• Title/Summary/Keyword: 심미치과

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Full mouth implant rehabilitation with double scanning of provisional restoration (임시치아 double scanning을 이용한 전악 임플란트 수복 증례)

  • Yang, Dong-Hun;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.252-257
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    • 2014
  • It is important to produce a provisional restoration reflecting the patient's jaw relation, occlusal plane, lip support, shape of teeth, and occlusion type for fully edentulous patients before making a definite prosthesis. The patient introduced in this study showed bad prognosis of remained tooth after severe periodontal diseases. Therefore, remaining teeth were extracted and replaced with dental implants. Provisional restorations were fabricated and the the patient's vertical and horizontal jaw relationship, occlusal plane, amount of overjet and overbite, size of teeth, and length of anterior tooth were recorded. Provisional restorations were scanned and CAD/CAM techniques were used to fabricate a monolithic zirconia bridge, which contour is identical with the provisional restorations. The patient was satisfied with the treatment results on functional, esthetic aspects and the prosthesis retained stable during the four-month clinical observation period.

Complete denture rehabilitation of fully edentulous patient with severe bone resorption and class II jaw relation using piezography (심한 골 흡수와 2급 악간관계를 보이는 완전 무치악 환자의 Piezography를 이용한 총의치 수복)

  • Kwon, Wooil;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.445-450
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    • 2016
  • Piezography, prosthetic space recorded by pronunciation, can be used as a reference for arrangement of artificial teeth and polishing surface of a denture. In this case, a 67 year old female patient was presented for new dentures. Old dentures had class II relationship and poor retention. For fabrication of stable dentures, using piezography and lingualized occlusion was planned. After taking impressions with conventional method, conventional denture bases with wax rim were fabricated. Then, additional mandibular denture base was fabricated for piezography. With fast setting silicon impression material, piezography was recorded by using six pronunciations, 'si', 'so', 'me', 'te', 'de', and 'mu'. According to the piezographic space, mandibular artificial teeth were arranged and modified for lingualized occlusion. As a result, the patient was satisfied with new dentures functionally and esthetically.

Clinical accuracy of impression technique using digital superimposition of customized abutment with subgingival margin: A case report (치은연하 변연을 가지는 맞춤형 지대주에서 디지털 중첩기술을 이용한 인상채득술의 임상 적용 증례)

  • Kim, Jin-Wan;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeonjong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.169-175
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    • 2020
  • Traditionally, gingival retraction has been performed to obtain customized abutment impressions with subgingival margins of the implant supported prosthesis. However, gingival retraction may have side effects such as gingival recession and bleed, leading to an inaccurate impression. In order to prevent these problems, in this case, the new technique has been introduced; a customized abutment which is designed for superimposition is used. Before the connection of the abutment to the implant fixture, pre-scanned shape data are stored, and then the optical impression without gingival retraction is obtained after connecting to the fixture. The suprastructure is fabricated by superimposing the two data. This technique showed the clinical efficacy of fabricating the implant supported prosthesis with subgingival margin, which satisfied the aesthetics, convenience, and clinically acceptable marginal and internal fit.

Full mouth rehabilitation of a severely worn dentition using intraoral scanner and the CAD/CAM double scanning technique (중증도의 치아 마모 환자를 구내 스캐너와 이중스캔을 이용해 수복한 완전구강회복 증례)

  • Yoon, Se-Na;Han, Jung-Suk;Yeo, In-Sung;Yoon, Hyung-In
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.67-76
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    • 2020
  • With the evolution of the computer-aided design/computer-aided manufacturing (CAD/CAM) technology, the intraoral scanners are playing an increasingly important role, as they are the first step towards a completely digital workflow. The CAD/CAM double scanning technique has been used to transfer the information from provisional restorations to definitive restorations. In this case, a 67-year-old male with esthetically compromised anterior teeth, generalized severe attrition of teeth, and reduced vertical dimension was treated with full mouth rehabilitation including a re-establishment of the lost vertical dimension of occlusion assisted by the crown lengthening procedure. The provisional restorations were fabricated using an intraoral scanner and the CAD/CAM double scanning technique. After the period of adaption, the definitive monolithic zirconia restorations were delivered. The CAD/CAM double scanning technique successfully transferred the occlusal and morphological characteristics, obtained from the provisional restorations, to the definitive restorations.

Complete denture rehabilitation of edentulous patient with severe alveolar bone resorption and condyle fracture using gothic arch tracing and closed mouth impression technique: A case report (하악 과두 골절과 심한 잔존치조제 흡수를 보이는 완전 무치악 환자에서 폐구 인상법과 고딕아치 묘기법을 이용한 총의치 수복 증례)

  • Choi, In-Ho;Kim, Seong-A;Kim, Na-Hong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.145-152
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    • 2020
  • It is essential to record maxillomandibular relationship accurately for the harmony of esthetic and function in complete denture. Gothic arch tracing visually demonstrates the movement of the mandible, and is useful to establish accurate and reproducible centric relation. Proper retention and stability of complete denture in patients with severe alveolar bone resorption is difficult to attain. In such case, the closed mouth impression technique might be recommended. The denture border and impression are determined by patient's physiologic movement in the closed mouth impression technique. And, denture peripheral border is entirely closed with oral mucous membrane. This report presents satisfactory complete denture restoration using closed mouth impression technique and gothic arch tracing in patients with mandibular condyle fracture and severe absorption of mandibular alveolar ridge.

AUTOTRANSPLANTATION OF ECTOPICALLY ERUPTING MAXILLARY ANTERIOR TEETH (이소맹출하는 상악전치의 자가치아이식 치험례)

  • Son, Jeong-Min;Kim, Seon-Mi;Yang, Kyu-Ho;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.704-709
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    • 2006
  • Ectopic eruption should be understood as a change in the course of the normal eruption path of a dental bud at any moment in its origin. Transposition is a unique and extreme form of ectopic eruption. The treatment for ectopic eruption and transposition is various from simple observation to surgical exposure and orthodontic traction, according to direction of erupting tooth degree of developing root apex and eruption space etc. Autotransplantation is transplantation of tooth from one area of the mouth to another in the same individual or is moving a eruption tooth into extraction socket or surgically prepared socket, and autotransplantation is considered as a treatment of choice for the ectopic eruption when orthodontic traction is unable or when tooth movement is limited. These cases which were treated with autotransplantation of maxillary lateral incisor and maxillary canine were reported, and good esthetic and functional result were induced.

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Pulp Treatment of Triple Tooth in Primary Dentition: Two Case Reports (유치열에 나타난 삼중치에서 치수 치료 : 증례 보고)

  • Jeong, Hankeul;Lee, Nanyoung;Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.2
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    • pp.192-199
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    • 2016
  • Triple tooth is rare in primary dentition; it is the abnormal fusion of three teeth. There are a few reports of double teeth, but triple teeth are rare. These multiple teeth create several clinical problems, not only esthetic problems but also a high caries susceptibility, congenital missing permanent tooth germ(s), orthodontic problems, and periodontal problems. They also make it difficult to perform pulp treatment because of the complex tooth structure. A 1-year 7-month-old male underwent a partial pulpotomy with mineral trioxide aggregate (MTA) when pulp exposure caused by deep caries occurred at a maxillary anterior triple tooth in the first case. The second case was a 1-year 9-month-old male presenting with a fracture line at a mandibular anterior triple tooth. After removing the fractured fragment, a pulpectomy was performed at the remaining primary lateral incisors. Specific complications were not observed during 24 and 6 months of follow-up, respectively.

AN EXPERIMENTAL STUDY ON THE BOND STRENGTH OF THE LIGHT ACTIVATED COMPOSITE RESIN BONDED TO THE ETCHED PORCELAIN (부식된 도재와 광중합성 수지와의 접합강도에 관한 실험적연구)

  • Lee, June-Kyu;Kay, Kee-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.25 no.1
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    • pp.363-378
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    • 1987
  • 도재소부전장관에서 금속이 노출되지 않고 도재만이 파절시, 구강내에서 직접 행할 수 있는 심미적 수복 방법으로서 복합성 수지를 이용한 수복 방법이 널리 이용되고 있는데 본실험의 목적은 도재와 광중합성 수지간의 접합강도를 비교 측정코저 함에 있다. 본 실험에서는 주사전자 현미경을 사용하여 도재의 부식액 (5% 불화수소산용액, Excelco's porcelain etching gel) 및 부식 시간(2.5분, 5분, 10분, 20분)에 따른 부식양상을 먼저 관찰하였다. 그다음 각기 다른 시간에서 부식 처리된 도재와 대조군으로서 미부식 처리된 도재에 광중합성 수지를 부착시킬시, 첫째 Silane coupling agent(Scotch-Prime)도포후 광중합성 수지를 결합 시켰고 둘째 bonding agent(Scotch bond)도포후 광중합성 수지를 결합시켰으며 셋째 Silane coupling agent(Scotch-Prime)에 bonding agent(Scotch bond)를 도포후 광중합성 수지로 결합 시킨후, 인장강도 측정기 (Shimadzu universal testing machine)를 사용하여 결합력을 측정한 결과 다음과 같은 결론을 얻었다. 1. 부식처리된 도재가 미부식 처리된 도재 보다 결합력이 높았다. (p<0.05, P<0.001) 2. 부식 처리된 도재나 미부식 처리된 도재에 있어서 silane coupling agent 도포후 bonding agent로 처치한 경우 가장 결합력이 높았으며 그다음 silane coupling agent로 처치한 경우, bonding agent로 처치한 경우의 순이었다. 3. 도재부식 시간의 증가에 따른 결합력의 차이는 5% HF용액으로 부식 처리된 도재와 Excelco로 부식 처리된 도재에 있어서 5분 정도 까지는 결합력의 증가를 보였으나 그 후에는 결합력에 있어서 거의 증가하지 않는 양상을 보였다. 4. Excelco로 부식 처리된 도재와 5% HF 용액으로 부식처리된 도재간의 결합력 차이에 있어서 bonding agent만으로 처치한 경우에는 두결합력 사이에 서로 유의한 차이를 보이지 않았으나 (P>0.5) silane coupling agent만으로 처치한 경우와 silane coupling agent 도포후 bonding agent로 처치한 경우에는 두결합력 사이에 서로 유의한 차이를 보였다. (P<0.05, P<0.001) 5. Excelco로 부식처리된 도재가 5% HF 용액으로 부식처리된 도재보다 부식정도가 더 현저하였다.

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Full-mouth rehabilitation without changing the vertical dimension in patient with worn dentition (마모된 치열을 가진 환자에서 수직교합고경 변화 없이 수복한 증례)

  • Kim, Minuk;Kim, Nahong;Jang, Hee-Won;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.160-166
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    • 2016
  • Although physiologic abrasion in normal range need not to be corrected, when hard tissue of teeth are worn abnormally fast, it can cause severe damage and destroy esthetics and, functional structure of occlusion consequently. To establish a correct occlusal plane and space for the patient with worn dentition, it is necessary to increase vertical dimension. However, actual occlusal vertical dimension remains unhanged with compensation for the increase of alveolar bone height equivalent to the decrease of teeth length. A 74-year-old male presented with worn dentition and fractured tooth. Based on the assessment of OVD including clinical findings, full-mouth rehabilitation without increase of OVD was planned. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition without changing occlusal vertical dimension.

Prosthetic rehabilitation of marginal mandibulectomized patient using implant-supported removable partial denture (하악골 변연절제술 환자에서 임플란트를 지대치로 이용한 가철성 국소의치 수복 증례)

  • Baek, Chang-Hyun;Heo, Seong-Joo;Koak, Jai-Young;Kim, Seong-Kyun;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.126-131
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    • 2016
  • Surgical management of oral cancer results in compromised masticatory and swallowing function which affects patient in social and psychological aspects due to reduced phonetic ability and facial deformity, thus, it is imperative to provide applicable prosthetic treatment to overcome such complications. This clinical study describes rehabilitation of a patient with squamous cell carcinoma treated with marginal mandibulectomy and implantation on preserved posterior portion of mandible to provide stability and support for subsequent denture treatment. Kennedy class IV removable partial denture has provided satisfactory results in esthetics and function. Bone level stability around implants was reported to be maintained during eight months of clinical observation.