• Title/Summary/Keyword: 치아수복

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Dental Restorative Composite Resins Containing Asymmetric Spiro Orthocarbonate for the Reduction of Volumetric Shrinkage (비대칭 스파이로 오르토카보네이트가 포함된 저수축 치아 수복재)

  • 황미선;김창근
    • Polymer(Korea)
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    • v.28 no.4
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    • pp.321-327
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    • 2004
  • The applications of dental restorative composite resins containing 2,2-bis [4-(2-hydroxy-3-me-thacryloyloxy propoxy) phenyl] propane as a base resin, and triethylene glycol dimethacrylate, as a diluent, were often limited in dentistry due to the relatively large amount of volumetric shrinkage that occurs during the curing reaction. In this study, in order to reduce volumetric shrinkage of the current dental restorative composite resin, asymmetric spiro orthocarbonates were synthesized and then the characteristics of resin composites containing them were explored. The volumetric shrinkage of the dental composites containing spiro orthocarbonates was decreased approximately 45%. However, the curing characteristics and mechanical properties of the new dental composites were slightly poor than those of the commercially available dental composite.

Fixed Prosthodontic Restorations after Forced Eruption of Traumatised Anterior Teeth (치아 정출술을 이용한 고정성 보철 수복)

  • Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.3
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    • pp.243-251
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    • 2008
  • A subgingival crown-root fracture presents a restorative problem to the clinician because restoration is complicated by the need to maintain the sound tooth structures. Forced eruption offers a method of treatment of teeth fractured close to the alveolar crest. Extrusion of such teeth allows elevating the fracture line above the epitherial attachment and so the proper finishing margins can be prepared. The purpose of this case is to report successful tooth restoration using forced eruption in case of crown-root fractures.

Effect of Bleaching on Restorative Materials and Restorations-Review (치아미백제가 수복재와 수복물에 미치는 영향에 관한 고찰)

  • Shim, Youn-Soo;Choi, Jae-Yoon
    • Journal of dental hygiene science
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    • v.6 no.3
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    • pp.153-158
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    • 2006
  • Bleaching of vital and nonvital teeth is becoming a more commonly used treatment in the dental office and at home. To improve appearance and remove discoloration, the teeth of specific patients are treated with a variety of bleaching agents. The typical bleaching agents contains carbamide or hydrogen peroxide as the active component. The purpose of the review article was to summarize and discuss the available information concerning the effect of peroxide releasing bleaching agent on dental restorative materials and restorations. Information from all original scientific full papers or reviews listed in PubMed or ISI Web Science were included in the review. Bleaching may exert a negative influence on restorations and restorative materials. Advice is provided based on the current literature to minimize the impact of bleaching treatment on restorative materials and restorations.

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Tooth Preparation for Considering Tooth Anatomy (치아형태를 고려한 지대치형성)

  • Jo, Byung-Woan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.9 no.1
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    • pp.42-46
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    • 2000
  • 치아형태라고 하면 따분하고 재미없는 것으로 생각하기 쉽지만, 치과임상에서 아주 중요한 기초를 형성하고 있다. 지대치형성은 치과보철수복의 첫 단계로서, 좋은 지대치형성은 좋은 보철물로 연결된다. 또한 치과보철 수복의 대부분은 원래의 치아형태수복에 맞추어져 있어서, 치아형태와 지대치형성은 많은 상관성을 가지고 있을 것이라고 유추해 볼 수 있다. 그러나 통상적으로 알고 있는 치아형태는 교합변형태로만 인식하고 있어서, 지대치형성시 치아형태가 큰 도움을 주지는 못하는 실정에 있다. 물론 교합면형태도 중요하지만 그외의 여러형태도 치과임상에 있어서 결코 무시할 수 없다. 필자는 지대치형성에서 고려해야 할 치아형태와 임상적 중요성에 대해서 언급하여 치과의사선생님들의 임상에 도움을 주고자 한다.

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Effect of the marginal position of prosthesis on stress distribution of teeth with abfraction lesion using finite element analysis (보철물 변연의 위치가 abfraction된 치아의 응력 분포에 미치는 영향에 대한 유한요소법적 분석)

  • Kim, Myeong-Hyeon;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.202-210
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    • 2014
  • Purpose: The aim of this study was to evaluate the stress concentration and distribution whether restoring the cavity or not while restoring with metal ceramic crown on tooth with abfraction lesion using finite element analysis. Materials and methods: Maxillary first premolar was selected and made a total of 10 finite element model. Model 1 was natural tooth; Model 2 was tooth with metal ceramic crown restoration which margin was positioned above 2 mm from CEJ; Model 3 was tooth with metal ceramic crown restoration which margin was positioned on CEJ; Model 4 was natural tooth which has abfraction lesion; Model 5 and 6 had abfraction lesion and the other condition was same as model 2 and 3, respectively; Model 7 was natural tooth which had abfraction lesion restored with composite resin; Model 8 and 9 was tooth with metal ceramic crown after restoring on abfraction lesion with composite resin; Model 10 was restored tooth on abfraction lesion with composite resin and metal ceramic crown restoration which margin is positioned on lower border of abfraction lesion. Load A and Load B was also designed. Von Mises value was evaluated on each point. Results: Under load A or load B, on tooth with abfraction lesion, stress was concentrated on the apex of lesion. Under load A or load B, on tooth that abfraction lesion was restored with composite resin, the stress value was reduced on the apex. Conclusion: In case of abfraction lesion was restored with composite resin, the stress was concentrated on the apical border of restored cavity regardless of marginal position. It was favorable to place crown margin on the enamel for restoring with metal ceramic crown.

Minimal Intervention Dentistry - 이론과 실제

  • 손호현
    • Proceedings of the KACD Conference
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    • 2003.05a
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    • pp.290-290
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    • 2003
  • 지난 20세기 동안, 치아 우식에 대한 치료는 G.V. Black이 제안한 '예방 확대' 개념에 따른 와동형성 원칙에 따라 외과적 치칠 삭제의 형태로 수행되어져 왔다. 즉, 치아 우식 병소에 발견되면 치과의사들은 망설임 없이 핸드 피스를 들고 우식 부위 치질을 삭제하며, 수복재료에 따라 적합한 형태로 건전한 치질을 삭제하여 수복 와동을 형성하였다. 그러나 치아 우식에 대한 많은 연구 결과, 원인균과 산 생산 및 탈회와 재석회화 등에 대한 정보가 알려졌고, 접착 수복이 비약적 발전을 하여 임상 적용이 일반화되면서, 지난 10여년 이래 치아 우식에 대한 치료 개념이 점차 최소 치질 삭제와 건전 치질 보존으로 전환되어 왔고 이러한 개념을 통칭하여 Minimal Intervention Dentistry라 하고 있다. 21세기에는 치아 우식에 대한 치료가 minimal intervention dentistry의 개념 하에 점차 폭넓게 임상에 적용될 것으로 예상되며, 다음과 같은 원칙들이 제시되고 있다.(중략)

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MOLAR RESTORATION WITH AN ORTHODONTIC BAND (교정용 밴드를 이용한 구치부 수복)

  • Lee, Suk-Woo;Lee, Jae-Ho;Choi, Hyung-Jun;Sohn, Hyung-Kyu;Kim, Seong-Oh;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.91-95
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    • 2009
  • The use of stainless steel crowns are indicated for restoration of primary or permanent molars with proximal dental caries, extensive dental caries, or previous pulp treatment with increased danger of tooth fracture. Stainless steel crowns were introduced by Humphrey in 1950. For their improved durability, longevity, and success rate, they have been strongly considered for restoring extensive and multi-surfaced dental caries of molars in pediatric dentistry. However, they also have shortcomings, such as possibility of pulpal exposure or damaging proximal surface of adjacent teeth. In addition, when oversized stainless steel crowns are used, eruption of the adjacent permanent teeth may be disturbed by their prominent margin. As a means to compensate the shortcomings of stainless steel crowns, use of orthodontics bands may be considered. It is an alternative restoration method, where an orthodontic band is placed on a tooth first and cavity is restored with filling material, such as composite resin, glass ionomer, or amalgam. The use of an orthodontic band is indicated for molar restoration with cervical dental caries, extensive dental caries, enamel hypoplasia, or previous pulp treatment. Because it requires shorter chair time compared to stainless steel crown, its application is very useful for children with poor behavior. However, restoration using an orthodontic band requires good oral hygiene after its application. This case report illustrates the conservative restoration of primary molars and permanent molars with extensive dental caries using orthodontic bands.

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Full mouth rehabilitation with vertical increase in patient with severe tooth wear using monolithic zirconia prosthetic restoration (과도한 치아마모를 보이는 환자에서 수직교합고경의 증가를 동반한 단일구조 지르코니아 보철물 전악수복)

  • Bang, Ji Won;Kim, Seong-A;Lim, Sun Yong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.369-377
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    • 2020
  • Gradual teeth wear is normal physiological progress, severe tooth wear can causes dysfunction, occlusal plane disharmony and esthetic problems. If additional space is needed for prosthetic restoration due to severe attrition, full mouth rehabilitation with increase of occlusal vertical dimension may be considered. In this case, 72 year old male patient with severe worn dentition, irregular gingival zenith and deep anterior bite was treated by full mouth rehabilitation for regaining the space for restoration, improving relationship and esthetic of anterior teeth. Provisional restoration obtained by systemic analysis, diagnosis and re-evaluation for a sufficient time was replicated to final restorations through double scanning technique using monolithic zirconia blocks. Satisfactory functional and esthetic outcomes were obtained.

The Effects of the Q-Ray View on Reliability of Assessing a Tooth Status for Dental Hygiene Process (Q-Ray View 활용이 치위생과정을 위한 치아 검사의 신뢰도 향상에 미치는 영향)

  • Oh, Hye-Young;Jung, Hoi-In;Ku, Hye-Min;Kim, Baek-Il
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.461-467
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    • 2014
  • The objective of this study was to evaluate the impact of the Q-ray view, a novel optical device on reliability of assessing a tooth status by dental hygiene students in the training for dental hygiene process. Twenty patients were enrolled in this study. Oral examinations were conducted by both seventeen third-year dental hygiene students and a trained faculty member. Traditional visual inspection was performed in phase I and then re-examined with Q-ray view in phase II. Restoration codes and lesion codes for each tooth were recorded separately according to the predefined criteria. As a measure of reliability, percent agreement and Cohen's kappa were determined. Agreements for each intraoral regions and types of lesion and restoration were calculated. Paired t-test and Pearson chi-square test for two proportions were used to compare mean Cohen's kappa and percent agreement at each phase. For the lesion code, mean kappa values of phase II for intraoral regions were significantly greater than that of phase I (p=0.017). For the both of the lesion code and restoration code, percent agreements of phase II for each types of lesion and restoration were significantly greater than that of phase II (p<0.001 and p<0.001, respectively). Especially difference of percent agreements between phase I and II for incipient caries, caries and fracture were significant for the lesion code (p=0.046, p<0.001, and p=0.029, respectively) and for not restored or sealed, tooth-colored restoration were significant for the restoration code (p<0.001 and p=0.011, respectively). The reliability of assessing a tooth status was improved when the Q-ray view used in dental hygiene student with beginner level of expertise. Q-ray view can be a promising device for conducting and educating the dental hygiene process better.