• Title/Summary/Keyword: 최종인상

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Maxillary complete denture fabrication cases with posterior palatal seal considering palatal form and tissue displacement (구개 형태 및 조직 변위를 고려하여 후방 구개 폐쇄를 형성한 상악 총의치 제작 증례)

  • Kim, Seon-A;Son, Mee-Kyung;Heo, Yu-Ri
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.152-159
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    • 2022
  • The role of the posterior palatal seal is important in retention of the maxillary complete denture. After taking the final impression, additional retention can be given to the maxillary denture through a mechanical method of forming a groove on master cast, but this is often overlooked in the clinical process. As a result, the posterior palatal seal is formed in a uniform way by the technician without considering the individual characteristics of the patient. Until now, various types of posterior palatal seal have been introduced by many people. This case report describes the process of manufacturing the maxillary complete denture by determining the position and form of an appropriate posterior palatal seal after considering the patient's anatomical palatal form and tissue displacement during function.

Dental students' clinical confidence in denture treatment after clinical experiences (의치진료 경험 후 치과대학 학생들의 임상진료능력에 대한 자기인식도)

  • Lee, Bora;Shim, June-Sung;Lee, Jae Hoon;Kim, Jong-Eun;Park, Ji-Man;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.185-192
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    • 2020
  • Purpose: The purpose of this study is to investigate dental students' self-perception of clinical care ability after a denture treatment experience. Materials and methods: Of the 58 fourth-year students at the dental school in 2019, 50 students completed the questionnaire concerning their denture treatment session, including treatment planning and pre-prosthetic treatment (4 questions), clinical and laboratory procedures (20 questions), and students' opinions on clinical denture education (4 questions). Each question was answered on a five-point scale, of which points four and five, "agree" and "strongly agree" respectively, were classified as positive responses while points one and two, "disagree" and "strongly disagree" respectively, were classified as negative. Results: All the items on clinical and laboratory procedures received a positive response rate of over 60%, and the overall self-perception of the students appeared to be positive. However, the questions on the ability to perform denture treatment independently after graduation received only 48% of positive answer. Those on patient management, explanations of denture precautions, customized tray production, boxing, and work model production were answered with the highest positive response rate whereas those on treatment planning, final impression acquisition, and surveying, were the lowest in each session. Conclusion: The dental students with experience in denture treatment generally have a positive opinion of their clinical care ability, but further education may be necessary to improve their ability to treat their patients independently.

Full Mouth Rehabilitation with a Overlay Denture (피개의치를 이용한 지적장애인의 완전구강회복)

  • Ko, Kyung-Ho;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.385-395
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    • 2012
  • This clinical report presents the case using overlay dentures to treat a patient with cleft lip and palate and malocclusion. This patient requires vigorous treatment such as orthodontic treatment and combined orthodontic/oral surgery procedures. Overlay denture can be used as an alternative treatment option. Intraoral and radiographic examinations were done. The vertical dimension of occlusion was evaluated for proper prosthetic procedures and the surveying in the diagnostic cast was done. Considering the tissue and teeth undercut, the alterations of teeth shape were done. Final preparation and impression was performed. After the evaluation of vertical dimension and occlusion with wax-denture, the dentures were polymerized. Clinical remounting and occlusal adjustment were done on the articulator. Overlay dentures were delivered and the patient was recalled for relining. The overlay dentures satisfied patient's esthetic and functional requirements and provided a stable occlusion. Overlay dentures in this case were a reversible and relatively inexpensive treatment for this patient, however the potential possibilities of caries and periodontal disease as a result of poor oral hygiene should be prevented with periodic recall.

Fabrication of fixed prosthesis by employing functionally generated path technique and dual scan technique in a tardive dyskinesia patient: a case report (지연성 운동이상증 환자에서 functionally generated path 술식과 이중스캔법을 이용한 고정성 보철물 제작: 증례 보고)

  • Shilpa;Du-Hyeong Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.227-233
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    • 2023
  • Tardive dyskinesia is an involuntary neurological movement disorder caused by long-term use of dopamine receptor-blocking drugs leading to dental implications like uncontrolled gnashing and grinding of teeth which in turn imperil the oral rehabilitation procedures as the excessive load increases the risk of prosthesis fracture. A 40-year male with a medical history of tardive dyskinesia visited the hospital to receive oral rehabilitation for missing maxillary anterior teeth. After the oral examination, tooth preparation was done on teeth 13, 15, and 23. After that silicon impression was made and the gypsum cast was digitalized using a desktop scanner and an interim prosthesis was fabricated by milling a resin block. During the try-in, the occlusal one-third of the interim prosthesis was trimmed, and an auto-polymerizing acrylic resin was applied on the occlusal surfaces and inserted in the patient's mouth. Then, the functionally generated path (FGP) of occluding surfaces of opposing arches was traced on the resin surface. When the resin was hardened, the modified interim prosthesis was removed and digitized using an intraoral scanner. The scan image was used in designing the occlusal morphology of definitive prosthesis by modifying the design of the interim prosthesis using the dual scan method. Lastly, a monolithic zirconia prosthesis was fabricated by milling a zirconia block. The definitive prosthesis was delivered reflecting the patient's occlusal scheme. This case report shows that the FGP technique with the dual scan method can help in fabricating fixed prosthesis with harmonious occlusion in a tardive dyskinesia patient.

'All-on-4' fixed implant supported prosthesis restoration using digital workflow: a case report (Digital workflow를 활용한 'All-on-4' 임플란트 지지 고정성 보철물 수복 증례)

  • Sungwoo Ju;Seoung-Jin Hong;Janghyun Paek;Kwantae Noh;Ahran Pae;Kung-Rock Kwon;Hyeong-Seob Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.316-327
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    • 2023
  • In the case of fully edentulous patients with severe alveolar bone resorption, the consideration of 'All-on-X' implant-supported fixed prosthesis after placing four or more implants in the anterior maxilla is possible. Recent advancements in digital dentistry have enabled systematic and predictable treatment in all phases, including diagnosis, surgery, and prosthesis fabrication. By incorporating digital dentistry techniques such as digital complete denture, implant surgical guides, facial scanning into the conventional restoration process, it is possible to reduce the complexity of the prosthesis fabrication and effectively achieve the transition from provisional prosthesis to definitive prosthesis in terms of both aesthetics and function.

Digital immediate implantation and aesthetic immediate loading on maxillary incisor displaced due to root fracture: a case report (치근파절로 변위된 상악 중절치의 디지털을 이용한 즉시 임플란트 식립 및 심미 수복 증례)

  • Jieun Song;Songyi Park;Chan Park;Kwidug Yun;Hyun-Pil Lim;Sangwon Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.267-275
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    • 2023
  • To obtain better esthetic results when immediately placing a dental implant, the soft tissue surrounding the implant must be conditioned during healing of the extraction socket. To this end, the emergence profile can be customized through immediate restoration of the provisional prosthesis, and good clinical results can be obtained at the time of definitive restoration in the future, resulting in high patient satisfaction. In this case, horizontal root fracture occurred after trauma to both maxillary central incisors. Immediate implant placement and loading was planned considering aesthetics and alveolar bone condition. By taking an impression using a digital intraoral scanner, a digital diagnostic wax-up was performed to make a more aesthetic prosthesis without applying external force to the traumatized teeth. Based on this, the ideal placement location was determined and immediate implant placement was performed using a 3D printed surgical guide. The provisional prosthesis was restored 5 days after placement, and the definitive zirconia crown was restored through soft tissue conditioning and customization using the shape of the provisional prosthesis for 3 months.

A Study on Effective Smoking Cessation Policy of Smoker Patients (흡연환자의 효과적인 금연정책에 대한 연구)

  • Hwang, Ji-Min;Kim, Eung-Gwon;Park, Yong-Duk;Han, Ji-Hyoung
    • Journal of dental hygiene science
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    • v.13 no.1
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    • pp.77-82
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    • 2013
  • The purpose of this study was to examine the subjective awareness of smoker patients about the preparation of smoking cessation plans in an effort to lay the foundation for smoking cessation policy setting. The subjects were the selected patients at a dental clinic. A self-administered survey was conducted to grasp their personal characteristics, and the selected answer sheets from 236 respondents were analyzed. The findings of the study were as follows: 1. As for the extension of existing smoking cessation plans, the largest group (32.6%) preferred smoking cessation education, followed by smoking cessation counseling (28.8%), prescription of an smoking cessation aid (18.6%). 2. Concerning the necessity of a smoking cessation law, the men and the women respectively gave 2.37 and 3.00 to that, and the gender gap was significant. The patients had a significantly different opinion on the necessity of a rise in tobacco price according to their occupation and monthly mean household income, and their took a significantly different view of the necessity of smoking cessation counseling according to their residential area. 3. As a result of analyzing the correlation between their on effective smoking cessation policies and the related variables, all the variables had a statistically significant correlation to each other. 4. As a result of analyzing their opinions on what institution should be in charge of smoking cessation plans, the biggest group answered that dental clinics should be responsible for smoking cessation-aid prescription (50.0%), and the largest group replied that smoking cessation education and smoking cessation counseling should respectively be provided by public dental clinics (37.3%) and dental clinics (44.1%).The above-mentioned findings suggest that the preparation of new smoking cessation measures and the extension of existing smoking cessation plans are urgently required, and that dentists and dental hygienists should make a concerted effort to offer counseling and education to stimulate dental patients to abstain from smoking.

Exploring Users' Desired Emotion in Product Light Focusing on the Refrigerator (제품 조명에 기대하는 소구 감성 탐색: 냉장고 사례를 중심으로)

  • Jeong, Kyeong Ah;Suk, Hyeon-Jeong
    • Science of Emotion and Sensibility
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    • v.21 no.3
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    • pp.3-16
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    • 2018
  • Despite the substantial changes made in the product design field to adopt light as an essential design element, there has been little effort to define how customers respond emotionally to the light design of products. Therefore, it is necessary to analyze the emotional effect of light as a new design element. However, previous research focuses solely on deriving optimal lighting conditions to achieve particular emotional effects. Therefore, this paper investigates the customers' desired emotional effects of product's light design. We studied refrigerators that utilize light as the main design element of the product. We applied mixed methods by combining close-ended questions and open-ended question to efficiently derive the desired emotion. Participants were asked to choose the most favorable refrigerator image in each of the twelve image groups and indicate why they choose that image with the short-answer survey form. Approximately one thousand terms were collected, and those terms were classified into 29 groups using thesaurus relationships. The term groups were again classified into the four big emotion categories and labelled as "abstract quality," "light property," "space perception," and "visual comfort." Also, a model of the relationship between desired light style and light properties was proposed, since we observed the light properties related to three other categories. This study used mixed methods to identify the emotional value of a new design element. We suggest that the emotional categories derived and the proposed relationship model could be used to evaluate the product's light design.

A Study on the Linkage between Intelligent Security Technology based on Spatial Information and other Technologies for Demonstration of Convergence Technology (융복합 기술 실증을 위한 공간정보 기반 지능형 방범 기술과 타 분야 기술 간 연계 방안 연구)

  • Shin, Young-Seob;Han, Sun-Hee;Yu, In-Jae;Lee, Jae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.622-632
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    • 2018
  • With the recent changes in the social environment, the growth in the so-called 'five major crimes' has been highlighted as one of the causes of anxiety in Koreans' lives. Many attempts have been made to solve this problem; however, it is still difficult to secure the location information of the socially vulnerable in emergency situations and to precisely identify the features and clothing of criminals and track them using current image analysis technology. Therefore, the development of precision positioning technology and support services along with intelligent security service technology based on spatial information has been given a high priority. This study suggested measures that could be continuously applied to link technologies and services with high linkability by analyzing technologies based on spatial information and other fields. To establish measures for linkage between intelligent security technology and other technologies and services, this study analyzed the existing technologies and research trends in intelligent security technology, and reviewed linkable services according to five criteria established to evaluate their linkability. Based on this analysis, three technologies with high linkability were ultimately selected, and measures for linkage were established. It is expected that the linkage measures derived using the objective evaluation criteria will serve as a stepping stone for promoting active technology linkage and commercialization in the future, even after the completion of this study.

Analysis of Smoking Characteristics and Oral Health Practice in Health and Non-Health Related Majors (보건계열과 비보건계열 대학생의 흡연관련 특성과 구강건강실천 분석)

  • Lee, Hyun-Ok;Kim, Ah-Jin
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.183-190
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    • 2014
  • The purpose of this study was to examine the smoking-related characteristics of health and non-health related majors and the relationship between the smoking dependence and oral health practice of college students. The subjects in this study were the college students who were selected by convenience sampling from four different universities in the city of Jeonju, North Jeolla Province. The answer sheets from 811 respondents were analyzed. The findings of the study were as follows: The rate of the smoker students whose major was related to health stood at 20.6 percent, and that of the smoker students whose major was not related to health stood at 29.4%. There were significant differences according to the track of their major (p<0.05). As for links between smoking dependence and a plan to quit smoking, 32.7% of the health-related majors who considered themselves to depend on smoking replied they would give up smoking if there would be a rise in cigarette price (p<0.005), and 37% of the nonhealth related majors who considered themselves to depend on smoking gave the same answer. Thus, the largest group of the students intended to quit smoking if there would be a rise in cigarette price, and there were statistically significant differences according to smoking dependence (p<0.05). Concerning connections between smoking dependence and actual oral health practice, the non-health related majors who didn't consider themselves to depend on smoking got 3.53 in the item whether they brushed their teeth twice or more a day (p<0.05). In conclusion, the development and implementation of systematic programs that are to teach students to stay away from or quit smoking and take care of their oral health regardless of their major are required to step up the oral health promotion of college students.