• The Journal of Korean Academy of Prosthodontics
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• v.57 no.4
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• pp.495-505
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• 2019

This study reported the treatment of a patient with excessive worn dentition and limited maxillo-mandibular space for restoration, utilizing the computer-aided design and computer-aided manufacturing (CAD/CAM) technology. After the thorough examination of the patient's occlusal vertical dimension (OVD), full mouth rehabilitation was planned with increase of the OVD. The patient was satisfied with the provisional restorations establishing the increased OVD. The horizontal and vertical data of the patient's jaw relation that the provisional restorations contained were transferred to the definitive metal ceramic fixed prostheses by double scanning and three-dimensional printing. After the fixed restorations were cemented to the abutments, electronic surveying and three-dimensional printing were used to fabricate metal frameworks for the patient's removable partial dentures. The mandibular definitive removable prostheses were delivered to the patient's mouth and the full mouth rehabilitation procedures were completed. The digital technologies used for this case produced fixed and removable restorations satisfactory in masticatory, phonetic and aesthetic functions to both the patient and the dental clinician.

• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.3
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• pp.492-498
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• 1999

Oculodentodigital syndrome(ODD) was first reported by Lohmann in 1920 and termed by Meyer Schwicketath, which they called "dysplasia oculo-dento-digitalis" in 1957. It is somewhat rare heritable disease. ODD is generally inherited in an autosomal dominant pattern with a complex phenotype. The characteristic features are : (1) unique facial features, (2) microphthalmos, (3) syndactyly and camptodactyly of 4th and 5th fingers, (4) osseous anomalies of the middle phalanges of 5th fingers and toes, (5) enamel hypoplasia, (6) dry lusterless hair. We found several occlusal wearing and yellow discoloration of succedaneous teeth, multiple caries lesions, premature loss and pulpal involvement of primary teeth with associated enamel abnormalities caused by generalized enamel hypoplasia in a fairly constant oral finding. Occasionally partial anodontia, microdontia and cleft lip and palate can be manifested. This case, a 9-year-old female with repaired bilateral syndactyly was referred to pediatric dental clinic, Pusan National University Hospital for evaluation of severe attrition of teeth and caries lesions. She had most of the above mentioned typical manifestations of the syndrome. Dental treatment including caries control, stainless steel crown were performed.

• Journal of Oral Medicine and Pain
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• v.21 no.2
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• pp.225-242
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• 1996

The author studied to determine the sex and age of 8 ancient human skeletal remains, which had excavated from ancient tombs located in Yeanri, Kimhae. Some kinds of personal identification methods their skulls and teeth were used for this study and the results were obtained as follows : 1. Sex determination was possible in ancient teeth from 4th to 5th century, using detection of X-Y homologous amelogenin gene by polymerase chain reaction. 2. DNA analysis proved that the materials examined were all male, but which always did not coincide with the results from other methods for sex determination including comparison of sexual differentiation of cranium and teeth and use of discriminant functions in the dental measurement. 3. There was little difference of the estimated ages between the methods by regression of pulp cavity and attrition in teeth. The ages from these two methods always did not coincide with ones from evaluation closure of cranial and palatal sutures. 4. Sex and age of the materials were determined as follows ; $\cdot$ Y9 was estimated to be male in early sixties. $\cdot$ Yl2 was estimated to be male in late twenties to early thirties. $\cdot$ Y37 was estimated to be male in early forties. $\cdot$ Y70 was estimated to be male in early sixties. $\cdot$ Y87 was estimated to be male in late forties. $\cdot$ Y109 was estimated to be male in early forties. $\cdot$ Yl29 was estimated to be male in late thirties to early forties. $\cdot$ Yl42 was estimated to be male in late fifties to early sixties.

• Journal of the Korean Society for Precision Engineering
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• v.23 no.2 s.179
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• pp.154-163
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• 2006

Tooth morphology is the most important scientific aspect of dental medicine in regards to the treatment and study of teeth attrition relating to the absence of teeth due to dental caries or the occlusion of teeth due to external force. Most of the studies have focused on the external morphology in cutting teeth regardless of sex and age. However, the importance of internal morphology in the treatment of damaged teeth has been increased. Therefore, this study established the measurement criteria for the morphology of the mandibular first premolar which had never been presented, in order to investigate the external and internal morphologies of mandibular first premolars, and introduced a non-destructive method such as a microcomputed tomogrphy. Mandibular first premolars in superlative state were taken from molars of middle aged males and females and used as specimens for this study. Criteria relating to the internal and external morphology measurements were established to quantify the length of the teeth in identical state. Two dimensional image data for the selected mandibular first premolar were obtained by taking the image of each O.022mm section, which is perpendicular to the vertical direction using the microcomputed tomography. The Vworks program was applied to measure the length of each morphological part according to the set measurement criteria. These measured data were compared with the data presented by G. V. Black and the internal and external morphologies of the teeth of middle aged Koreans were also compared according to gender. In addition, the methodology for measurement of the mandibular first premolar was presented and according to this, the standardized mandibular first premolars of middle aged Korean males and females were made by using a rapid prototyping system.

• Journal of Oral Medicine and Pain
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• v.33 no.2
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• pp.167-176
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• 2008

We analyzed 121 age estimation clients who had visited oral medicine clinic, Chonbuk National University Hospital, from January 2000 to December 2007 to evaluate its characters in Jeonllabuk-do. The obtained results were as follows : 1. There was distinct difference in sex distribution(Male : 58.7%, Female : 41.3%) and more than half percent(55.4%) was over 50's. 2. The difference between registered and alleged age was the most in more than 5 years, and most of them were over 50's. 3. There were more clients who wanted to increase their age than to decrease and was no prominent difference in sex. Age estimation clients who wanted to decrease their age were predominant under 10 years old and in 20's, and those wanted to increase were predominant in 10's and over 30's. 4. The most reasons to correct age were related to welfare benefit. The purpose of age estimation was different according to each age groups; welfare benefit was the most over 50's, occupation in 40's and 50's, friendship in 30's and 40's, sibling-related in 50's, employment in 10's and 20's. 5. Age was estimated by the attrition of permanent tooth and pulp/tooth ratio from 20 years, root apex closure for 10's and calcification of permanent tooth under 10 years old. In cases that were difficult to estimate by use of the attrition of permanent tooth and pulp/tooth ratio, age was estimated by missing time of permanent tooth and the change of mandibular angle with age. 6. The estimated ages were close to alleged age in 77.7% of clients but the rest(22.3%) was close to registered age.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.1
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• pp.49-54
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• 2005

Shell teeth, a rare dysplastic condition of dentin, was first described by Rushton in 1954. It is characterized by normal enamel, extremely thin dentin, correspondingly large pulp chambers, and shortened roots. This case report is of a male 3 years old. He is refered to the Chosun University dental hospital Pediatric Dentistry because of dental caries and dentin hypoplasia. Intra-oral examination showed attrition of all primary teeth. Radiographic examination showed that the pulps were extremely large with only a shell of surrounding hard tissue. The permanent premolars were missed congenitally. The diagnosis was shell teeth. Because of behavior problem, all dental treatment was undertaken with general anaesthesia. Extration, endodontic treatment and SS crown were performed. The patient has now been wearing the space maintainer and manages it well. The patient is seen intervals for supervision and follow-up care.

• The Journal of Korean Academy of Prosthodontics
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• v.37 no.3
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• pp.328-342
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• 1999

This study was performed to investigate the factors related to tooth wear. For this study, 78 patients with temporomandibular disorders and 76 dental students without any signs and symptoms of temporomandibular disorders were selected as the patients group and as the normal group, respectively. Preferred chewing side, Angle's classification, lateral guidance pattern, head and shoulder posture were observed clinically. Electromyographic activity of anterior temporalis and masseter muscle were recorded with $BioEMG^{(R)}$ and occlusal status were recorded with $T-Scan^{(R)}$. Wear facet area of each tooth was measured from working model of upper arch corresponding to the occlusal status from T-Scan. Wear facet area were measured with planimeter in $mm^2$. Total area were divided into incisal, canine, posterior tooth area. Anterior wearfacet area was incisor area plus canine area, and unilateral area was anterior area plus posterior area. The data collected were analyzed by SAS statistical program and the results of this study were as follows: 1. There was no significant difference between the two groups in total werafacet area, and male subjects showed tendency to have larger area in the normal group but female subjects showed tendency vice versa. 2. There was no significant difference related to preferred chewing side and Angle's classification, however some difference was observed by lateral guidance pattern. Anterior wear facet area in subjects of canine guidance was the largest in the three subgroups. 3. Subjects with head tilting to right side had larger posterior and total area, and subjects with higher shoulder in right side had larger canine and anterior area than any other subgrous. 4. Electromyographic activity of masseter muscle was more correlated with wear facet area than anterior temporalis muscle, and tooth contact number and force were significantly correlated with wear facet area, but the most important factor affecting tooth attrition was age.

• Journal of the korean academy of Pediatric Dentistry
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• v.31 no.1
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• pp.46-51
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• 2004

Talon cusp is cusp-like structure that develops additionally in crown of anterior tooth. And it is one of dental anomalies. Talon cusp can cause various diagnostic, functional, aesthetic problems depending on the size and configuration of cusp. there is a tendency for caries to occur in the developmental grooves, and advanced attrition, periodontal problems, irritation the tongue and temporomandibular pain, occlusal interference and displacement of affected tooth may result. Therefore, early diagnosis and appropriate treatment of each case is important so that it minimize local problems, such as caries, periodontal diseases, and malocclusion. These cases which are in permanent and primary anterior teeth are about gradual reduction forming reparative dentine and complete reduction of talon cusp and root canal therapy which is an alternative and effective form of treatment when gradual reduction of talon cusp may not be possible.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.110-115
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• 2003

Dens evaginatus is an anomalous tooth development arising during morphodifferentiation. It is most often reported in premolar, and familial occurrence has been reported. The primary dental complication of dens evaginatus is fracture or wear of the tubercle which leads to pulp exposure, pulpal necrosis and periapical infection. Pathosis of the pulp can occur before complete root formation with cessation of root development. A rational and conservative approach to the management of dens evaginatus in vital teeth includes early diagnosis and treatment to prevent fracture or attrition of the tubercle. This treatment would include careful sequential grinding, pulp capping, preventive resin restoration. When presented with a case of dens evaginatus in a nonvital tooth with incomplete root development, the treatment of choice has been extraction, apexification. We report two cases of dens evaginatus that appear in two sisters. In the elder, a periapical lesion on radiographs is shown, and it is treated by calcium hydroxide apexification. The other sister is early recognized of dens evaginatus, it is treated using glass ionomer cement reinforcing with sequential grinding.

• Journal of Dental Rehabilitation and Applied Science
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• v.30 no.4
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• pp.315-323
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• 2014

Excessive teeth abrasion causes pathologic changes of oral environment and masticatory system due to decrease in occlusal vertical dimension. When establishing new occlusal plane and recovering vertical dimension, accurate diagnosis and analysis are essential. In this case, after appropriate centric relation in elevated vertical dimension was taken using Gothic arch tracer, full mouth rehabilitation was performed. A 70-year-old male patient had the chief complaint that he could not eat due to teeth wear. He showed generalized teeth wear and decreased vertical dimension. Elevation of vertical dimension was planned by model analysis. According to increased vertical dimension, centric relation was recorded using Gothic arch tracer and temporary prostheses were applied. Appropriate occlusion was established by temporary prostheses for 4 months. Final prostheses were fabricated using vertical dimension adapted by temporary prostheses. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.