• Title/Summary/Keyword: 최소삭제 보철물

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Modified resin-bonded fixed partial dentures utilizing tooth undercuts: a clinical case study (서로 다른 삽입로를 이용한 최소 삭제 접착성 고정성 보철물의 임상 연구)

  • Doh, Re-Mee;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.2
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    • pp.106-113
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    • 2011
  • The object of this clinical study was to evaluate the short-term outcome of modified resin-bonded fixed partial dentures which utilizes the original tooth undercuts and different path of insertion of components. Materials and methods: 71 units of modified RBFPDs that were used in 21 patients at the Department of Prosthodontics, College of Dentistry, Yonsei University were evaluated. The follow-up period was up to 25 months, the mean being 7 months. Survival rate, mobility, percussion, probing depth, bleeding on probing, plaque index was recorded and radiographs were taken to monitor alveolar bone loss. Results & Conclusion: Within the limits of this short term retrospective study, it was concluded that: 1. No mechanical failure such as debonding or fracture of the framework was found during the follow-up period. 2. The periodontal apparatus was stable and no clinical change was observed after prosthetic treatment. 3. No significant marginal bone loss was found in the radiographic evaluation.

Clinical performance of esthetic ceramic partial-coverage restorations with supra-gingival margin using minimally invasive tooth preparation method according to the concept of adhesive dentistry (접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 심미적인 치은 연상 변연 도재 부분피개관 수복 증례)

  • Hong, Myung-Sik;Choi, Yu-Sung;Lee, Jong-Hyuk;Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.319-332
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    • 2021
  • With the rapid development of aesthetic ceramic materials and resin adhesives, the transition from metal ceramic crown to all-ceramic restoration is being actively carried out. When making porcelain restorations, the advantages can be maximized only when appropriate forms and techniques are used. Recently, an esthetic partial-coverage restoration method with supra-gingival margins was introduced by applying a minimally invasive tooth removal method that preserves enamel as much as possible and enhances adhesion efficiency. Through this, various advantages such as minimization of tooth structure removal and ease of excess cement removal can be obtained. In addition, since this manufacturing method does not require cord packing, it is possible to save time for impression taking and reduce patient discomfort. Furthermore, the margins can be clearly obtained without the intervention of gingival fluid or blood, making it possible to manufacture more accurate restorations. In the following cases of patients with partial tooth defects, esthetic ceramic partial-coverage restorations with supra-gingival margin was applied using minimally invasive tooth preparation method according to the concept of adhesive dentistry. Therefore, unnecessary tooth abutment preparation was prevented and residual tooth structure could be preserved as much as possible. After delivery of the ceramic partial-coverage restorations, favorable outcome was obtained.

Margin Design

  • O, Nam-Sik
    • The Journal of the Korean dental association
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    • v.41 no.8 s.411
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    • pp.552-557
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    • 2003
  • 치아 삭제의 원리 중 변연과 관련된 조건들과 다양한 보철물 마무리에 따른 특성을 살펴보고 완전 도재관의 변연 각도에 따른 적합도와 응력분포에 대한 실험 결과를 참고해 적절한 변연 디자인 선택시에 도움이 되고자 한다. 성공적인 보철물 변연은 마무리선에 정확히 맞아야하는 fitness(cement의 노출 최소), 환자와 술자의 입장에서 청결 가능한 부위에 위치되어야 하는 location, 그리고 교합력에 충분히 저항할 수 있는 stress를 만족할 수 있어야 할 것이다.

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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.

Clinical convergence angle and rounding radius on tooth preparation for zirconia all-ceramic crown (지르코니아 전부도재관 지대치 삭제시 축면 경사각과 만곡 반경에 대한 조사)

  • Kim, Hye-Eun;Woo, Yi-Hyung;Pae, Ah-Ran;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.22-28
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    • 2011
  • Purpose: This article attempted to examine how teeth for restoration is made in a clinical practice and utilize it as future educational material of teeth formation and basic data for additional research. Materials and methods: This experiment investigated the models sent to milling center for production of zirconia crowns. After scanned with Lava CAD/CAM System (3M ESPE, Seefeld, Germany), they are measured on 'ImageJ (version 1.32j, National Institutes of Health, USA)' program and compared and analyzed. Convergence angle from mesio-distal surfaces and bucco-lingual surfaces of each teeth are measured. Also, bucco-lingual diameter of the region lowered as much as 0.4 mm from incisal edge in anterior teeth except canines.(This measure is defined as the Peak 0.4) The analysis of data between each group was conducted by Windows SPSS statistic program, and was proved significant on 95% confidence level by independent t-test, one-way ANOVA and multiple analysis (Sheff${\'{e}}$ test). Results: The mean value of convergence angle was $18.67^{\circ}$ It is ranked as molar ($26.70^{\circ}$) > premolar ($16.87^{\circ}$) > anterior teeth ($14.81^{\circ}$) in the order of mesio-distal convergence angle; anterior teeth ($22.32^{\circ}$) > molar ($20.93^{\circ}$) > premolar ($15.41^{\circ}$) in the order of bucco-lingual convergence angle. The mean value of Peak 0.4 was 1.18 mm. Conclusion: Convergence angle of abutment of zirconia all ceramic crown has difference depending on the location in the arch. Due to the nature of production of zirconia all ceramic crown, convergence angle of abutment and line angle finishing degree can have an effect on internal suitability of restoration.