• Title/Summary/Keyword: 심미수복

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Rehabilitation of the Worn Dentition (심하게 마모된 치열의 전악 수복에 대한 임상적 고찰)

  • Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.455-462
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    • 2010
  • Patients often seek rehabilitative treatment for severely worn dentition. The etiology of noncarious tooth wear due to attrition, abrasion, and erosion is multifactorial. To treat the worn dentition, it is important to identify and eliminate and/or control the factors that contribute to excessive wear. Many situations requiring complete mouth rehabilitation present with the challenge of a lack of restorative space. To establish a correct occlusal plane and space for prostheses, it is necessary to increase vertical dimension. This may require an increase in occlusal vertical dimension. Also clinicians should be able to choose the appropriate restorative materials to achieve excellence in natural esthetics as well as proper biomechanics and durability. This article presents a method for altering occlusal vertical dimension to restore dentitions with limited restorative space due to loss of tooth structure.

Oral rehabilitation of a patient with severely worn dentition using monolithic zirconia (단일구조 지르코니아 보철물을 이용한 심한 마모 환자의 전악 수복 증례)

  • Park, Jun-Seo;Ryu, Jae-Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.273-279
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    • 2016
  • Severe tooth wear may lead to pathological changes of pulp, imbalance in occlusion as well as functional and esthetic problems. In this case, 34-year-old male came to the hospital because of generally worn dentition due to attrition and erosion. After evaluation, a full mouth restoration with elevation of the vertical dimension of occlusion was planned. After occlusion was stabilized by an occlusal stabilization appliance, centric relation position was recorded and subsequent provisional restorations were fabricated. After evaluation, a CAD-CAM (computer aided design-computer aided manufacturing) prosthetic restoration was carried out using monolithic zirconia. After 12 months of follow up observation, the patient was satisfied with function and esthetic appearance.

SEMIDIRECT RESIN INLAY RESTORATION OF POSTERIOR TEETH (반직접법 레진 인레이를 이용한 구치부의 수복)

  • Han, Mi-Ran;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.479-485
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    • 1999
  • Materials for posterior teeth includes amalgam, gold inlay and composite resin inlay. Amalgam and gold inlay have unsatisfyine esthetics. And because they simply obturate the cavity preparation, they do not strengthen the remaining tooth structure. Posterior composite resin has become established in recent years. However, its polymerization shrinkage and insufficient wear resistance were the most undesirable characteristic. The physical and mechanical properties of the composite resin inlay are further improved through heat treatment in an oven. The major part of polymerization contraction of the resin inlay takes place be fore cementation, and possible gap formation is only due to shrinkage of the thin layer of resin cement. With the semidirect technique, the inlay material is placed directly in the prepared tooth, and the primary polymerization is made by light activation with a handhold curing unit. Additional curing may take place extraorally with use of different curing ovens. It provides the patient with the benefits of luted restorations without the procedure of indirect lab-made inlay. I report three successfully treated cases by semidirect resin inlay technique. Entire clinical steps are described in detail with some discussions on the outcome.

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Full mouth rehabilitation with vertical increase in patient with severe tooth wear using monolithic zirconia prosthetic restoration (과도한 치아마모를 보이는 환자에서 수직교합고경의 증가를 동반한 단일구조 지르코니아 보철물 전악수복)

  • Bang, Ji Won;Kim, Seong-A;Lim, Sun Yong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.369-377
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    • 2020
  • Gradual teeth wear is normal physiological progress, severe tooth wear can causes dysfunction, occlusal plane disharmony and esthetic problems. If additional space is needed for prosthetic restoration due to severe attrition, full mouth rehabilitation with increase of occlusal vertical dimension may be considered. In this case, 72 year old male patient with severe worn dentition, irregular gingival zenith and deep anterior bite was treated by full mouth rehabilitation for regaining the space for restoration, improving relationship and esthetic of anterior teeth. Provisional restoration obtained by systemic analysis, diagnosis and re-evaluation for a sufficient time was replicated to final restorations through double scanning technique using monolithic zirconia blocks. Satisfactory functional and esthetic outcomes were obtained.