• Title/Summary/Keyword: 치아 구조

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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.

Full mouth rehabilitation of the patient with severely worn dentition and limited vertical dimension (심한 치아 마모와 수복공간 부족을 보이는 환자에서의 완전 구강회복 증례)

  • Yang, Min-Seong;Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young;Park, Ji-Man;Yi, Yu-Seung
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.91-99
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    • 2022
  • Severely worn dentition causes various complications such as loss of tooth structure, discoloration, pulp complications and loss of function and aesthetics. In this case, the patient showed particularly severe attrition in the anterior teeth and lack of space for restoration. The amount of vertical dimension was determined based on the diagnostic wax up, and the patient's adaptation was evaluated by using a removable occlusal splint for 6 weeks. Thereafter, the coordination of the muscular nervous system, aesthetics, temporomandibular joint were re-evaluated for 3 months by restoring the fixed provisional restoration. Through the above treatment process, the final restoration was completed with full mouth fixed prosthesis using monolithic zirconia, and functionally and aesthetically stable results were obtained.

Design and Implementation of 2D Image-Based Implant Placement Guide System (2D 영상 기반의 임플란트 식립 가이드 시스템 설계 및 구현)

  • Minwoo Kang;Jiwoo Shin;Seongmin Lee;Soungjun Yoon;Jinman Jung
    • The Transactions of the Korea Information Processing Society
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    • v.13 no.10
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    • pp.568-573
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    • 2024
  • Accurate placement of prosthetics represents a critical aspect of dental implant surgery. however, it heavily depends on the dentist's decision and visual obstructions caused by various factors can lead to errors during the procedure. This paper proposes a 2D image-based real-time implant placement guiding system that predicts the implant position using 2D surgical video without the need for preoperative oral scans or 3D model generation. In the initial phase of the surgical video, two segmentation models are employed to measure prior statistics of the occlusal and incisal surfaces for each tooth. Subsequently, a single segmentation model is used to separate the occlusal and incisal surfaces, and the implant placement is predicted and guided based on the axis and length of adjacent teeth as well as the center of the prosthesis to be implanted. The system was designed and implemented using a dental phantom model, which replicates the oral structure of an actual human. The algorithm's average execution time for guiding implant placement on 10 images was measured to be 12.14 ms, demonstrating its feasibility for real-time application in surgical video.

A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses (광범위한 치아부식 및 마모가 있는 환자에서 교정치료와 단일구조 지르코니아 보철물을 이용하여 완전 구강 회복술을 시행한 증례)

  • Yun, Byoung Soo;Kim, Jong Eun;Shim, Jun Sung;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.360-367
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    • 2018
  • Extensive dental erosion and wear will cause serious loss of function and aesthetics in the mouth. In order to recover this condition, careful analysis of the patient's bite relationship is required. In particular, a treatment plan should be established considering the possibility of reproduction of the vertical dimension and centric relation, and appropriateness of the occlusal plane and anterior guidance. Also, the choice of prosthetic materials is an important consideration in patients with severe wear. In this case, patients with overall wear and erosion on tooth was established anterior guidance by orthodontic treatment and fully restored with monolithic zirconia, without increasing vertical dimension.

Study on the Dental Attrition of the Patients with Craniomandibular Disorders using Age Estimation (연령감정을 이용한 두개하악장애환자의 치아 교모도에 관한 연구)

  • Se-Yong Lee;Ki-Suk Kim
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.421-427
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    • 1995
  • 두개하악장애는 저작근, 측두하악관절 및 그와 관련된 구조물의 많은 임상적인 문제를 포함하는 포괄적인 용어이다. 두개하악장애의 원인은 다양하고 종종 다인성이며 위험을 증가시키는 여러가지 소인들이 존재한다. 이갈이나 이악물기 같은 이상기능습관은 흔하며 또한 임상적으로 많은 관련이 있는 것으로 사료된다. 그러나 이전의 연구에서는 연령증가에 따른 기능적 마모를 고려한 치아교모에 관한 연구가 시행되지 않고 단순한 교모도의 평가비교만이 시행되었다. 본 연구는 법치의학적 연령감정에서 널리 사용되고 있느 치아교모도를 이용한 연령감정법을 이용하여 두개하악장애환자의 치아교모도에 관한 연구를 시행하였다. 연령은 기능적마모에 따른 정도를 평가하기 위해서 고려되었다. 단국대학교 치과병원 구강내과에서 두개하악장애로 진단된 환자18명과 대조군으로 외래환자 14명을 대상으로 하였다. 연령차는 연령감정법의 추정연령과 환자의 실제나이의 차이를 구해서 비교분석하였다. 이상의 결과로 두개하악장애환자의 중절치, 측절치, 제1소구치, 제2소구치의 치아교모도가 정상군보다 유의성 있게 높았다.

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Autogenous Transplantation of Third Molar to Replace Hopeless Tooth (예후 불량한 치아를 대체하는 제3대구치를 이용한 자가치아이식술)

  • Song, Il-Seok
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.1
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    • pp.13-24
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    • 2020
  • Autotransplantation is the surgical repositioning of an autogenous erupted or unerupted tooth from one site to another in the same individual. This treatment is indicated in traumatic tooth loss, teeth with severe caries, congenitally missing teeth, teeth with bad prognosis and in case of developmental anomalies of teeth. The following 2 cases describe the potential to utilize autotransplantation to replace hopeless teeth with sound wisdom teeth.

Full mouth rehabilitation of the patient with worn dentition using full-contour monolithic zirconia prostheses at an increased vertical dimension of occlusion: a case report (치아 마모 환자에서 수직고경 증가를 동반하여 단일구조 지르코니아 보철물로 완전구강회복을 시행한 증례)

  • Oh, Kyung-Chul;Chung, Moon-Kyu;Kim, Jee-Hwan;Shim, June-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.198-203
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    • 2012
  • Excessive occlusal wear results in unacceptable damage to the occluding surfaces, and can cause pulpal injury, occlusal disharmony, impaired function, and aesthetic deformity. Patients with severely worn dentition need to be classified as several categories relative to the vertical dimension of occlusion (VDO) and the interocclusal distance for the prosthetic space. When treating patients classified as those who have excessive wear without loss of occlusal vertical dimension but with limited space, we could consider treating them at an increased vertical dimension of occlusion. Treatments at an increased vertical dimension of occlusion may provide stability, given that the amount of its increase was minimal, and a perfected occlusion was achieved after enough stabilization period. A 50-year-old male visited the department of Prosthodontics in Yonsei University Dental Hospital with the chief complaint of worn teeth on lower anterior area. Reconstruction at an increased vertical dimension of occlusion was planned. After the compatibility of the new vertical dimension of occlusion had been confirmed under interim fixed restorations, definitive fixed restorations composed of full-contour monolithic zirconia prostheses were placed. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition at an increased vertical dimension of occlusion with an improvement in esthetics and function.

Geometric Features Detection of 3D Teeth Models using Approximate Curvatures (근사 곡률을 이용한 3차원 치아 모델의 기하학적 특징 검출)

  • Jang, Jin-Ho;Yoo, Kwan-Hee
    • The KIPS Transactions:PartA
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    • v.10A no.2
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    • pp.149-156
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    • 2003
  • In the latest medical world, the attempt of reconstructing anatomical human body system using computer graphics technology awakes people's interests. Actually, this trial has been made in dentistry too. There are a lot of practicable technology fields using computer graphics in dentistry For example, 3D visualization and measurement of dental data, detection of implant location, surface reconstruction for restoring artificial teeth in prostheses and relocation of teeth in orthodontics can be applied. In this paper, we propose methods for definitely detecting the geometric features of teeth such as cusp, ridge, fissure and pit, which have been used as most important characteristics in dental applications. The proposed methods are based on the approximate curvatures that are measured on a 3D tooth model made by scanning an impression. We also give examples of the geometric features detected by using the proposed methods. Comparing to other traditional methods visually, the methods are very useful in detecting more accurate geometric features.