• Title/Summary/Keyword: 디지털 치과학

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Fabricating retrofit crowns to an existing removable partial denture by CAD-CAM: a case report (CAD-CAM을 이용한 RPD 지대치의 retrofit crown 제작 증례)

  • Hyuksoon Lee;Seong-A Kim;Joo-Hyuk Bang;Sung Yong Kim;Hee-Won Jang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.140-145
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    • 2024
  • Removable partial denture wearers are exposed to the risks that remaining teeth get damaged by caries, attritions, erosion, and fracture. In the case of damaged abutment tooth which should fit to Removable partial denture (RPD), the fabrication of surveyed crown is followed by the making of RPD. However, making new denture takes a long time, and needs several processes and costs. Also, patients should get used to new denture. If other abutment teeth and edentulous ridges provide the existing denture with support, retention, and stability, use of existing denture is considered clinically acceptable. In this situation, fabricating retrofit crowns to an existing removable partial denture makes patient use existing denture, cuts costs, and reduces discomfort. In this case, severely worn teeth were restored using monolithic zirconia crown which fit to an existing removable partial denture by CAD-CAM. Moreover, support, retention, and stability of the denture were improved, and both doctor and patient were satisfied with the result.

Digital workflow of single visit full contour monolithic zirconia restoration with CEREC Omnicam intraoral scanner and fast zirconia sintering process (구강스캐너와 급속 지르코니아 소결을 이용한 당일 풀지르코니아 보철수복)

  • Lee, Soo Young
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.2
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    • pp.79-87
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    • 2016
  • Single visit monolithic restoration can be proceed with digital workflow which consist of intraoral scanning, dental CAD(computer aided design) and restoration milling with CAM(Computer aided manufacturing). While zirconia has more than 900MPa of flexural strength compared with 400MPa for lithium disilicate, shortened fabricating time of lithium disilicate is considered to be a better choice for fabricating single visit full contour monolithic restoration. However, new zirconia materials which are TZI C(Dentsply Sirona) and LUXEN Enamel(Dental Max), new induction heating method of sintering furnace, and new sintering protocols for MoSi2 heating elements sintering furnace offer significantly reduction of full contour monolithic zirconia restoration fabrication time with greater translucency. These new developments lead single visit zirconia restoration in reality.

A case report of a surgical guide fabricated via intraoral scanning-based implant planning and wax-based rapid prototyping (구강스캐너를 이용한 임플란트 수술 계획 및 왁스 기반 쾌속조형법으로 제작한 수술용 가이드 증례)

  • Shin, Jong-Hoon;Park, Eun-Jin;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.244-249
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    • 2015
  • With the recent progress of digital technology, the computer guided surgery utilizing a guide template in the placement of implant has been actively performed, and the method employing the intraoral scanner at the implant prosthesis introduced. Fabrication method of the guide template can be largely classified into design-related rapid prototyping (RP) system and vector milling system, and each of the method has its own weakness in the clinical application despite of excellent accuracy. Thus, in this case study, a working model was fabricated by the wax RP technology using images acquired by CBCT and an intraoral scanner, and the metal bushing was picked up with orthodontic resin cast upon the wax model. Using this method, a surgical guide template was fabricated and used in surgery. From this, we could obtain a satisfactory outcome clinically in the implant placement and the fabrication of the final prostheses and thus report this case herein.

Reconstruction of anterior guidance using duplication technique of CAD/CAM: a case report (CAD/CAM의 복제 기법을 이용한 전방 유도의 재현 증례)

  • Bae, Ji-Cheol;Kim, Won-Hee;Jeon, Yong-Chan;Jeong, Chang-Mo;Yoon, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.2
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    • pp.121-127
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    • 2014
  • Comprehensive prosthetic treatment requires considerations from various points of view. The anterior guidance is important factor in prosthodontic treatment of anterior teeth. Lingual surface contour of anterior restoration is so critical that a small mistake of laboratory or clinical process can cause discomfort of patient and disharmony of entire dentition. There are no guidelines for lingual surface contour that fit all patients. Therefore the lingual surface of provisional restoration is most accurately described as a customized one. The dentist transfers the exact information of anterior guidance that has made through long term provisional restoration to the technician. This case introduce that the duplication technique of CAD/CAM system to reproduce the anterior guidance of provisional restoration. This method can improve satisfaction of both patient and dentist.

Mechanical properties by resin injection method of orthdontic acrylic resin (교정용 레진장치의 레진주입방법에 따른 기계적 특성)

  • Jo, Jeong-Ki
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.341-346
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    • 2020
  • Polymethyl methacrylate (PMMA), a self-curing resin mainly used in removable orthodontic appliances, is an acrylic resin mainly used in the field of modern dentistry. As an advantage, it has been used for a long time as a material for orthodontic devices in dentistry due to its color and volume, tissue affinity, and stability. The production of PMMA can be divided into self-polymerization method and thermal polymerization method according to activation method. Self-curing resins have long been used as orthodontic devices. The resin injection method is largely divided into a sprinkle-on method and a mixing method. In this study, we intend to test the mechanical properties according to the resin injection method of the orthodontic device, such as strength, modulus of elasticity, and surface roughness. There was no significant difference in strength as a result of three-point bending strength test on rectangular specimens (1.4 × 3.0 × 19.0 mm) of orthodontic PMMA. There was also no significant difference in hardness. There was no significant difference in surface roughness. It was confirmed that the orthodontic PMMA had no significant difference in mechanical properties according to the resin injection method of the orthodontic device.

MARGINAL ADAPTATION OF STAINLESS STEEL IN POSTERIOR PRIMARY TOOTH (유구치 기성 금관의 변연 적합도에 관한 연구)

  • Woo, Jue-Hyung;Jang, Chul-Ho;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.27-35
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    • 2007
  • Stainless steel crowns are invaluable restorative material for the treatment of badly broken down primary teeth in pediatric dentistry. But it is difficult to fit margin because selection of size is not easy and they are not adjusted for Korean children. The purpose of this study was to examine and analyze the marginal adaptation of stainless steel crown of posterior primary tooth. Marginal surface was taken by Fine Pix S602 digital camera and measurements of crown were recorded at 20 points that were randomly selected for marginal gap evaluation by Kappa image base program. 1. Mean marginal gap were large upper 2nd primary molar, lower 1st primary molar, lower 2nd primary molar, upper 1st primary molar in order(p<0.05). 2. Mean marginal surface dimension ratio was more than 20% irrespective of tooth. 3. Largest amount of marginal gap was shown at mesial surface in upper 1st, 2nd primary molar and distolingual surface in lower 1st primary molar, buccal surface in lower 2nd primary molar.

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Comparative analysis on digital models obtained by white light and blue LED optical scanners (백색광과 청색 LED 방식의 광학스캐너로 채득된 디지털 모형의 비교분석)

  • Choi, Seog-Soon;Kim, Jae-Hong;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.17-23
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    • 2014
  • Purpose: The purpose of this study was to analyze and compare the relative accuracy of digitized stone models of lower full arch, using two different scanning system. Methods: Replica stone models(N=20) were produced from lower arch acrylic model. Twenty digital models were made with the white light and blue LED($Medit^{(R)}$, Korea) scanner. Two-dimensional distance between the landmarks were measured on the Delcam $CopyCAD^{(R)}$(Delcam plc, UK). Independent samples t-test was applied for comparison of the groups. All statistical analyses were performed using the SPSS software package(Statistical Package for Social Sciences for Windows, version 12.0). Results: The absolute disagreement between measurements made directly on the two different scanner-based dental digital models was 0.02~0.04mm, and was not statistically significant(P>0.05). Conclusion: The precision of the blue LED optical scanner was comparable with the digitization device, and relative accuracy was similar. However, there still is room for improvement and further standardization of dental CAD technologies.

Esthetic restoration using Digital Smile Design: a case report ('Digital Smile Design'을 이용한 심미수복증례)

  • Kim, Kwanghyun;Lee, Kyuho;Pae, Ahran;Noh, Kwantae;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.144-149
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    • 2015
  • To achieve an esthetic restoration, visualized information considering the facial aspect of patient is required. As for the reasons of esthetic failure, it could be explained by lack of communication and information such as horizontal, vertical and esthetic line. Therefore, it is important to deliver that the visualized information to dental technicians or other dentists for the success of esthetic treatment. This case report presents the process of visualizing esthetic information and designing the restoration using a digital diagnostic tool; Digital Smile Design.

A study on Common Errors in Digital Impressions: (An Example of CEREC$^{(R)}$ AC) (디지털 인상 채득 시 흔히 발생하는 오류에 관한 연구 - CEREC$^{(R)}$ AC의 사례 중심으로 -)

  • Kim, Jae-Hong;Kim, Ji-Hwan;Kim, Hae-Young
    • Journal of Technologic Dentistry
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    • v.33 no.3
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    • pp.211-218
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    • 2011
  • Purpose: The purpose of the study was a quantitative evaluation of common errors in digital impression procedure using CEREC$^{(R)}$ AC system. Methods: Two-hundreds digital impression data comprising 174 inlays, 26 onlays by CEREC$^{(R)}$ AC in-office CAD/CAM system were obtained from a dental clinic. One evaluator assessed errors of the digital impression data and divided into five categories of errors: inappropriate scanner positioning (ISP), improper handling with a scanner (IHS), irregular powder arrangement (IPA), improper cavity preparation (ICP), and insufficient scanned data (ISD). Results: The most common errors were IPA(21%), and ISP and ISD were followed by 17% respectively. IHS was found in 14.5% of all digital impression data. ICP comprising only 6.5% was the rarest. Conclusion: Most errors were due to inaccurate manipulation with an intraoral scanner or improper cavity preparation for scanning. A deliberate manipulation to prevent common errors mentioned may deliver an optimal result in the digital impression procedure.

Occlusion and articulation in digital dentistry: A review (디지털 치의학 시대의 교합)

  • Lee, Jae-Hyun
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.505-512
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    • 2020
  • With the fourth industrial revolution, digitization is accelerating in all healthcare areas. In the field of dentistry, active discussions on digital dental technologies are ongoing, with increasing interest from clinicians daily. Thus far, accuracy and efficiency have primarily been emphasized in digital dentistry, and interest in occlusion has been relatively low. This is because digital dentistry has been predominantly used to restore small numbers of teeth rather than extensive prosthetic reconstruction. However, in the future, most dental treatments will undergo a digital transformation that will require the application of digital technology to more extensive prosthetic rehabilitation, for which discussion of occlusion is essential. In extensive prosthetic reconstruction, occlusion and articulation involve determining the position of the dental arch in relation to the reference plane of the skull or the long axis of the face and the position of the transverse horizontal axis. It also includes determining an occlusal surface with a shape that allows the mandible to move in an eccentric path and masticate most efficiently without any occlusal interference. To better understand how digitization will impact dentistry, this review article summarizes and discusses occlusion and articulation using digital dental technologies. This discussion is divided into several aspects, including facial scan, virtual articulation, augmented reality, and virtual reality.

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