• Title/Summary/Keyword: 악간관계기록

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Accuracy comparison of buccal bite scans by five intra-oral scanners (구강스캐너 5종의 협측 악간관계 스캔 정확성 비교 연구)

  • Park, Ji-Man;Jeon, Jin;Heo, Seong-Joo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.1
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    • pp.17-31
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    • 2018
  • Purpose: The purpose of this study was to investigate the accuracy of the interocclusal relationship between upper and lower teeth according to the buccal interocclusal record scan using various intraoral scanner systems. Materials and Methods: The upper and lower full arch Models with normal occlusion were scanned with 5 intraoral scanners (Cerec Omnicam, CS3500, iTero, Trios, True Definition). Buccal interocclusal record scan was taken only at the left side while occlusion was intentionally raised by 1 mm, 2 mm, 3 mm, and 4 mm with metal cylinder core embedded within polyvinylsiloxane bite registration material at the right molar region. The superimposition analysis was done to evaluate overall three-dimensional deviation and cross-section analysis was done to evaluate the degree and the direction of deviation of interocclusal relationship. Results: From the superimposition study, Cerec Omnicam showed the least deviation ($165.5{\mu}m$) and CS3500 ($369.0{\mu}m$) showed the largest (P < 0.01). And the deviation was greater in 3, 4, 2 mm group than 1 mm (P < 0.01). From the cross-section study, Cerec Omnicam showed the farthest deviation ($-242.8{\mu}m$) and CS3500 showed the closest deviation ($312.5{\mu}m$) and a significantly high value was shown in 3 mm group. Conclusion: Every intraoral scanner has different accuracy in reproducing interocclusal relationship.

Relation of head posture and occlusal contact area using photo occlusion analysis (광조사교합분석법을 이용한 머리 위치와 교합접촉면적의 관계)

  • Kim, Chang-Hwan;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.90-97
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    • 2019
  • Purpose: Previous studies related with occlusal contact area were limited that interocclusal thickness level or the method of measurement has not been accurate in measuring. The purpose of this study was to investigate the relation between head posture and occlusal contact area using photo occlusion analysis. Materials and Methods: 54 subjects with complete dentition (44 men, 10 women / 23 to 33 years of age) were included. To identify the relationship between head posture and occlusal contact area, subjects took interocclusal record in maximal intercuspal position with three different positions(supine position ($0^{\circ}$) / inclined position ($45^{\circ}$) / upright position ($90^{\circ}$)) on the dental unit chair. Occlusal contact area was analyzed using photo occlusion analysis. Statistical analyses were performed with SPSS ver.25.0 at 95% confidence interval. Results: Head posture has no significant effect on the changes of occlusal contact area (P > 0.05). Conclusion: When interocclusal relation is stable, head posture does not change a interocclusal record because head posture has no significant effect on occlusal contact area. Analysis of occlusal contact area using photo occlsion analysis device is useful due to its material property and simplicity.

Fabrication of complete dentures by conventional method and CAD/CAM milling: A case report (전통적 방식과 CAD/CAM을 이용한 양악 총의치 수복 증례)

  • Jung, Youngchul;Lee, Junsuk;Hong, Seoung-Jin;Noh, Kwantae;Kim, Hyeong-Seob;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.296-303
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    • 2019
  • In edentulous patient, not only mastication and pronunciation but also esthetics are compromised. By restoring an edentulous patient with complete dentures, masticatory function and esthetics can be rehabilitated. The advantages of the dentures using CAD/CAM are that they can be reconstructed ubiquitously with stored data, and the strength and density of CAD/CAM material are clinically acceptable. In this clinical report, interocclusal record was taken in a conventional manner and then two lab processing procedures were performed: conventional method and CAD/CAM method. Two types of processing procedures were compared and evaluated. Fair clinical results were obtained in both ways, satisfying the patient.

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.

Gothic arch tracing to record centric relation for dentures (Gothic arch tracing을 이용한 의치의 중심위 기록)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.238-245
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    • 2014
  • In order to create denture occlusion that is functional, comfortable and balanced, it is necessary to both determine a vertical dimension of occlusion that is in harmony with the patient's musculature and to record a relatively repeatable jaw relation position. This require clinical skill to establish an accurate, verifiable and reproducible vertical dimension of occlusion (VDO) and centric relation (CR). Correct vertical relation depends upon a consideration of several factors, including muscle tone, inter-dental arch space and parallelism of the ridges. Centric relation is considered to be a repeatable position from which all opening and lateral mandibular movements begin and recording this position is a critical step in the fabrication of dentures. Any errors made while taking maxillo-mandibular jaw relation records will result in denture that are uncomfortable. The purpose of this paper is to review a very simple and efficient technique for accomplishing these two important steps in denture fabrication.

Effectiveness of clinical remounting improving balanced occlusion of complete dentures (총의치 균형교합에 영향을 미치는 진료실재부착의 효과)

  • Lee, Ye-Jin;Kim, Jong-Hoi;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.328-334
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    • 2020
  • Clinical remounting of complete denture is performed to refine occlusal harmony in maxillo-mandibular relation. It has been reported that patients who used adjusted dentures with clinical remounting felt less complications such as pain and discomfort in mastication. The purpose of this study was to assess effects of clinical remounting with case series. Seven patients with existing complete prosthesis were included. Clinical remounting procedure was done through interocclusal relation recording. In addition, occlusal force was measured with pressure indicating sensor and occlusal contact areas were evaluated with photo occlusion analysis. Occlusal contact areas of prosthesis were enlarged, while bite pressure was not increased. Hit and slide phenomenon of prosthesis was reduced concurrently. Clinical remounting procedure improved denture stability and increased occlusal contact area. Therefore, clinical remounting should be considered.

Fabrication of complete dentures for a patient with odontogenic myxoma: A case report (치성 점액종 환자의 총의치 수복증례)

  • Jeong, Da-Woon;Kim, Hyun-Hee;Bae, Jung-Yoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.64-69
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    • 2018
  • Odontogenic myxoma of the jaws is a rare benign odontogenic tumor. In this case, a 61-year-old male patient had a chief complaint about maxillary anterior gingival mass and excisional biopsy result confirmed odontogenic myxoma. The clear acrylic resin custom tray was designed to minimize displacement of flabby tissue which remained after the surgery. Neutral zone and external impression technique could provide satisfactory result in terms of denture stability and retention during jaw relation record and wax denture try-in procedure. This clinical report describes fabrication of complete dentures for a patient with odontogenic myxoma in regard to flabby tissue and neutral zone.