• Title/Summary/Keyword: Buccal

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STRESS ANALYSIS OF ABUTMENT FOR DISTAL EXTENSION REMOVABLE PARTIAL DENTURE BY CLASP DESIGN AND IMPRESSION METHOD (편측후방연장 국소의치에서 인상채득 방법과 클라스프 설계에 따른 지대치의 응력분석에 관한 연구)

  • Ahn Hee-Young;Kim Kwang-Jun;Cho Hye-Won;Jin Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.5
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    • pp.547-555
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    • 2001
  • This study was performed tn investigate the effects of impression method and design of the retainer on the stress of abutment tooth in distal extension RPD. Three different types of direct retainer such as Akers clasp, RPI clasp, and wrought wire clasp were designed. Stress on the abutment tooth was measured and analyzed with strain gauge method. Impressions were anatomic impression technique and functional impression technique. The following conclusions were drawn from this study. 1. The stress at the abutment tooth on all RPD was decreased in functional impression except RPI clasp retained RPD. 2 The stress at the abutment tooth on RPI clasp retained RPD was the most smallest in anatomic Impression. 3. While load is increase the stress at the abutment tooth was increased, but the change of stress at the buccal side of abutment tooth was not too much in functional impression.

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Periodontal attachment loss of extracted teeth for periodontal reasons (발거치에 나타난 부착상실의 양상에 대한 연구)

  • Kim, Jung-Hyun;Kim, Sung-Jo;Choi, Jeom-Il;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.61-68
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    • 2006
  • The factors influencing long-term prognosis of teeth must be carefully considered. Among these, attachment level is strongly associated with tooth loss. The purpose of the present study was to estimate pattern of attachment loss based on attachment area in extracted teeth. 197 satisfied the criteria for assessment after staining. The protocol described by Waerhaug(l975) was performed. An indir ect method, based on digital image abstracted from digital camera and digital imaging software program, was used to calculate the root surface area and the attachment loss area. The data were analysed using SPSS. Except maxillary central incisior and mandibular canine, no statistical significant differences between each root surfaces were observed in anterior teeth. In posterior teeth, statistical significant differences in palatal surface of maxillary molar and mandibular molar compared with others were observed. Statistical significant difference in buccal surface compared with others was lowly observed in single and multi rooted. This study did not reveal progressive loss pattern of attachment area in each root surface but clarified root surface that has relative high loss rate of attachment area at extraction. Thus understanding this pattern of attachment loss is helpful for dentist to treat the periodontitis.

Clinical evaluation of a collagen matrix to enhance the width of keratinized gingiva around dental implants

  • Lee, Kang-Ho;Kim, Byung-Ock;Jang, Hyun-Seon
    • Journal of Periodontal and Implant Science
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    • v.40 no.2
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    • pp.96-101
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    • 2010
  • Purpose: The purpose of this study was to evaluate the effect of collagen matrix with apically positioned flap (APF) on the width of keratinized gingiva, comparing to the results of APF only and APF combined with free gingival graft (FGG) at the second implant surgery. Methods: Nine patients were selected from those who had received treatments at the Department of Periodontics, Chosun University Dental Hospital, Gwangju, Korea. We performed APF, APF combined with FGG, and APF combined with collagen matrix coverage respectively. Clinical evaluation of keratinized gingival was performed by measuring the distance from the gingival crest to the mucogingival junction at the mid-buccal point, using a periodontal probe before and after the surgery. Results: The ratio of an increase was 0.3, 0.6, and 0.6 for the three subjects in the APF cases, 3, 5, and 7 for the three in the APF combined with FGG case, and 1.5, 0.5, and 3 for the three in the APF combined with collagen matrix coverage case. Conclusions: This study suggests that the collagen matrix when used as a soft tissue substitute with the aim of increasing the width of keratinized tissue or mucosa, was as effective and predictable as the FGG.

Clinical application of bone graft materials in dental implant (임상가를 위한 특집 3 - 기능별 뼈이식재의 임프란트 적용방법)

  • Ahn, Kang-Min
    • The Journal of the Korean dental association
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    • v.48 no.4
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    • pp.275-279
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    • 2010
  • Dental implant restoration in partial or full edentulous state has become the standard treatment in recent years. Bone graft with guided bone regeneration technique has been regarded as one of the most reliable methods to restore the bone defect area due to periodontal disease or dental trauma. Bone graft materials and membrane are the essential component of guided bone regeneration; however, a variety of bone graft materials confuse us in implant dentistry. Autogenous bone is the recognized standards in implant dentistry owing to its osteogenesis potential. Despite of its disadvantages, grafting autogenous bone is the most reliable methods. Even though the development of new bone grafts materials, autogenous bone is useful in exposed implant thread and total lack of buccal or lingual bone. Allogenic, xenogenic and synthetic bone have the osteoconductive and osteoinductive potential. These materials could be used successfully in self-contained cavity such as sinus cavity and three-wall defects. In this article, application of bone graft material is suggested according to the function of bone graft materials.

Simultaneous Implant Placement with Modified Ridge Splitting/Expansion Technique in the Narrow Edentulous Alveolar Ridge : 3 Cases Report (좁은 치조골에 변형된 치조능 분할술/확장술을 이용한 임플란트 동시 식립 : 3 가지 증례보고)

  • Lee, Jong-Bin;Lee, Jae-Hong;Kim, Young-Taek
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.545-557
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    • 2015
  • The modified ridge splitting/expansion technique combined with guided bone regeneration (GBR) for implant surgery is used to expand the narrow and atrophied edentulous alveolar ridge. Also, the simultaneous implant placement after ridge splitting/expansion technique can reduce the treatment and healing time. This case report includes three patients with a narrow edentulous alveolar ridge of the 2 to 4mm. All three patients underwent a fracture of thin buccal cortical bone plate, and these defects were corrected by the use of the guided bone regeneration (GBR). After 7 to 18 months, all surgical area was stable, and all implant showed a good healing state on the clinical and radiographic examination. In conclusion, though this surgical method is technique sensitive, the modified ridge splitting/expansion technique combined with GBR for implant surgery is recommended for a horizontal augmentation in the narrow edentulous alveolar ridge.

USAGE OF NASOLABIAL SKIN FLAPS FOR THE RECONSTRUCTION OF VARIOUS INTRAORAL DEFECTS (다양한 구강내 결손부 재건을 위한 비순피판의 활용)

  • Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.1
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    • pp.71-78
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    • 2007
  • The nasolabial flap has been used for reconstruction of moderate size intraoral defects. The nasolabial fold area provides an ample supply of tissue with a good color and texture match. The nasolabial flap classified advancement flap, inferiorly-based flap, superiorly-based flap. The flap is based inferiorly, so that it can easily be rotated to the intraoral defects. The nasolabial flap is chosen for the repair of various intraoral defects because of its simple elevation, proximity to the defect and its rich subcutaneous blood supply of a island flap. The subjects were 6 patients with nasolabial flap, who had reconstruction of moderate size intraoral defects. We have found the inferiorly-based nasolabial flap with a subcutaneous pedicle useful in the primary repair of surgical defects of the buccal mucosa, edentulous mandibular ridge, maxillary alveolus area and soft palate in these patients. There was no complication except one case. Intraoral hair growth was a minor problem of this patient. We thought that the inferiorly-based nasolabial flap is a useful technique for reconstruction of various intraoral defects.

A CLINICAL CASE OF UNILATERAL MAXILLARY DEFECT RECONSTRUCTION USING NASOLABIAL FLAP (비순 피판을 이용한 상악골 편측 괴사환자의 치험례)

  • Lee, Eun-Young;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.2
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    • pp.167-172
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    • 2009
  • The maxilla rarely undergoes necrosis due to its rich vascularity. Maxillary necrosis can occur due to bacterial infections such as osteomyelitis. viral infections such as herpes zoster and fungal infections such as mucormycosis, aspergillosis etc. Herpes zoster is a common viral infection, the oral soft tissue manifestations of which are widely known and recognized. Extremely rare complications such as osteonecrosis, and secondary osteomyelitis in maxilla were observed. But, reports of spontaneous tooth exfoliation and jaw osteonecrosis following herpes zoster infection in the distribution of the trigeminal nerve are extremely rare in the literature. We report a case of maxillary necrosis by herpes zoster in an uncontrolled diabetic patient. There was extensive necrosis of the buccal and palatal mucoperiosteum and exposure of the alveolar bone. This patient was successfully treated using a removal of necrotic bone and nasolabial flap. We briefly discuss different diseases which can lead to maxillary necrosis and a review. Analysis of the pathogenesis of herpes zoster and bone necrosis are discussed.

A STUDY ON THE RATIO OF THE DENIAL ARCH STRUCTURE IN KOREANS (한국인 치열궁구조의 비례에 관한 연구)

  • Park, Je-Uk;Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.165-173
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    • 1988
  • The purpose of this study was to investigate and evaluate what proportion is the characteristics in Korean dental arches with normal occlusion. Many others have already indicated Golden proportion in normal dental arches, but have not considered any racial and sociocultural differences. So the author postulated $(\sqrt{2})^n$ relations in Koreans. The materials were consisted of 134 dental casts with normal occlusion, which have never undergone orthodontic and prosthodontic procedures. Measurements were made on the arch dimensions using sliding caliper and data were computerized. The findings were as follows: 1. The width between the distal surfaces of the upper centrals, had $(\sqrt{2})^3$ relation with the width between the buccal surfaces of the upper 1 st premolars in Koreans. 2. The width between the distal surfaces of the lower laterals had $(\sqrt{2})$ relation with the width between the distal surfaces of the lower canines, and had $(\sqrt{2})^2$ relation with the distal surfaces of the upper centrals. 3. The width between the distal surfaces of the lower centrals had $(\sqrt{2})^2$ relation with the width between the distal surfaces of the lower laterals, and had $(\sqrt{2})^3$ relation with the width between the distal surfaces of the upper centrals.

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EFFECT OF SECONDARY HEAT TREATMENT ON DIMENSIONAL CHANGES OF ACRYLIC RESIN PARTIAL DENTURE BASE (2차 가열에 의한 국소의치상의 변형에 관한 실험적 연구)

  • Jang, Byung-Gun;Lee, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.1
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    • pp.193-211
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    • 1989
  • The purpose of this study was to investigate the effect of secondary heat treatment on dimensional changes of acrylic resin partial denture base. For this study, 6 specimens were made: 2 groups of 2 specimens, each was treated with $125^{\circ}C$ dry heat and glycerine heat for 3 minutes, and the others were prepared for control group. The change of the internal diameter of specimens were measured after 3 hrs, 1 day, 1 week, 2 weeks, 4 weeks by three-dimensional space analyzer. The results were as follows : 1. All of the acrylic resin denture bases showed tissue ward thermal contraction. 2. Thermal contraction of the mesial area reinforced with metal framework was lesser than that of the distal area without metal framework. 3. Thermal contraction of the lingual flange reinforced with metal framework occured more slowly than that of the buccal flange without the metal framework. 4. The thermal contraction of dry heat treated acrylic resin base, compared to glycerine heat group, was moderately greater and occurred acutely.

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Anisakiasis Involving the Oral Mucosa

  • Choi, Sang Kyu;Kim, Cheol Keun;Kim, Soon Heum;Jo, Dong In
    • Archives of Craniofacial Surgery
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    • v.18 no.4
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    • pp.261-263
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    • 2017
  • Anisakis is a parasite with life cycles involving fish and marine mammals. Human infection, anisakiasis, occurs with the ingestion of raw infected seafood and usually presents with acute or chronic gastrointestinal symptoms from esophageal or gastric invasion. We report a rare caseinvolving the oral cavity. A 39-year-old male presented with oral and sub-sternal pain of one day duration after eating raw cuttlefish. Physical examination revealed areas of erythema and edema with a central white foreign particle on the labial and buccal mucosa. With microscopic field we could remove the foreign material from the lesions. The foreign material was confirmed to be Anisakis. Anisakis was also removed from the esophagus by esophagogastroduodenoscopy. The patient was discharged the following day without complication. Anisakiasis is frequently reported in Korea and Japan, countries where raw seafood ingestion is popular. The symptoms of acute anisakiasis include pain, nausea, and vomiting and usually begin 2-12 hours after ingestion. The differential diagnosis includes food poisoning, acute gastritis, and acute pancreatitis. A history of raw seafood ingestion is important to the diagnosis of anisakiasis. Treatment is complete removal of the Anisakis to relieve acute symptoms and prevent chronic granulomatous inflammation.