• Title/Summary/Keyword: Crown dental

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Potential impact of metal crowns at varying distances from a carious lesion on its detection on cone-beam computed tomography scans with several protocols

  • Matheus Barros-Costa;Eduarda Helena Leandro Nascimento;Iago Filipe Correia-Dantas;Matheus L. Oliveira;Deborah Queiroz Freitas
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.49-56
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    • 2024
  • Purpose: This study evaluated the impact of artifacts generated by metal crowns on the detection of proximal caries lesions in teeth at various distances using cone-beam computed tomography (CBCT). Additionally, the diagnostic impacts of tube current and metal artifact reduction (MAR) were investigated. Materials and Methods: Thirty teeth were arranged within 10 phantoms, each containing 1 first premolar, 1 second premolar, and 1 second molar. A sound first molar (for the control group) or a tooth with a metal crown was placed. Of the 60 proximal surfaces evaluated, 15 were sound and 45 exhibited enamel caries. CBCT scans were acquired using an OP300 Maxio unit (Instrumentarium, Tuusula, Finland), while varying the tube current (4, 8, or 12.5 mA) and enabling or disabling MAR. Five observers assessed mesial and distal surfaces using a 5-point scale. Multi-way analysis of variance was employed for data comparison, with P<0.05 indicating statistical significance. Results: The area under the curve (AUC) varied from 0.40 to 0.60 (sensitivity: 0.28-0.45, specificity: 0.44-0.80). The diagnostic accuracy was not significantly affected by the presence of a metal crown, milliamperage, or MAR(P>0.05). However, the overall AUC and specificity were significantly lower for surfaces near a crown (P<0.05). Conclusion: CBCT-based caries detection was not influenced by the presence of a metal crown, variations in milliamperage, or MAR activation. However, the diagnostic accuracy was low and was further diminished for surfaces near a crown. Consequently, CBCT is not recommended for the detection of incipient caries lesions.

DENTAL ANTHROPOLOGICAL STUDY ON THE OCCLUSAL CHARACTERISTICS OF THE KOREANS (한국인 교합양식의 치과인류학적 연구)

  • Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.24 no.2
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    • pp.247-273
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    • 1994
  • The purpose of this study was to evaluate the dental arch morphology and the occlusal characteristics in the Koreans from the dental-anthropological point of view. The sample consisted of dental stone casts obtained from 120 Korean adults and 142 Japanese adults. Japanese casts and Caucasian data had been preserved at the Dept, of Orthodontics of Tokyo Medical and Dental University. Tooth size and dental arch morphology of the Koreans were compared with that of the Japanese. On the other hand, the variations of 30 crown traits, categorized and quantitatively graded, were compared between two peoples and the frequency distribution of each crown traits were analyzed by means of Chi-square test. The results were summerized as followings ; 1. There was a significant sexual difference in dental arch length and width in the Korean, in which male had a longer and wider dental arch than female. There was a close resemblance for dental arch morphology between the Koreans and the Japanese, except for a little longer mandibular arch of the Japanese. 2. In general, Korean male had wider crown than female, particulary in central incisor,canine,1st molar of maxilla and canine, 1st and 2nd molar of mandible with significance. The Korean had wider maxillary first molar, smaller mandibular first and second molar than the Japanese in both sex. 3. In crown traits of the Korean, shovel-shaped incisor showed lower frequency distribution than in the Japanese, but higher than in the Caucasians. Frequency of incisor reduction was shown higher distribution than in the Japanese and the Caucasians. Carabelli's tubercle showed higher frequency distribution than in Japanese, but remarkably lower than in Caucasians.

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The comparison of the accuracy of temporary crowns fabricated with several 3D printers and a milling machine

  • Junsik Lee;Sungwon Ju;Jihyung Kim;Sion Hwang;Jinsoo Ahn
    • The Journal of Advanced Prosthodontics
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    • v.15 no.2
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    • pp.72-79
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    • 2023
  • PURPOSE. The purpose of this in vitro study was to compare the accuracy of various 3D printers and a milling machine. MATERIALS AND METHODS. The die model was designed using CAD (Autodesk Inventor 2018 sp3). The 30 ㎛ cement space was given to the die and the ideal crown of the mandibular left first molar was designed using CAD (ExoCAD). The crowns were produced using the milling machine (Imes-icore 250i) and the 3D printers (Zenith U, Zenith D, W11) and they were divided into four groups. In all groups, the interior of each crown was scanned (Identica blue) and superimposed (Geomagic Control X) with the previously designed die. The difference between the die and the actual crown was measured at specific points. The Kruskal-Wallis test, the Mann-Whitney test, and Bonferroni's method were performed with a statistical analysis software (P < .008 in inter-group comparison P < .001 in intra-group comparison). RESULTS. In all groups, the center of the occlusal area and the anti-rotational dimple area showed significantly greater difference and the marginal area showed the smallest difference comparatively. The mean value of the difference in each area and the sum of the differences were higher in order of W11, Imes-icore 250i, Zenith D, and Zenith U. CONCLUSION. The digital light processing (DLP) method shows higher accuracy compared to the sereolithography (SLA) method using the same resin material.

제일대구치 결손시와 가공의치 장착후의 저작능율측정에 관한 실험적 연구

  • Lee, Kun-Soo;Kim, Jung-Soo
    • The Journal of the Korean dental association
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    • v.12 no.2
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    • pp.131-134
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    • 1974
  • The author had studied the masticatory effience on three different types; on missing of the first molar, on replacing the missed first molar with crown & bridge and on natural dentition. This study was made from the parched soybeans as testfood by means of mesh technique. As a result of this study on 25 of natural dentitions, 20 of crown & bridges and 25 of missing of the first molars, the following were come out. 1. Masticatory efficiency of natural dentitions was 75.8%, that of crown & bridges was 66.4%, and that of missing of the first molars was 43.7%. 2. Difference of masticatory efficiency of crown & bridges to natural dentitions was 9.4%, that of natural dentitions to missing teeth was 32.1%, and that of crown & bridges to missing teeth was 22.7%.

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A Study on Corwn Contour and Gingival Response (치관수복물의 형태와 치은반응에 관한 연구)

  • Yang, Hong-So;Chang, Wan-Shik
    • The Journal of the Korean dental association
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    • v.21 no.5 s.168
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    • pp.415-423
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    • 1983
  • A total of 202 full coverage crowns from 31 patients was investigated to find out the relationships between crown contour and gingival response. Every experimental crown has its contralateral natural tooth for its control group. Gingival Index and buccolingual width of the crowns were measured on both experimental and control group. Following conclusions were obtained from the study. 1. Most of the crown restorations were overcontoured and the increments were servere at cervical and height of contour area. 2. Height of contour and contact point of the restored crown were located near cervical area. Besides, most crowns had narrow embrasure with wide contact area. 3. Gingival Index around crown restorations was significantly larger than that of control group. 4. the interrelationship between Gingival Index and restored material or restored period was not verified at 5% significant level. 5. When grouping the artificial crowns into overcontoured, normal contoured, and undercontoured group by their width increment, the gingival inflammation was the severest in the overcontoured group and the mildest in the undercontoured group.

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A Study of the Crown Construction using Shell-Crown Made by Duplicating the abutment Tooth of the P.D. (Shell Crown을 이용하여 기존 국부의치 지대치를 복제한 금관제작에 관한 연구)

  • Lim, Byung-Chun
    • Journal of Technologic Dentistry
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    • v.7 no.1
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    • pp.27-31
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    • 1985
  • From time to time, it is necessary to reconstruct the crown for the abutment tooth of the partial denture. It has been difficult and lack of accuracy in it's construction. I studied and discovered a new method of reconstructing the crown, that is rather easier and more accurate than being used, in the following points. 1) It is good in function and use of the partial denture ready made. 2) It is good to protect the periodental tissue and avoid the uneasy feeling. 3) It is so easy and accurate in the procedure of reconstruction. 4) And patient's charge would be less, because of not reconstructing the partial denture.

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Corrosion of the non-beryllium dental casting Ni-Cr alloys for the denture base framework metal and the porcelain-fused-to-metal crown (베릴륨 불포함 치과 주조용 니켈-크롬 합금 중 금속의치상용 합금과 금속소부도재관용 합금의 부식에 관한연구)

  • Kim, Hong-Sik;Song, Jae-Sang;Park, Soo-Chul
    • Journal of Technologic Dentistry
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    • v.34 no.4
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    • pp.337-344
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    • 2012
  • Purpose: This study examined the corrosion level by alloy type and pH, and used the corrosion levels as the dental health data. The study utilized one Ni-Cr alloy for the full and removable partial denture metal frameworks and two Ni-Cr alloys for porcelain-fused-to-metal crown, among the non-beryllium dental casting non-precious Ni-Cr alloys. Methods: The alloy specimens were manufactured in $10cm^2$ and stored in the corrosive solution(pH 2.2-4.4) in the electrical water bath($37^{\circ}C$) for seven days. Afterwards, the metal ions were quantitatively analyzed using the ICP. Results: Of the three metal alloys, Bellabond-Plus$^{(R)}$alloy and SOLIBOND N$^{(R)}$alloy, with 22% or higher chrome chemical contents, had higher corrosion resistance than Jdium-100$^{(R)}$alloy with 20% chrome chemical content. In all three alloys, the corrosion of Ni was highest, and metal ion corrosion was higher in the pH 2.2 corrosive solution. Conclusion: Although Ni-Cr alloy was not very corrosive, a Ni-allergic patient should not have Ni-Cr alloy prosthesis. The Ni-Cr alloy for porcelain-fused-to-metal crown should be designed for the dental porcelain to cover the whole crown.

Precision evaluation of crown prosthesis manufactured by two bur and three bur (2종류의 버와 3종류의 버를 이용해 제작된 크라운 보철물의 정밀도 평가)

  • Kim, Chong-Myeong;Jeon, Jin-Hun;Lee, Jae-jun;Kim, Ji-Hwan;Kim, Woong-Chul
    • Journal of Technologic Dentistry
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    • v.38 no.2
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    • pp.57-62
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    • 2016
  • Purpose: The purpose of this study was to assess precision of crown prostheses that were fabricated by using 2 kinds of bur or 3 kinds of bur. Methods: The crowns were fabricated by using the first molar of the right maxillary in this study. The abutments that were prepared were scanned by using a scanner and designed by using CAD software. Based on the crown design, NC data were created with CAM software. The created NC data were used while fabricating the crown prostheses by using 5-axis milling machine. Scanning was done for the internal and external surface of the completed crown prostheses and 3-dimensional measurement was conducted for precision assessment. Results: The $RMS{\pm}SD$ value for the external surface of the crown prostheses that was fabricated by using two burs and three burs were $28.5{\pm}4.1{\mu}m$ and $19.1{\pm}2.8{\mu}m$, respectively; and the value for two burs were bigger than that for three burs with statistical significance (p<0.001). The $RMS{\pm}SD$ value for the internal surface of the crown prostheses that was fabricated by using two burs and three burs were $14.9{\pm}1.9{\mu}m$ and $13.3{\pm}2.5{\mu}m$, respectively; and the value for two burs were bigger than that for three burs but with no statistical significance. Conclusion: Based on this study, the prostheses that were fabricated by using 3 bur presented better stability compared to those that were fabricated by using 2 bur and statistically significant difference was found only in the external surface.

A study on the possession state of dental CAD/CAM system and usage satisfaction (치과 CAD/CAM 시스템 보유 현황 및 사용 만족도 조사 연구)

  • Bae, Eun-Jeong
    • Journal of Technologic Dentistry
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    • v.42 no.1
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    • pp.45-53
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    • 2020
  • Purpose: The purpose of this study was to investigate the current status and satisfaction of dental CAD/CAM system. Methods: A survey of dental technicians was conducted and a total of 353 responses were used for analysis. The satisfaction difference according to career was analyzed by ANOVA and tukey HSD (α = .05). Results: Satisfaction with the design program was 3.64 ± .86, the highest among all items. On the other hand, the satisfaction with price was 2.75 ± 1.02, which was the lowest. The difference according to career was statistically significant in the following items. Frequent breakdown, single crown margin, bridge crown margin, retentivity, price, A/S, equipment training (p<.05). Conclusion: As the materials applied to dental CAD/CAM are expanding and the types of prostheses are diversified, the use rate of CAD/CAM is continuously increasing. The dental CAD/CAM system will need to be improved in a way that will satisfy all patients, dentists and dental technicians.

Survival rate of stainless steel crown restorations according to depth of caries in primary molars (유구치에서 우식의 깊이에 따른 기성 금속관 수복물 생존율 연구)

  • Yoo, Hyunkyoung;Ra, Jiyoung;Lee, Jewoo
    • The Journal of the Korean dental association
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    • v.57 no.10
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    • pp.569-578
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    • 2019
  • The purpose of this retrospective study was to compare outcome of preformed stainless steel crown restorations according to depth of caries in primary molars. The study subjects consisted primary molars having dentin caries extending at least one-fourth of dentin without signs and symptoms of irreversible pulpitis. A total 295 primary molars received preformed stainless steel crown restorations without any base materials were included in this study. Survival rates were compared using a Kaplan-Meier analysis test. There was no significant difference between depth of caries and survival period in primary molars. And also there was no significant difference with or without pulp therapy. The results of this study suggest that neither the amount of caries nor pulp therapy affect the survival period of primary molars significantly. Proper restoration is more important to achieve sealing for stopping caries progression.

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