• Title/Summary/Keyword: Clinical Crown

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CLINICAL APPLICATION OF TRANSITIONAL IMPLANTS (Transitional implant를 이용한 임시수복과 최종 수복)

  • Kim, Yu-Lee;Min, Seung-Ki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.6
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    • pp.575-580
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    • 2005
  • Transitional implants were developed to support provisional restorations and to allow for load-free osseointegration of conventional implants while a patient was provided with immediate esthetics and function and are usually placed simultaneously at the time of definitive implant placement. Transitional implants are placed in a non-submerged fashion in a single-stage surgery and are designed to be immediately loaded. They generally are made of commercially pure titanium or titanium alloy and are designed as 1-piece implants composed of root and crown replacement segments. Transitional implants can be used in a wide range of indications, such as basic use as temporary implant, to support and protect the primary implants during the healing phase, single crown in the edentulous anterior region of mandibular, anchorage for orthodontic treatment, support a surgical and radiographic template, and primary implant to extremely atrophied alveolar crests of the mandible and maxilla. This article describes the clinical use of transitional implants to support the provisional complete denture and single crown in the restricted edenturous central incisor region of mandible.

A INFLUENCE OF ARTIFICIAL OCCLUSAL INTERFERENCE ON THE ACTIVE OF ANTERIOR TEMPERAL AND MASSETER MUSCLES (인위적 교합장애가 측두근 전염 및 교근의 활성도에 미치는 영향에 관한 연구)

  • Joo, Hye-Yeon;Kim, Kwang-Nam;Chang, Ik-Tae
    • The Journal of Korean Academy of Prosthodontics
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    • v.26 no.1
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    • pp.99-111
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    • 1988
  • The purpose of this study was to investigate the influence of the occlusal interference on the activity of anterior temporal and masseter muscles during maximal biting. In seven subjects, cast hard gold cap providing new occlusal surface approximately 0.5mm above its occlusal level was cemented on the mandibular right first molar during aquired experimental period. EMG recordings were taken bilaterally during one second hardest possible clenching four times. This procedure was done not only before, immediately after, 48 hours after and one week after cementation of interfering crown but also immediately after and one week after removal of occlusal interfering crown. The results were as follows : 1. Immediately after cementation of interfering crown, the activity was significantly decreased in all muscles studied. 2. One week after cementaion of interfering crown, the lowest muscle activity was recorded. But clinical sign and symptoms were significantly subsided. 3. Immediately after removal of interfering crown, the activity was increased in all muscles studied. 4. One week after removal of interfering crown, the activity of masseter muscles was increased to the level of before cementation of interfering crown. 5. There was no significant activity difference between right and left in the muscle studied. 6. Masseter muscle activity showed significant change than anterior temporalis with the unilateral mandibular posterior tooth interference.

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A STUDY ON MARGINAL ADAPTATION OF READY-MADE STAINLESS STEEL CROWN TO THE PRIMARY MOLAR (기성금관수복 유구치의 변연 적합도에 관한 연구)

  • Lee, Sun-Kyung;Lee, Gwang-Su;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.2
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    • pp.389-400
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    • 1996
  • In Class II amalgam restoration in deciduous molar, failure rate and incidence of recurrent caries are high as children become older. In order to preserve deciduous molars till the physiologic exfoliation time, stainless steel crown is a choice of the treatment. As a result of a careless treatment, such as overhanging margin, poor marginal adaptation, poor proximal contour and inadequate mesiodistal width give rise to interfering eruption of the adjacent teeth, recurrent caries and chronic gingival irritation and insufficient arch length respectively. In this study, 252 s.s. crowned teeth extracted due to physiologic exfoliation or periapical lesion. The purpose of this study is to analyze the marginal adaptation of stainless steel crown to the deciduous molar in order to obtain better clinical result. The results were as follows : 1. Between the length of s.s. crown and the marginal gap of crown, positive correlations were shown. 2. Largest amount of marginal gap was shown at buccal side in upper deciduous molars and lower first deciduous molar, lingual side in lower second deciduous molar. But no significant diffrence were found statistically compared to second most largest one. 3. Incidence of exposed restoration and recurrent caries were higher in proximal surface than buccal/lingual surface. And extension of restoration below the margin of s.s. crown gives rise to higher rate of recurrent caries. 4. Defect of contour was found in 34%, frequently found in lower 1st deciduous molar and upper 1st deciduous molar. 5. Marginal polishing defects were found in 23%. 6. Ledge was formed in 10% especially in lower 1st deciduous molar and lower 2nd deciduous molar. 7. 16% of the teeth had wear facet due to traumatic occlusion, 7% of them had occlusal perforation.

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Clinical Report by using hybrid telescopic double crown Removable Partial Denture on a few remaining teeth with severe periodontal disease (치주적으로 불리한 소수 잔존치에서 하이브리드 텔레스코픽 이중관 국소의치를 이용한 임상증례)

  • Seo, Jang-Won;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.24-30
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    • 2019
  • The successful results of the treatment using a double crown denture have been reported in several papers for some of the few remaining teeth in patient. In particular, double crown dentures may be an alternative to treatment in cases where the periodontal status is poor and clasp type removable partial dentures are inappropriate (crown/root ratio > 1). In this case, the patient visited clinic with a chief complaint of difficulty in mastication due to loss of posterior teeth and overall teeth mobility. After teeth with severe periodontitis were extracted, treatment plan of mandible is Kennedy class I removable partial denture (RPD) and treatment plan of maxilla is hybrid telescopic double crown RPD with a friction pin. Patient is well adapted after the prosthetic treatment and we report due to achieving satisfactory results in pronunciation, mastication, retention and aesthetics.

ESTHETIC TREATMENT OF AMELOGENESIS IMPERFECTA USING RESIN JACKET CROWN: CASE REPORT (Resin Jacket Crown을 이용한 법랑질 형성 부전증 환자의 심미적 치험례)

  • Lee, Jun-Haeng;Lee, Jun-Seok;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.704-709
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    • 1998
  • Amelogenesis imperfecta represents a group of hereditary conditions that manifest enamel defects without evidence of generalized or systemic disorders. These enamel disorders are apparently heterogeneous in the basic chemical structure, resulting in a diverse presentation of clinical characteristics. The reported prevalence of amelogenesis imperfecta varies from 1 in 14,000-16,000 to 1.4 in 1,000 depending on specific population studied with the autosomal dominant hypocalcification type of amelogenesis imperfecta believed to be the least prevalent. The most widely accepted current classification system for delineating the amelogenesis imperfecta types considers the mode of inheritance and clinical manifestations. Three major groups are recognized; hypoplastic, hypocalcified, and hypomaturation types. Delineating specific types of amelogenesis imperfecta can be confusing due to the phenotypical similarity of many forms and that the most recent classification lists 14 different types. A 12 year-old female patient came to our pediatric dentistry clinic complaining of the ugly shape and color of her teeth, especially the upper front area. Although the goal of the treatment was mainly focused on the improvement of patient's esthetics, longevity of the restorations was also considered in selecting the appropriate restorative system, resin jacket crown, which can satisfy the both aspects.

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Radiographic assessment of clinical root-crown ratios of permanent teeth in a healthy Korean population

  • Yun, Hee-Jung;Jeong, Jin-Sun;Pang, Nan-Sim;Kwon, Il-Keun;Jung, Bock-Young
    • The Journal of Advanced Prosthodontics
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    • v.6 no.3
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    • pp.171-176
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    • 2014
  • PURPOSE. The aim of this study was to determine the absolute value of the root/crown ratio (R/C ratio) using panoramic radiographs (PRGs) in a healthy Korean population. MATERIALS AND METHODS. In total, 99 patient radiographs (of 50 males and 49 females subjects; aged 16 to 24 years old) were examined, and 2,770 teeth were analyzed. Crown lengths and root lengths were measured with modified Lind's measurements using PACS tools by two examiners in two separate sessions two months apart. All data were analyzed using SPSS. The independent t-test was used to assess for gender differences, and the paired t-test was used to compare both arches with a significance level of P<.05. RESULTS. The mean R/C ratios varied from 1.29 to 1.89 (male: 1.28-1.84; females: 1.31-1.94). The highest R/C ratios were recorded for the mandibular canines (1.89), followed by the maxillary canines (1.79). The lowest R/C ratios were recorded for the maxillary second molars (1.31). In comparison with the maxillary teeth (1.29-1.78), the mandibular teeth yielded the higher R/C ratio (1.47-1.89), and this difference was significant in the females (P<.05). The difference between the genders was not statistically significant, except for the maxillary central incisors, mandibular canines and mandibular first premolars. CONCLUSION. These data may enhance the understanding of the clinical R/C ratio as a useful guideline for determining the status of teeth and the ethnic difference.

CASE REPORT OF AMELOGENESIS IMPERFECTA (법랑질형성부전증에 대한 증례보고)

  • Baik, Byeoung-Ju;Kim, Sang-Hoon;Lee, Seung-Ik;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.499-504
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    • 2000
  • Amelogenesis imperfecta is defined as a genetically determined effect affecting enamel formation and may be associated with other ectodermal or systemic disorders. It is entirely an ectodermal disturbance, since the mesodermal components of the teeth are basically normal. The presentation of diverse clinical manifestations in 1:14,000 to 1:16,000. Classification of the AI types considers mode of inheritance and clinical manifestations. The most widely accepted classification system recognize three major groups; i.e., hypoplastic(thin enamel), hypocalcified(primary mineralization defect), hypomaturation(defect in enamel maturation). The treatment is that at first, genetic counselling must be practiced, and in anterior teeth, composite resin veneer or jacket crown for esthetics, and in posterior teeth, stainlees steel crown or gold onlay.

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- Aesthetic Restoration of the Gingival Recession with All-ceramic Partial Crown - (전치부 ALL-CERAMIC PARTIAL CROWN 의 임상)

  • Do, Hyang-Ju;Im, Ui-Bin;O, Ji-Yeon;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.11 no.1
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    • pp.11-15
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    • 2002
  • The black triangle is a common clinical finding in aged people with gingival recessions. Among other prosthetic treatment molalities such as composite resin filling and laminate venners, the all ceramic restoration procedure can lead to most successful result. With improved bonding strength and ceramic properties, the tooth preparation design for all-ceramic crown can be modified to minimize the reduction of sound tooth structure without loosing properties of conventional preparation design. Case selection is an important factor in acheiving succesful prosthesis. In this case report, the leucite reinforced pressable ceramic, $Authentic^{TM}$ [Ceramay, Germany] was used to fabricate the prosthesis.

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Analysis of internal fitness of single crown fabricated by additive method (첨가법에 의해 제작된 단관의 내면 적합도 분석)

  • Kim, Won-Soo
    • Journal of Technologic Dentistry
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    • v.37 no.4
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    • pp.229-234
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    • 2015
  • Purpose: The purpose of this study was to analysis the internal fitness of single crown fabricated by additive method technique. Methods: Study models were fabricated. Ten crowns were manufactured by additive method technique (AM group) and another ten crowns using conventional method were manufactured (CM group). The internal fitness of specimens were measured using silicone replica technique. Silicone replicas were sectioned one times (direction: from mesial to distal). The internal fitness were evaluated using by digital microscope. Statistical analyses were performed with independent samples t-test. (${\alpha}=0.05$). Results: Mean(SD) of all internal fitness were $92.1(20.0){\mu}m$ for AM group and $69.7(12.3){\mu}m$ for CM group. Two groups were statistically significant differences (p<0.001). Conclusion: All internal gaps of AM group were ranged within the clinical recommendation ($120{\ss}{\neq}$).

Morphologic analysis of C-shaped root using 3-D reconstruction

  • Jung, Eun-Hee;Cho, Kyung-Mo;Shin, Dong-Hoon
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.563.2-563
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    • 2001
  • C-shaped canal configuration is very difficult to treat because that clues about preoperative canal anatomy cannot be ascertained from clinical crown morphology and limited information can be derived from the radiographic examination. This study was done to get more informations about the root and canal configuration of C-shaped root by 3-dimentionally reconstructing for the purpose of enhancing success rate of endodontic treatment. 30 mandibular molars with C-shaped root were selected. Teeth had been extracted from periodontal problems with sound crown and root portion, including teeth with caries lesion limited crown portion only.(omitted)

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