• Title/Summary/Keyword: 치관 수복

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ALTERNATIVE TECHINQUE OF MATRIX BANDING FOR RESTORING OF PROXIMAL CARIOUS LESIONS IN PRIMARY ANTERIOR TEETH (유전치 인접면우식증의 복합레진 충전시 변형된 matrix band의 사용)

  • Ra, Ji-Young;Cho, Hyun;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.453-458
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    • 2003
  • Usually Mylar strip and wedge or celluloid strip crown were used in conventional method of restoring proximal carious lesions of primary anterior teeth. But, these methods have some difficulties to place the matrix and wedge due to short crown lenth and interdental spacing of primary teeth. And it is difficult to form proper cavosurface margin due to the rigidity of matrix and inconvenience to support matrix by practitioner's hand in narrow oral cavity of child. This article describes an alternative technique for restoring carious lesions of primary anterior teeth using available straw. This method is very convenient and reduce chair time and it also allows good marginal adaptation.

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Mouth rehabilitation of a patient with severely worn dentition with vertical dimension increase (심한 마모를 가진 환자에서 수직 고경 증가를 동반한 구강회복 증례)

  • Lee, Ki-Young;Kim, Chi-Yoon;Jung, Ji-Hye;Kim, Yu-Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.215-221
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    • 2015
  • Treating patients with severely worn dentition often requires comprehensive prosthetic treatments. Oral rehabilitation and long-term stability could be achieved by analyzing the cause of the wear and changing vertical dimension. The temporary restoration procedure is executed and patient's adaptation is evaluated by long-term observation when treatment is accompanied with increasing vertical dimension. In this case, 54 year-old male presented with worn dentition and esthetic dissatisfaction. In oral manifestations, severely worn dentition with attrition and erosion is diagnosed. To evaluate change of vertical dimension, interocclusal rest space, facial appearance, pronunciation, clinical crown length, distance from incisor edge to labial vestibule are evaluated. Consequently, 2.5 mm increase of vertical dimension that based on articulator incisal pin is determined. After 8 weeks stabilization period with temporary prostheses, definitive prostheses are fabricated. After 6 months follow up period, satisfactory outcomes were achieved both in functional and esthetic aspects through this procedure.

Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report (Class III 악간관계와 교합평면 부조화를 보이는 환자의 전악수복증례)

  • Kim, Hayeong;Paek, Janghyun;Kwon, Kung-Rock;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.451-457
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    • 2016
  • Prosthodontic decision-making process is done through analysis of clinical information and mutual communication between patient and dentist. When opposing teeth are extruded due to missing tooth or tooth defects, selection of appropriate treatment plan and predictory prognosis can be complicated in functional rehabilitation. In case of severely disharmonious occlusal plane result from extruded teeth, re-establishment of the occlusal plane is required, if necessary via prudent evaluation. In this case, class III patient had unesthetic appearance and mastication discomfort caused by disharmonious occlusal plane due to severe extrusion. Through a structured diagnostic process, appropriate treatment plan was selected. Esthetic and functional results were obtained through from full mouth rehabilitation with re-establishment of the occlusal plane.

DENTAL TREATMENT OF SHELL TEETH UNDER GENERAL ANESTHESIA: A CASE REPORT (Shell teeth 환자의 전신마취 하 치과치료 : 증례보고)

  • Jang, Eunjeong;Lee, Hyeongjik;Kim, Jiyeon;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.31-35
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    • 2018
  • Dentinogenesis imperfecta is a hereditary disorder that causes abnormal dentin formation and tooth morphology. Affected teeth show very thin dentin and large pulp chamber. Immediately after their eruption, the teeth tend to be destroyed rapidly. Early dental intervention is recommended to improve the feeding capacity and quality of life for the child, to maintain vertical dimension, and to promote healthy and functional dentition. This case report describes a treatment for a 4-year-2-month-old girl whose primary and permanent dentition were affected by Dentinogenesis Imperfecta. Shell teeth were observed in the entire primary dentition. The pulp of most teeth was exposed and the patient complained of pain. Most paternal family members were transferred to the Dentinogenesis Imperfecta. She needed an extensive dental treatment, but her compliance could not be expected because she was very young and anxious. So we decided to treat her under general anesthesia. All molar teeth are restored with Stainless Steel crown. Maxillary anterior teeth were extracted and mandibular anterior teeth are restored with composite resin. The patient's pain disappeared and masticatory function was restored.

Porcelain Laminate Veneer Restoration (Porcelain laminate veneer의 수복)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.191-200
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    • 2012
  • The patients' demand for treatment of unesthetic anterior teeth is steadily growing. Accordingly, several treatment options such as porcelain laminate veneers(PLV) have been proposed to restore the esthetic appearance of the dentition. Porcelain laminate veneers are considered minimally invasive, but they also require removal of sound enamel. One critical step in the porcelain laminate veneer technique is the achievement of sufficient ceramic thickness, and several different strategies for tooth preparation can be found in the literature. This clinical report describes a step-by-step protocols for preparation of these restorations used with the silicone index from diagnostic wax-up and the acrylic resin mock-up. Conservative use of porcelain laminate veneers provided satisfactory esthetic outcomes and preserved sound tooth structure.

A case report of single crown restoration using an intraoral scanner for occlusal evaluation (단일 치관 수복 시 구강스캐너를 이용한 교합평가 활용 증례보고)

  • Song, Jun-Beom;Lee, Jong-Hyuk;Ha, Seung-Ryong;Choi, Yu-Sung;Choi, Sun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.341-349
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    • 2021
  • The evaluation of occlusion using digital methods is easier and simpler in terms of recording, comparison, analysis, and objectivity compared to existing methods such as articulating paper and occlusion foil. The purpose of this case report was utilizing the digital method for evaluating occlusion. The occlusion of patient requiring full veneer crown restoration was evaluated using an intraoral scanner (i500, Medit, Seoul, Korea) at every visit. The occlusion was also assessed using conventional articulating paper and a digital occlusal analysis system (Dental prescale II, GC corp., Tokyo, Japan) for comparison. Throughout the treatment process, the intraoral scanner and the conventional articulating paper method showed similar outcomes. The results suggest that the use of digital evaluation system is highly probable in the near future.

MANDIBULAR PRIMARY MOLARS WITH 3 ROOTS : CASE REPORT (3개의 치근을 가진 하악 유구치 : 증례보고)

  • Song, Je-Seon;Choi, Byung-Jai;Choi, Hyung-Jun;Lee, Jae-Ho;Son, Heung-Kyu;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.167-174
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    • 2008
  • Mandibular first molar and primary molars usually have two roots, on the mesial and distal sides. Occasionally, these molars have an extra root located in the distolingual aspect. Prevalence of the 3-rooted first permanent molar shows ethnic variation, ranging from about 3% in Caucasian to about 20% in Mongoloid group, which includes Chinese, Japanese, Eskimo, American and Canadian Indians. The frequency of the mandibular molar with three roots decreases in the order of the first permanent molar, the second primary molar, and the first primary molar. If the mandibular first or second primary molar has an additional distolingual root, the adjacent molars, including the first permanent molar, posterior to it also may have it. Coronal morphologic change can occur in the mandibular first primary molars with three roots: the crown had more triangular-shape compared to the one with two roots, possibly affected by the presence of additional distolingual root. Clinically, exact diagnosis and treatment should be taken with those teeth for pulp canal treatment, extraction, and SS Cr.

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Comparison on the Fracture Strength Depending on the Fiber Post and Core Build-up (섬유 강화 포스트와 코어 축성 방법에 따른 파절 강도에 관한 비교)

  • Lee, Ja-Hyoung;Shin, Sooyeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.3
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    • pp.225-235
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    • 2009
  • A common procedure of restoration of endodonticlly treated tooth with fiber-reinforced post is followed by core build-up after post cementation. However, this technique is complex and time-consuming. The aim of this study was to compare fracture strength of premolar, restored with various methods of core fabrications on fiber-reinforced posts and casting metal restoration. Forty five freshly extracted human mandibular premolars were obtained and devided into 5 groups acconding to the type of post and methods of core build-up. In Group A, D.T. $Light-post^{(R)}$ were cemented with $DUO-LINK^{TM}$ and then $LIGHT-CORE^{TM}$ was used for core restoration. In Group B, D.T. $Light-post^{(R)}$ and $DUO-LINK^{TM}$ were used for cementing in the postspace, and $DUO-LINK^{TM}$ was used again for core restoration. In Group C, $Light-post^{(R)}$ bonding and the core build-up were performed simultaneously by using $DUO-LINK^{TM}$. In Group D, $LuxaPost^{(R)}$ was bonded by using $LuxaCore^{(R)}-Dual$. Again, $LuxaCore^{(R)}-Dual$ was used for core restoration. In Group E, $LuxaPost^{(R)}$ bonding and the core build-up were performed simultaneously by using $LuxaCore^{(R)}-Dual$. Axial reduction was formed parallelly as possible and 45 degree bevel was made at buccal occlusal surface. Crowns were fabricated and cemented. Each tooth was embedded in self-curing acrylic resin to the level of 2mm below the CEJ. Specimens were fixed on universal testing machin such that the axis of the tooth was at 45 degree inclination to the horizontal plane, and compressive force was applied at a crosshead speed of 1mm/min until failure occurred. The mean fracture strength was the highest in group A followed by descending order in group B, D, E and C. However, there were no statistically significant differences between groups with regard to the fracture strength. The type of the post or build-up methods of the core does not seem to influence the fracture strength.

A STUDY ON THE WEAR OF DENTAL RESTORATIVE MATERIALS (수종 치관수복재료의 마모도에 관한 연구)

  • Eom, Sang-Ho;Oh, Sang-Chun;Dong, Jin-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.3
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    • pp.514-523
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    • 1998
  • The purpose of this study was to compare the wear characteristics of Type III Gold Alloy (Degular C : Degussa AG), VMK 95 (Vita Zahnfabrik), Vitadur Alpha (Vita Zahnfabrik), IPS Empress (Ivoclar-Vivadent) and Targis (Ivoclar- Vivadent). Ten samples of each material were abraded against enamel of extracted incisors for 160,000 cycles on the wear machine. The depth of wear scars on enamel was analized with profilometer (Alpha-step 200;Tencor). And the wear of material specimen was determined with micrometer (PB-IB;Mitutoyo Co. Japan). The results obtained were as follows : 1. Type III gold alloy ($2.47{\mu}m$) and Targis ($5.89{\mu}m$) caused less wear of enamel specimens compared to VMK 95 ($75.59{\mu}m$), IPS Empress ($78.60{\mu}m$) and Vitadur Alpha ($78.89{\mu}m$) (p<0.05). 2. The wear of material specimen when opposing enamel was the lowest in type III gold alloy ($3.0{\mu}m$), followed by Targis ($69.8{\mu}m$), IPS Empress ($148.4{\mu}m$). VMK 95 ($298.0{\mu}m$) and Vitadur Alpha ($300.8{\mu}m$ exhibited the most severe wear against enamel (p<0.05).

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FINITE ELEMENT ANALYSIS OF STRESS TRANSMITTED TO THE PULPECTOMIZED PRIMARY CENTRAL INCISOR RECONSTRUCTED BY COMPOSITE RESIN CROWN (상악 유중절치의 치수치료후 치관수복에 대한 유한요소법적 분석)

  • Maeng, Myung-Ho;Kim, Yong-Kee;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.4
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    • pp.717-730
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    • 1998
  • The Finite Element Analysis has been used for stress analysis of prosthesis, orthodontic or orthopedic appliances and filling materials. The primary purpose of the present studying was to evaluate the effectiveness of needle post in promoting the retention and integrity of composite crown restored on the pulpotomized primary central incisor. Three finite element models-natural tooth (Sample I), composite crown with (Sample II) and without (Sample III) needle post-were constructed and the stress distribution within each model were analyzed and compared one another. The results can be summarized as follows: 1. In sample I, the stress was shown to have distributed uniformly throughout the whole tooth even to the alveolar bone. 2. In sample II, the transmission of stress from the crown to the root area was shown to be very poor and irregular. 3. In sample III, the needle post was proved to be very effective in distributing the stress well to the aveolar bone which might help in maintaining the stability of crown restoration.

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