constant follow-up check is needed until full growth and after full growth, cooperative care with the other department is needed.

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Engineering Properties of Semi-rigid Pavement Material Produced with Sulfur Polymer Emulsion and Reinforcing Fibers (Sulfur Polymer Emulsion 및 보강용 섬유를 활용한 반강성 포장재의 공학적 특성)

  • Lee, Byung-Jae;Seo, Ji-Seok;Noh, Jae-Ho;Kim, Yun-Yong
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.18 no.1
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    • pp.119-127
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    • 2014
  • The application of sulfur polymer emulsion (SPE) as an acrylate substitute for semi-rigid pavement grout was evaluated, and the performance improvement by employing PVA fibers were also evaluated. The result indicated that the filling ratio of semi-rigid pavement material decreased as the fiber content increased, but it was measured to be 92~94% in every mixing condition, which satisfies the target performance, 90%. The maximum Marshall stability value of semi-rigid pavement material was measured to be 25.4 kN, which is about 4.7 times higher than the Korean Standard required for semi-rigid pavement material, 5.0 kN. The dynamic stability evaluation of semi-rigid pavement material indicated that the resistance to deformation from the wheel tracking test was improved by an SPE substitution, and in every mixing condition, the deformation converged to a constant value after 45 minutes with the same dynamic stability of 31,500 times/mm. The strain at the flexural failure was about 0.53%, which shows superior rigidity to asphalt pavements. The examination of abrasion resistance and impact resistance showed that the loss ratio was 9.8~6.0% in every mixing condition, which indicates a good abrasion resistance. Also, when fiber content ratio was 0.3%, the impact resistance was 2.82 times higher compared to plain (i.e., when fibers were not added). In the limited range of this study, an SPE substitution ratio of 30% was found to be an optimal level considering the mechanical and durability performance. In addition, it is thought that semi-rigid pavement material with superior performance could be manufactured if fiber content ratio up to 0.3% is applied depending on the purpose of use.