• Title/Summary/Keyword: 심미 치과학

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Flexible IARPD considering the prevention of combination syndrome: a case report (Combination syndrome 예방을 고려한 flexible IARPD 증례)

  • Kim, So-yeun
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.347-353
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    • 2022
  • Traditional denture treatment is often performed in patients with the completely edentulous maxilla and the bilateral edentulous posterior mandible. However, with a long-term prognosis, a complication called 'combination syndrome' may occur in this oral environment. In this case, by applying an implant-assisted removable partial denture (IARPD), it is possible to preserve the alveolar bone and prevent combination syndrome. In this case, when additional implants are placed in the edentulous area, the stress applied to the abutment due to the movement of the removable denture can be reduced, so it is possible to design an esthetic clasp using resin rather than metal, and flexible denture base resin is used. As a treatment for maxillary complete denture and mandibular flexible IARPD, it showed an esthetic and functional long-term prognosis with minimal cost and surgery.

A COMPARISON OF DECISIONS FOR PRIMARY ANTERIOR TEETH BETWEEN PEDIATRIC DENTISTS AND GENERAL DENTISTS (유전치 우식에 대한 치과의사들의 치료 선택 현황 조사)

  • Kim, Seong-Hee;Kim, Young-Jong;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.242-248
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    • 2012
  • Children usually have varying degree of caries in primary anterior teeth, and treatment planning for each case prescribed by each dentist can also be varied. This survey was conducted to compare the preferred treatment method and restorative materials between general dentists and pediatric dentists in regard to the treatment of primary incisors. The questionnaires, composed of 18 questions were sent to 45 general dentists and 50 pediatric dentists. Among which 30 and 31 questionnaires were retrieved respectively. The collected data were analyzed by rate and the results were as follows: 1. For the teeth with initial caries without cavitation, general dentists showed the tendency to prefer restorative treatment(30%) or observation without any treatment(42%), whereas pediatric dentists prefer preventive treatment(76%). 2. The primary factor in choosing restorative materials by both groups was its manipulativeness. 3. For anterior esthetic restoration, general dentists seldom use the full-coverage restoration(13%) but resin restoration(75%), whereas pediatric dentists frequently used full-coverage crow(64%). 4. In the treatment of dentinal caries, pediatric dentist did not perform the treatment lesser than 2.0 years before the exfoliation (compared to 1.2 years of general dentist). 5. In the treatment of 1 year children, both pediatric and general dentists tend to select preventive procedure as first choice of treatment(84%, 52%). When treating primary incisor caries, it is shown that pediatric dentists are more interested in restorative/preventive treatment than general dentists are.

Full-mouth rehabilitation with vertical dimension increase and computer tomography guided implant surgery in patient with excessive worn dentition and multiple loss of tooth (과도한 치아 마모와 다수의 치아 상실을 보이는 환자에서 computer tomography guided implant surgery와 수직고경 회복을 동반한 완전 구강 회복 증례)

  • Lee, Kyong-Seop;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.66-74
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    • 2019
  • Excessive wear causes many complications when untreated, so that accurate diagnosis, analysis and predictive treatment plan should be made, and through evaluation of vertical dimension and stepwise treatment, a stable inter-arch relationship can be set. For the long-term success of implant treatment, ideal position and angle of implant is important, and its importance increases especially in multiple implant cases. Therefore, thorough diagnosis and planning, accurate surgery and prosthodontic procedures are significant. In this case, a 68-year-old male patient with a loss of vertical dimension due to multiple tooth loss and overall tooth wear was planned with systematic analyses from the pre-treatment stage to rehabilitate vertical dimension. Full-mouth fixed rehabilitation with computer tomography guided implant surgery was performed to the newly set vertical dimension and attained satisfactory outcomes both functionally and esthetically.

Computer-aided design and manufacturing-based full mouth rehabilitation for a patient with excessive attrition and restricted vertical dimension: A case report (심한 치아 마모와 수복 공간 부족을 보이는 환자에서 CAD/CAM 기술을 활용한 완전 구강 회복: 증례 보고)

  • Cho, Jun-Ho;Yoon, Hyung-In;Yeo, In-Sung;Han, Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.495-505
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    • 2019
  • This study reported the treatment of a patient with excessive worn dentition and limited maxillo-mandibular space for restoration, utilizing the computer-aided design and computer-aided manufacturing (CAD/CAM) technology. After the thorough examination of the patient's occlusal vertical dimension (OVD), full mouth rehabilitation was planned with increase of the OVD. The patient was satisfied with the provisional restorations establishing the increased OVD. The horizontal and vertical data of the patient's jaw relation that the provisional restorations contained were transferred to the definitive metal ceramic fixed prostheses by double scanning and three-dimensional printing. After the fixed restorations were cemented to the abutments, electronic surveying and three-dimensional printing were used to fabricate metal frameworks for the patient's removable partial dentures. The mandibular definitive removable prostheses were delivered to the patient's mouth and the full mouth rehabilitation procedures were completed. The digital technologies used for this case produced fixed and removable restorations satisfactory in masticatory, phonetic and aesthetic functions to both the patient and the dental clinician.

Full mouth rehabilitation with implant-supported fixed prosthesis via dental CAD-CAM system (Dental CAD-CAM system을 통한 고정성 전악 임플란트 수복 증례)

  • Hong, Jeong-Min;Han, Jung-Suk;Yoon, Hyung-In;Yeo, In-Sung Luke
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.97-106
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    • 2021
  • Dental implants should be placed at ideal sites for implant-supported restorations. For a patient with insufficient residual ridge, mouth preparation including surgical intervention can be indicated to establish a soft and hard tissue environment favorable for a definitive prosthesis. Prosthodontic design based on computer-guided surgery and computer-aided design-computer-aided manufacturing (CAD-CAM) provides a visual blueprint allowing a clinician to assess the necessity of such a surgical intervention beforehand. In this case, a definitive restoration was planned and made via a CAD-CAM system according to the patient's oral status before treatment, simulated surgical interventions and serial provisional restorations. Based on the planning, a guided template was made and the implants were installed with bone augmentation using the template. Customized abutments, the first and the second provisional restorations were designed and fabricated by CAD-CAM. The definitive restorations were digitally made following the shape of the second provisional prostheses, which were confirmed in the patient's mouth. The patient was satisfied with the masticatory, phonetic and aesthetic functions of these definitive prostheses.

Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear (치아 상실과 심한 마모를 보이는 골다공증 환자에서의 완전구강 회복 증례)

  • Kim, Hyun-Tack;Kim, Myung-Joo;Lim, Young-Jun;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.63-70
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    • 2022
  • Teeth wear with loss of posterior support often leads to symptoms such as irregular occlusal plane and excessive wear of anterior teeth. In such environment, establishing proper posterior support and harmonious anterior guidance and occlusal plane is recommended. In this case, the patient had excessively worn dentition with loss of posterior support, while denying surgical treatment due to her(his) history of osteoporosis, ibandronate injection, and risk of medication-related osteonecrosis of the jaw (MRONJ). To recover the vertical space needed for prosthetic restoration, full mouth rehabilitation with vertical dimension increase of remaining teeth was decided. Missing teeth in the posterior area were restored with mandibular removable partial denture. The treatment plan was determined through careful diagnosis, and every step of procedures including tooth preparation, provisional phase with the increased vertical dimension, and definitive prosthetic phase were carried out accordingly. Once the treatment was completed, the patient was satisfied functionally and esthetically. Periodic examination of oral hygiene, occlusal stability was conducted.

THE PRACTICE PATTERN OF PEDIATRIC DENTISTS IN KOREA (소아치과 개원의 진료 현황 분석)

  • Choi, Eun-Jung;Jung, Tae-Ryun;Hahn, Se-Hyun;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.504-509
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    • 2006
  • Pediatric dentistry is differentiated from other fields of dentistry in that it provides comprehensive dental care for children and adolescents. In early days, pediatric dentistry used to be confined to the caries treatment and extraction of primary teeth However, the practice spectrum of pediatric dentistry has broadened to the orthodontic, surgical, esthetic and preventive treatments A survey that contained questions about practice patterns were mailed to 50 pediatric dentists, and 21 surveys were returned. Results were as follows: 1. The average number of patients per week was 82.4, and the average number of treated teeth per patient was 2.35. 2. Preventive treatments comprised 15.7%, restorative treatments 55.7%, endodontic treatments 15.6%, surgical treatments 10.5%, and orthodontic treatments 2.4%. 3. In restorative treatments, amalgam restoration comprised 3.8%, glass ionomer 5.5%, composite resin 63.0%, and stainless steel crown 27.7%.

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APPLICATION OF THERMOFORMED APPLIANCES IN PEDIATRIC DENTISTRY (소아치과 임상에서의 Thermoformed Appliance의 적용)

  • Kim, Shin;Jeong, Tae-Sung;Yang, Chul-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.539-544
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    • 1998
  • Thermoformed appliance, which has been recently introduced for dental usage, is an appliance made of thermoformed sheets and formed with positive or negative pressure under heat. Thermoplastic material is a kind of plastics and can be repeatedly softened by heat. It is classified into hard elastic foil, hard/soft compound foil and soft elastic foil, including BIOPLAST, BIOCRYL, IMPRELON, etc. It has been developed in 1969 and is available in various thickness, shape and color. There are two types of Vacuum former for thermoplastic materials; the pressure type and suction type. The former is much better than the latter for fabrication of various appliances due to its higher pressure. The authors have applied these appliances to some cases - chin cap, active retainer, individual Fluoride tray, mouth protector, bracket transfer mask, bruxism splint(night guard), Essix appliance - by pressure type Vacuum former($Biostar^{(R)}$). The thermoplastic appliances have numerous advantages such as simple procedure, short working time, clean and transparent product, less objectionable taste. But its outstanding advantage would be its excellent biocompatibility bacause it has no monomer and hence no tissue irritation. Although there is some limitations in its usage, it can be used widely for various purposes especaily for pediatric dentistry.

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Fabrication of definitive complete-arch implant-supported fixed prosthesis in upper and lower completely edentulous patient using temporary prosthesis scan: a case report (상하악 완전 무치악 환자에서 임시 보철물 스캔을 이용한 일체형 임플란트 지지 고정성 보철물 수복 증례)

  • Seung-Mi Jeong;Hyun-Lak Son;Kang-Duck Choi;Byung-Ho Choi
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.243-252
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    • 2024
  • When fabricating definitive implant-supported fixed prostheses in upper and lower completely edentulous patients, it is crucial to get information about the vertical dimension, jaw relationship, implants, abutments and gingival contour. In this case, temporary prostheses were used to take the information. The temporary prosthesis was scanned outside of the mouth so that it increased the efficiency of scanning it. During the scan of the prosthesis, a scan zig which connected both posterior parts of the prosthesis was used to minimize the scan errors. We report this case because we obtained satisfactory functional and esthetic results by using the digital technology.

Dimensional Changes of Ceromer Crown by Water Absorption (치과용 심미수복재료 세로모에서 수분흡수와 체적 변화에 관한 연구)

  • Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.119-124
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    • 2009
  • Statement of problem: The increasing demand for esthetic restorations has been required developing new materials for tooth colored restoration. Ceromer(Ceramic Optimized Polymer) has some advantages over porcelain, and has gained increasing popularity in restorative dentistry. However, there is little information on the dimensional changes in a clinical restoration in moist conditions. Purpose: This study examined the dimensional changes in Ceromer restorations with a clinical crown shape that were fabricated in a clinical manner. Material and methods: The crowns for the maxillary central incisor were fabricated with two Ceromers($BelleGlass^{(R)}$ and $Targis^{(R)}$) using a similar clinical restoration manufacturing technique. A total of twenty specimens were prepared and immersed in distilled water at room temperature to allow for water absorption. The weight, height and width were measured at 24, 72 and 168 hours. The accumulated ratios of the changes were calculated and evaluated using a paired t-test and an independent independent t-test. Results: The dimensions and weight increased with increasing soaking time. $Targis^{(R)}$ showed significant differences in height and weight between 24 hours and the other times(P<.05). $BelleGlass^{(R)}$ showed significant differences in width and weight between 24 hours and the other times. The two materials showed different changing patterns of the dimensions but there were no statistically significant differences between them. Conclusion: The dimensions and weight of the Ceromer restorations were changed by water absorption. The clinical crown shaped specimen showed more complicated dimensional changes than the simplified specimens.