• Title/Summary/Keyword: 전치유도

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New anterior guidance induction through spontaneous gap closure after an increase in vertical dimension: a case report (교합고경 증가로 발생한 전치부 공간을 자연 폐쇄시켜 새롭게 유도한 전방유도: 증례 보고)

  • Jung Hyun Nam;Jong-Hee Kim;Yang-Jin Yi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.146-157
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    • 2023
  • The bite collapses due to posterior teeth loss or wear results in inadequate space for restoration and esthetic concerns. Increasing the occlusal vertical dimension to improve space deficiency rotates the mandible posteriorly, creating a gap between the maxillary and mandibular anterior teeth, leading to loss of anterior guidance. To solve this problem, the prosthodontics or orthodontics treatments are the commonly used methods for proper anterior guidance. However, it is reasonable to assume that the anterior teeth can naturally relapse to their original position when the occlusal force is eliminated. Therefore, this case report aimed to test whether natural relapse could recover the lost anterior guidance to develop a less invasive and more convenient treatment method. Digital superimposition was used to evaluate the changes in anterior teeth alignment to confirm the change of the recovered anterior guidance. The appropriate indications for this new treatment method were defined and applied clinically.

Guided Bone Regeneration using Fibrin Glue in Dehiscence or Fenestration Defects Occurred by Maxillary Anterior Implants: Case Report (상악 전치부 임플란트 식립에 의한 열개 및 천공형 골결손 발생 시 조직 접착제를 이용한 골유도 재생술: 증례보고)

  • Chee, Young-Deok;Seon, Hwa-Gyeong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.277-290
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    • 2012
  • Dental implants are universal restorative method on edentulous site in oral cavity and generally recognized by patients as well as clinicians. Rapid bone resorption of labial portion of maxillary anterior area is performed due to dental trauma, chronic periodontitis, and so on. Accordingly, Implants on maxillary anterior alveolar ridge with narrow labiopalatal width would lead to bony defects of dehiscence or fenestration. In this case, guided bone regeneration procedure is used to augment maxillary anterior alveolar ridge. It can have mechanical and biological advantages to mix tissue adhesive with bone graft materials in guided bone regeneration procedure. In these cases, when the dehiscence or fenestration defects was occurred by dental implants on maxillary anterior alveolar ridge with narrow labiopalatal width, guided bone regeneration procedures were performed with various combination of particle bone graft materials(allograft, xenograft, and alloplast) mixed with fibrin glue, excepting autogerous bone. We reported that all of 4 cases showed favorable alveolar ridge augmentations.

Maxillary anterior prosthetic treatment concerning anterior guidance of a patient who lost stable holding contact (안정적인 교합접촉을 잃은 환자에서의 전방유도를 고려한 치료증례)

  • Park, Jong-Hoon;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.467-474
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    • 2019
  • Recently, many patients undergo anterior prosthetic treatment for esthetic reasons. In some patients complain about functional reasons such as inaccurate pronunciation and occlusal discomfort after the treatment. Anterior teeth are important esthetically but in the occlusal point of view, anterior guidance is the second most important factor in occlusion, next to centric relation. Failure to determine an appropriate anterior guidance might lead to posterior occlusal interference, which can highly affect the stability of the posterior teeth. Also, discomfort might occur if the customized interior guidance is not in harmony with the patient's envelope of function. The patient in this case complained of overall discomfort in the maxillary anterior area after prosthetic treatment. The expressed difficulty in pronunciation, unstable occlusion due to lack of stable holding contact and discomfort of the facial muscles. Maxillary anterior prostheses were refabricated through systematic diagnosis and treatment and thus, this case presents esthetical and functional satisfaction to both the patient and the dentist.

CLINICAL INVESTIGATION ON ANTERIOR OPEN-BITE (전치개교에 관한 임상적 연구)

  • Chang, Young-Il
    • The korean journal of orthodontics
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    • v.16 no.1
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    • pp.35-49
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    • 1986
  • Etiologies and traditional treatment modalities regarding anterior open-bite were discussed to elucidate the advantages and disadvantages. And an emphasis was placed on the understanding of the true nature of anterior open-bite. Most anterior open-bite malocclusions can be treated with a high degree of sucess and stability without surgical intervention with the congnizance of the anatomy, the physiology and the dynamics of orthodontic mechanotherapy. In this regard, a Multiloop Edgewise Arch Wire (MEAW) Technic, which has been developed during the past twenty years by Dr. Kim, was introduced. Three cases with anterior open-bite malocclusion were presented to demonstrate the mechanotherapy.

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Functional and esthetic improvement through reconstruction of anterior guidance using the modified Dahl principle and copy-milled technique of CAD/CAM system: A case report (적절한 전방 유도 재현을 위해 수정된 Dahl 원리 및 CAD/CAM 복제 기법을 이용하여 전치부의 기능 및 심미성을 개선한 보철 수복 증례)

  • Kim, Sung-Ho;Choi, Yu-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.160-170
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    • 2019
  • The anterior guidance is one of the important factors in prosthodontic treatment of anterior teeth. The lingual surface shape of anterior restorations is so critical that small errors of treatment procedure can cause discomfort of the patient and disharmony of the dentition. If the anterior restorations are achieved harmonious anterior guidance through the fabrication and adjustment of provisional restorations, it is important to accurately reproduce the lingual surface shape of provisional restorations as the final prosthesis. In this case report, it was used the modified Dahl principle and copy-milled technique of computer-aided design/computer-aided manufacturing (CAD/CAM) system for systematic diagnosis and treatment. Therefore, we tried to reconstruct the restoration shape more precisely by setting the appropriate anterior guidance and superimposing the digital image of the abutment teeth and the provisional restorations. Thus, by promoting functional and esthetic recovery, this case report demonstrates satisfying results to both the patients and dentist.

Maxillary anterior implant restoration with appropriate anterior guidance using T-Scan in a patient with full fixed prostheses (전악 고정성 보철 수복 환자에서 T-Scan 분석을 이용해 전-측방유도를 부여한 상악 임플란트 보철 수복)

  • Nam, Rae-Kyeong;Pang, Eun-Kyoung;Cho, Young-Eun;Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.419-426
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    • 2017
  • In implant restorations, it is difficult for the patient to percept any symptoms. In addition, they are absent of shock absorbers, which can lead to mechanical failure if stress distribution is not considered. Since maxillary anterior multiple-implant restorations play a significant role in guiding the functional movement of the mandible by distributing lateral force, it is crucial to form appropriate occlusion. The use of the T-scan system is more advantageous in assessing 'dynamic occlusion', such as the change of occlusion over time, the amount of tooth contact during functional movement, and assessing the occlusion in the less-visible posterior teeth. The case is reported as it has satisfactory results in harmonious anterior guidance of a maxillary anterior multiple-implant restoration using T-scan analysis.

Reconstruction of anterior guidance using duplication technique of CAD/CAM: a case report (CAD/CAM의 복제 기법을 이용한 전방 유도의 재현 증례)

  • Bae, Ji-Cheol;Kim, Won-Hee;Jeon, Yong-Chan;Jeong, Chang-Mo;Yoon, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.2
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    • pp.121-127
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    • 2014
  • Comprehensive prosthetic treatment requires considerations from various points of view. The anterior guidance is important factor in prosthodontic treatment of anterior teeth. Lingual surface contour of anterior restoration is so critical that a small mistake of laboratory or clinical process can cause discomfort of patient and disharmony of entire dentition. There are no guidelines for lingual surface contour that fit all patients. Therefore the lingual surface of provisional restoration is most accurately described as a customized one. The dentist transfers the exact information of anterior guidance that has made through long term provisional restoration to the technician. This case introduce that the duplication technique of CAD/CAM system to reproduce the anterior guidance of provisional restoration. This method can improve satisfaction of both patient and dentist.