• Title/Summary/Keyword: 심미적 마운팅

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Cross mounting technique for successful final restoration (성공적인 최종 보철물 제작을 위한 크로스 마운팅 테크닉)

  • Lim, Jinyoul
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.44-52
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    • 2021
  • In this article, I would like to introduce the concept, detailed method, and clinical tips of cross mounting technique, which is one of the methods to accurately transmit provisional restoration information to the final restoration.

Reconfiguration of occlusal plane by Esthetic mounting(OP1) : a case report (Esthetic mounting (OP1)을 사용하여 교합면 재구성을 시행한 증례)

  • Cho, Sang-Ho
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.1
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    • pp.4-15
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    • 2014
  • A face-bow and an articulator have been used as crucial devices in a prosthodontic reconstruction of a collapsed occlusal plane. In order to avoid inaccuracy of median line in maxilla and the canted occlusal plane both of which may result from using a facebow with ear rods, a facebow that locate a patient's facial median line as reference line has been under development. A mounting technique that tries to bring a center of patient's face into line with the center of the articulator, called esthetic mounting, is currently employed to overcome the imprecision resulted from mounting with ear-bow transfer. We would like to study a case that used OP finder 1, one of the esthetic mounting techniques.

Full-mouth rehabilitation of a patient with severe wear using digital facebow transfer and virtual articulator (디지털 안궁이전과 가상교합기를 이용한 광범위한 치아 마모 환자의 완전구강회복 증례)

  • Jinmook Chung;Younghoo Lee;Seoung-Jin Hong;Janghyun Paek;Kwantae Noh;Hyeong-Seob Kim;Kung-Rock Kwon;Ahran Pae
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.275-283
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    • 2023
  • The progressive wear of teeth is a physiologic process of aging, but excessive wear can lead to occlusal disharmony, tooth sensitivity and pulp exposure, decreased masticatory efficiency, and aesthetic problems. It should be treated by evaluating the cause of tooth wear and establishing a stable centric relation with appropriate vertical dimension of occlusion and occlusal plane. The present case report successfully rehabilitated a full-mouth case of a severely worn dentition with the use of digital facebow transfer and virtual articulator.

Esthetic improvement in patient with deep bite using porcelain laminate veneers and a full veneer crown (과개교합 환자에서 도재 라미네이트 비니어와 전부도재관을 이용한 심미수복 증례)

  • Yoon, Jong-Sang;Shin, Soo-Yeon;Lee, Jonghyuk
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.192-198
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    • 2014
  • This case is a porcelain laminate veneer (PLV) and all-ceramic crown treatment case on a female patient in her thirties who visited for esthetic improvement. The patient's chief complaint was protrusive and uneven anterior teeth, and she wanted minimum tooth reduction. The patient was in skeletal class II deep bite. Considering this, check bite method was used for mounting on articulator during diagnostic wax-up. Tooth reduction was done using mock-up base on diagnostic wax-up, and the amount of deletion was checked by index. For the accordance of shade, PLVs were restored in prior to all ceramic crown. After using all-ceramic crown, satisfactory esthetic improvement was obtained.

Application of ARCUS digma I, II systems for full mouth reconstruction: a case report (ARCUS digma I, II system을 활용한 전악수복 증례)

  • Park, Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.345-350
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    • 2016
  • Transferring condylar and anterior guidance on an articulator is essential to the diagnosis of a patient for full mouth reconstruction. In this clinical report, ARCUS digma I system was used to measure inherent condylar guidance of a patient requiring full mouth reconstruction in preoperate treatment, and the patients was given provisional restoration based on a functional anterior guidance. Then, ARCUS digma II system was used to mount the final casting model on an articulator, and the definitive prosthesis was placed in the patient. An esthetic and functionally proper clinical result regarding inherent condylar path of the patient was observed, and results from comparison of the two systems are given in this case.

Reestablishing the occlusal plane in full mouth rehabilitation patient, using Shilla system (전악수복환자에서 Shilla system을 이용한 교합평면 재구성 증례)

  • Yang, Min-Soo;Vang, Mong-Sook;Park, Sang-Won;Lim, Hyun-Phil;Yun, Kwi-Dug;Yang, Hong-So
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.1
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    • pp.33-38
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    • 2013
  • Occlusal plane is a sagittal expression of dental arch form, and it composes the shape of occlusion, which is one of the most important elements of Maxillo-oral system. In this case, vertical, horizontal coordinates of bionic-median-sagittal plane was produced in articulator, and to achieve relation of left and right position of upper, lower teeth and deficits in alveola, Shilla system was used to reconstruct occlusal plane. In this case, a 41 year-old male patient visited for fracture of 10 unit metal-ceramic fixed partial denture of upper anterior teeth and for overall treatment. Clinical, radiographical, model examination was held, full mouth rehabilitation was achieved by placing dental implant. Maxillo-oral relation was recorded using Gothic arch Tracer complex and were mounted. And for the next step, we estimated original occlusal plane using Shilla system. After analysis we produced diagnosis wax pattern. On the basis of this, radiography stent was manufactured and dental implant was placed, and temporary prosthesis was made by using diagnosis wax pattern. Cross mounting and anterior guiding table were performed in order to reproduce temporary restoration morphology and bite pattern, followed by final restoration made of all ceramic crown with zirconia coping. As stated above, appropriately esthetic and functional results can be seen in using Shilla system in diagnosis and treatment procedure of full mouth rehabilitation patient.

Rehabilitation of posterior support and vertical dimension in a class 3 malocclusion patient: A case report (III급 부정교합 환자에서 상악 가철성 국소 의치와 하악 임플란트 지지 고정성 보철물을 이용한 구강 회복 증례)

  • Oh, Ji-Hwan;Pyo, Se-Wook;Chang, Jae-Seung;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.175-186
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    • 2022
  • A crossed occlusion resulting from the presence of posterior teeth in one arch but no opposing teeth in the opposite arch results in collapse of the vertical dimension. In this case, the patient has a class III malocclusion with crossed occlusion and anterior crossbite. In order to evaluate the proper vertical dimension, provisional denture was used to stabilize the vertical occlusal dimension for 3 months. After, provisional fixed restoration was used for the stabilizing occlusal relationship and aesthetic improvement for lip support. Definitive prosthesis in implants in the mandible and abutments in the maxillary were using Porcelain-fused-to-metal crown (PFM) crown and the maxillary unilateral edentulous area was treated with removable partial dentures. Through this, proper support of the posterior region and normal anterior occlusal relationship were formed, and the patient was able to obtain aesthetically and functionally satisfactory treatment results.

Full-mouth rehabilitation with increasing vertical dimension on the patient with severely worn-out dentition and orthognathic surgery history: A case report (악교정수술 병력을 가진 과도한 치아 마모를 보이는 환자의 수직고경 증가를 동반한 전악 수복 증례)

  • Sang-Myeong Tak;Chang-Mo Jeong;Jung-Bo Huh;So-Hyoun Lee;Mi-Jung Yun
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.33-43
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    • 2023
  • Pathological wear across the entire dentition causes problems such as collapsed occlusal plane, reduced vertical dimension, anterior premature contact, inadequate anterior guidance, and tooth migration, thereby induce symptoms such as temporomandibular joint disorder, reduced masticatory efficiency, and tooth hypersensitivity. For the treatment of patients with excessive wear, evaluation of vertical dimension should be preceded along with analysis of the cause. The patient in this case was a 45-year-old female with a history of orthognathic surgery. Through clinical examination, radiographic examination, and model analysis, overall tooth wear, interdental spacing in the anterior maxillary region, retruded condylar position, and insufficient interocclusal space for prosthetic restoration were confirmed. Full mouth rehabilitation with increased vertical dimension was planned, the patient's adaptation to the new vertical dimension was evaluated with a removable occlusal splint and temporary prosthesis, and cross-mounting was performed based on the temporary restoration to fabricate the definitive zirconia prosthesis, maintaining the adjusted vertical dimension. It showed satisfactory functional and esthetic results through stable restoration of the occlusal relationship.

Restoration of patient accelerating anterior teeth wear by loss of posterior support: Case report (구치부 지지 소실에 의한 전치부 마모 가속화 환자의 수복: 증례보고)

  • Choi, Hyejin;Lee, Jaehoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.382-388
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    • 2019
  • Increased anterior teeth mastication following posterior teeth loss leads to greater anterior occlusal force. It may cause greater attrition of anterior teeth, traumatic force occlusion (TFO), also often followed by antagonist extrusion and occlusal disharmony. This clinical report describes the treatment for a 67-year-old female patient diagnosed with loss of both maxillary and left mandibular posterior teeth, severe attrition of maxillary and mandibular anterior teeth and extrusion of multiple teeth. A diagnostic cast was mounted on articular in centric relation (CR) position to evaluate vertical dimension (VD) and interspace. To provide adequate space for the prosthetic reconstructions, VD was increased by 3 mm on the anterior pin. And then diagnostic wax-up was completed upon that VD. Wax-up was converted to provisional restorations and verified in the patient's mouth and the final restorations were delivered. Clinical follow up examination held 3 months after temporary restoration owing to changes in vertical dimension revealed proper function in mastication without evidence of temporo-mandibular joint (TMJ) disorders. This clinical report presents successfully restoring severe attrition case with increasing vertical dimension resulting in satisfaction in esthetics and function.