• Title/Summary/Keyword: Crown dental

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Correlation analysis of periodontal tissue dimensions in the esthetic zone using a non-invasive digital method

  • Kim, Yun-Jeong;Park, Ji-Man;Cho, Hyun-Jae;Ku, Young
    • Journal of Periodontal and Implant Science
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    • v.51 no.2
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    • pp.88-99
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    • 2021
  • Purpose: Direct intraoral scanning and superimposing methods have recently been applied to measure the dimensions of periodontal tissues. The aim of this study was to analyze various correlations between labial gingival thickness and underlying alveolar bone thickness, as well as clinical parameters among 3 tooth types (central incisors, lateral incisors, and canines) using a digital method. Methods: In 20 periodontally healthy subjects, cone-beam computed tomography images and intraoral scanned files were obtained. Measurements of labial alveolar bone and gingival thickness at the central incisors, lateral incisors, and canines were performed at points 0-5 mm from the alveolar crest on the superimposed images. Clinical parameters including the crown width/crown length ratio, keratinized gingival width, gingival scallop, and transparency of the periodontal probe through the gingival sulcus were examined. Results: Gingival thickness at the alveolar crest level was positively correlated with the thickness of the alveolar bone plate (P<0.05). The central incisors revealed a strong correlation between labial alveolar bone thickness at 1 and 2 mm, respectively, inferior to the alveolar crest and the thickness of the gingiva at the alveolar crest line (G0), whereas G0 and labial bone thickness at every level were positively correlated in the lateral incisors and canines. No significant correlations were found between clinical parameters and hard or soft tissue thickness. Conclusions: Gingival thickness at the alveolar crest level revealed a positive correlation with labial alveolar bone thickness, although this correlation at identical depth levels was not significant. Gingival thickness, at or under the alveolar crest level, was not associated with the clinical parameters of the gingival features, such as the crown form, gingival scallop, or keratinized gingival width.

Clinical predictors of potentially impacted canines in low-risk patients: A retrospective study in mixed dentition

  • Sergio Estelita Barros;Bianca Heck;Kelly Chiqueto;Eduardo Ferreira
    • The korean journal of orthodontics
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    • v.53 no.2
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    • pp.106-115
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    • 2023
  • Objective: To evaluate the null hypothesis that there is no difference in a set of clinical predictors of potentially impacted canines between low-risk patients with and without displaced canines. Methods: The normal canine position group consisted of 30 patients with 60 normally erupting canines ranked in sector I (age, 9.30 ± 0.94 years). The displaced canine group comprised 30 patients with 41 potentially impacted canines ranked in sectors II to IV (age, 9.46 ± 0.78 years). Maxillary lateral incisor crown angulation, inclination, rotation, width, height, and shape, as well as palatal depth, arch length, width, and perimeter composed a set of clinical predictors, which were evaluated on digital dental casts. Statistical analyses consisted of group comparisons and variable correlations (p < 0.05). Results: There was a significant association between sex and mesially displaced canines. Unilateral canine displacement was more prevalent than bilateral displacement. The crown of the maxillary lateral incisors was significantly angulated more mesially and rotated mesiolabially in low-risk patients with displaced canines, who also had a shallower palate and shorter anterior dental arch length. Lateral incisor crown angulation and rotation, as well as palatal depth and arch length, were significantly correlated with the canine displacement severity. Conclusions: The null hypothesis was rejected. Maxillary lateral incisor angulation inconsistent with the "ugly duckling" stage as well as a shallow palate and short arch length are clinical predictors that can significantly contribute to the early screening of ectopic canines in low-risk patients.

A Survey of Dentists and Dental Hygienists on Dental Team Composition and Work Assignments (치과의사 및 치과위생사의 치과팀 구성 및 업무 분장에 대한 견해)

  • Lee, Hyo-Jin;Shin, Sun-Jung;Bae, Soo-Myoung;Shin, Bo-Mi
    • Journal of Korean Dental Hygiene Science
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    • v.2 no.1
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    • pp.51-62
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    • 2019
  • The purpose of this study was to investigate the status and views on the dental team composition and works, the experience of a dental manpower shortage and opinions on the solution. The subjects were 313 dentists and dental hygienists. The mobile questionnaires were conducted on the status of dental team composition and works, the experience of a dental manpower shortage and opinions on the solution. There was no big difference between the current dental team composition and ideal composition ratio, and dentists answered that it would be more ideal to reduce dental hygiene and increase nurse assistant when the working dentist was 3~5. 85.6% of the dentists and 56.4% of the dental hygienists had difficulty in employing the dental auxiliary personnel. The difficulty level was 8 out of 10 points among dentists and 5.7 points among dental hygienists. 91.1% of the dentists and 95.5% of the dental hygienists agreed on the necessity of expanding the dental hygienist's work. The dental works were temporary crown making and setting, surgical operation assistance, and overall dental assistance. Based on the results of this study, it is necessary to continuously make efforts to communicate with the dental personnel in Korea to solve a lot of problems such as the job assignment, the dental personnel policy and system, and the work environment.

Shear Bond Strength of Zirconia and Ceramics according to Dental Zirconia Surface Treatment (치과용 지르코니아 표면처리방법에 따른 지르코니아와 전장용 도재의 결합강도 관찰)

  • Lee, Gwang-Young;Choi, Sung-Min
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.279-285
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    • 2019
  • Purpose: The dental CAD / CAM system has been popular with the development of the digital dental industry. Zirconia is a typical material in dental CAD / CAM systems. Zirconia crowns are classified into single layer and double layer. This study is about the double layer crown of zirconia. The surface roughness, bond strength and fracture patterns of the zirconia surface were observed. Methods: Zirconia blocks were cut using a low speed cutter. Sintered to form a plate shape (6mm × 6mm × 3mm). The prepared specimens were surface treated in four ways. Surface roughness and bond strength were measured. And the fracture pattern was observed. Results: Result of surface treatment of zirconia. The surface roughness test results were as ET 2.87 ㎛, ST 2.67 ㎛, LT 2.44 ㎛, AT 2.41 ㎛, CN 2.08 ㎛ order. Bond Strength results were as LT 25.09 MPa, AT 23.27 MPa, ST 21.27 MPa, ET 21.09 MPa, CN 16.12 MPa order. Fracture patterns showed cohesive failure of 25-50% of the bond area. Conclusion: Surface roughness, bond strength and fracture pattern of the zirconia surface were observed. Etching the surface treatment of zirconia materials has been shown to affect the surface roughness. Zirconia special binder treatment has been shown to affect the bond strength improvement.

Optical and Mechanical Properties of Commercial Dental Enamel Porcelain (상용 치과 법랑질 도재의 광학적 및 기계적 특성)

  • Park, Hyung-Rang
    • Journal of Technologic Dentistry
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    • v.26 no.1
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    • pp.115-128
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    • 2004
  • In this study, optical and mechanical properties were investigated with 4 kinds of commercial dental enamels. As a result of EDS analysis $SiO_2,\;Na_{2}O,\;Al_{2}O_3\;and\;K_{2}O$ were the main components of commercial dental enamels. In case of H specimen, content of $SiO_2\;and\;K_2O$ were more than that of another specimens. Starting powder and fired specimens were glass ceramics which were consist of amorphous phase and leucite (crystalline) phase. Crystallization did not occurred during firing process, since the XRD peak intensity was similar between starting powder and fired specimens. As a result of differential thermal analysis, $T_g$ and crystalline temperature was varied with composition in the range of $548\sim576^{\circ}C$ and $735\sim780^{\circ}C$ respectively. 0.5mm thickness dental enamel specimens showed sufficient translucent properties. However, transmittance and reflectance were lower than 5% result from scattering due to the refractive index difference between glass and crystalline phase. 3 point bending strength was in the range of 73.9$\sim$101.8MPa which was similar or slightly higher than enamel of natural teeth and Vickers hardness was higher than enamel of natural teeth more than 100.

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Traumatic Injuries to the teeth in children and adolescent (임상가를 위한 특집 1 - 소아청소년의 외상성 치아손상)

  • Park, Jae-Hong
    • The Journal of the Korean dental association
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    • v.51 no.8
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    • pp.442-450
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    • 2013
  • It is well known that the majority of dental injuries occur in children and adolescent. An injury to the teeth can have serious and long-term consequences, leading to their discoloration, malformation, or possible loss. The emotional impact of such an injury can be far reaching. The majority of dental injuries in the primary and permanent dentitions involve the anterior teeth, especially the maxillary central incisors. Concussion, subluxation, and luxation are the commonest injuries in the primary dentition, while uncomplicated crown fractures are commonest in the permanent dentition. If it is decided to preserve a traumatized primary tooth, it should be carefully observed for clinical and radiographic signs of pulpal or periodontal complications. Radiographs are also examined closely to disclose any damage to the permanent successor. The intervals between reexaminations should be individualized depending on the severity of trauma, the expected type of complications and the age of the patient. Most complications are observed within the first year of the trauma. However, the follow-up evaluation of permanent teeth should continue until treatment of all complications is completed, or until a lost or extracted permanent tooth has been adequately replaced. It is important that the dentist and the other members of the dental team are well prepared to meet the many complex and challenging problems in the care of dental emergencies.

Dental Hygienist's Job Perception of Some Prospective Graduates (일부 치위생학과 졸업예정자의 치과위생사 직무에 대한 인식)

  • Hwang, Soo-Jeong;Bae, Soo-Myoung;Yu, Ji-Su;Han, Yang-Keum
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.1
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    • pp.25-36
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    • 2020
  • Introduction: The legal duties of Korean dental hygienists are different from the actual tasks. These factors cause dental hygienists to experience work stress. Therefore, it is necessary to investigate what tasks the dental hygienist expects to perform. Methods: This study examined the perception of dental hygienists' work on 158 prospective graduates of the 3rd-year and 4th-year course of dental hygiene. The questionnaire about the dental hygienist's duties was prepared based on the job description of dental hygienists by the Korea Health Personnel Licensing Examination Institute. Results: More than 84% said that all of the work in the second job description was possible as dental hygienists. subjects responded that the following items were not dental hygienists' duties: treatment plan based on medical history and dental history, treatment plan based on an intraoral and extraoral examination, treatment plan based on the results of teeth and periodontal examination, analysis of oral health data in community, planning of oral health promotion in community, planing of water fluoridation, reading of radiography, root planing, physical treatment on head and neck, using an ultrasonic device on head and neck, dealing with laser devices, making a temporary crown, suture and stitch-out, and intramuscular injection. Conclusions: Most graduates of dental hygiene departments have recognized that the tasks described in the second job description are dental hygienists' work; therefore, it is necessary to improve the gap between expected work and legal work.

AGE ESTIMATION USING PANORAMIC RADIOGRAPHS OF DEVELOPING PERMANENT TEETH (발육중인 영구치의 파노라마 방사선 사진 계측을 이용한 연령 추정)

  • Choi, Eun-Young;Choi, Nam-Ki;Kim, Seon-Mi;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.215-221
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    • 2007
  • The aim of this study was to test whether metric measurements of crown length, root length and apex width during tooth development could be a better basis for correlation with age than the classical methods based on subjective estimations of various stages of tooth development. Panoramic radiographs of 120 children, aged 7 to 9 years, were collected from the department of the pediatric dentistry of Chonnam National University Hospital, Korea. The methods of Mornstad was used to estimate age. The structures measured were crown length root length and apex width in panoramic radiographic. The results were as follows : 1. In the boys, it showed higher correlation between lower 2nd molar crown length, lower 1st molar root length or lower 1st permolar apical width and age. In the girls, it showed higher correlation between lower 2nd premolar crown length, lower 2nd molar root length or lower 1st molar apical width and age. 2. With the aid of a multiple regression model, a linear relationship between some of these distances and age was shown. Boy(months) = 43.958 + lower 2nd molar crown length ${\times}$ 4.392 + lower 1st molar root length ${\times}$ 2.255 - lower 1st permolar apical width ${\times}$ 2.046, Girl(months) = 75.213 + lower 2nd premolar crown length ${\times}$ 3.910 lower 2nd molar root length ${\times}$ 2.280 - lower 1st molar apical width ${\times}$ 6.217 Age was estimated in boys and girls using the mathematic model ; the mean difference between chronological and estimated ages was $-2.1{\pm}6.8$ months for boys and $6.1{\pm}6.2$ months for girls. Therefore, it seems to be more accurate and easier than the earlier methods.

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Marginal and internal fit of interim crowns fabricated with 3D printing and milling method (3D 프린팅 및 밀링 방법으로 제작된 임시 보철물 적합도 비교 분석)

  • Son, Young-Tak;Son, KeunBaDa;Lee, Kyu-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.254-261
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    • 2020
  • Purpose: The purpose of this study was to assess the marginal and internal fit of interim crowns fabricated by two different manufacturing method (subtractive manufacturing technology and additive manufacturing technology). Materials and Methods: Forty study models were fabricated with plasters by making an impression of a master model of the maxillary right first molar for ceramic crown. On each study model, interim crowns (n = 40) were fabricated using three types of 3D printers (Meg-printer 2; Megagen, Zenith U; Dentis, and Zenith D; Dentis) and one type milling machine (imes-icore 450i; imes-icore GmbH). The internal of the interim crowns were filled with silicon and fitted to the study model. Internal scan data was obtained using an intraoral scanner. The fit of interim crowns were evaluated in the margin, absolute margin, axial, cusp, and occlusal area by using the superimposition of 3D scan data (Geomagic control X; 3D Systems). The Kruskal-wallis test, Mann-Whitney U test and Bonferroni correction method were used to compare the results among groups (α = 0.05). Results: There was no significant difference in the absolute marginal discrepancy of the temporary crown manufactured by three 3D printers and one milling machine (P = 0.812). There was a significant difference between the milling machine and the 3D printer in the axial and occlusal area (P < 0.001). The temporary crown with the milling machine showed smaller axial gap and higher occlusal gap than 3D printer. Conclusion: Since the marginal fit of the temporary crown produced by three types of 3D printers were all with in clinically acceptable range (< 120 ㎛), it can be sufficiently used for the fabrication of the temporary crown.

THE STRESS ANALYSIS OF SUPPORTING TISSUE AND IMPLANT ACCORDING TO CROWN RESTORATIVE MATERIALS AND TYPE OF IMPLANT (수복재료와 임플랜트 종류에 따른 임플랜트 및 지지조직의 응력분포)

  • Choi Chang-Hwan;Oh Jong-Suk;Vang Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.1
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    • pp.53-67
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    • 2002
  • This study was aimed to analyze the stress distribution of implant and supporting tissue in single tooth implant restoration using Branemark $system^{(R)}$(Nobel Biocare, Gothenberg, Sweden) and Bicon system(Bicon Dental Implants, Boston, MA). Two dimensional finite element analysis model was made at mandibular first premolar area As a crown materials porcelain, ceromer, ADA type III gold alloy were used. Tests have been performed at 25Kgf vertical load on central fossa of crown portion and at 10Kgf load with $45^{\circ}$ lateral direction on cusp inclination. The displacement and stresses of implant and supporting structures were analyzed to investigate the influence of the crown material and the type of implant systems by finite element analysis. The results were obtained as follows : 1. The type of crown material influenced the stress distribution of superstructure, but did not influence that of the supporting alveolar bone. 2. The stress distribution of ceromer and type III gold alloy and porcelain is similar. 3. Stress under lateral load was about twice higher than that of vertical load in all occlusal restorative materials. 4. In Bicon system, stress concentration is similar in supporting bone area but CerOne system generated about 1.5times eater stress more in superstructure material. 5. In Branemark models, if severe occlusal overload is loaded in superstvucture. gold screw or abutment will be fractured or loosened to buffer the occlusal overload but in Bicon models such buffering effect is not expected, so in Bicon model, load can be concentrated in alveolar bone area.