• Imaging Science in Dentistry
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• v.45 no.2
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• pp.117-122
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• 2015

Purpose: Panoramic radiographs taken using conventional chin-support devices have often presented problems with positioning accuracy and reproducibility. The aim of this report was to propose a new bite block for panoramic radiographs of anterior edentulous patients that better addresses these two issues. Materials and Methods: A new panoramic radiography bite block similar to the bite block for dentulous patients was developed to enable proper positioning stability for edentulous patients. The new bite block was designed and implemented in light of previous studies. The height of the new bite block was 18 mm and to compensate for the horizontal edentulous space, its horizontal width was 7 mm. The panoramic radiographs using the new bite block were compared with those using the conventional chin-support device. Results: Panoramic radiographs taken with the new bite block showed better stability and bilateral symmetry than those taken with the conventional chin-support device. Patients also showed less movement and more stable positioning during panoramic radiography with the new bite block. Conclusion: Conventional errors in panoramic radiographs of edentulous patients could be caused by unreliability of the chin-support device. The newly proposed bite block for panoramic radiographs of edentulous patients showed better reliability. Further study is required to evaluate the image quality and reproducibility of images with the new bite block.

• Journal of The Korean Dental Society of Anesthesiology
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• v.7 no.2
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• pp.131-134
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• 2007

Inferior alveolar nerve block anesthesia is one of the most common procedures in dental clinic. Although it is well known as safe procedure, complications always can be occurred. Ocular complications such as diplopia, loss of vision, opthalmoplegia are very rare, but once it happens, dentist and patient can be embarrassed and rapport will be decreased between them. We experienced one diplopia case after inferior alveolar nerve block anesthesia and treated without any further complication. We report this case and describe the cause, diagnosis, and treatment objectives of diplopia caused by inferior alveolar nerve block anesthesia.

• Journal of Technologic Dentistry
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• v.33 no.4
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• pp.283-289
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• 2011

Purpose: The purpose of this study was to evaluate flexural strength of full zirconia crown using block after clinical work. Methods: The three point bending test was used to measure the flexural strength of zirconia block. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for Windows. As for the analysis methods, the study used analysis of variance, Tukey's test. Results: The ave Rage value of flexural strengths of WIELAND, Zirkonzahn, Hass, D-MAX were 516.2 MPa, 612.6MPa, 566.2MPa, 744.6MPa. The ave Rage value of Surface Roughness of WIELAND, Zirkonzahn, Hass, D-MAX were 0.39Ra, 0.33Ra, 0.33Ra, 0.47Ra. Conclusion: Flexural strength of zirconia block decreased after clinical work. Flexural strength of zirconia block is equal to or higher than flexural strength of dental metal, so zirconia block can be used as dental material.

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.2
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• pp.111-116
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• 2023

We provided general anesthesia management to a patient with advanced atrioventricular block, which was discovered in the remote period after open-heart surgery. A 21-year-old man with Noonan syndrome was scheduled to undergo excision of a median intramandibular tumor. At 2 months of age, the patient underwent endocardial repair for congenital heart disease. During our preoperative examination, an atrioventricular block was detected, which had not been previously noted. Emergency drugs were administered, and a transcutaneous pacemaker was placed. During anesthesia induction, mask ventilation was easy, and intubation was performed smoothly using a video laryngoscope. The transcutaneous pacemaker was activated in demand mode at a pacing rate of 50 cycles/min approximately throughout the anesthesia time, and the hemodynamic status remained stable. The effect of intraoperatively administered atropine was brief, lasting only a few seconds. Although body movements due to thoracoabdominal muscle spasm were observed during pacemaker activation, they did not interfere with surgery. In postoperative patients with congenital heart disease, an atrioventricular block may be identified in the remote period, and preoperative evaluation should be based on this possibility. In addition, during anesthesia management, it is important to prepare multiple measures to maintain hemodynamic status.

• The Journal of the Korean dental association
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• v.50 no.6
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• pp.329-338
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• 2012

Introduction: The purpose of this study is to evaluate the clinical results of vertical alveolar ridge augmentation using autogenous block bone graft, especially resorption rate, and outcomes of dental implants placed in the grafted site. Patients and Methods: Medical records and radiographs were reviewed. Twenty-seven patients who have been received the autogenous block bone graft which harvested from chin, ramus, and ilium, and the implant installation on 31 areas(22 maxillas and 9 mandibles) were included. Eight implants were installed simultaneously at the time of bone graft in 4 patients, and 65 implants were installed after 4.9 months(range 2~18 months) of autogenous block bone graft in 23 patients. The resorption amount and rate of augmented bone, and the success and survival rates implants were evaluated. Results: Mean height of the augmented block bone was $5.9{\pm}2.3mm$(range from 2.5 to 13.0 mm). Mean follow-up period after block bone graft was 30.4 months(range from 16 to 55 months). Mean resorption of the augmented block bone was $2.0{\pm}1.5mm$ (range from 0.5 to 7.24 mm). The success and survival rates of the implants were 78.1 % and 98.6%, respectively. Conclusion: This study indicates that the autogenous block bone graft is a useful and stable method for alveolar ridge augmentation for dental implant. And more augmentation is needed to compensate the resorption of the grafted bone.

• Journal of Technologic Dentistry
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• v.33 no.3
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• pp.219-224
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• 2011

Purpose: The current study focused on investigating color change of dental zirconia block with respect to the block coloring time. Methods: Three types of dental zirconia blocks(Zirtooth, Pearl-HT, D-Max) were tinted with coloring agent under four different time condition (0 minutes, 1 minutes, 10 minutes, 30 minutes). The quantitative evaluation of the tinted dental zirconia blocks was conducted with spectrophotometer. Results: The Zirtooth and D-Max blocks showed lower H value. The Pearl-HT blocks showed poor reflectivity(L value). Conclusion: The study of color change of zirconia block, which consists the substructure of all ceramic Crown, is applicable for deciding appropriate coloring condition when fabricating one layer ceramic Crown or double layer ceramic Crown.

• Journal of Dental Anesthesia and Pain Medicine
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• v.17 no.2
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• pp.129-134
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• 2017

Efforts to apply augmented reality (AR) technology in the medical field include the introduction of AR techniques into dental practice. The present report introduces a simple method of applying AR during an inferior alveolar nerve block, a procedure commonly performed in dental clinics.

• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.2
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• pp.93-96
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• 2015

Although inferior alveolar nerve block is one of the most common procedures performed at dental clinics, complications or adverse effects can still occur. On rare occasions, ocular disturbances, such as diplopia, blurred vision, amaurosis, mydriasis, abnormal pupillary light reflex, retrobulbar pain, miosis, and enophthalmos, have also been reported after maxillary and mandibular anesthesia. Generally, these symptoms are temporary but they can be rather distressing to both patients and dental practitioners. Herein, we describe a case of diplopia caused by routine inferior alveolar nerve anesthesia, its related physiology, and management.

• The Journal of the Korean dental association
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• v.56 no.1
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• pp.49-57
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• 2018

The most widely used method of pain control in dental practice is to block the pathway of painful impulses by local anesthesia. For a maximum effect of pain control at outpatient minor operation, regional anesthesia including nerve block must be performed. This issue includes various dental local anesthetic techniques on mandible, maxilla and considerations for selection of dental local anesthetics according to patient's age, duration of operation. Additionally, current conscious sedation technique combined with local anesthesia will be introduced for control of patient's anxiousness. Based on patient's general condition, severity of operation, local anesthesia sometimes must be changed into general anesthesia to avoid failure of dental practice. The exact choice of anesthetic techniques for minor operations at dental outpatient clinic must not be underestimated for complete success of pain control.

• Journal of Technologic Dentistry
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• v.30 no.2
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• pp.65-69
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• 2008

Recently, zirconia is widely used in the field of dental ceramics thanks to the proliferation of CAD/CAM systems. Accordingly, different types of zirconia block are being solid in the market. However, there are no precise, objective standards for properties of zirconia. This study concerns the flexural strength of zirconia ceramic for CAD/CAM block. The test specimens used for this study were ZirBlank(Acucera), ZirBlank shade(Acucera), VITA, Cercon(Densply) and Cerasys. The test results suggest that ZirBlank shade block shows the highest flexural strength and density among the zirconia blocks tested. Its flexural strength was $971{\pm}58MPa$ and its density was 99.89%. On the other hand, Cerasys block shows the lowest flexural strength of $576{\pm}36MPa$ and the lowest density of 94.85%. Given all, the density of the specimens is found to be directly proportional to strength and inversely to grain size.