• Title/Summary/Keyword: 치과용 CAD/CAM

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Full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion utilizing dental CAD-CAM system (구치부 지지 소실 및 무너진 교합관계를 보이는 환자에서 Dental CAD-CAM system을 활용한 완전 구강 회복 증례)

  • Jung, Jiwon;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.44-54
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    • 2022
  • Without proper treatment on the multiple tooth missing area, the lack of posterior support and the supra-eruption of the teeth cause many severe complications of occlusion, vertical dimension and masticatory function. This report is a case of full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion due to missing teeth area left untreated for a long time. The patient who is 68-year old male patient had some teeth fallen out while removing his old maxillary denture and was complaining about pain in the region of anterior teeth due to traumatic contact. The vertical dimension was corrected by 4 mm from the top cervical point of the canine through various evaluations and the edentulous area was treated with the implant fixed prostheses through computer guided implant surgery based on the diagnosis and treatment plan for definitive prostheses supported by computed tomography (CT) data analysis and CAD-CAM (Computer-aided design/computer-aided manufacturing) technique. After full mouth rehabilitation, the patient was very satisfied with remarkable improvements in mastication, function, and aesthetics.

Analysis of the Marginal and Internal Fit of Dental Zirconia Core Using Optical Coherence Tomography(OCT) (광간섭단층영상기를 이용한 치과용 지르코니아 코어의 적합도 분석)

  • Kim, Jae-Hong;Kim, Ki-Baek
    • The Journal of the Korea Contents Association
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    • v.12 no.8
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    • pp.240-247
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    • 2012
  • Marginal and internal fit is an important part of the longevity of dental restorations. The purpose of this study was to analysis the marginal and internal fit of zirconia core by dental CAD/CAM system using innovative and non-destructive methods such as optical coherence tomography(OCT) and compare with conventional method such as silicone replica technique(SRT). Ten dental stone models of abutment of maxillary right central incisal were manufactured and scanned. Ten zirconia cores were fabricated with commercial CAD/CAM system. To measure the marginal and internal fit of each sample, five point of fitness were measured using 2 different methods(OCT and SRT). Statistical analysis was performed using independent sample t-test(${\alpha}$=0.05). OCT and SRT groups were not significantly different(P>0.05). By this results, analysis the fitness of dental restorations using OCT were acceptable measuring method.

Shear Bond Strength of Zirconia and Ceramics according to Dental Zirconia Surface Treatment (치과용 지르코니아 표면처리방법에 따른 지르코니아와 전장용 도재의 결합강도 관찰)

  • Lee, Gwang-Young;Choi, Sung-Min
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.279-285
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    • 2019
  • Purpose: The dental CAD / CAM system has been popular with the development of the digital dental industry. Zirconia is a typical material in dental CAD / CAM systems. Zirconia crowns are classified into single layer and double layer. This study is about the double layer crown of zirconia. The surface roughness, bond strength and fracture patterns of the zirconia surface were observed. Methods: Zirconia blocks were cut using a low speed cutter. Sintered to form a plate shape (6mm × 6mm × 3mm). The prepared specimens were surface treated in four ways. Surface roughness and bond strength were measured. And the fracture pattern was observed. Results: Result of surface treatment of zirconia. The surface roughness test results were as ET 2.87 ㎛, ST 2.67 ㎛, LT 2.44 ㎛, AT 2.41 ㎛, CN 2.08 ㎛ order. Bond Strength results were as LT 25.09 MPa, AT 23.27 MPa, ST 21.27 MPa, ET 21.09 MPa, CN 16.12 MPa order. Fracture patterns showed cohesive failure of 25-50% of the bond area. Conclusion: Surface roughness, bond strength and fracture pattern of the zirconia surface were observed. Etching the surface treatment of zirconia materials has been shown to affect the surface roughness. Zirconia special binder treatment has been shown to affect the bond strength improvement.

Esthetic provisional restoraions of anterior region (심미적인 전치부 임시치아 제작법)

  • Kim, Deok jung
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.1
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    • pp.51-61
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    • 2018
  • Temporary restoration is one of the important processes in prosthodontic treatment, but some clinicians do not care about it. Most temporary restorations are literally used for a while, so most dentists like fast and cheap things. With the advent of dental CAD/CAM that can be made faster and easier with the changing age, the production of temporary restoration is also being digitized. It is good to be comfortable, but there are advantages and disadvantages. In this article, we are going to look at the 'analogue aesthetic anterior teeth temporary method' which seems to be the last generation.

Evaluation on machining accuracy according to convergence angle and radius of curvature value used for fabricating custom abutments (맞춤형 지대주 제작에 사용되는 수렴 각과 곡률 반경의 값에 따른 가공 정확도 평가)

  • Hong, Min-Ho;Choi, Sung-Min;Kwon, Tae-Yub
    • Korean Journal of Dental Materials
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    • v.44 no.4
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    • pp.329-336
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    • 2017
  • This study evaluates the machining accuracy of the custom abutment design according to the selected convergence angle and radius of curvature value in the CAD program. Ten custom abutments were designed based on dental CAD. And then, the fabricated custom abutment was scanned ten times using a contact scanner. The data of the scanned custom abutment was saved as "Test STL" file. The Geomagic studio software was used to superposition each exported as an "Test STL" file with the CAD-reference-model STL file (CRM) specified by the same name. In the experimental results, the A8 group (convergence angle $8^{\circ}$) showed lower error than the A4 group (convergence angle $4^{\circ}$) . In addition, the higher the radius of curvature, the less error in the top and chamfer regions of the custom abutment (p< 0.05). Overall, the convergence angle and radius of curvature value in the custom abutment design were found to affect the machining accuracy.

Comparative Study of the Surface Roughness of Working Models Fabricated by Dental CAD/CAM Scannable Stone and Type IV Gypsum Products (치과용 캐드캠 스캔전용 석고와 Type IV 석고로 제작된 작업모형의 표면조도 비교 연구)

  • Kim, Sa-Hak;Kim, Jae-Hong
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.455-460
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    • 2014
  • This study compared the surface roughness and surface characteristics between a type IV stone and scannable stone. Materials used were a type IV stone, two different kind of scannable stone. Ten specimens per experimental group were prepared according to manufacturer's direction. Surface roughness of specimen was measured using profilometer. The measurement was based on the standard of Japanese Industrial Standards 1994. The mean and standard deviations of each reference point were analyzed using one-way ANOVA and Scheff$\acute{e}$ post hoc test. The program used to handle statistical analysis was SPSS 20.0 and the significance level was set at 0.05. The difference of surface roughness was statistically significant in order of Scannable Stone $10.07{\pm}0.02{\mu}m$, Scannable Stone $20.08{\pm}0.03{\mu}m$, Type IV $0.10{\pm}0.04{\mu}m$. These results will have to be confirmed in further clinical application researches.

Comparative study of flexural strength of temporary restorative resin according to surface polishing and fabrication methods (표면연마와 제작방법에 따른 임시 수복용 레진의 굽힘강도에 관한 비교 연구)

  • Lim, Jae-Hun;Lee, Jae-In
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.1
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    • pp.16-22
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    • 2021
  • Purpose: The purpose of this study is to investigate the effect of surface polishing and fabrication method on the flexural strength of temporary restorative resin. Materials and Methods: Each of four fabrication methods was used to make 30 temporary restorative resin specimens and the specimens were divided into two groups depending on whether they were polished by mechanical polishing. Specimens were stored in 37℃ thermostat for 24 hours. Flexural strength was measured using a universal testing machine (UTM). The data obtained through the experiment were analyzed with Two-way ANOVA, Tukey's HSD test and Paired t-test. Results: CAD/CAM milling group showed the highest flexural strength regardless of surface polishing. In decreasing order, the flexural strength of the other fabrication method group was as follows SLA 3D printing, DLP 3D printing, and Conventional method group. Conclusion: Surface polishing did not affect flexural strength of the temporary restorative resin (P > 0.05). However, there were statistically significant differences in flexural strength depending on fabrication method (P < 0.05).

Full mouth rehabilitation in a patient with reduced vertical dimension due to numerous tooth loss and excessie worn dentition: A case report (다수의 치아 상실과 치아 마모로 인해 수직고경이 감소된 환자의 완전 구강 회복 증례)

  • Lee, Eun-Hyuk;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.456-466
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    • 2019
  • As digital dentistry technology is being developed, it is being used in various ways. This case covers how digital dentistry technology is being applied on the treatment of patients with loss of vertical dimension due to worn dentition and multiple loss of teeth. The loss of vertical dimension was carefully assessed and recovered, and implants were placed with surgical guides, designed considering the final restoration. The movement of the mandibular was measured with the electronic instrument for recording mandibular movement. Wax-up process was done with Naturgemäße Aufwachs-Technik (N.A.T.) and Natural functional reconstruction (N.F.R.). It was scanned, and the provisional restoration was fabricated using Computer-Aided-Design/Computer-Aided-Manufacturing (CAD/CAM) technology, and the adjustment process was done at the clinic to meet with the satisfaction both functionally and esthetically, and then, using double scanning and CAD/CAM technology, it was carried out as a final restoration. As a result, the patient obtained satisfying results, utilizing the benefits of digital dentistry technology and traditional methods.

Precision Analysis of Workpieces made with Dental 3D Printing Technology (치과용 3D 프린팅 기술로 제작된 가공물의 정밀성 분석)

  • Choi, Sung-min
    • Journal of Technologic Dentistry
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    • v.40 no.4
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    • pp.231-237
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    • 2018
  • Purpose: The development of the dental technology industry has digitized the dental process. Definition of Digitalization of Dental Implantation Digitalization is the process of model making and prosthodontic processing using 3D CAD and CAM. Currently, it is becoming popular due to the spread of various devices. However, precision evaluation at this stage is an important factor in precision-based dental procedures. Therefore, in this study, we want to analyze the precision of the processed body made with digital dental machine. Methods: The accuracy of digital dental pore devices was evaluated. Specimens were fabricated with 5 types of 3D printers. The external shape was measured with the prepared specimen. The surface roughness was measured. Results: As a result, precision was excellent in order of EP2 specimen, EP1 specimen, and EA2 specimen. The precision of EP3 specimen and EA1 specimen is not excellent. And the precision of the specimen processed with polymer 3D printer is excellent. The accuracy of LCPS type polymer 3D printers is considered to be excellent. Conclusion : 1. Observation of the shape The 3D printer for LCPS system and the 3D printer for SLM $40{\mu}m$ system were found to be precisely processed. 2. Surface roughness results The LCPS system polymer 3D printer has been shown to have a precise surface.

Complete mouth rehabilitation with fixed implant-supported prosthesis using temporary denture and dental CAD-CAM (완전 무치악 환자에서 임시 의치와 치과용 CAD-CAM을 활용한 전악 고정성 임플란트 회복 증례)

  • Jeon, Sol;Yoon, Hyung-In;Lee, Jae-Hyun;Yeo, In-Sung Luke;Han, Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.100-109
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    • 2022
  • Installation of dental implants at optimal angles and positions is critical in long-term stable implant-supported restorations. Surgery and prosthodontic procedures should be performed accurately as the treatment is planned. In this clinical case, Computer aided design and manufacturing technology was used not only to establish a precise surgical plan, but also to fabricate both provisional and definitive fixed prostheses. A surgical guide was designed to install the implants at proper positions for the definitive prostheses. The patient's esthetic information, which was necessary for the new provisional and definitive fixed prostheses, was obtained from the existing temporary dentures. Finally, the complete mouth fixed implant-supported rehabilitation using monolithic zirconia provided the patient with functionally and esthetically satisfactory prostheses.